by spinedoctors chirwere chemumajoini , Spine Care
Rheumatoid arthritis inonzi inokanganisa vanhu vanosvika miriyoni imwe nemazana mashanu. Inozivikanwa seyakazvimiririra mamiriro ayo anounza nekurwadziwa kusingaperi mumajoini emuviri. Iyo inowanzo bata majoini anowanzoshandiswa semapfudzi, maoko, uye tsoka. Mamiriro acho anogona kutanga kuratidza kune vanhu vari mumakore makumi matatu. Kunetsekana kunouya nerheumatoid arthritis diagnoses ndiwo mamiriro emamiriro pazvipenga zvemusana. Aya majoini anokwanisa kurwisa kubva kune anoshomeka immune system, kuvasiya vachikurirwa neutera, kuzvimba, uye kumanikidza kwetsinga. Chiropractors vanonzwisisa kuratidzwa kwerheumatoid arthritis. Ivo vanogona kunongedza vari-panjodzi maficha majoini uye nekupa gadziriso yekugadzirisa zvisati zvawedzera zviratidzo zvine njodzi kutanga.
Sangana nenjodzi dzakabatana
Iko kune maviri mativi majoini anobatanidza yega vertebra kune iyo iri pamusoro uye pazasi. Chinangwa chavo ndechekusimbisa musana, kungave mune kwazvakarerekera chinzvimbo kana kuita kurira / kuwedzera kufamba. Kana yakanangiswa nema immune system, majoini anotanga kupera simba. Muviri unorwisa iyo synovial fluid inozodza majoini. Izvi zvinogadzira kukakavara kunogadzira kuzvimba. Nekufamba kwenguva majoini anodonha achitungamira kune zvese kubva pakurasikirwa kwekufamba kusvika pfupa spurs. Kana ikasiiwa isingarapwe majoini echikamu anotanga kudzikira, zvichikonzera kumanikidza kwetsinga uko kunogona kutungamira mukukuvara kwenzara kusingaperi. Kana majoini asiri kushanda nemazvo musana unofanirwa kushanda wakaatenderedza.
Subluxations Disc herniation Madhisiki akatsemuka Sciatica zvese zvinogoneka nechikamu chakabatana kusagadzikana. mabatiro
Parizvino, rheumatoid arthritis haigone kurapwa asi zviratidzo zvinogona kupinda mukuregererwa apo kurapwa kunotanga kutanga. Chiropractic mushonga unoshanda pakuvhiringidza zviratidzo zvekuderera kwemajoini izvo zvinomisa kufambira mberi.
Iine kugona kuwedzera uye kuchengetedza huwandu hwemunhu hwekufamba, kubva pane mamiriro anokonzeresa kurasikirwa kwekufamba. Inobatsira kuunza nekukurumidza kurwadziwa uye kunobatsira nekuvandudza kwepashure. Iyo inochengetedza yakanaka yehutano hwepelinha uye homeostasis. Inodzivirira matambudziko nekumanikidza uye subluxations. Kutambanudza nekusimbisa zviitwa zvinosanganisirwa kuchengetedza kweumwe musana kutendeseka. Kudya uye chikafu chinogadziridzwa kudzikisira mhedzisiro, kubatsira nekudzivirira kwekuzvimba. Iko kutarisa kwepamuviri
Sezvo rheumatoid arthritis inokanganisa majoini emuviri, zvakakosha kuti uchengetedze majoini echikamu. Aya majoini anogona kusangana nekudzikira kwekukuvara kunogona kukonzera matambudziko enguva refu. Kukuvadza Medical Chiropractic uye Inoshanda Mushonga Kliniki inopa vanhu maturusi zvakafanira kurwisa rheumatoid arthritis iyo mishonga pachayo isingakwanise.
Mutumbi Muumbi
VIDEO
Tsandanyama Mass Kukosheswa kweYakareba-Nguva Hutano
mhasuro Kuvaka hakusi kwevanogadzira muviri chete uye vatambi. Wese munhu anobatsirwa nekuvaka mhasuru yehutano hwakareba.
Fat Mass Muviri Muviri Misa Basal Metabolic Rate ichapa mufananidzo wakajeka wehutano hwakakwana uye hutano. Kuvaka Lean Muviri Misa ndeyekudyara kwe kuchengetedza hutano kwenguva refu . Iyo Yakawonda Muviri Misa iyo yakavakwa iyo yakawanda iri mukuchengetedza / kuchengetedza kana muviri uchinyatso kuida. Usati wawedzera mapuroteni kuzunguzika uye kuramba kushanda kuhurongwa hwezuva nezuva, chirongwa chinoda kugadzirwa. Nhanho yekutanga kuvaka chiyero chine hutano hwemuviri wakaonda ndeyekuyera kuti yakawanda sei ine ongororo yemuviri.
Disclaimer
Ruzivo rwuri pano haruna kuitirwa kutsiva hukama hweumwe neumwe nachiremba anokwanisa, chiremba ane rezinesi, uye harisi zano rezvekurapa. Tinokukurudzira kuti uite sarudzo dzako dzehutano maererano nesainzi yako uye kudyidzana nehunyanzvi hwekuchengetedza hutano. Yedu ruzivo chiyero chakaganhurirwa kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, hutano hwakaomarara, zvinyorwa zvemishonga zvinoshanda, misoro, uye hurukuro. Isu tinopa uye tinopa kubatana kwekiriniki nevanyanzvi kubva kwakasiyana siyana maitiro. Nyanzvi yega yega inotongwa nehunyanzvi hwavo hwekuita uye nemasimba avo emvumo. Isu tinoshandisa zvinoshanda zvehutano & hutano zvirongwa kuti tibate uye titsigire kuchengetedza kweiyo musculoskeletal system kukuvara kana kusagadzikana. Mavhidhiyo edu, zvinyorwa, misoro, zvidzidzo, uye maonero anovhara zvinhu zvemakiriniki, nyaya, uye misoro ine chekuita nekutsigira, zvakanangana kana zvisina kunangana, kwedu kiriniki chiyero chekuita. chidzidzo chakakodzera chekutsvagisa kana zvidzidzo zvinotsigira zvatatumira. Isu tinopa makopi ekutsigira ekutsvagisa zvidzidzo zvinowanikwa kumatare edzimhosva uye kuruzhinji pachikumbiro. Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr.Alex Jimenez kana kuti tibate pa915-850-0900.
Dr Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM , CTG *qeqeshi@elpasofunctionalmedicine.com
References
Papa JE, Cheng J. Facet (Zygapophyseal) Intraarticular Joint Majekiseni: Cervical, Lumbar, uye Thoracic. Majekiseni eRain Back Pain. 129-135. ClinicalKey.com. Yakasvika Chikunguru 16, 2019.
Brummett CM, Cohen SP. Pathogenesis, Kuongorora, uye Kurapa kweZygapophyseal (Facet) Joint Pain. 816-844. ClinicalKey.com. Yakasvika Chikunguru 16, 2019.
by spinedoctors chirwere chemumajoini , Arthropathies , Chiropractic , Chiropractic Examination , chisingaperi Pain , utano , Injury Care , Research Studies , Kuongorora Maedzo , Mitambo Injodzi , Mitambo Injodzi , Mishonga , Wellness
ibvi marwadzo ndeye hutano hwehutano pakati pevatambi uye huwandu hwevanhu pamwe chete. Kunyange zvazvo zviratidzo zvemarwadzo emabvi zvingave zvichiodza mwoyo uye zvinokanganisa, kurwadziwa kwemabvi kakawanda kunonyanya kuporesa utano hwehutano. Mabvi inzvimbo yakaoma yakaumbwa nemapfupa matatu: chikamu chezasi chebandauko, nzvimbo yepamusoro yechine, uye kneecap.
Masimba ane simba, akadai sematokoni nemagetsi emabvi pamwe chete nekartilage pasi pemabhetipap uye pakati pemapfupa, zvibatanidze zvivako izvi pamwe chete kuti dzigadzikane uye dzitsigire mabvi. Zvisinei, zvakasiyana-siyana zvekukuvara uye / kana mamiriro ezvinhu zvinogona kutungamirira pamabvi ekurwadziwa. Chinangwa chechinyorwa chiri pasi apa ndechokuongorora varwere vane kurwadziwa kwemabvi.
ngovepo
Vanachiremba vemhuri vanowanzo sangana nevarwere vane marwadzo emabvi. Kuongororwa kwechokwadi kunoda ruzivo rwemabvi anatomy, marwadzo anowanzoitika mukukuvara kwemabvi, uye maficha ezvinowanzoitika zvikonzero zvekurwadziwa kwemabvi, pamwe nehunyanzvi hwekuongorora hwepanyama. Nhoroondo yacho inofanirwa kusanganisira hunhu hwekurwadziwa kwemurwere, zviratidzo zvemakanika (kukiya, kubuda, kupa nzira), kubatana kwekubatanidza (nguva, huwandu, kudzokorora), uye mashandiro ekukuvara. Kuongorora kwepanyama kunofanirwa kusanganisira kunyatsoongorora mabvi, palpation yeinongedzo yehunyoro, kuongororwa kwekubatana kwakabatana, kuyera-kwe-kufamba kwekuyedza, kuongororwa kwemisungo yekukuvara kana kuregedza, uye kuongororwa kweiyo menisci. Radiographs inofanirwa kuwanikwa mune varwere vane yakasarudzika patellar nyoro kana hunyoro kumusoro kweiyo fibula, kutadza kutakura uremu kana kushandura mabvi kusvika 90 madhigirii, kana zera rakakura kupfuura makore 55. (Ndini Chiremba weNzara 2003; 68: 907-12. Copyright 2003 American Academy yeMhuri Varapi.)
ziviso
Kurwadziwa kwemabvi kunotora chikamu chimwe muzvitatu chematambudziko emasculoskeletal anoonekwa muzvirongwa zvekuchengetedza kwekutanga. Kunyunyuta uku kwakanyanya muvashandi vemuviri, vane huwandu hwakawanda se54 muzana yevatambi vane degree rekurwadziwa kwemabvi gore rega. .
Mabvi chinhu chakaoma kunzwisisa (Mufananidzo 1), 2 uye kuongorora kwayo kunogona kupa chinetso chiremba wemhuri. Kusiyana kwekutsvaga kwekurwadziwa kwemabvi kwakazara asi kunogona kuderedzwa nenhoroondo yakazara, kuongorora kwakanyatsooneka uye, kana zvichiratidzwa, kushandiswa kusarudzwa kwekufananidzira kwekufananidzira uye zvidzidzo zvebhoratori. Chikamu I chechikamu chechipiri-chikamu chinopa nzira yakagadziriswa yekuongorora mabvi, uye chikamu II3 chinokurukura kusanzwisiswa kwekutsvayamiswa kwemabvi.
History
Pain Characteristics
Tsananguro yemurwere yekurwadziwa kwemabvi inobatsira mukutarisa kusiyanisa kuongororwa.4 Zvakakosha kujekesa hunhu hwehurombo, kusanganisira kutanga kwaro (nekukurumidza kana kusanyengera), nzvimbo (anterior, medial, lateral, kana posterior mabvi), kureba, kuomarara, uye mhando (semuenzaniso, kusanzwisisika, kupinza, achy). Kuwedzeredza uye kudzikisira zvinhu zvinodawo kuzivikanwa. Kana kurwadziwa kwemabvi kuchikonzerwa nekukuvara kwakanyanya, chiremba anoda kuziva kana murwere akakwanisa kuenderera nebasa kana kutakura huremu mushure mekukuvara kana kumanikidzwa kumisa zviitiko nekukasira.
Mechanical Symptoms
Murwere anofanirwa kubvunzwa pamusoro pezviratidzo zvinoshandiswa, zvakadai sokuvhara, kubuda, kana kupa nzira yemabvi. Nhoroondo yekuvhara zvikamu zvinoratidzira maitiro evanhu. Kunzwa kwekuuya panguva yekukuvara kunokurudzira kukuvara kwechiga- mbo, zvichida kupera kwakakwana kwe-ligament (chetatu-girazi misodzi). Zvikamu zvekupa nzira zvinopindirana nehuwandu hwakawanda hwemabvi kusagadzikana uye zvinogona kuratidza patellar sub-luxation kana kugadzirisa kuparara.
Kushushikana
Iyo nguva uye chiyero chekubatanidza kushandiswa kwakakosha zvinogadzirisa kuongororwa. Kurumidza kunotanga (mukati maawa maviri) kwekukura kukuru, kunopisa kunoratidzira kuputika kwegungwa rekare rinoputika kana kuti kuputsika kwebato retibial rine chibereko chinokonzera hemarthrosis, asi kunonoka kunotanga (24 kusvika ku36 maawa) ekunyanyisa kunononoka kuenzanisa kudzvinyirirwa kwevanhu kana kugadzirisa. Bhudziro rinogadziriswa rinopera mushure mekuita basa rinowirirana nekumanikidza kwevanhu.
Mechanism of Injury
Murwere anofanirwa kubvunzwa pamusoro pezvimwe zvizere zvekukuvara. Zvakakosha kuziva kana murwere akatsiga zvakananga kumabvi, kana rutsoka rwakasimwa nenguva yekukuvara, dai murwere ari kukurumidza kana kumira pakarepo, kana murwere achiuya achibva, kana chikamu chekukuvadza, uye kana kudengenyeka kwakaitika.
Kurwa kwakananga kumabvi kunogona kukuvadza zvakakomba. Simba rekare rinoshandiswa kune tibia yakaderera nemabvi muchikanda (semuenzaniso, kana mabhesi akarova dashbhodhi mumotokari yemotokari) inogona kukuvadza ku posterior cruciate ligament. Nhengo yehutano inowanikwa yakawanda inowanzokuvadzwa semugumisiro wesimba rinononoka kumabvi (semuenzaniso, kudonha mubhola); simba iri rinoumba mutoro wepamusoro pamabvi akabatanidzwa uye zvinogona kukonzera kuputika kwemuviri wepakati. Mukupikisana, kupisa kwemuviri kunoumba mutoro we varus kunogona kukuvadza lateral kugadzirisa gumbo.
Nhengo dzisiri dzomukati pamwe ndizvo zvinokonzera kukanganisa mabvi. Kurumidza kumira uye kupinza kwakakosha kana kutendeuka kunobatsira kukurumidza kuwedzera simba rinogona kukanganisa kana kuputsa anterior cruciate ligament. Hyperextension inogona kukonzera kukuvara kune anterior cruciate ligament kana posterior cruciate ligament. Kamwe kamwe kunokanganisa kana kupindira kunokonzera simba re shear rinogona kukuvadza meniscus. Kusanganiswa kwesimba kunogona kuitika panguva imwe chete, zvichikonzera kukuvadza kune zvivako zvakawanda.
History Medical
Nhoroondo yekukuvara kwemabvi kana kuvhiyiwa kwakakosha. Murwere anofanirwa kubvunzwa nezve yapfuura kuyedza kurapa kurwadziwa kwemabvi, kusanganisira kushandiswa kwemishonga, inotsigira michina, uye kurapwa kwemuviri. Chiremba zvakare anofanirwa kubvunza kana murwere aine nhoroondo ye gout, pseudogout, rheumatoid arthritis, kana zvimwe zvinodzora zvirwere zvekubatana.
Kurwadziwa kwepano inowanzosiyana noutano hunogona kukonzerwa nekukuvadzwa kwemitambo, kukuvara kwepamberi yemotokari, kana nehutano hwehutano, hwakadai seArthritis. Zviratidzo zvakajairika zvekukuvara kwemabvi zvinosanganisira kurwadziwa uye kusagadzikana, kuzvimba, kuputika uye kuoma. Nokuti kurapwa kwemarwadzo emabvi kunowirirana maererano nechinokonzera, zvinokosha kuti munhu awane chirwere chakakodzera chezviratidzo zvavo. Chiropractic kuchengetedza yakachengeteka uye inobudirira, nzira yekurapa nzira iyo inogona kubatsira kubata marwadzo emabvi, pakati pehumwe hutano.
Dr. Alex Jimenez DC, CCST Insight
Kuongorora Kwepanyama
Kuongorora uye Kurongeka
Chiremba anotanga nokuenzanisa mabheku anorwadza nebheji rinopera uye kuongorora bhiza rakakuvadzwa nokuda kweheterma, kuzvimba, kubvunda, nekudzima. Mutezo unofanirwa kuve wakaenzana. Kunyanya, iyo huruus medialis obliquus ye quadriceps inofanira kuongororwa kuti ione kana ichiita seyakanaka kana inoratidza zviratidzo zveatrophy.
Ibvi rinozovezwa uye rinotariswa marwadzo, kudziya, uye kupera. Poindi nyoro inofanirwa kutsvaga, kunyanya patella, tibial tubercle, patellar tendon, quadriceps tendon, anterolateral uye anteromedial joint line, medial joint line, uye lateral joint line. Kufambisa ibvi remurwere kuburikidza nekapfupi arc yekufamba kunobatsira kuziva mitsara yakabatana. Range rekufamba rinofanirwa kuongororwa nekuwedzera uye kushandura mabvi kusvika pazvinobvira (yakajairika renji yekufamba: kuwedzera, zero madhigirii, flex- ion, 135 degrees) .5
Patellofemoral Assessment
Iko kuongorora kwekusvitsa kunofanira kuitwa nemurwere supine uye bhiza rakakuvara muwedzerwa. Iyo suprapatellar chikwama chinofanirwa kunyorerwa kuti chigadzirise kana kubudiswa kuripo.
Patellofemoral tracking inoongororwa nekucherechedza patella yekufambisa zvakanaka apo murwere anobvumirana nemisumbu ye quadriceps. Kuvapo kweakiritasi kunofanira kuonekwa munguva yekurapa kwepatella.
Iyo quadriceps angle (Q angle) inotsanangurwa nekudhonza imwe mutsara kubva kune anterior superior iliac musana nepakati peti patella uye wechipiri kubva pakati pe patella kuburikidza ne-tibial tuberosity (Mufananidzo 2) .6 AQ yakareba kupfuura 15 zvigaro ndezvokugadziriswa kwepellarlar subluxation (kureva, kana Q ingirove ichiwedzerwa, kupesana kwakasimba kwemudziyo we quadriceps kunogona kukonzera patella kuisa pasi shure).
Kuongorora kwekutya kwekutyaira kunoitwa ipapo. Neminwe yakaiswa panzvimbo yepakati pe patella, chiremba anoedza kuisa patella kumashure. Kana manejimendi iyi ikaburitsa marwadzo emurwere kana nzira yekupa, patellar subluxation ndiyo ingangoita zviratidzo zvevarwere. .
Cruciate Ligaments
Anterior Cruciate Ligament. Kune iyo yekumberi dhirowa bvunzo, murwere anotora chinzvimbo chepamusoro nemabvi akakuvara akachinjika kusvika pamadhigirii makumi mapfumbamwe. Chiremba anogadzirisa tsoka yemurwere mukushomeka kwekunze kwekunze (nekugara patsoka) uyezve anoisa zvigunwe pane tibial tubercle neminwe pane yekupedzisira mhuru. Nesimba remurwere remhasuru rakasununguka, chiremba anodhonza nechokunze uye anoongorora kutama kwekunze kweiyo tibia (anterior dhirowa chiratidzo).
Kuongorora kweLachman imwe nzira yekuongorora kutendeseka kwepakutanga kwepisitini (Figure 3) .7 Chiyero chinoitwa nemurwere mune chinzvimbo chepamusoro uye gumbo rakakuvara rinoshandiswa kusvika kuC30 degrees. Chiremba anosimudzira mukadzi wekuparara neruoko rumwe, anobata chirevo chekuti tibia kune rumwe ruvoko, uye zvino anoedza kuisa pasi re tibia nechokunze. Kusina kwekupedzisira kwakakwana kunoratidza kuve kwakanaka kweLachman test.
Posterior Cruciate Ligament. Yeye yekupedzisira dhirowa bvunzo, murwere anotora supine chinzvimbo nemabvi akachinjika kusvika pamadhigirii makumi mapfumbamwe. Paakamira parutivi petafura yekuongorora, chiremba anotarisa kuseri kwemashure kwetibia (posterior sag sign) .90 Tevere, chiremba anogadzirisa tsoka yemurwere mukutenderera kwese kwese (nekugara patsoka), zvinzvimbo zvigunwe pane tibial tubercle, uye anoisa minwe pane yekupedzisira mhuru. Chiremba anobva asundira kumashure uye anoongorora yekumashure kusuduruka kweiyo tibia.
Dhamasiko Ligamende
Pakati pezvakagadzikana Ligament. Iko valgus kunetseka bvunzo kunoitwa nemurwere gumbo rakatorwa zvishoma. Chiremba anoisa ruoko rumwe pane iyo yekupedzisira mamiriro emabvi akabatanidzwa uye rumwe ruoko pane yepakati peiyo yeiyo distal tibia. Tevere, valgus kushushikana kunoiswa pamabvi pane ese zero madhigirii (yakazara yakazara) uye 30 madhigirii ekuyerera (Mufananidzo 4) 7. Nemabvi pamadhigirii zero (kureva., Mukuwedzera zvizere), iyo posterior cruciate ligament uye kutsanangudza kwemadzimai echikadzi netabial plateau inofanirwa kudzikamisa mabvi; nemabvi pamadhigirii makumi matatu ekupenda, kushandiswa kwe valgus kushushikana kunoongorora kuregeredza kana kutendeka kwechibvumirano chechibvumirano.
Dare rekugadzirisa Ligament. Kuti aite iyo varus yekushushikana bvunzo, chiremba anoisa ruoko rumwe pane rwepakati chikamu chemurwere ibvi uye rumwe ruoko kune iyo yekupedzisira chikamu cheiyo distal fibula. Tevere, varus kushushikana kunoiswa pamabvi, kutanga pakuzara kuwanda (kureva, zero madhigirii), kozoti nemabvi akagadziriswa kusvika pamadhigirii makumi matatu (Mufananidzo 30). kana kusavapo kwekupedzisira kunoratidza kuputika kwakazara (chechitatu-degree kuchema) cheiyo ligament.
Menisci
Varwere vane kukuvadza kune menisci vanowanzovaratidza unyoro pamutsara wokubatana. Chiyero cheMcMurray chinoitwa nemurwere anorara supine9 (Mufananidzo 5). Muedzo wakatsanangurwa zvakasiyana-siyana mumabhuku, asi munyori anoratidza nzira inotevera.
Chiremba anobata chitsitsinho chemurwere neruoko rumwe uye mabvi nerumwe ruoko. Chiremba wechiremba ari pamutsetse wekubatana, uye zvigunwe zviri pamutsetse wekubatana wepakati. Chiremba anobva achinjisa mabvi emurwere zvakanyanya. Kuti uedze iyo lateral meniscus, iyo tibia inotenderedzwa mukati, uye ibvi rinowedzerwa kubva pakureba kukuru kusvika pamadhigirii makumi mapfumbamwe; kuwedzerwa kudzvinyirira kune iyo yekupedzisira meniscus inogona kuburitswa nekuisa valgus kushushikana pamabvi akabatanidzwa apo ibvi riri kuwedzera. Kuti uedze medial meniscus, iyo tibia inotenderedzwa kunze, uye ibvi rinowedzerwa kubva pakureba kukuru kusvika pamadhigirii makumi mapfumbamwe; kuwedzerwa kudzvinyirira kune epakati meniscus inogona kugadzirwa nekuisa varus kushushikana pamabvi akabatanidzwa nepo mabvi ari madhigirii ekuyerera. Chiyero chakanaka chinoburitsa thud kana kubaya, kana chinokonzeresa kurwadziwa muchikamu chinoberekwazve chehurefu hwekufamba.
Nokuti vazhinji vanorwara nemabvi vane marwadzo anononoka, mavara-mafirimu radiographs kazhinji haasi kuratidzwa. Mitemo yemabvi eOttawa inobatsira kutungamirira radiographs yemabvi10,11.
Kana radiographs ichidikanwa, matatu maonero anowanzo kukwana: anteroposterior view, lateral view, uye Merchant'ss (ye patellofemoral joint) .7,12 Varwere vechidiki vanotaura marwadzo asingagumi emabvi uye anodzokororwa mabvi kunyungudika anoda notch kana tunnel maonero ( posteroanterior maonero nemabvi akachinjika kusvika 40 kusvika 50 madhigirii). Aya maonero anodikanwa kuti aone ma radiolucency echikadzi echimiro (kazhinji - epakati echikadzi echikadzi condyle), ayo anoratidza kuvepo kweosteochondritis dissecans.13
Radiographs inofanira kuongororwa zvakanyanya nokuda kwezviratidzo zvekuparara, zvikurukuru inosanganisira patella, tibial plateau, tibial spines, zvinowedzera futi, uye femoral condyles. Kana osteoarthritis inofungidzirwa, kumira kurema-kutakura radiographs kunofanira kuwanikwa.
Laboratory Studies
Kuvapo kwekudziya, kunyatsonyorova, kushungurudzika kunorwadza, uye kurwadziwa kwakajeka uye kunyange zvishoma zvishoma zvokufamba kwebvi rinowirirana zvinopindirana ne septic arthritis kana chirwere chinoputika chirwere. Mukuwedzera pakuwana ropa rose rakazara nekusiyana uye eerythrocyte sedimentation rate (ESR), arthro-centesis inofanira kuitwa. Mushonga unobatana unofanirwa kutumirwa ku laboratori kune sero kuverengeka nekusiyanisa, glucose uye mapuroteni zviyero, michina yebhakitiriya nekunzwisisika, uye microscopy chiedza chechiedza chekristasi.
Nemhaka yokuti gwapa, rinorwadza, rakapfugama rinogona kupa mifananidzo isina kufanana, arthrocentesis inogona kudikanwa kusiyanisa kushandiswa nyore nyore kubva kune hemarthrosis kana masikati osteochondral fracture.4 Kushanda pamwe chete kushizha kunobudisa zvakajeka, mavara emashizha anotenderera, semakumbo emabvi kana chronic meniscal kukuvara. Hemarthrosis inokonzerwa nekubvarura kwepamusoro-soro pediate ligament, kuputsika kana, kazhinji, kuchema kwakanyanya kwechikamu chekunze kwe meniscus. Kuparara kweosteochondral kunokonzera hemarthrosis, nemafuta emaglobules akaonekwa mune aspirate.
Rheumatoid arthritis inogona kusanganisira mabvi akabatanidzwa. Nokudaro, serum ESR uye rheumatoid factor test inoratidzwa nevarwere vakasarudzwa.
Vanyori vanoratidza kuti havana mhirizhonga yekufarira. Zvinyorwa zvekubhadhara: hapana zvakataurwa.
Pakupedzisira, kurwadziwa kwemabvi chinhu chinowanzoitwa nehutano chinoitika nekuda kwekukuvara kwakasiyana siyana uye / kana mamiriro ezvinhu, zvakadai sekukuvara kwemitambo, njodzi dzemotokari, uye arthritis, pakati pemamwe matambudziko. Kurapa kwemabvi emabvi kunowirirana zvikuru pane zvinobva zviratidzo. Saka, zvakakosha kuti munhu wacho atsvake kurapwa kwechimbichimbi kugamuchira kurapwa.
Chiropractic kuchengetedza ndeimwe nzira yekurapa sarudzo iyo inotarisana nekurapwa kwekukuvara kwakasiyana siyana uye / kana mamiriro anosanganisirwa nemusculoskeletal uye nervous system. Chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwemabvi chiratidzo chinozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi kwakasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara . Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
VIDEO
References
1. Rosenblatt RA, Cherkin DC, Schneeweiss R, Hart LG. Zvinyorwa zvekutsvaga kurapwa muUnited States. An interspecialty comparing. N Engl J Med 1983; 309: 892-7.
2. Tandeter HB, Shvartzman P, Stevens MA. Makukutu akakosha emabvi: kushandiswa kwemirairo mitemo yekusarudza radhiograph kuraira. Ndiko Chiremba weNzara 1999; 60: 2599-608.
3. Calmbach WL, Hutchens M. Kuongorora kwevarwere vanouya nemarwadzo emabvi: chikamu II. Kusiyana kwemashoko. Ndiko Chiremba weNzara 2003; 68: 917-22
4. Bergfeld J, Ireland ML, Wojtys EM, Glaser V. Kunyora chikonzero chekurwadza kwegumbo. Kutarisira Murefu 1997; 31 (18): 100-7.
5. Magee DJ. Knee. Muchi: Orthopedic mumuviri wokuongorora. 4th ed. Philadelphia: Saunders, 2002: 661-763.
6. Juhn MS. Patellofemoral pain syndrome: a review uye mirayiridzo yekurapa. Ndiko Chiremba weNzara 1999; 60: 2012-22.
7. Smith BW, Green GA. Makukutu akakosha mabvi: chikamu I. Nhoroondo uye kuongorora kwepanyama. Am Fam Physikanian 1995; 51: 615-21.
8. Walsh WM. Knee kukuvara. Mune: Mellion MB, Walsh WM, Shelton GL, eds. Bhuku rebhuku rachiremba. 2d ed. St. Louis: Mosby, 1997: 554-78.
9. McMurray TP. The semilunar cartilage. Br J Chirongwa 1942; 29: 407-14.
10. Stiell IG, Wells GA, Hoag RH, Sivilotti ML, Cacciotti TF, Verbeek PR, et al. Kushandiswa kwemutemo weAttawa wemabhesi nokuda kwekushandiswa kwemafirimu mukukuvara kwemabvi. JAMA 1997; 278: 2075-9.
11. Stiell IG, Greenberg GH, Wells GA, McKnight RD, Cwinn AA, Caciotti T, et al. Kusara kwechisarudzo chekutonga kwekushandiswa kwemafirimu mukukuvara kwemafupa. Ann Emerg Med 1995; 26: 405-13.
12. Sartoris DJ, Resnick D. Plain mafirimu radiography: rouinine uye maitiro chaiwo uye maitiro. Mu: Kurambazve D, ed. Kuongororwa kwemafupa uye masangano ekubatana. 3d ed. Philadelphia: Saunders: 1-40.
13. Schenck RC Jr, Goodnight JM. Osteochondritis dis- secans. J Bone Joint Surg [Am] 1996; 78: 439-56.
by spinedoctors Chiropractic , Chiropractic Examination , chisingaperi Pain , utano , Injury Care , Kuongorora Maedzo , Mitambo Injodzi , Mitambo Injodzi , Mishonga , Wellness
I-tendons ine simba yakasimba yezvinyuchi zvinobatanidza mishonga kumapfupa. Imwe yemaatoni aya, iyo quadriceps tendon, inoshanda pamwe chete nemisungo inowanikwa pamberi pehudyu kuitira kuti igadzirire gumbo. A quadriceps tendon rupture kunogona kukanganisa hupenyu hwomunhu wehupenyu.
Kushandiswa kwekodriceps tendon kupera kunogona kuve kukuvadza kunokonzera uye kunowanzodikanwa kugadziriswa uye kupindira kwokugadzira kudzorera mabvi. Izvi zvinowanzokuvara. Quadriceps tendon rupture inowanzoitika pakati pevatambi vanoita kuseka kana kutamba mitambo.
Quadriceps Tendon Rupture Tsanangudzo
Misi miviri ye quadriceps inouya pamwe chete pamusoro pemabviki, kana patella, kuti iite quadriceps tendon. Iyo quadriceps tendon inosangana nemisungo ye quadriceps kupinda mu patella. Iyo patella inobatanidza nehine, kana tibia, ne patellar tendon. Kushanda pamwe chete, mitsipa ye quadriceps, quadriceps tendon, uye patellar tendon, ruramisa mabvi.
Iyo quadriceps tendon kuputika inogona kuve isina kukwana kana kukwana. Misodzi yakawanda yakasarudzika haikanganise zvachose zvinyoro zvinyoro. Nekudaro, musodzi uzere uchaparadzanisa zvinyoro zvinyoro zvikamu zviviri. Kana iyo quadriceps tendon ikatsemuka zvachose, mhasuru haichabatike kune kneecap kana patella. Nekuda kweizvozvo, ibvi harigone kutwasanura kunze apo kontrakiti yemhasuru yequadriceps.
Quadriceps Tendon Kupfuura Zvinokonzera
Chimwe chinonzi quadriceps tendon kuputika chinowanzoitika nekuda kwekuwedzerwa mutoro pamakumbo apo rutsoka rwakasimwa uye mabvi anenge achinjeka. Nenzira yekutaura, paunenge uchisvika kubva kumhepo yakashata, simba rinonyanya kutakura zviduku zvinotakura, zvinokonzera kusarura zvishoma kana kukwana. Misodzi inogonawo kunge yakakonzerwa nekudonha, kururamisa zvakananga kumabvi, uye kumira kana kucheka.
Iyo isina kusimba quadriceps tendon zvakare iri nyore kuputika. Zvinhu zvinoverengeka zvinogona kukonzeresa kushomeka kwetendon, kusanganisira quadriceps tendinitis, iko kuzvimba kweiyo quadriceps tendon, inonzi quadriceps tendinitis. Quadriceps tendinitis ndeimwe yemitambo inowanzoitika mukukuvara kwevatambi vanoita zvemitambo kana zviitiko zvehunyanzvi zvinosanganisira kusvetuka.
Zvinyoro zvishoma zvakadzika zvinogonawo kuendeswa nezvirwere izvo zvinopesanisa ropa richiyerera kusvika pamabvi kana patella. Kushandisa corticosteroids uye mamwe maantibhakitiriya zvakare akabatana neutera hunobatanidzwa ne quadriceps tendon rupture. Kusagadzikana kwenguva yakareba kunogonawo kuderedza simba mu quadriceps tendon. Pakupedzisira, quadriceps tendon rupture inogona kuitika nekuda kwekuregererwa uye / kana kuvhiyiwa.
Quadriceps Tendon Kupfuura Symptoms
Kubuda kana kubvarura kunzwa ndechimwe chezviratidzo zvakajairika zvine chekuita nekuparara kwetendriceps tendon. Marwadzo anoteverwa nekuzvimba uye kuzvimba kwemabvi zvinogona kuita kuti munhu atadze kutwasanudza mabvi. Zvimwe zviratidzo zvequadriceps tendon kuputika zvinosanganisira:
An indentation kumusoro kwebhedecap kana kuti patella yenzvimbo yakanganisa
Kudzora
Tenderness
Cramping
Kunyunyuta kana kudonhedzera kwebhekete kana kuti patella apo tambo yakabvarura
Kutambudzika kufamba nokuti mabvi anokamba kana kupa
Quadriceps Tendon Rupture Ongororo
Nyanzvi yehutano ichaita ongororo kuti iongorore kuputika kwequadriceps tendon nekutanga kukurukura zviratidzo zvemurwere- uye nhoroondo yezvekurapa. "Mushure mekutaura nezvezviratidzo zvemurwere uye nhoroondo yezvekurapa, chiremba achaita ongororo yakazara yemabvi.
Kuti uone chikonzero chaicho chezviratidzo zvemurwere, nyanzvi yehutano anoongorora kuti zvinoita sei kutambanudza, kana kutwasanudza, ibvi. Kunyangwe iyi nharaunda yekuongorora ichikanganisa, zvakakosha kuti uongorore quadriceps tendon kuputika.
Kuti uone cheadriceps tendon rupture diagnostic, chiremba anogona kuraira zvimwe zviitiko zvekufungidzira, sa x-ray kana magnetic resonance imaging, kana MRI, scan. Mucheka unofamba kubva panzvimbo imwechete apo quadriceps tendon rupture. Izvi zvinogona kunge zvakajeka kune rumwe rutivi x-ray maonero emabvi.
Misodzi yakakwana inogona kuonekwa nguva dzose ne x-rays chete. I-MRI inogona kuratidzira huwandu hwetendon hwakabvarurwa pamwe nekugadzirisa kwekusvimha misodzi. Nguva nenguva, MRI inobvisawo imwe kukuvadzwa nezviratidzo zvakafanana. Kuona kufungidzira kunobatsira pakuongorora kwekukuvara kwemitambo.
Iyo quadriceps tendon ndiyo tete yakakura inowanikwa pamusoro pemabviki, kana kuti patella, iyo inotitendera kugadzirisa mabvi edu. Kunyange zvazvo quadriceps tendon isimbi yakasimba, yakasimbiswa inogona kumira simba guru, simba remitambo kana zvimwe zvehutano zvinogona kutungamirira ku quadriceps tendon rupture. Kutevedzana kwekodhekaps toni kuputsika kunokonzera zvinetso zvinogona kukanganisa hutano hwehupenyu hwehutano.
Dr. Alex Jimenez DC, CCST Insight
Quadriceps Tendon Rupture Treatment
Non-Surgical Treatment
Mazhinji emisodzi yekusarudzika anoita zvakanaka kune isiri-yekuvhiya nzira yekurapa. Chiremba anogona kuraira murwere kuti ashandise ibvi immobilizer kana brace kubvumira iyo quadriceps tendon kupora. Madondoro anobatsira kudzivirira kuisa uremu pagumbo. Ibvi rinogonesa kana chishongo rinoshandiswa kwemwedzi mitatu kusvika kumitanhatu.
Kamwe kurwadziwa kwekutanga, kuzvimba, uye kuzvimba zvadzikira, dzimwe nzira dzekurapa, senge chiropractic kuchengetedza uye kurapwa kwemuviri, zvinogona kushandiswa. Chiremba wechiropractic, kana chiropractor, anoshandisa kugadziriswa kwepelinha uye manyorerwo ekugadzirisa kunyatso kugadzirisa chero kusagadzikana kwepasipinha, kana kukanganiswa, uko kungave kuri kukonzera matambudziko.
Uyezve, chiropractic kuchengetedza uye kurapa kwepanyama kunogona kupa mararamiro emararamiro, kusanganisira maitiro ekuita muviri uye mapurogiramu ekudzidzira kuita kuti kukurumidze kupora. Murwere angave akakurudzirwa zvakasiyana-siyana uye maitiro kuti avandudze simba, kushanduka uye kuchinja. Nyanzvi yehutano ichaona kana yakachengeteka kudzoka-kutamba.
Kurapa Kwokuvhiya
Vanhu vazhinji vane misodzi yakakwana vanoda kuvhiyiwa kuti vagadzire quadriceps tendon kuparara. Kupindira kwekupindira kunoenderana nezera remurwere, zviito, uye mberi kwemaitiro. Kuvhiya kwe quadriceps tendon kuputika kunosanganisira kudzoserazve tendon kune kneecap kana patella. Kuvhiya kunoitwa nenharaunda yepelinital anesthetic kana huwandu hwekushongedza.
Kuti ubatanidze zvakare tendon, sutures inoiswa mutendon uye yakazopetwa kuburikidza nemakomba ekuboora pabvi. Iwo matinji akasungirirwa muchitsiko chebvi. The physician achasunga sutures kuti awane kwakanakira kusagadzikana mune kneecap kana patella. Izvi zvakare zvichave nechokwadi chekuti nzvimbo yemabvi anoenderana zvakanyanya neiyo isina kukuvara patella kana kneecap.
Bhabhi immobilizer, bhanhire kana gumbo refu rakagadzirwa rinogona kushandiswa mushure mekuvhiyiwa. Murwere anokwanisa kubvumirwa kuisa mutoro pamagumbo avo achishandisa michina. Kutarisa uye kudzidzira kunowedzerwa muchirongwa chekuvandudza nechiropractor kana kuti chiremba wepanyama mushure mokuvhiyiwa.
Iyo yakakodzera nguva yechiropractic nekurapa kwepanyama mushure mekuvhiyiwa kwevaya vanorida iyo inenge iine munhu mumwe oga pachake. Purogiramu yekugadzirisa chirwere ichi ichave yakatarisana nemhando yekusvimha misodzi, kuvhiyiwa kwavo, chirwere chekurapa, pamwe nezvimwe zvinoda.
mhedziso
Ruzhinji rwevarwere runogona kudzokera kune yavo yekutanga miitiro mushure mekupora kubva kuquadriceps tendon kuputika. Kudzoka kwemunhu kunozotariswa zvakanyatsonaka nehunyanzvi hwekuchengetedza hutano scope Chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kutibata nesu pa us915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwemabvi chiratidzo chinozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi kwakasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara . Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
by spinedoctors Chiropractic , Chiropractic Examination , chisingaperi Pain , utano , Kuongorora Maedzo , Mitambo Injodzi , Mitambo Injodzi , Mishonga , Wellness
Ibvi rakagadzirwa nemhando dzakasiyana dzakaomarara nyoro. Kuvhara mabvi akabatanidzwa idanga pane yayo membrane inozivikanwa se plica. Ibvi rakaputirwa- nechimiro chinozadzwa nemvura-inonzi synovial membrane. Matatu eaya macapsule, anozivikanwa se synovial plicae, anokura akatenderedza mabvi akabatana panguva yese yemwana uye anonwiswa asati azvarwa.
Zvisinei, panguva imwe yekutsvakurudza kwakaitwa muna 2006, vatsvakurudzi vakawana kuti 95 muzana yevarwere vari kuvhiyiwa arthroscopic vaiva nezvasara zve synovial plicae yavo. Knee plica syndrome inoitika kana iyo plica yazvimba, kazhinji nekuda kwekukuvara kwemitambo. Izvi zvinowanzoitika pakati pe kneecap, inozivikanwa se medial patellar plica syndrome .
Ndeipi zviratidzo zveKnee Plica Syndrome?
Chiratidzo chinowanzozivikanwa chemabvi plica syndrome marwadzo emabvi, kunyange hazvo nyaya dzakasiyana dzehutano dzinogona kukonzera izvi zviratidzo. Knee kurwadziwa kwakabatana nemabvi plica syndrome kazhinji: achy, pachinzvimbo chekupinza kana kupfura; uye zvakanyanya kana uchishandisa masitepisi, kukwenya, kana kukombama. Zvimwe zviratidzo zvebvi plica syndrome zvinogona zvakare kusanganisira zvinotevera:
kubata kana kukiya kunzwa pa knee uchisimuka kubva pachigaro mushure mekugara kwenguva yakareba,
kuoma kunogara kwenguva yakareba,
kuputika kana kurinhira ruzha kana kupfugama kana kutambanudza mabvi,
manzwiro okuti ibhu rinopera zvishoma nezvishoma,
manzwiro okusagadzikana pamatope nemasiteti,
uye inogona kunzwa inoputika plica apo inodonha pamabvi.
Ndezvipi Zvinokonzera Knee Plica Syndrome?
Knee plica syndrome inowanzo kukonzereswa sechigumisiro chekunyanyisa kwekushushikana kana kumanikidzwa kunoiswa pamabvi kana nekuda kwekushandisa zvakanyanya. Izvi zvinogona kuunzwa nezviitiko zvemuviri uye kurovedza muviri izvo zvinoda kuti munhu akotame uye awedzere mabvi sekumhanya, kuchovha bhasikoro, kana kushandisa muchina wekukwira masitepisi. Njodzi yemotokari kukuvara or a slip-uye-kudonha tsaona kunogona kukonzera mabvi plica syndrome.
Knee plica syndrome, inowanzonzi medial patellar plica syndrome, inhau yehutano inowanikwa apo plica, chimiro chakakomberedza synovial capsule yemabvi, inotsamwa uye inopisa. Knee plica syndrome inogona kuitika nekuda kwekukuvara kwemitambo, kukuvadzwa kwepamberi yemotokari, uye ngozi dzinopera-uye-kugwa, pakati pemamwe marudzi ehutano hwehutano. Zviratidzo zvemabvi plica syndrome zvinowanzove zvisina kukanganisa nekondromalacia patella. Kufungidzira kufungidzira kunogona kubatsira kuongorora chinetso chekuenderera mberi nekurapa.
Dr. Alex Jimenez DC, CCST Insight
Ko Knee Plica Syndrome Inowanikwa Sei?
Kuti uwane hutano hwepellar patellar plica syndrome, nyanzvi yehutano inotanga kuongorora kuongorora. Vachashandisa kuongororwa kutonga kunze kwezvimwe zvikonzero zvinokonzera kurwadziwa kwemabvi, zvakadai sevarume vanobvaruka, tendonitis, uye mapfupa akaputsika kana kuputsika. Iva nechokwadi chekutaura nachiremba wako pamusoro pezvinhu zvipi zvaunofambidzana nazvo pamwe chete nehupi hwehutano hwehutano. Nyanzvi yehutano ingashandisawo X-raire kana MRI kuti ione kutarisana nemabvi ako.
Chii chinonzi Kurapa Knee Plica Syndrome?
Kazhinji mitambo ye medial patellar plica syndrome inopindura zvakanaka kune dzimwe nzira dzokurapa, dzakadai sechiropractic, chirwere chepanyama kana kunyange chiito chepanyama kana chirongwa chekuita zvekuita kumba. Chiropractic kuchengetedza inoshandisa maginha ekugadzirisa uye nzira dzekushandisa kuti uchengetedze nekugadzirisa zvirwere zvakasiyana-siyana zvehutano zvinobatanidzwa ne musculoskeletal uye nervous system. Uyezve, chiropractic kuchengetedza uye kurapwa kwepanyama kunogona kusanganisira mutsara wezvishoma uye maitiro ekubatsira kusimbisa simba, kufamba, uye kugadzikana kune hamstrings uye quadriceps. Izvi zvinoshandiswa uye zvidzidzo zvinotsanangurwa pasi apa.
Quadriceps Kusimbisa
Nhengo yeplica plica inobatanidza ne quadriceps, musungo mukuru pahudyu. Mumwe munhu ane simba rakasvibiswa nekadricep ane mukana wakakwirira wekudzikisa mabheji plica syndrome. Iwe unogona kusimbisa quadriceps yako nekuita zvishoma uye kudzidzira sezvinotevera:
quadriceps inogadzirisa kana musimba kuomesa
rutsoka rwakarurama rinomutsa
mhaka yemakumbo
mini-squats
bhasikoro, kushambira, kufamba, kana kushandisa elliptical machine.
Hamstring Stretching
Hemidings ndiyo mishonga inowira pasi kumashure kwehudyu, kubva pamapapiro kusvika kumafupa. Aya anobatsira kushandura mabvi. Ikoko hamstrings inowedzera kushungurudzika uye kumanikidza mberi kwebvi, kana plica. A chiropractor kana chiremba wepanyama achafambisa murwere kuburikidza nemhando dzakawanda uye maitiro zvinogona kubatsira kusunungura mitsipa. Pakarepo apo murwere anodzidza izvi, vanogona kuzviita kaviri zuva rimwe nerimwe kuitira kuti misungo isunungurwe.
Corticosteroid Injections
Vamwe vashandi vezvehutano vanogona kupa chirwere che corticosteroid pamabvi kana kurwadziwa nekuputika kunokonzera kudziviswa mubasa. Corticosteroid injections inogona kubatsira kwenguva pfupi kuderedza zviratidzo zvinorwadza, zvisinei, zvakakosha kuti murwere arambe achirapa kuporesa gumbo plica syndrome. Zviratidzo zvinorwadza zvinogona kudzoka apo corticosteroid inopisa kana isingarapwa.
Surgery
Kana chiropractic kuchengetedza, chirwere chepanyama, kana kurapwa kunotsanangurwa pamusoro apa hakubatsiri kupodza bhepa plica syndrome, nzira inonzi arthroscopic resection inogona kudiwa. Kuti aite izvi, chiremba achaisa kamera kadiki, inonzi arthroscope, kuburikidza nekacheka kadiki pamucheto wemabvi. Zvishandiso zviduku zvishoma zvinoshandiswa kuburikidza nemutsara wechipiri muduku kutora plica kana kururamisa nzvimbo yayo.
Mushure mekuvhiyiwa, chiremba wako anozobvunza nechiropractor kana wepanyama kurapwa kwechirongwa chekuvandudza. Murwere anogona kupora mukati memazuva mashoma kuitira kuti mabvi achinjwe. Rangarira kumisikidza mavhiki mashoma usati wadzokera kune akajairika matanho ekurovedza muviri uye kurovedza muviri.
Kurarama neKnee Plica Syndrome
Plica syndrome inowanzo kuve nyore kurapa nechiropractic kuchengetedza, kurapa kwepanyama, nedzimwe nzira dzekurapa, sezvakatsanangurwa pamusoro. Kana iwe uchida kuvhiyiwa, maitiro acho ari mashoma anokuvadza uye anoda mashoma kupora achienzaniswa nemhando dzakasiyana dzemhando dzekuvhiya kwemabvi.
Taura neyako nyanzvi yehutano kuti uone sarudzo yekurapa yakanakisa yemabvi ako plica syndrome. Chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwemabvi chiratidzo chinozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi kwakasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara . Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
EXTRA EXTRA | NHAURWA INOKOSHA: El Paso, TX Chiropractor Inokurudzirwa
by spinedoctors Chiropractic , Chiropractic Examination , chisingaperi Pain , utano , Injury Care , Kuongorora Maedzo , Mitambo Injodzi , Mitambo Injodzi , Mishonga , Wellness
Chondromalacia patellae, inonziwo ibvi remhanyi, inyaya yehutano mune iyo shwashwa iri pasi petella, kana kneecap, inova yakapfava uye pakupedzisira inoparara. Dambudziko iri rakazara pakati pevatambi vechidiki, zvisinei, inogona zvakare kukura mune vakuru vakuru vanotambura neArthritis yemabvi.
Kukuvara kwemitambo yakadai saikondromalacia patellae inowanzoonekwa sekukuvara kwekunyanyisa. Kutora nguva kubva pakuzvipira mune zvekuita uye kuita zvekurovedza kunogona kuunza zvakanakisisa. Muchiitiko chokuti hutano hwehutano hwomumwe munhu hunokonzerwa nehutano husina kunaka, zororo rinogona kusabvisa marwadzo. Zviratidzo zvemabvi omumhanyi zvinosanganisira kurwadziwa kwemabvi uye kugunzva manzwiro.
Chii Chinokonzera Chondromalacia Patellae?
Iyo kneecap, kana iyo patella, inowanzo kuwanikwa kuburikidza kumberi kwemabvi akabatanidzwa. Kana iwe ukakotamisa ibvi rako, iyo yekupedzisira magumo emabvi ako anoputika pamusoro petiketi yemukadzi wako, kana chidya pfupa, pamabvi. Complex nyoro zvinyama, senge tendon uye ligaments, batanidza iro kneecap kune shinbone uye chidya mhasuru. Chondromalacia patellae anowanzoitika kana chimwe chezvivakwa chikatadza kufamba zvinoenderana, zvichikonzera kuti kneecap ikwikwidzane nefupa rakakwirira. Kufamba kwakashata kwemabvi kunogona kuitika kubva ku:
Kushatiswa kwemhosva nekuda kwehutano hwehutano hwekuzvarwa
Hamidened hamstrings uye quadriceps, kana mishonga yehudyu
Utsa husina kufanana pakati pevadductors nevatengesi, masumbu mukati uye kunze kwemahudyu
Kuenderera mberi kumanikidzwa kumabvi emabvi kubva mune zvimwe zvinhu zvemuviri uye kurovedza muviri kufanana, kumhanya, kana kukwira
kukanganisa zvakananga kana kukuvadzwa kwemabviki
Ndiani ari pangozi yeChondromalacia Patellae?
Pasi pane kugadzirisa kwezvinhu zvinogona kuwedzera mukana wemunhu wekugadzira chondromalacia patellae.
zera
Vana vaduku uye vechidiki vane dambudziko rakanyanya kukura kwehutano huno. Pakukura kukura, mapfupa nemisumbu zvinowanzokura zvakakurumidza, zvichikonzera nguva shoma uye musana kusiyana kwemuviri womunhu.
Gender
Madzimai anowanzopfuura varume kuti vave nemabvi emhanyi, nokuti vakadzi kazhinji vane zviduku zvemasisita mashoma kupfuura varume. Izvi zvinogona kuguma nekuisa mabheji asina kujairika, uye zvimwe zvinowedzera mushure pamabvikete.
Nhamba yemapapiro
Vanhu vane mapapiro makumbo vanogona kuwedzera mamwe maitiro kumabvi emabvi kana vachienzaniswa nevanhu vane mazamu akakwirira.
Past Injury
Kukuvadzwa kwakapfurikidza kumabvikipap, kusanganisira kusununguka, kunogona kukonzera mukana wekuvandudza chondromalacia patellae.
Kuwedzerwa Kwebasa Romuviri
Kuwedzerwa maitiro emabasa edziviriro uye kurovedza muviri kunogona kuisa mhirizhonga pamabvi emabvi, izvo zvinogona kukonzera njodzi yemibvunzo yemabvi.
chirwere chemumajoini
Bhabheri romuti rinogonawo kuva chiratidzo cheArthritis, chinetso chinonyanyozivikanwa chinokonzera kurwadziwa nekuputika kune zvisikwa uye pamwe. Kuzvimba kunogona kudzivirira basa rakakodzera ramabvi uye maitiro aro akaoma.
Ndezvipi zviratidzo zveChondromalacia Patellae?
Chondromalacia patellae inowanzoita semarwadzo mumabvi, anonzi marwadzo epa patellofemoral, pamwe chete nemanzwiro ekuputika kana kugaya apo inowedzera kana kupfugama pamabvi. Urombo hunogona kukuvadza mushure mekugara kwenguva yakareba kana kuburikidza nemabasa edziviriro uye maitiro anoshanda zvakamanikidzwa kumabvi ako, sekumira. Zvakakosha kuti munhu wacho atsvake kurapwa nokukurumidza kana zviratidzo zve chondromalacia patellae, kana mabheti anomhanya, hazvigadzirisi pachavo.
Kurapa uye Chondromalacia Patellae Grading
Mumwe mudzidzisi wehutano achatsvaga nzvimbo dzekutambudzika uye kuputika pamabvi. Vanogonawo kutarisa nzira iyo mabheteti anofanana nefupa rehudyu. Kusaruramisa kunogona kuratidza kuvapo kwekondromalacia patellae. Chiremba anogonawo kuita zviongorori zveongororo kuti ave nechokwadi chekuvapo kwehutano huno.
Nyanzvi yezvehutano inogona zvakare kubvunza chero yeiyi bvunzo inotevera kuti ibatsire kuongorora chondromalacia patellae, inosanganisira: x-rays kuratidza kukuvara kwemapfupa kana zvisizvo kana arthritis; imaging yemagineti resonance, kana MRI, kuona shwashwa kusakara; and arthroscopic kuongororwa, maitiro mashoma anokanganisa anosanganisira kuisa endoscope uye kamera mukati memabvi akabatanidzwa.
Grading
Kune mana mazinga echondromalacia patellae, kubva pagiredhi 1 kusvika ku4, ayo anoratidzira danho remabvi emumhanyi wemurwere. Giredhi 1 inoonekwa seyakareruka nepo grade 4 ichinzi yakanyanya.
Bhizinesi 1 inoratidza kushandiswa kwekatekete mumugwagwa.
Bhizinesi 2 inoratidzira kuderedzwa kwekatekete inoteverwa nenzvimbo dzisina kukwana, inotanga kuora.
Bhuku 3 inoratidzira kudonha kwekateti pamwe chete nekushanda kushingaira kwezvinhu zvakaoma zviduku zvemabvi.
Bhizinesi 4, kana kuti kirasi yakaoma kwazvo, inoratidza kusvibiswa kwefupa kuburikidza nechikamu chikuru chegumboti Bone rinotsanangura zvinoreva kuti bone-to-bone-rubbing inowanzoitika mumabvi.
Chii Chirongwa cheCondromalacia Patellae?
Chinangwa chekurapa chondromalacia patellae ndechokutanga kuderedza kuoma kunowanikwa pamabviki, kana patella, uye femur, kana thipa bone. Zororo uye kushandiswa kwechando uye kupisa kunopisa kugadzikana kwemafuro akabatanidzwa kazhinji ndiwo mutsara wokurapa. Izvozvo zvinokanganisa kukanganiswa kunoenderana nemabvi emumhanyi zvinogona kuzvigadzirisa pachavo nemishonga iyi.
Zvakare, wezvehutano anogona kupa mishonga inorwisa-kupisa uye / kana mishonga, senge ibuprofen, kudzikisa marwadzo nekuzvimba kwakakomberedza mabvi. Kana unyoro, kuzvimba, uye kurwadziwa kuchiramba, zvinotevera nzira dzekurapa dzinogona kuongororwa. Sezvambotaurwa pamusoro, vanhu vanofanirwa kutsvaga kurapwa nekukurumidza kana zviratidzo zvikaramba zviripo
Chiropractic Care
Chiropractic kuchengetedza yakachengeteka uye inoshanda, imwe nzira yekurapa sarudzo iyo inotarisa pakuongororwa, kurapwa, uye kudzivirira kwekukuvara kwakasiyana siyana uye / kana mamiriro anosanganisirwa nemusculoskeletal uye nervous system, kusanganisira chondromalacia patellae. Dzimwe nguva, marwadzo neknee anogona kutanga nekuda kwekukanganisa kwepasipinha kana kukanganiswa. Chiremba wechiropractic, kana chiropractor, anoshandisa kugadziriswa kwemuzongoza uye manyorerwo ekushandisa kunyatso dzoreredza huchokwadi hwepamoyo.
Uyezve, chiropractor inogona zvakare kukurudzira akateedzana ehupenyu maratidziro, kusanganisira kuraira kwekudya zvinovaka muviri uye chiitiko chemuviri kana gwara rekurovedza muviri kubatsira kubatsira kudzikamisa zviratidzo zvine hukama ne chondromalacia patellae. Kuvandudza kunogona zvakare kutarisa ku kusimbisa iyo quadriceps, hamstrings, adductors, uye abductors kunatsiridza mhasuru simba, kushanduka, uye kufamba. Izvo zvinangwa zvemhasuru zvakaenzana zvakare kubatsira mukudzivirira kusarongeka kwemabvi, pakati pezvimwe zvinetso.
Surgery
Arthroscopic kuvhiyiwa kunogona kudikanwa kuti uongorore mubatanidzwa uye uone kana paine kusarongeka kwemabvi. Uku kuvhiya kunosanganisira kuisa kamera mumabvi akabatanidzwa kuburikidza nekacheche kadiki kwazvo. Maitiro ekuvhiya anogona kugadzirisa nyaya. Imwe common maitiro ndeyekusunungurwa kwekupedzisira. Kuvhiya uku kunosanganisira kucheka mitsara yakati kuti kuti isunungure kusagadzikana uye kubvumidza kufamba kwakawanda. Kuwedzera kuvhiyiwa kunogona kusanganisira kuisa kumashure kwebvi, kuisa karikisi kubatanidza, kana kuendesa mhasuru yehudyu.
Chondromalacia patellae inoratidzika sekuvhiringidza kwemukatikati wepa patella, kana kuti kneecap, inokonzerwa nekuderedza kwechigunha chakakomberedza michina yakadzika yemabvi akabatanidzwa. Izvi zvinonyanya kuzivikanwa nezvehutano hunowanzokonzerwa nekuda kwekukuvara kwemitambo mumatambi vechidiki, kunyange zvazvo chondromalacia patellae inogonawo kuitika kune vakwegura vakuru vane arthritis mumabvi. Kuchengetedza chiropractic kunogona kubatsira kudzorera simba uye kuenzanisa kumabvi akabatanidzwa uye maitiro ayo akaipoteredza.
Dr. Alex Jimenez DC, CCST Insight
Nzira Yokudzivirira Sei Chondromalacia Patellae
Murwere anogona pakupedzisira kudzikisa mukana wavo wekukudziridza mabvi emumhanyi, kana chondromalacia patellae, na:
Kudzivisa kudzokorora kunetseka pamabvi. Kana munhu wacho achida kupedza nguva pamabvi avo, vanogona kupfeka mabvikuta.
Ita muscle kuenzanisa nekusimbisa quadriceps, hamstrings, vatengesi, uye vadductors.
Kupfeka zvipfeko zvehombodo zvinogadzirisa tsoka dzakadzika. Izvi zvinogona kuderedza kuwanda kwemhepo inowanikwa pamabvi ekugadzirisa bhedecapap, kana kuti patella.
Kuchengeta huremu hwemuviri hwakanaka kunogona zvakare kubatsira kudzivirira chondromalacia patellae. Kuteedzera kuraira kwekuvaka uye hutungamiriri kubva kune hunyanzvi hwekuchengetedza hutano kunogona kubatsira kusimudzira huremu hwemuviri hwakanaka. Chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwemabvi chiratidzo chinozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi kwakasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara . Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
by spinedoctors Chiropractic Examination , chisingaperi Pain , utano , Kuongorora Maedzo , Mitambo Injodzi , Mishonga , Wellness
Osgood-Schlatter chirwere ndicho chikonzero chinowanzoitika chekurwadziwa nemabvi mukukura kwevechiri kuyaruka. Iyo inoratidzirwa nekuputika kweiyo saiti pazasi pemabvi apo tendon kubva kubvi, kana patellar tendon, inosungira kune shinbone, kana tibia. Chirwere cheOsgood-Schlatter chinoitika panguva yekukura apo mhasuru, mapfupa, tendon, uye mamwe matukisi anochinja.
Zviito zvepanyama zvinogona kuisa kuwedzera kudzvinyirira pamapfupa, misumbu, maitiro uye dzimwe dzimba dzakaoma dzevatambi vechidiki. Vana nevechiri kuyaruka vanotora mukutamba uye kumhanya mitambo vane mikana yakawanda yekuvandudza chirwere ichi. Zvisinei, vana vashoma vanoita zvekuita nevechiri kuyaruka vanogonawo kuwana ruzivo urwu rwunozivikanwa rwehutano.
Muzviitiko zvakawanda, chirwere cheOsgood-Schlatter chichagadzirisa choga uye marwadzo anogona kutarisirwa nemishonga inopfuura-the-counter uye / kana mishonga. Kutambanudza uye kurovedza muviri kunogona kubatsira kunatsiridza simba, kushanduka uye kufamba. Dzimwe nzira dzekurapa, dzakadai sechiropractic, dzinogona kubatsira kudzikamisa marwadzo uye kudzoreredza hupenyu hwemurwere.
Osgood-Schlatter Disease Yakatsanangurwa
Mapfupa evana nevechiri kuyaruka ane nzvimbo inokosha apo pfupa rinokura, rinozivikanwa sekurasira. Kuwedzera mahwendefa kunoumbwa nekartilage, iyo inowedzera kuve yakasimba musimba, apo mwana kana mwana ari kuyaruka ari kukura zvakakwana.
Mimwe mahwendefa ekukura anoshanda sezvibatanidza nzvimbo dzemaitiro, masimba akasimba akabatana anosangana nemasimba kumapfupa. Bump, inozivikanwa sehuta, inobatanidza ndiro yekukura pamagumo etibia. Izvo zvakagadzirwa nemisungo iri mberi kwehudyu, kana kuti quadriceps, zvino inosungirirana kune tibial tubercle.
Apo mwana kana mwana ari kuyaruka anobatanidzwa mumabasa epanyama, masumbu e quadriceps anotora tete patellar iyo inokonzera tibial tubercle. Mune vamwe vana nevechiri kuyaruka, izvi zvinoshandiswa pamatombo zvinogona kukonzera marwadzo nekuputika mumunda wekukura. Mukurumbira, kana kuti chiremera, chechigamba chinogona kutumidzwa semugumisiro wechinetso ichi.
Osgood-Schlatter Disease Symptoms
Zviratidzo zvinorwadza zvinosangana neAsgood-Schlatter zvirwere zvinowanzoendeswa mberi nekumhanya, kusvetuka, uye mamwe mimwe mitambo-yakafanana. Mune zvimwe zviitiko, mabvi maviri ose ane zviratidzo, kunyange zvazvo rimwe bvi rinogona kuva rakaipa. Zviratidzo zveHogood-Schlatter zvinosanganisirawo:
Kutambudzika kwepachiviri uye unyoro muhubial tubercle
Kurerera mu tibial tubercle
Matumbo akareba pamberi kana kumashure kwehudyu
Chirwere cheAsgood-Schlatter ndiko kuputika kwefupa, katetilage uye / kana tendon kumusoro kwebhinha, kana tibia, apo tambo inosungira kumabviki, kana kuti patella. Chirwere cheAsgood-Schlatter chinotorwa sechinhu chinokuvadza kudarika pane dambudziko kana mamiriro. Chirwere cheAsgood-Schlatter chimwe chezvinhu zvinowanzokonzera marwadzo emabvi muvana nevechiri kuyaruka. Kunyange zvazvo inogona kuva inorwadza zvikuru, nyaya yehutano inowanzoenda payo mukati me12 kusvika kumwedzi 24.
Dr. Alex Jimenez DC, CCST Insight
Osgood-Schlatter Disease Diagnosis
Mukati pekubvunzurudza, nyanzvi yehutano ichakurukura nezvevana kana zvirwere zvekuyaruka maererano nehutano hwavo hwose uye hukama hwakanaka. Vachazofambisa kuongorora kwakakwana kwamabvi. Izvi zvinosanganisira kushandisa kushandiswa kune tibial tubercle, iyo inofanira kunge inorwadzisa murwere ane chirwere cheOgood-Schlatter. Uyezve, chiremba anogonawo kumubvunza mwana kana kuti wechidiki kufamba, kumhanyira, kumhanyira, kana kupfugama kuti aone kana zviratidzo zvinounzwa nemafambiro. Uyezve, nyanzvi yehutano inogonawo kugadzirisa x-ray yemagetsi epa patienet kuti vabatsire kutsigira kuongororwa kwavo kana kutonga kunze kweimwe hurongwa hwehutano.
Osgood-Schlatter Disease Treatment
Kurapa kweAsgood-Schlatter chirwere chinotarisa kuderedzwa kurwadziwa nekuputika. Izvi zvinowanzodikanwa kukanganisa zvinhu zvemuviri kusvikira zviratidzo zvichivandudza. Dzimwe nguva, zororo rinogona kudikanwa kwemwedzi yakawanda, rinoteverwa nehutano uye chirongwa chekuvandudza. Zvisinei, kubatanidzwa kungave kwakachengeteka kuramba kuchienderera kana murwere asingatauri zviratidzo zvinorwadza. Chiremba anogona kukurudzira kumwe kurapwa, kusanganisira:
Stretchex uye kurovedza muviri. Kutambanudza uye kurovedza muviri kumberi uye kumashure kwechidya, kana iyo quadriceps uye mhasuru yemhasuru, zvinogona kubatsira kudzikamisa marwadzo uye kudzivirira chirwere kudzoka.
Kwete-steroidal anti-inflammatory drugs. Mishonga yakadai se ibuprofen uye naproxen inogonawo kubatsira kuderedza kurwadziwa nekuputika.
Zviratidzo zvizhinji zvinonyangarika zvachose kana mwana apedza kukura kwekuyaruka, kutenderera makore gumi nemana evasikana uye makore gumi nematanhatu evakomana. Nekuda kweizvi, kuvhiyiwa hakuwanzo kukurudzirwa, kunyangwe mukurumbira we tubercle uchizosara. '' Iyo chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kutibata nesu pa us915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwepanyika chiratidzo chinonyatsozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi akasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara . Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
by spinedoctors Chiropractic , Chiropractic Examination , chisingaperi Pain , utano , Kuongorora Maedzo , Mitambo Injodzi , Mishonga , Wellness
Sinding-Larsen-Johansson, kana SLJ, chirwere ihwo hunoita kuti bhudzi rive rinokanganisa iyo kazhinji inobata vechidiki munguva dzekukura nokukurumidza. Ikoko, kana kuti patella, inosungirirwa nechechi, kana tibia, kubva patellar tendon. Izvo tendon inobatanidza kune imwe hombe yekuwedzera pasi pegabhepap kuburikidza nekukura.
Kudzokorora kudzvinyirira pamatonlar tendon kunogona kuita kuti mupulisa wekukura mukati memabvi uve wakavhiringidzika uye unotsamwiswa. SLJ inonyanya kuve nevana nevechiri kuyaruka pakati pemakore e10 ne15 nokuti ndiyo iyo vanhu vakawanda vanoona kukura kunowedzera. SLJ inowanzowanikwa mumitambo yevechidiki nekuda kwekuwedzera kudarika kana kudzokorora mumabvi.
Zvinokonzera SLJ Syndrome
Iboka guru remasumbu riri pamberi pegumbo repamusoro rinozivikanwa sequadriceps. Pakururamisa gumbo, iyo quadriceps inoswededza kununura mutso mberi. Izvi zvinomanikidzira pavhara rekukura pane pasi pebhechi. Munguva yekukura nokukurumidza, mapfupa nemisumbu hazviwanisi kukura panguva chaiyo yakaenzana.
Sezvo mapfupa ari kukura, maitiro nemisungo zvinogona kuoma uye kutambanudzwa. Izvi zvinowedzera kushungurudza zvakapoteredza patellar tendon uyewo pamucheka wekukura wakanamatirwa. Kudzokorora kana kudzvinyirira zvakanyanya uye kunetseka munharaunda ino kunogona kukonzera kuti hombe yekubereka iwedzere kutsamwa uye inorwadza. Nyaya dzinogona kubatsira pakuwedzera SLJ syndrome dzinosanganisira:
Mitambo inosanganisira zvakawanda zvekumhanya uye kusvetuka, zvakadai semunda uye nhandare kana mamwe mimwe mitambo yakadai sebhola, gymnastics, basketball, lacrosse, uye hockey yemunda, inogona kuisa dambudziko pamabvi.
Kuwedzerwa kana kusakarurama basa remuviri kunogona kuwedzera dambudziko pamabvi. Chimiro chisina kunaka apo kudzidziswa, shangu dzisingateereri zvigunwe kana nzira isina kujairika yekugunha kunogona kuwedzera mikana ye SLJ syndrome.
Masimba kana mashizha anonzi quadriceps anogonawo kutungamirira kuSJJ syndrome. Misumbu inowedzera simba uye yakasununguka inoshanda zvakanaka, kuderedza dambudziko pa patellar uye kneecap tendon.
Mabasa anoita zvinowedzera kumanikidzwa pamabvi kana kuita basa rinokumbira kumabvi, zvakadai sokusimudza zvinhu zvakakomba, kuenda kumusoro uye kumatanho esitepisi, uye kukanganisa kunogona kukonzera SLJ syndrome. Kana pane kutotanga kurwadziwa pamabvi, zvino kufamba uku kunogona kuita kuti kuwedzere.
Zviratidzo zveS SLJ Syndrome
Zviratidzo zvinoratidza kuvepo kwe Sinding-Larsen-Johansson, kana SLJ, chirwere chinosanganisira: kurwadziwa kumberi kwemabvi kana padyo nepasi pebvi, nekuti ichi ndicho chiratidzo chikuru cheSLJ; kuzvimba uye unyoro kutenderedza kneecap; kurwadziwa kunowedzera nemabasa epanyama sekumhanya, kukwira masitepisi, kana kusvetuka; kurwadziwa kunowedzera kuoma kana kupfugama kana kukwenya; uye kuzvimba kana bony bump pazasi pe kneecap.
Sinding-Larsen-Johansson, kana SLJ, chirwere chinonzi mishonga inonzi chirwere chevana chinonzi osteochondrosis chinosanganisa tete patella mumabhedekap ayo anonamatira kumucheto wepasi peti patella muchiedza. Inowanzozivikanwa nokurwadziwa kwemabvi uye kuputika, SLJ inonzi inodzvinyirira bhu rinokuvadza panzvimbo pokukuvadzwa kunorwadza. Sinding-Larsen-Johansson chirwere chakafanana neAsgood-Schlatter chirwere.
Dr. Alex Jimenez DC, CCST Insight
Kuongororwa kweS SLJ
Unofanirwa kuona nyanzvi yehutano yehutano hwemabvi, ivo vanozobvunza mibvunzo nezvekurwadziwa kwomurwere ari kuitika uye kana vachiita chero mitambo kana zvimwe zviitiko zvepanyama uye maitiro. Zvichida kana kwete murwere anewo kukura kwechangobva kuitika, chiremba achaongorora bheche romurwere nokuda kwokudzikama uye unyoro.
Muzviitiko zvisingawanzoitiki, nyanzvi yehutano inogonawo kukumbira varwere kuwana X-ray kana zvimwe zviratidzo zvekufungidzira, zvakadai semagnetic resonance imaging, kana MRI, kutonga kune dzimwe nyaya dzehutano dzakadai sokuputsika kana zvirwere.
Kudzivirira kwe SLJ
Nzira inonyanya kukosha iyo varwere vanogona kudzivisa kuwana SLJ ndeyekurega kuita zvinhu zvemuviri zvinokonzera marwadzo mumabvi. Murwere anofanira kuzviraira asati kurwadziwa kwapera.
Izvo zvakakosha kuti udziye zvakanaka uye utambe usati watanga kushandisa, kutamba mitambo kana kuita mune zvimwe zviitiko zvepanyama. Iko kumhanya kunotarisana nemugwagwa kwemaminitsi mashomanana uye kumwe kutambanudza kutenderera kunokwana kudziya muviri.
Kana mishonga ye quadriceps yakaoma, iwe unogona kuda kuita zvimwe zvekudzidzira uye maitiro ekuita basa. Taura neunyanzvi hwehutano hwako, sechiropractor kana murapist, kuti ukurukure zvakakunakira iwe. Kuita zvishoma zvishoma uye kunopisa maitiro ekuvhima mushure memaitiro kana mabasa epanyama anogona kubatsira kudzivirira SLJ syndrome kubva pakukura.
Kurapa kweSJJ
Nzira yekutanga uye inonyanya kukosha yekurapa SLJ ndeyekumisa chero chiito chinokonzera kutsamwa mumabvi. Zvakakosha kuti murwere arege kutorazve mabasa apiki asina kutanga agadziriswa nehutano hwehutano.
SLJ inogona kuva yakaoma kurapa sezvo isingagoni kugadzirisa zvachose mapfupa asati asvika zvakakwana uye mahwendefa ekukura akavharwa zvachose. Pakuita mabasa epanyama, kurwadziwa kwemabvi kunogona kuuya uye kuenda panguva ino. Mimwe mishonga inobatsira kusunungura SLJ syndrome inosanganisira:
Shandisa mufananidzo weRICE.
Zorora. Deredzai miitiro yepanyama zvakanyanya sezvinobvira uye garai kubva pamabvi. Kufamba kunofanirwa kuchengetwa kusvika kudiki.
Ice. Isa sechando kana kuti compress inotonhorera panzvimbo yakakanganiswa ye 15 kusvika kumaminitsi e20 maawa mashomanana. Dzokorora izvi nokuda kwe2 kune mazuva 3 kana kusvikira zviratidzo zvinorwadza zviderera.
Compress. Ipa mabvi mamwe rutsigiro netambo, bhandi, kana ribhoni. Izvi zvakare zvinobatsira kubata zviratidzo.
Kurera. Chengeta mabvi akakwirira kudarika mwoyo kuti uderedze kuzvimba.
Tora anti-inflammatory kana painkilling zvinodhaka. Painkillers seAcetaminophen uye ibuprofen inogona kubatsira kubvisa marwadzo nekuderedza kurira.
Tanga purogiramu yakatambanudza uye inosimbisa. Mushure mokunge marwadzo uye unyoro pamabvi ako zvakange zvaenda, taura nachiremba wako kana zvekutsvaga kwemitambo nezvemitambo pamusoro pechirongwa chekugadzirisa muviri kuti usimbise mishonga yemakumbo ako uye kuwedzera kushanduka kwavo uye kutama kwekufamba.
Zviri nyore kushaya moyo murefu kana ukasiyiwa nekukuvara, asi kurapwa kwakakodzera kunogona kubatsira kuvaka simba rinodikanwa kune zviitiko zvemuviri zvemberi. Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery
Kurwadziwa kwepanyika chiratidzo chinonyatsozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi uye / kana mamiriro ezvinhu, kusanganisira zvinokuvara zvemitambo. Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.
