Chala chopiringidwa chiyenera kusungidwa kuti chichiritse poyamba, koma pamapeto pake, chiyenera kusuntha ndi kusinthasintha kuti chikhale ndi mphamvu ndi kusinthasintha.
Ku Injury Medical Chiropractic ndi Functional Medicine Clinic, timayang'ana kwambiri pochiza kuvulala kwa odwala ndi ma syndromes opweteka kwambiri komanso kuwongolera luso kudzera mu kusinthasintha, kuyenda, ndi kulimba mtima zomwe zimayenderana ndi munthu. Othandizira athu amagwiritsa ntchito njira yophatikizirapo kupanga mapulani osamalira anthu omwe amaphatikizapo Functional Medicine, Acupuncture, Electro-Acupuncture, ndi Sports Medicine protocol. Cholinga chathu ndi kuthetsa ululu mwachibadwa mwa kubwezeretsa thanzi ndi ntchito ku thupi. Ngati munthuyo akufunika chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe angamuyenerere. Dr. Jimenez adagwirizana ndi madokotala ochita opaleshoni, akatswiri a zachipatala, ofufuza zachipatala, ndi opereka chithandizo chamankhwala kuti apereke chithandizo chamankhwala chothandiza kwambiri.
Carruthers, KH, Skie, M., & Jain, M. (2016). Kuvulala kwa Jam kwa Chala: Kuzindikira ndi Kuwongolera Zovulala Zogwirizana ndi Interphalangeal Pakati pa Masewera Angapo ndi Miyeso Yachidziwitso. Umoyo wamasewera, 8 (5), 469-478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). Buddy taping: kodi ndi njira yabwino yothandizira kuvulala kwachala ndi chala? Zipatala za opaleshoni ya mafupa, 6 (1), 26-31. doi.org/10.4055/cios.2014.6.1.26
Kodi akatswiri azachipatala ku chipatala cha chiropractic amapereka bwanji njira yachipatala kuti apewe zolakwika zachipatala kwa anthu omwe ali ndi ululu?
Zamkatimu
Introduction
Zolakwa zachipatala zinachititsa kuti 44,000-98,000 amwalira m'chipatala ku America chaka chilichonse, ndipo zina zambiri zinayambitsa kuvulala koopsa. (Kohn et al., 2000) Chiwerengerochi chinali choposa chiwerengero cha anthu amene amamwalira chaka chilichonse ndi AIDS, khansa ya m’mawere, ndi ngozi za galimoto panthawiyo. Malinga ndi kafukufuku wamtsogolo, chiwerengero chenicheni cha imfa chikhoza kukhala pafupi ndi 400,000, ndikuyika zolakwika zachipatala monga chifukwa chachitatu cha imfa ku US. Kaŵirikaŵiri, zolakwa zimenezi sizichokera kwa akatswiri azachipatala amene ali oipa mwachibadwa; m'malo mwake, ndizo zotsatira za zochitika zadongosolo ndi kayendetsedwe ka zaumoyo, monga machitidwe osagwirizana ndi opereka chithandizo, ma network a inshuwaransi osagwirizana, kusagwiritsidwa ntchito bwino kapena kusowa kwa ndondomeko za chitetezo, ndi chisamaliro chosagwirizana. Nkhani ya lero ikuyang'ana njira yachipatala yopewera cholakwika chachipatala muzochitika zachipatala. Timakambirana zachipatala chogwirizana ndi chithandizo chamankhwala chothandizira anthu omwe akudwala matenda aakulu. Timawatsogoleranso odwala athu powalola kuti afunse mafunso ofunika kwambiri komanso ovuta kwa omwe amawathandiza. Dr. Alex Jimenez, DC, amangogwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama
Kufotokozera Zolakwa Zachipatala
Kuzindikira cholakwika chachipatala chomwe chili gawo lofunikira kwambiri pazokambirana zilizonse zokhudzana ndi kupewa zolakwika zachipatala. Mutha kuganiza kuti iyi ndi ntchito yosavuta, koma izi ndizotheka mpaka mutayang'ana pamitundu yambiri ya mawu omwe amagwiritsidwa ntchito. Mawu ambiri amagwiritsidwa ntchito mofanana (nthawi zina molakwika) popeza mawu ena amatha kusinthasintha, ndipo nthawi zina, tanthauzo la liwu limadalira zapadera zomwe zikukambidwa.
Ngakhale kuti bungwe la zaumoyo linanena kuti chitetezo cha odwala ndi kuthetsa kapena kuchepetsa zolakwika zachipatala zinali zofunika kwambiri, Grober ndi Bohnen adanena posachedwa monga 2005 kuti adalephera m'dera limodzi lofunika kwambiri: kudziwa tanthauzo la "mwinamwake funso lofunika kwambiri ... vuto lachipatala? Kulakwa kwachipatala ndiko kulephera kukwaniritsa zomwe munakonza pachipatala. (Grober & Bohnen, 2005) Komabe, palibe mawu alionse amene munthu angawatchule kuti ali ndi vuto lachipatala—odwala, chithandizo chamankhwala, kapena china chilichonse—amene akufotokozedwa m’nkhaniyi. Ngakhale zili choncho, tanthauzoli limapereka chikhazikitso cholimba cha chitukuko china. Monga mukuwonera, tanthauzo lenilenili lili ndi magawo awiri:
Ogwira ntchito ndi osagwira ntchito anali magulu awiri akuluakulu a zochitika zovuta zomwe Leape ndi anzake adazisiyanitsa mu phunziroli. (Leape et al., 1991) Mavuto okhudza opaleshoni anali monga matenda a zilonda, kulephera kwa maopaleshoni, mavuto omwe si aukadaulo, zovuta mochedwa, ndi zovuta zaukadaulo. Osagwira ntchito: mitu monga yokhudzana ndi mankhwala, osadziwika bwino, ozunzidwa, okhudzana ndi ndondomeko, kugwa, fracture, postpartum, anesthesia-related, neonatal, and catch-all head of the system anaphatikizidwa pansi pa gulu ili la zochitika zovuta. Leape adayikanso zolakwika powonetsa zomwe zidawonongeka. Adazigawanso izi m'mitu isanu, yomwe ili:
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti ya Quality of Health Care ku America. (2000). Kulakwitsa ndi munthu : kupanga njira yotetezeka yaumoyo. National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). The chikhalidwe cha chokhwima zochitika m'chipatala odwala. Zotsatira za Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Njira Zozindikiritsira ndi Kuwunikanso Zochitika Zoyipa ndi Zosowa Zapafupi Pachipatala Chachipatala. Jt Comm J Qual Patient Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Kwa anthu omwe akukumana ndi kudzimbidwa kosalekeza chifukwa cha mankhwala, kupsinjika maganizo, kapena kusowa kwa fiber, kodi masewera olimbitsa thupi angathandize kulimbikitsa kuyenda kwamatumbo nthawi zonse?
Zamkatimu
Kuyenda Chifukwa Chothandizira Kudzimbidwa
Kudzimbidwa ndi vuto wamba. Kukhala kwambiri, kumwa mankhwala, kupsinjika maganizo, kapena kusapeza ulusi wokwanira kungayambitse kusayenda kwamatumbo pafupipafupi. Kusintha kwa moyo kumatha kuwongolera nthawi zambiri. Imodzi mwa njira zothandiza kwambiri ndikuphatikizira kuchita masewera olimbitsa thupi nthawi zonse, kulimbikitsa matumbo kuti agwire mwachibadwa (Huang, R., et al., 2014). Izi zikuphatikizapo kuthamanga, yoga, madzi aerobics, ndi mphamvu kapena kuyenda mofulumira kuti muchepetse kudzimbidwa.
Kafukufuku
Kafukufuku wowunikira amayi azaka zapakati onenepa omwe anali ndi kudzimbidwa kosatha kwa milungu 12. (Tantawy, SA, et al., 2017)
Gulu loyamba linkayenda pa treadmill katatu pa sabata kwa mphindi 3.
Gulu lachiwiri silinachite zolimbitsa thupi.
Gulu loyamba linali ndi kusintha kwakukulu kwa zizindikiro zawo za kudzimbidwa komanso kuunika kwa moyo.
Kusalinganika kwa bakiteriya m'matumbo kumalumikizidwanso ndi vuto la kudzimbidwa. Kafukufuku wina adayang'ana kwambiri za momwe kuyenda mwachangu ndi masewera olimbitsa thupi kumalimbitsa minofu yapakati ngati matabwa pamapangidwe amatumbo a microbiota. (Morita, E., et al., 2019) Zotsatira zinasonyeza kuti masewera olimbitsa thupi monga mphamvu / kuyenda mofulumira kungathandize kuwonjezera matumbo Matenda a Bacteroides, mbali yofunika kwambiri ya mabakiteriya abwino m'matumbo. Kafukufuku wawonetsa zotsatira zabwino ngati anthu akuyenda mwachangu mphindi 20 tsiku lililonse. (Morita, E., et al., 2019)
Kuchita Zolimbitsa Thupi Kungathandize Kuchepetsa Kuopsa kwa Khansa ya Colon
Zochita zolimbitsa thupi zitha kukhala zoteteza kwambiri pakuchepetsa khansa ya m'matumbo. (National Cancer Institute. 2023) Ena amalingalira kuti kuchepetsa chiopsezo ndi 50%, ndipo kuchita masewera olimbitsa thupi kungathandizenso kupewa kubwereza pambuyo pa matenda a khansa ya m'matumbo, komanso 50% m'maphunziro ena kwa odwala omwe ali ndi khansa yamtundu wa II kapena III. (Schoenberg MH 2016)
Imfa idachepetsedwa ndi 23% mwa anthu omwe adachita masewera olimbitsa thupi kwa mphindi 20 kangapo pa sabata.
Odwala omwe ali ndi khansa ya m'matumbo osagwira ntchito omwe adayamba kuchita masewera olimbitsa thupi atazindikira kuti ali ndi zotulukapo zabwino kwambiri kuposa anthu omwe adangokhala chete, zomwe zikuwonetsa kuti sikunachedwe kuyamba kuchita masewera olimbitsa thupi.Schoenberg MH 2016)
Odwala omwe anali okhudzidwa kwambiri anali ndi zotsatira zabwino kwambiri.
Kupewa Kutsekula m'mimba kokhudzana ndi masewera olimbitsa thupi
Ena othamanga ndi oyenda amakumana ndi colon yothamanga kwambiri, zomwe zimayambitsa matenda otsegula m'mimba kapena zotayirira, zomwe zimadziwika kuti runner's trots. Mpaka 50% ya othamanga opirira amakumana ndi vuto la m'mimba panthawi yochita masewera olimbitsa thupi kwambiri. (de Oliveira, EP et al., 2014) Njira zopewera zomwe zingatsatidwe zikuphatikizapo.
Osadya mkati mwa maola awiri mukuchita masewera olimbitsa thupi.
Pewani kumwa mowa wa khofi ndi madzi otentha musanachite masewera olimbitsa thupi.
Ngati mumakhudzidwa ndi lactose, pewani mkaka kapena gwiritsani ntchito Lactase.
Imwani ma ounces 12-16 mphindi 5-15 zilizonse panthawi yolimbitsa thupi.
If kuchita masewera olimbitsa thupi kwa mphindi 90:
Imwani 12 - 16 fluid-ounce solution yokhala ndi 30-60 magalamu a chakudya, sodium, potaziyamu, ndi magnesium mphindi 5-15 zilizonse.
Thandizo la Aphunzitsi
Kudzimbidwa nthawi ndi nthawi kumatha ndi kusintha kwa moyo monga kuchuluka kwa fiber, masewera olimbitsa thupi, ndi madzi. Anthu omwe akukumana ndi ndowe zamagazi kapena hematochezia, posachedwapa ataya mapaundi 10 kapena kuposerapo, ali ndi kuchepa kwa magazi m'thupi, amayezetsa magazi obisika, kapena omwe ali ndi mbiri ya banja la khansa ya m'matumbo ayenera kuonana ndi dokotala kapena katswiri kuti achite zinazake. kuyezetsa matenda kuti muwonetsetse kuti palibe vuto lililonse kapena zovuta. (Jamshed, N. et al., 2011) Asanayambe kuyenda kukalandira chithandizo cha kudzimbidwa, anthu ayenera kuonana ndi achipatala kuti awone ngati kuli kotetezeka kwa iwo.
Ku Chiropractic Medical Chiropractic ndi Functional Medicine Clinic, madera athu omwe timachita nawo akuphatikizapo Wellness & Nutrition, Ululu Wosatha, Kuvulala Kwaumwini, Kusamalira Ngozi Yamagalimoto, Kuvulala Kwa Ntchito, Kupweteka Kwambiri, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Mutu, Kuvulala Kwa Masewera, Kwambiri. Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Ululu Wosatha, Kuvulala Kwambiri, Kuwongolera Kupanikizika, Kuchiza Mankhwala Ogwira Ntchito, ndi ndondomeko za chisamaliro chapakati. Timayang'ana kwambiri zomwe zimakuthandizani kuti mukwaniritse zolinga zabwino ndikupanga gulu lotukuka kudzera munjira zofufuzira komanso mapulogalamu athanzi. Ngati chithandizo china chikufunika, anthu adzatumizidwa ku chipatala kapena dokotala woyenerera kuvulala, chikhalidwe, ndi / kapena matenda awo.
Kuyesa kwa Poop: Chiyani? Chifukwa chiyani? ndi Motani?
Zothandizira
Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Zochita zolimbitsa thupi komanso kudzimbidwa kwa achinyamata aku Hong Kong. PloS imodzi, 9(2), e90193. doi.org/10.1371/journal.pone.0090193
Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Zotsatira za zochitika zolimbitsa thupi zomwe zikufunsidwa komanso kuwongolera zakudya kuti athe kuthana ndi kudzimbidwa kwa amayi azaka zapakati onenepa kwambiri. Matenda a shuga, metabolic syndrome ndi kunenepa kwambiri: Zolinga ndi chithandizo, 10, 513-519. doi.org/10.2147/DMSO.S140250
Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Maphunziro a Aerobic Exercise ndi Kuyenda Bwino Kumawonjezera Ma Bacteroides M'matumbo mwa Amayi Okalamba Athanzi. Zakudya, 11(4), 868. doi.org/10.3390/nu11040868
Schoenberg MH (2016). Zochita Zathupi ndi Zakudya Zakudya mu Pulayimale ndi Kupewa Kwambiri kwa Khansa ya Colourectal. Mankhwala a Visceral, 32 (3), 199-204. doi.org/10.1159/000446492
de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Madandaulo a m'mimba pakuchita masewera olimbitsa thupi: kuchuluka, etiology, ndi malingaliro azakudya. Mankhwala amasewera (Auckland, NZ), 44 Suppl 1 (Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2
Musanayambe pulogalamu yolimbitsa thupi, ndikofunikira kudziwitsa wophunzitsa za mbiri yakale yachipatala ndikupeza chivomerezo chofunikira kuchokera kwa dokotala woyamba. (Harvard Health Publishing. Harvard Medical School. 2012) Akatswiri olimbitsa thupi nthawi zambiri amagwiritsa ntchito chida chimodzi kapena zingapo zowunikira kuti adziwe momwe munthu alili wathanzi.
Izi zingaphatikizepo kupeza miyeso yofunikira monga kutalika ndi kulemera kwake, kupumula kugunda kwa mtima/RHR, ndi kupuma kwa kuthamanga kwa magazi/RBP. Ophunzitsa ambiri agwiritsanso ntchito mafunso okonzekera kuchita masewera olimbitsa thupi/PAR-Q okhala ndi mafunso okhudza thanzi labwino. (National Academy of Sports Medicine. 2020) Pakati pa mafunso, anthu angathe kufunsidwa za mankhwala omwe amwedwa, vuto lililonse la chizungulire kapena kupweteka, kapena matenda omwe angasokoneze luso lawo lochita masewera olimbitsa thupi.
Kupanga Thupi
Maonekedwe a thupi amafotokoza kulemera kwa thupi lonse, kuphatikizapo minofu, mafupa, ndi mafuta. Njira zodziwika kwambiri zoyezera kuchuluka kwa thupi ndi izi:
Bioelectrical Impedance Analysis - BIA
Panthawi ya BIA, ma siginecha amagetsi amatumizidwa kuchokera ku maelekitirodi kudutsa kumapazi kupita pamimba kuti ayerekeze mawonekedwe a thupi. (Doylestown Health. 2024)
Miyezo iyi imagwiritsa ntchito ma calipers kuyerekeza kuchuluka kwamafuta amthupi pakhungu.
Cardiovascular Endurance
Kuyeza kupirira kwa mtima, komwe kumadziwikanso kuti kuyesa kupsinjika, kumayesa momwe mtima ndi mapapo amagwirira ntchito kuti apereke mpweya ndi mphamvu m'thupi panthawi yochita masewera olimbitsa thupi. (UC Davis Health, 2024) Mayeso atatu omwe amagwiritsidwa ntchito kwambiri ndi awa:
Mayeso Othamanga a mphindi 12
Mayesero othamanga a mphindi khumi ndi ziwiri amachitidwa pa treadmill, ndipo mtima wa munthu asanachite masewera olimbitsa thupi ndi kupuma kwake zimayerekezedwa ndi pambuyo pochita masewera olimbitsa thupi komanso kupuma.
Limbikitsani Kupanikizika
Kuyesa kupsinjika kolimbitsa thupi kumachitidwa pa treadmill kapena njinga yokhazikika.
Kumaphatikizapo kugwiritsa ntchito makina ounikira mtima ndi makapu a kuthamanga kwa magazi kuti athe kuyeza zizindikiro zofunika panthawi yolimbitsa thupi.
Kuyesa kwa VO2 Max
Amachitidwa pa treadmill kapena njinga yoyima.
Kuyesa kwa V02 max kumagwiritsa ntchito chipangizo chopumira kuti athe kuyeza kuchuluka kwa mpweya womwe umamwa panthawi yochita masewera olimbitsa thupi (UC Davis Health, 2024)
Ophunzitsa ena amaphatikiza masewero olimbitsa thupi monga sit-ups kapena push-ups kuti ayese kuyankha ku zochitika zinazake.
Kuyeza kupirira kwa minofu kumayesa kutalika kwa nthawi yomwe gulu la minofu lingagwirizane ndi kumasula lisanatope. Kuyeza mphamvu kumayesa kuchuluka kwa mphamvu zomwe gulu la minofu lingathe kuchita. (American Council on Exercise, Jiminez C., 2018) Zolimbitsa thupi zomwe zimagwiritsidwa ntchito ndi izi:
Mayeso okankhira mmwamba.
Kuyesa kwamphamvu ndi kukhazikika kwapakati.
Nthawi zina, mphunzitsi amagwiritsa ntchito metronome kuyeza kutalika kwa nthawi yomwe munthuyo angagwirizane ndi nyimboyo. Zotsatirazo zimafaniziridwa ndi anthu a msinkhu wofanana ndi kugonana kuti akhazikitse mlingo woyambira. Mayesero amphamvu ndi opirira ndi ofunika chifukwa amathandiza ophunzitsa malo omwe magulu a minofu ndi amphamvu, osatetezeka, ndipo amafunikira chidwi. (Heyward, VH, Gibson, AL 2014).
kusinthasintha
Kuyeza kusinthasintha kwa ziwalo n'kofunika kwambiri kuti mudziwe ngati anthu ali ndi vuto la postural, kusakhazikika kwa phazi, kapena zolepheretsa kuyenda. (Pate R, Oria M, Pillsbury L, 2012)
Kusinthasintha kwa Mapewa
Kuyeza kusinthasintha kwa mapewa kumayesa kusinthasintha ndi kuyenda kwa mapewa.
Amachitidwa pogwiritsa ntchito dzanja limodzi kuti afikire kumbuyo kwa khosi, pakati pa mapewa, ndi dzanja lina kuti afike kumbuyo kumbuyo, kumapewa, kuti ayese kutalika kwa manja. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015)
Pate R, Oria M, Pillsbury L, (Eds). (2012). Njira zolimbitsa thupi zokhudzana ndi thanzi la achinyamata: kusinthasintha. Mu R. Pate, M. Oria, & L. Pillsbury (Eds.), Miyeso Yolimbitsa Thupi ndi Zotsatira Zaumoyo mu Achinyamata. doi.org/10.17226/13483
Kodi anthu omwe ali ndi matenda a Ehlers-Danlos angapeze mpumulo kudzera m'njira zosiyanasiyana zosapanga opaleshoni kuti achepetse kusakhazikika pamodzi?
Zamkatimu
Introduction
Kulumikizana ndi mitsempha yozungulira minofu ndi mafupa amalola kuti kumtunda ndi kumunsi kukhazikike kukhazikika kwa thupi ndikukhala mafoni. Minofu yosiyana siyana ndi minyewa yofewa yomwe imazungulira mafupawo imawathandiza kuti asavulale. Zinthu zachilengedwe kapena zovuta zikayamba kukhudza thupi, anthu ambiri amakhala ndi zovuta zomwe zimapangitsa kuti pakhale mbiri yowopsa, zomwe zimakhudza kukhazikika kwa mafupa. Chimodzi mwa zovuta zomwe zimakhudza mafupa ndi minofu yolumikizana ndi EDS kapena Ehlers-Danlos syndrome. Kusokonezeka kwa minofu yamtunduwu kungapangitse kuti ziwalo za thupi zikhale hypermobile. Zingayambitse kusakhazikika kwa mgwirizano kumtunda ndi kumunsi, motero kumasiya munthu kukhala wopweteka nthawi zonse. Nkhani ya lero ikukamba za matenda a Ehlers-Danlos ndi zizindikiro zake komanso momwe pali njira zopanda opaleshoni zothetsera vutoli. Timakambirana ndi azachipatala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti awone momwe matenda a Ehlers-Danlos angagwirizane ndi matenda ena a minofu ndi mafupa. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angathandizire kuchepetsa zizindikiro zowawa komanso kusamalira matenda a Ehlers-Danlos. Timalimbikitsanso odwala athu kuti afunse othandizira awo azachipatala mafunso ambiri ovuta komanso ofunikira okhudza kuphatikiza njira zosiyanasiyana zochiritsira zosachita opaleshoni monga gawo la zochitika zawo zatsiku ndi tsiku kuti athe kuthana ndi zotsatira za matenda a Ehlers-Danlos. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kodi Ehlers-Danlos Syndrome Ndi Chiyani?
Kodi nthawi zambiri mumatopa kwambiri tsiku lonse, ngakhale mutagona usiku wonse? Kodi mumavulazidwa mosavuta ndikudabwa kuti mikwingwirima iyi ikuchokera kuti? Kapena mwawona kuti muli ndi kuchuluka kwamitundu yambiri pamalumikizidwe anu? Zambiri mwazinthuzi nthawi zambiri zimagwirizanitsidwa ndi matenda otchedwa Ehlers-Danlos syndrome kapena EDS omwe amakhudza ziwalo zawo ndi minofu yolumikizana. EDS imakhudza minyewa yolumikizana m'thupi. Mitsempha yolumikizana m'thupi imathandiza kupereka mphamvu ndi kusungunuka kwa khungu, mafupa, komanso makoma a mitsempha ya magazi, kotero pamene munthu akulimbana ndi EDS, zingayambitse kusokonezeka kwakukulu kwa minofu ndi mafupa. EDS imapezeka makamaka m'chipatala, ndipo madokotala ambiri azindikira kuti jini ya collagen ndi mapuloteni omwe amalumikizana m'thupi angathandize kudziwa mtundu wa EDS umene umakhudza munthu. (Miklovic & Sieg, 2024)
Zizindikiro zake
Mukamvetsetsa EDS, ndikofunikira kudziwa zovuta za matenda olumikizana ndi minofu iyi. EDS imagawidwa m'mitundu yambiri yokhala ndi mawonekedwe osiyanasiyana komanso zovuta zomwe zimasiyana malinga ndi kuuma kwake. Imodzi mwa mitundu yodziwika bwino ya EDS ndi hypermobile Ehlers-Danlos syndrome. Mtundu uwu wa EDS umadziwika ndi hypermobility wamba, kusakhazikika kwamagulu, komanso kupweteka. Zina mwa zizindikiro zomwe zimagwirizanitsidwa ndi hypermobile EDS zimaphatikizapo kugwedezeka, kusokonezeka, ndi kuvulala kwa minofu yofewa yomwe imakhala yofala ndipo imatha kuchitika mwadzidzidzi kapena kupwetekedwa kochepa. (Hakim, 1993) Izi nthawi zambiri zingayambitse ululu wopweteka kwambiri pamagulu omwe ali pamwamba ndi pansi. Pokhala ndi zizindikiro zambiri komanso momwe chikhalidwecho chilili, ambiri nthawi zambiri samazindikira kuti kuphatikizika kwa mgwirizano kumakhala kofala pakati pa anthu ambiri ndipo sikungakhale ndi zovuta zomwe zimasonyeza kuti ndi matenda okhudzana ndi minofu. (Gensemer et al., 2021) Kuphatikiza apo, hypermobile EDS ingayambitse kupunduka kwa msana chifukwa cha kuchuluka kwa khungu, mafupa, ndi kufooka kwa minofu yosiyanasiyana. The pathophysiology of spinal deformity kugwirizana ndi hypermobile EDS makamaka chifukwa cha minofu hypotonia ndi ligament laxity. (Uehara et al., 2023) Izi zimapangitsa kuti anthu ambiri achepetse kwambiri moyo wawo komanso zochita za tsiku ndi tsiku. Komabe, pali njira zothandizira EDS ndi zizindikiro zake zogwirizana kuti muchepetse kusakhazikika pamodzi.
Movement Medicine: Chiropractic Care-Video
Njira Zowongolera EDS
Pankhani yofunafuna njira zothandizira EDS kuti muchepetse ululu ndi kusakhazikika kwamagulu, mankhwala osachita opaleshoni angathandize kuthana ndi zochitika zakuthupi ndi zamaganizo. Thandizo lopanda maopaleshoni kwa anthu omwe ali ndi EDS nthawi zambiri limayang'ana kwambiri pakuwongolera magwiridwe antchito amthupi pomwe amapangitsa kuti minyewa ikhale yolimba komanso kukhazikika kwamagulu. (Buryk-Iggers et al., 2022) Anthu ambiri omwe ali ndi EDS amayesa kuphatikizira njira zowongolera ululu ndi chithandizo chamankhwala komansogwiritsani ntchito zingwe ndi zida zothandizira kuchepetsa zotsatira za EDS ndikusintha moyo wawo.
Chithandizo Chopanda Opaleshoni cha EDS
Mankhwala osiyanasiyana osapanga opaleshoni monga MET (njira yamphamvu ya minofu), electrotherapy, chithandizo chopepuka, chisamaliro cha chiropractic, ndi kutikita minofu. zingathandize kulimbikitsa pamene toning minofu yozungulira kuzungulira mafupa, kupereka mpumulo wokwanira wa ululu, ndi kuchepetsa kudalira mankhwala kwa nthawi yaitali. (Broida et al., 2021) Kuonjezera apo, anthu omwe ali ndi EDS amafunitsitsa kulimbikitsa minofu yomwe yakhudzidwa, kukhazikika m'malo olumikizirana mafupa, komanso kukonza mayendedwe ake. Thandizo lopanda opaleshoni limalola munthuyo kukhala ndi ndondomeko ya chithandizo chokhazikika cha kuopsa kwa zizindikiro za EDS ndikuthandizira kuchepetsa ululu wokhudzana ndi vutoli. Anthu ambiri, akamadutsa dongosolo lawo lamankhwala motsatizana kuti athe kusamalira EDS yawo ndikuchepetsa zizindikiro zonga zowawa, amawona kusintha kwazizindikiro. (Khokhar et al., 2023) Izi zikutanthauza kuti mankhwala osagwiritsa ntchito opaleshoni amalola anthu kuti aziganizira kwambiri za matupi awo ndi kuchepetsa zotsatira zopweteka za EDS, motero amalola anthu ambiri omwe ali ndi EDS kukhala ndi moyo wokwanira, womasuka popanda kumva ululu ndi kusamva bwino.
Zothandizira
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Kusamalira kusakhazikika kwa mapewa mu hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Kuchita Zolimbitsa Thupi ndi Kukonzanso Kwa Anthu Omwe Ali ndi Ehlers-Danlos Syndrome: Kubwereza Mwadongosolo. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos Syndromes: Zovuta za phenotypes, matenda ovuta, komanso zifukwa zomwe sizikumveka bwino. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Ubwino Wa Chithandizo Cha Osteopathic Manipulative Pa Wodwala Ali ndi Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). Kuwonongeka kwa Msana mu Ehlers-Danlos Syndrome: Yang'anani pa Mtundu wa Musculocontractural. Genes (Basel), 14(6). doi.org/10.3390/genes14061173
Kodi kumvetsetsa mfundo za mahinji amthupi ndi momwe zimagwirira ntchito kungathandize kuthana ndi vuto la kuyenda ndi kusinthasintha ndikuwongolera momwe zinthu zilili kwa anthu omwe ali ndi vuto lopindika kapena kutambasula zala, zala, zigongono, akakolo, kapena mawondo?
Zamkatimu
Mgwirizano wa Hinge
Mgwirizano umapanga pamene fupa limodzi limagwirizanitsa ndi lina, kulola kuyenda. Mitundu yosiyanasiyana yamagulu imasiyana mosiyana ndi kayendetsedwe kake malinga ndi malo awo. Izi zikuphatikizapo hinge, mpira ndi socket, planar, pivot, saddle, ndi ellipsoid joints. (Zopanda malire. General Biology, ND) Mahinji olowa ndi ma synovial olowa omwe amadutsa munjira imodzi yoyenda: kupindika ndi kukulitsa. Kulumikizana kwa hinge kumapezeka mu zala, zigongono, mawondo, akakolo, ndi zala ndikuwongolera kayendetsedwe ka ntchito zosiyanasiyana. Kuvulala, osteoarthritis, ndi matenda a autoimmune amatha kukhudza mafupa a hinge. Kupumula, mankhwala, ayezi, ndi chithandizo chamankhwala chingathandize kuchepetsa ululu, kulimbitsa mphamvu ndi kuyenda kosiyanasiyana, ndikuthandizira kuthetsa mikhalidwe.
Anatomy
Mgwirizano umapangidwa ndi kulumikizana kwa mafupa awiri kapena kuposerapo. Thupi la munthu lili ndi magulu atatu akuluakulu a mafupa, omwe amagawidwa ndi momwe angasunthire. Izi zikuphatikizapo: (Zopanda malire. General Biology, ND)
Awa ndi malo olumikizirana oyenda momasuka omwe amalola kusuntha mbali zingapo.
Mafupa omwe amapanga mafupa amapangidwa ndi articular cartilage ndipo amatsekedwa mu capsule yophatikizana yodzaza ndi synovial fluid yomwe imalola kuyenda kosalala.
Magulu a Synovial amagawidwa m'mitundu yosiyanasiyana kutengera kusiyana kwa kapangidwe kake komanso kuchuluka kwa ndege zoyenda zomwe amalola. Mgwirizano wa hinge ndi mgwirizano wa synovial womwe umalola kuyenda mu ndege imodzi, mofanana ndi hinge ya chitseko yomwe imapita kutsogolo ndi kumbuyo. Mkati mwa olowa, mapeto a fupa limodzi amakhala opindikira / kuloza kunja, ndi ena ozungulira / ozungulira mkati kuti malekezero agwirizane bwino. Chifukwa ma hinge olowa amangoyenda munjira imodzi, amakhala okhazikika kuposa ma synovial ena. (Zopanda malire. General Biology, ND) Zophatikiza za hinge zimaphatikizapo:
Chala ndi zala zala - kulola zala ndi zala kupindika ndi kutambasula.
Mgwirizano wa chigongono - umalola kuti chigongono chipinde ndi kufalikira.
Mgwirizano wa bondo - umalola kuti bondo lipinde ndi kufalikira.
Mgwirizano wa talocrural wa bondo - umalola bondo kusunthira mmwamba / dorsiflexion ndi pansi / plantarflexion.
Mahinji amalumikiza miyendo, zala, ndi zala zapamapazi kutalikirana ndi kupindikira ku thupi. Kusunthaku ndi kofunikira pazochitika za tsiku ndi tsiku, monga kusamba, kuvala, kudya, kuyenda, kuyimirira, ndi kukhala pansi.
zokwaniritsa
Osteoarthritis ndi kutupa kwa nyamakazi kungakhudze mgwirizano uliwonse (Arthritis Foundation. ND) Matenda a nyamakazi, kuphatikizapo nyamakazi ndi psoriatic nyamakazi, amatha kuchititsa kuti thupi liziwombera mafupa ake. Izi nthawi zambiri zimakhudza mawondo ndi zala, zomwe zimapangitsa kutupa, kuwuma, ndi kupweteka. (Kamata, M., Tada, Y. 2020) Gout ndi matenda otupa a nyamakazi omwe amayamba chifukwa cha kuchuluka kwa uric acid m'magazi ndipo nthawi zambiri amakhudza ma hinge a chala chachikulu chakuphazi. Zina zomwe zimakhudza ma hinge joints ndi:
Kuvulala kwa cartilage mkati mwa ziwalo kapena mitsempha yomwe imakhazikika kunja kwa mafupa.
Mitsempha ya ligament kapena misozi imatha chifukwa cha zala kapena zala zopindika, akakolo opindika, kuvulala kopindika, komanso kukhudzidwa mwachindunji pabondo.
Kuvulala kumeneku kungakhudzenso meniscus, chiwombankhanga cholimba mkati mwa bondo chomwe chimathandiza kugwedeza ndi kuyamwa mantha.
konzanso
Zinthu zomwe zimakhudza mafupa a hinge nthawi zambiri zimayambitsa kutupa ndi kutupa, zomwe zimapangitsa kupweteka komanso kuyenda kochepa.
Pambuyo pa kuvulala kapena panthawi yotupa, kuchepetsa kusuntha ndi kupumula mgwirizano womwe wakhudzidwa kungathandize kuchepetsa nkhawa komanso ululu.
Kupaka ayezi kumatha kuchepetsa kutupa ndi kutupa.
Kwa anthu omwe akumva kupweteka kwa ma hinge joints kuchokera ku autoimmune condition, mankhwala a biologic kuti achepetse ntchito ya autoimmune ya thupi amaperekedwa kudzera mu infusions yomwe imaperekedwa kwa milungu ingapo kapena miyezi ingapo. (Kamata, M., Tada, Y. 2020)
Majekeseni a Cortisone angagwiritsidwenso ntchito kuchepetsa kutupa.
Ku Injury Medical Chiropractic ndi Functional Medicine Clinic, timayang'ana kwambiri pochiza kuvulala kwa odwala ndi ma syndromes opweteka kwambiri komanso kuwongolera luso kudzera mu kusinthasintha, kuyenda, ndi kulimba mtima zomwe zimayenderana ndi munthu. Othandizira athu amagwiritsa ntchito njira yophatikizirapo kupanga mapulani osamalira anthu omwe amaphatikizapo Functional Medicine, Acupuncture, Electro-Acupuncture, ndi Sports Medicine protocol. Cholinga chathu ndi kuthetsa ululu mwachibadwa mwa kubwezeretsa thanzi ndi ntchito ku thupi. Ngati munthuyo akufunika chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe angamuyenerere. Dr. Jimenez adagwirizana ndi madokotala ochita opaleshoni, akatswiri a zachipatala, ofufuza zachipatala, ndi opereka chithandizo chamankhwala kuti apereke chithandizo chamankhwala chothandiza kwambiri.
Kamata, M., & Tada, Y. (2020). Kuchita bwino ndi Chitetezo cha Biologics kwa Psoriasis ndi Psoriatic Arthritis ndi Zotsatira Zawo pa Comorbidities: Kubwereza Zolemba. Nyuzipepala yapadziko lonse ya sayansi ya molekyulu, 21(5), 1690. doi.org/10.3390/ijms21051690
Kwa anthu omwe ali ndi sciatica, kodi mankhwala osachita opaleshoni monga chisamaliro cha chiropractic ndi acupuncture amachepetsa ululu ndikubwezeretsanso ntchito?
Zamkatimu
Introduction
Thupi laumunthu ndi makina ovuta omwe amalola kuti wolandirayo azikhala womasuka komanso wokhazikika pamene akupuma. Ndi magulu osiyanasiyana a minofu m'magawo apamwamba ndi apansi a thupi, minofu yozungulira, mitsempha, mitsempha, ndi mitsempha imakhala ndi cholinga cha thupi chifukwa onse ali ndi ntchito zapadera kuti apitirize kugwira ntchito. Komabe, anthu ambiri ali ndi zizolowezi zosiyanasiyana zomwe zimayambitsa ntchito zolemetsa zomwe zimayambitsa kubwerezabwereza kwa minofu ndi minyewa yawo komanso kumakhudza dongosolo lawo la minofu ndi mafupa. Imodzi mwa mitsempha yomwe anthu ambiri akhala akulimbana nayo ndi ululu ndi mitsempha ya sciatic, yomwe imayambitsa nkhani zambiri m'munsi mwa thupi ndipo, pamene sichikuchitidwa nthawi yomweyo, imayambitsa ululu ndi kulemala. Mwamwayi, anthu ambiri afuna mankhwala osachita opaleshoni kuti achepetse sciatica ndi kubwezeretsa ntchito ya thupi kwa munthuyo. Nkhani ya lero ikugogomezera kumvetsetsa sciatica ndi momwe mankhwala osagwiritsa ntchito opaleshoni monga chisamaliro cha chiropractic ndi acupuncture angathandize kuchepetsa ululu wa sciatic monga zotsatira zomwe zimabweretsa mbiri yowopsa m'munsi mwa thupi. Timakambirana ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikizana ndi chidziwitso cha odwala athu kuti awone momwe sciatica nthawi zambiri imagwirizanirana ndi zinthu zachilengedwe zomwe zimayambitsa kusagwira ntchito m'thupi. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angathandizire kuchepetsa sciatica ndi zizindikiro zake zogwirizana. Timalimbikitsanso odwala athu kufunsa azachipatala omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudzana ndi kuphatikiza machiritso osiyanasiyana osapanga opaleshoni ngati gawo la zochita zawo za tsiku ndi tsiku kuchepetsa mwayi ndi zotsatira za sciatica kuchokera kubwerera. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kumvetsetsa Sciatica
Kodi nthawi zambiri mumamva ululu wonyezimira womwe umayenda pansi pa mwendo umodzi kapena onse mutakhala pansi kwa nthawi yayitali? Kodi ndi kangati komwe mwakhala mukumva kumva kulasalasa komwe kumakupangitsani kugwedeza mwendo wanu kuti muchepetse zotsatira zake? Kapena kodi mwaona kuti kutambasula miyendo yanu kumayambitsa mpumulo kwakanthawi? Ngakhale zizindikiro zowawa izi zimatha kukhudza m'munsi, anthu ambiri angaganize kuti ndi ululu wochepa wammbuyo, koma kwenikweni, ndi sciatica. Sciatica ndi chikhalidwe chodziwika bwino cha musculoskeletal chomwe chimakhudza anthu ambiri padziko lonse lapansi poyambitsa kupweteka kwa mitsempha ya sciatic ndi kutsika mpaka kumapazi. Mitsempha ya sciatic ndiyofunikira kwambiri popereka chiwongolero chachindunji komanso chosalunjika ku minofu ya miyendo. (Davis et al., 2024) Pamene mitsempha ya sciatic imapanikizidwa, anthu ambiri amanena kuti ululuwo ukhoza kusiyana kwambiri, umatsagana ndi zizindikiro monga kugwedeza, dzanzi, ndi kufooka kwa minofu zomwe zingakhudze luso la munthu kuyenda ndi kugwira ntchito.
Komabe, zina mwazoyambitsa zomwe zimayambitsa chitukuko cha sciatica zimatha kusewera muzinthu zomwe zimayambitsa ululu m'munsi. Zinthu zingapo zachilengedwe komanso zachilengedwe nthawi zambiri zimagwirizanitsidwa ndi sciatica, zomwe zimapangitsa kuti minyewa yam'mitsempha ya lumbar ikhale pamitsempha ya sciatic. Zinthu monga thanzi labwino, kupsinjika kwa thupi, ndi ntchito yantchito zimagwirizana ndi chitukuko cha sciatica ndipo zingakhudze chizoloŵezi cha munthu. (Gimenez-Campos et al., 2022) Kuonjezera apo, zina mwazoyambitsa sciatica zingaphatikizepo mikhalidwe ya minofu ndi mafupa monga herniated discs, bone spurs, kapena spinal stenosis, yomwe ingagwirizane ndi zinthu zomwe zili ndi chilengedwe komanso zachilengedwe zomwe zingachepetse kusuntha kwa anthu ambiri komanso moyo wabwino. (Zhou et al., 2021) Izi zimapangitsa anthu ambiri kufunafuna chithandizo chamankhwala kuti athetse ululu wa sciatica ndi zizindikiro zake zogwirizana. Ngakhale kuti ululu umene umabwera chifukwa cha sciatica ukhoza kusiyana, anthu ambiri nthawi zambiri amafunafuna mankhwala osachita opaleshoni kuti athetse ululu wawo ndi ululu wa sciatica. Izi zimawathandiza kuti aphatikizepo njira zothetsera sciatica.
Beyond Adjustments: Chiropractic & Integrative Healthcare- Video
Chiropractic Care For Sciatica
Pankhani yofunafuna mankhwala osagwiritsa ntchito opaleshoni kuti achepetse sciatica, mankhwala osagwiritsa ntchito opaleshoni amatha kuchepetsa zotsatira zowawa pamene akuthandizira kubwezeretsa ntchito ya thupi ndi kuyenda. Panthawi imodzimodziyo, mankhwala osachita opaleshoni amasinthidwa ndi ululu wa munthu payekha ndipo akhoza kuphatikizidwa muzochita za munthu. Mankhwala ena osachita opaleshoni monga chisamaliro cha chiropractic ndi abwino kwambiri pochepetsa sciatica ndi zizindikiro zake zowawa. Chisamaliro cha Chiropractic ndi njira yochiritsira yopanda opaleshoni yomwe imayang'ana kwambiri kubwezeretsa kayendedwe ka msana wa thupi ndikuwongolera ntchito ya thupi. Chisamaliro cha Chiropractic chimagwiritsa ntchito njira zamakina ndi zolemba za sciatica kuti zisinthe msana ndikuthandizira thupi kuchira mwachilengedwe popanda opaleshoni kapena mankhwala. Chisamaliro cha Chiropractic chingathandize kuchepetsa kuthamanga kwa intradiscal, kuonjezera kutalika kwa danga la intervertebral disc, ndi kupititsa patsogolo kayendetsedwe kake m'munsi. (Gudavalli et al., 2016) Pochita ndi sciatica, chisamaliro cha chiropractic chingachepetse kupanikizika kosafunikira pa mitsempha ya sciatic ndikuthandizira kuchepetsa chiopsezo choyambiranso kupyolera mwa mankhwala otsatizana.
Zotsatira za Chiropractic Care For Sciatica
Zina mwazotsatira za chisamaliro cha chiropractic pakuchepetsa sciatica zimatha kupereka chidziwitso kwa munthuyo monga akatswiri azachipatala amagwira ntchito limodzi ndi othandizira azachipatala kuti apange dongosolo lamunthu kuti athetse zizindikiro zowawa. Anthu ambiri omwe amagwiritsa ntchito chisamaliro cha chiropractic kuti achepetse zotsatira za sciatica amatha kuphatikiza chithandizo chamankhwala kuti alimbikitse minofu yofooka. kuzungulira m'munsi, kutambasula kuti mukhale osinthasintha komanso kukumbukira zambiri zomwe zimayambitsa kupweteka kwa sciatic m'munsi mwawo. Chisamaliro cha Chiropractic chikhoza kutsogolera anthu ambiri pa ergonomics yoyenera poster, ndi zochitika zosiyanasiyana zolimbitsa thupi kuti achepetse mwayi wa sciatica kubwerera pamene akupereka zotsatira zabwino ku thupi lapansi.
Acupuncture Kwa Sciatica
Njira ina ya chithandizo chosagwiritsa ntchito opaleshoni chomwe chingathandize kuchepetsa ululu wofanana ndi zotsatira za sciatica ndi acupuncture. Monga gawo lofunikira pazamankhwala achi China, chithandizo chamankhwala acupuncture chimaphatikizapo akatswiri kuyika singano zoonda komanso zolimba pamalo enaake pathupi. Zikafika pa kuchepetsa sciatica, chithandizo cha acupuncture chikhoza kukhala ndi zotsatira za analgesic pa ma acupoints a thupi, kuwongolera microglia, ndikusintha ma receptor ena panjira yowawa yopita ku dongosolo lamanjenje. (Zhang et al., 2023) Chithandizo cha acupuncture chimayang'ana pakubwezeretsa mphamvu zachilengedwe za thupi kapena Qi kulimbikitsa machiritso.
Zotsatira za Acupuncture Kwa Sciatica
Ponena za zotsatira za chithandizo cha acupuncture pa kuchepetsa sciatica, chithandizo cha acupuncture chingathandize kuchepetsa zizindikiro zowawa zomwe sciatica imapanga mwa kusintha chizindikiro cha ubongo ndi kubwezeretsanso galimoto yofanana kapena kusokonezeka maganizo kwa dera lomwe lakhudzidwa. (Yu et al., 2022) Kuonjezera apo, chithandizo cha acupuncture chingathandize kupereka mpumulo wa ululu mwa kutulutsa endorphins, kupweteka kwachilengedwe kwa thupi, ku acupoint yeniyeni yomwe imagwirizana ndi mitsempha ya sciatic, kuchepetsa kutupa kuzungulira mitsempha ya sciatic, motero kuchepetsa kupanikizika ndi ululu ndikuthandizira kupititsa patsogolo ntchito ya mitsempha. Onse chisamaliro cha chiropractic ndi acupuncture amapereka njira zamtengo wapatali zosagwiritsa ntchito opaleshoni zomwe zingapereke chithandizo pa machiritso ndi kuchepetsa kupweteka kwa sciatica. Pamene anthu ambiri akulimbana ndi sciatica ndikuyang'ana njira zambiri zochepetsera zowawa monga zowawa, mankhwala awiriwa osagwiritsa ntchito opaleshoni angathandize anthu ambiri kuthana ndi zomwe zimayambitsa sciatica, kupititsa patsogolo machiritso achilengedwe a thupi, ndikuthandizira kupereka mpumulo waukulu kuchokera ku sciatica. ululu.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Kuwunika mwadongosolo komanso kusanthula meta kwa magwiridwe antchito ndi zovuta za gabapentin ndi pregabalin za ululu wa sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). Chiropractic Distraction Spinal Manipulation on Postsurgical Anapitiliza Odwala Omwe Akubwerera Pang'onopang'ono ndi Opweteka Kwambiri: Mndandanda Wobwerezabwereza. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Nthawi yochiritsira kuvulala kwamasewera kumadalira zinthu zosiyanasiyana, monga malo ndi kukula kwa chovulalacho komanso thanzi la khungu, mafupa, tendons, minofu, ndi mafupa. Ndikofunikiranso kupeza nthawi yochira kapena kusathamangiranso masewera olimbitsa thupi mafupa kapena minofu isanachire. Pofuna kupewa kuvulazidwanso, onetsetsani kuti dokotala akuyeretsa thanzi asanabwerere ku masewera kapena masewera olimbitsa thupi.
Malinga ndi kafukufuku wa CDC, pafupifupi 8.6 miliyoni zovulala zokhudzana ndi masewera ndi zosangalatsa zimachitika chaka chilichonse. (Sheu, Y., Chen, LH, ndi Hedegaard, H. 2016) Komabe, kuvulala kwamasewera ambiri kumakhala kwachiphamaso kapena kumabwera chifukwa cha zovuta kapena zopindika; osachepera 20% ya kuvulala kumachitika chifukwa cha kusweka kwa mafupa kapena kuvulala koopsa. Kuthyoka kwa fupa kumatenga nthawi yayitali kuposa sprains kapena zovuta, ndipo kuphulika kwathunthu kwa tendon kapena minofu kumatha kutenga miyezi ingapo kuti munthu abwerere kwathunthu ku ntchito. Anthu omwe ali ndi thupi labwino popanda kudwala kapena kuwonongeka, izi ndi zomwe angayembekezere akachira kuvulala kotsatiraku:
Mafupa Akuthyoka
M'masewera, kuchuluka kwambiri kwa mafupa osweka kumachitika ndi mpira ndi masewera olumikizana. Ambiri amakhala ozungulira m'munsi koma amatha kuphatikizira khosi ndi mapewa, mikono, ndi nthiti.
Zophwanyika Zosavuta
Zimatengera msinkhu wa munthu, thanzi lake, mtundu wake, ndi malo.
Nthawi zambiri, zimatenga masabata asanu ndi limodzi kuti achiritse.
Pambuyo potupa koyambirira ndi kutupa kwatha, dokotala amalangiza ndondomeko ya chithandizo yomwe nthawi zambiri imaphatikizapo chithandizo chamankhwala, kudzipangira nokha, kapena kuyang'aniridwa ndi akatswiri a thupi kapena gulu. Mwamwayi, othamanga ndi anthu omwe amachita masewera olimbitsa thupi nthawi zonse amakhala ndi nthawi yochiritsa mofulumira chifukwa ali ndi mawonekedwe apamwamba, ndipo dongosolo lawo lamtima limapereka magazi amphamvu omwe amafulumizitsa kuchira. Ku El Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, timayang'ana mwachidwi kuchiza kuvulala kwa odwala komanso ma syndromes opweteka kwambiri. Timayang'ana kwambiri kukulitsa luso kudzera mu kusinthasintha, kuyenda, ndi kuwongolera mapulogalamu ogwirizana ndi munthu. Timagwiritsa ntchito zophunzitsira zaumwini komanso zenizeni komanso mapulani a chisamaliro chokwanira kuwonetsetsa kuti wodwala aliyense ali ndi chisamaliro chokhazikika komanso zotsatira za thanzi.
Othandizira athu amagwiritsa ntchito njira yophatikizira kupanga mapulani osamalira makonda omwe amaphatikizapo Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine mfundo. Cholinga chathu ndi kuthetsa ululu mwachibadwa mwa kubwezeretsa thanzi ndi ntchito ku thupi.
Ngati chiropractor akuwona kuti munthuyo akufunika chithandizo china, amatumizidwa ku chipatala kapena dokotala yemwe ali woyenera kwambiri kwa iwo. Dr. Jimenez adagwirizana ndi madokotala apamwamba, akatswiri a zachipatala, ofufuza zachipatala, ndi opereka chithandizo chamankhwala kuti apereke chithandizo chamankhwala apamwamba kwa anthu ammudzi mwathu. Kupereka ma protocol osasokoneza ndikofunikira kwambiri, ndipo chidziwitso chathu chamankhwala chotengera odwala ndichomwe timapereka.
Kuvulala kwa Lumbar Spine mu Masewera: Chiropractic Healing
Zothandizira
Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Nkhani Zovulaza Zamasewera ndi Zosangalatsa ku United States, 2011-2014. Malipoti a National Health Statistics, (99), 1-12.
Kwa anthu omwe ali ndi ululu wa m'chiuno, akhoza kukhala vuto la mitsempha ya pudendal yotchedwa pudendal neuropathy kapena neuralgia yomwe imayambitsa kupweteka kosalekeza. Mkhalidwewu ukhoza kuyambitsidwa ndi kutsekeka kwa mitsempha ya pudendal, komwe mitsempha imakanikizidwa kapena kuwonongeka. Kodi kudziwa zizindikilo zake kungathandize azachipatala kudziwa bwino matendawa ndikupanga dongosolo lothandizira lamankhwala?
Zamkatimu
Pudendal Neuropathy
Mitsempha ya pudendal ndiyo mitsempha yayikulu yomwe imagwira ntchito pa perineum, yomwe ili pakati pa anus ndi maliseche - scrotum mwa amuna ndi vulva mwa akazi. Mitsempha ya pudendal imadutsa mu minofu ya gluteus / matako ndikupita ku perineum. Imanyamula chidziwitso chomveka kuchokera kumaliseche akunja ndi khungu lozungulira anus ndi perineum ndikutumiza zizindikiro zamagalimoto / kuyenda kumagulu osiyanasiyana a pelvic. (Origoni, M. et al., 2014) Pudendal neuralgia, yomwe imatchedwanso pudendal neuropathy, ndi matenda a mitsempha ya pudendal yomwe ingayambitse kupweteka kwa m'chiuno.
Zimayambitsa
Kupweteka kwa m'chiuno kosatha kuchokera ku pudendal neuropathy kumatha kuyambitsidwa ndi izi:Kaur J. et al., 2024)
Kukhala pa malo olimba, mipando, mipando ya njinga, ndi zina zotero. Oyendetsa njinga amatha kukhala ndi mitsempha ya pudendal.
Kuvulala kwa matako kapena m'chiuno.
Kubadwa.
Diabetesic neuropathy.
Mafupa omwe amatsutsana ndi mitsempha ya pudendal.
Kuchulukitsa kwa mitsempha yozungulira mitsempha ya pudendal.
zizindikiro
Ululu wa mitsempha ya pudendal ukhoza kufotokozedwa ngati kubaya, kuponderezana, kuwotcha, dzanzi, kapena zikhomo ndi singano ndipo zimatha kuwonetsa (Kaur J. et al., 2024)
Mu perineum.
M'chigawo chakuthako.
Mwa amuna, kupweteka kwa scrotum kapena mbolo.
Kwa amayi, kupweteka kwa labia kapena maliseche.
Pogonana.
Pokodza.
Pa nthawi ya matumbo.
Akakhala ndikuchoka atayimirira.
Chifukwa zizindikiro nthawi zambiri zimakhala zovuta kusiyanitsa, pudendal neuropathy nthawi zambiri imakhala yovuta kusiyanitsa ndi mitundu ina ya ululu wosaneneka wa m'chiuno.
Cyclist's Syndrome
Kukhala pampando wanjinga kwa nthawi yayitali kungayambitse kupsinjika kwa mitsempha ya m'chiuno, zomwe zingayambitse kupweteka kosalekeza. Mafupipafupi a pudendal neuropathy (kupweteka kwa m'chiuno kosatha komwe kumachitika chifukwa cha kutsekeka kapena kupanikizana kwa mitsempha ya pudendal) nthawi zambiri amatchedwa Cyclist's Syndrome. Kukhala pamipando ina ya njinga kwa nthawi yayitali kumapangitsa kuti mitsempha ya pudendal ikhale yovuta kwambiri. Kupanikizika kungayambitse kutupa kuzungulira mitsempha, yomwe imayambitsa kupweteka ndipo, pakapita nthawi, ingayambitse kuvulala kwa mitsempha. Kupanikizika kwa mitsempha ndi kutupa kungayambitse ululu wofotokozedwa ngati kuyaka, kuluma, kapena mapini ndi singano. (Durante, JA, and Macintyre, IG 2010) Kwa anthu omwe ali ndi vuto lotchedwa pudendal neuropathy chifukwa chokwera njinga, zizindikiro zimatha kuonekera pambuyo poyenda nthawi yayitali ndipo nthawi zina pakadutsa miyezi kapena zaka.
Kusintha kwa chiropractic kumatha kusintha msana ndi pelvis.
Njira yotulutsa yogwira ntchito / ART imaphatikizapo kugwiritsa ntchito kukakamiza kwa minofu m'derali pamene mukutambasula ndi kukakamira. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
Mitsempha imatha kuchepetsa ululu wobwera chifukwa cha kutsekeka kwa mitsempha. (Kaur J. et al., 2024)
Mankhwala ena otsitsimula minofu, antidepressants, ndi anticonvulsants amatha kuperekedwa, nthawi zina kuphatikiza.
Opaleshoni ya mitsempha ya mitsempha ikhoza kulangizidwa ngati njira zonse zochiritsira zowonongeka zatha. (Durante, JA, and Macintyre, IG 2010)
Mapulani a chisamaliro chachipatala cha Chiropractic ndi Functional Medicine Clinic ndi ntchito zachipatala ndizopadera ndipo zimayang'ana kwambiri kuvulala komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Ubwino ndi zakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambiri, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Headaches, Kuvulala Kwamasewera, Kupweteka Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwambiri, Kuwongolera Kupsinjika, ndi Chithandizo Chamankhwala Ogwira Ntchito. Ngati munthuyo akufuna chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe ali woyenera kwambiri pa matenda awo, monga Dr. Jimenez adagwirizana ndi madokotala apamwamba, akatswiri a zachipatala, ofufuza zachipatala, othandizira, ophunzitsa, ndi opereka chithandizo choyamba.
Mimba ndi Sciatica
Zothandizira
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Njira za Neurobiological za ululu wa m'chiuno. BioMed Research International, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Kutsekeka kwa mitsempha ya Pudendal mwa wothamanga wa Ironman: lipoti lamilandu. Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuzindikira, Kukonzanso ndi Njira Zopewera za Pudendal Neuropathy mu Ma Cyclists, Kubwereza Mwadongosolo. Journal of functional morphology ndi kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Kwa anthu omwe atopa njira zina zonse zothandizira kupweteka kwa msana ndi kupsinjika kwa mizu ya mitsempha, kodi opaleshoni ya laser ya msana ingathandize kuchepetsa kupsinjika kwa mitsempha ndikupereka mpumulo wokhalitsa?
Zamkatimu
Opaleshoni ya Laser Spine
Opaleshoni ya msana wa laser ndi njira yochepetsera pang'ono yomwe imagwiritsa ntchito laser kudula ndikuchotsa zida za msana zomwe zimapondereza minyewa ndikupangitsa kupweteka kwambiri. Njira yochepetsera pang'ono nthawi zambiri imabweretsa ululu wochepa, kuwonongeka kwa minofu, ndi kuchira msanga kusiyana ndi maopaleshoni ambiri.
Mmene Ntchito
Njira zochepetsera pang'ono zimapangitsa kuti pakhale mabala ochepa komanso kuwonongeka kwa nyumba zozungulira, nthawi zambiri kuchepetsa zizindikiro zowawa komanso nthawi yochepa yochira. (Stern, J. 2009) Mapangidwe ang'onoang'ono amapangidwa kuti alowe muzitsulo za msana. Ndi opaleshoni yotsegula kumbuyo, kudulidwa kwakukulu kumapangidwira kumbuyo kuti apeze msana. Opaleshoniyi imasiyana ndi maopaleshoni ena chifukwa mtengo wa laser, osati zida zina zopangira opaleshoni, umagwiritsidwa ntchito podula zida za msana. Komabe, kudulidwa koyamba pakhungu kumapangidwa ndi scalpel ya opaleshoni. Laser ndi chidule cha Light Amplification Stimulated by Emission of Radiation. Laser imatha kutulutsa kutentha kwambiri kuti idutse minofu yofewa, makamaka yomwe ili ndi madzi ambiri, monga ma disc a msana. (Stern, J. 2009) Pa maopaleshoni ambiri a msana, laser singagwiritsidwe ntchito kudula mafupa chifukwa imapanga zopsereza pompopompo zomwe zimatha kuwononga zozungulira. M'malo mwake, opaleshoni ya msana wa laser imagwiritsidwa ntchito makamaka popanga discectomy, yomwe ndi njira yopangira opaleshoni yomwe imachotsa gawo la bulging kapena herniated disc yomwe ikukankhira ku mizu ya mitsempha yozungulira, kuchititsa kupanikizika kwa mitsempha ndi kupweteka kwa sciatic. (Stern, J. 2009)
Kuopsa kwa Opaleshoni
Opaleshoni ya laser ya msana ingathandize kuthetsa chifukwa cha kupsinjika kwa mizu ya mitsempha, koma pali chiopsezo chowonjezereka cha kuwonongeka kwa nyumba zapafupi. Zowopsa zomwe zimaphatikizidwa ndi izi: (Brouwer, PA et al., 2015)
Kutenga
Kusuta
Magazi amatha
Zizindikiro zotsalira
Zizindikiro zobwerera
Kuwonongeka kwina kwa mitsempha
Kuwonongeka kwa nembanemba kuzungulira msana.
Kufunika opareshoni yowonjezera
Mtsinje wa laser siwofanana ndi zida zina zopangira opaleshoni ndipo umafunika kuyeserera ndikuwongolera kuti zisawonongeke msana ndi mizu ya mitsempha. (Stern, J. 2009) Chifukwa chakuti ma laser sangadutse mafupa, zida zina zopangira opaleshoni nthawi zambiri zimagwiritsidwa ntchito mozungulira komanso mosiyanasiyana chifukwa zimakhala zogwira mtima kwambiri komanso zimalola kuti zikhale zolondola kwambiri. (Atlantic Brain and Spine, 2022)
cholinga
Opaleshoni ya laser ya msana imachitidwa kuti achotse zida zomwe zimabweretsa kupsinjika kwa mizu ya mitsempha. Kupanikizika kwa mitsempha ya mitsempha kumayenderana ndi zinthu zotsatirazi (Cleveland Clinic. 2018)
Ma disc osavuta
Herniated discs
Sciatica
Mimba ya msana
Zingwe za msana
Mizu ya mitsempha yomwe yavulala kapena yowonongeka ndipo nthawi zonse imatumiza zizindikiro zowawa zopweteka zimatha kuchotsedwa ndi opaleshoni ya laser, yotchedwa nerve ablation. Laser imayaka ndikuwononga minyewa ya mitsempha. (Stern, J. 2009) Chifukwa opaleshoni ya laser ya msana imakhala yochepa pochiza matenda ena a msana, njira zambiri zochepetsera msana sizigwiritsa ntchito laser. (Ubongo wa Atlantic ndi Msana. 2022)
Kukonzekera
Gulu la opaleshoni lidzapereka malangizo omveka bwino a zomwe muyenera kuchita m'masiku ndi maola asanachite opaleshoni. Pofuna kulimbikitsa machiritso abwino komanso kuchira bwino, ndi bwino kuti wodwalayo akhalebe wathanzi, azidya zakudya zopatsa thanzi, komanso asiye kusuta fodya asanamuchite opaleshoni. Anthu angafunike kusiya kumwa mankhwala enaake kuti apewe kutaya magazi kwambiri kapena kugwirizana ndi opaleshoni panthawi ya opaleshoni. Auzeni dokotala za mankhwala onse, mankhwala osagulitsika, ndi zowonjezera zomwe mukumwedwa.
Opaleshoni ya laser ya msana ndi njira yoperekera odwala kuchipatala kapena malo opangira opaleshoni. Wodwalayo ayenera kupita kunyumba tsiku lomwelo la opaleshoniyo. (Cleveland Clinic. 2018) Odwala sangathe kuyendetsa galimoto kupita kapena kuchokera kuchipatala opaleshoni yawo isanayambe kapena itatha, choncho konzekerani kuti achibale kapena mabwenzi awapezere thiransipoti. Kuchepetsa kupsinjika ndi kuika patsogolo kukhala ndi thanzi labwino m'maganizo ndi m'maganizo ndikofunikira kuti muchepetse kutupa ndikuthandizira kuchira. Wodwalayo akakhala wathanzi amapita ku opaleshoni, kuchira ndi kukonzanso kudzakhala kosavuta.
Zoyembekeza
Opaleshoniyo idzasankhidwa ndi wodwalayo ndi wothandizira zaumoyo ndipo amakonzekera kuchipatala kapena malo opangira opaleshoni. Konzani kuti mnzanu kapena wachibale aziyendetsa galimoto kupita ku opaleshoni ndi kunyumba.
Musanachite Opaleshoni
Wodwalayo adzatengedwera ku chipinda cha pre-operative ndikufunsidwa kuti asinthe chovala.
Mankhwala opha tizilombo adzagwiritsidwa ntchito kupha mabakiteriya ndi kuteteza kuopsa kwa matenda.
Akayeretsedwa, thupi limakutidwa ndi nsalu zotchinga kuti malo opangira opaleshoni azikhala aukhondo.
Panthawi ya Opaleshoni
Kwa discectomy, dokotala wa opaleshoni adzapanga kachipangizo kakang'ono kosakwana inchi imodzi m'litali ndi scalpel pamphepete mwa msana kuti apeze mizu ya mitsempha.
Chida chopangira opaleshoni chotchedwa endoscope ndi kamera yomwe imalowetsedwa mu incision kuti muwone msana. (Brouwer, PA et al., 2015)
Pambuyo pa discectomy, munthuyo akhoza kubwerera kuntchito mkati mwa masiku angapo mpaka masabata angapo, malingana ndi kuuma kwake, koma zingatenge miyezi itatu kuti abwerere kuntchito zachizolowezi. Kutalika kwa kuchira kumatha kuyambira milungu iwiri mpaka inayi kapena kuchepera kuti ayambirenso ntchito yongokhala kapena milungu isanu ndi itatu mpaka 12 kuti akagwire ntchito yovuta kwambiri yomwe imafuna kunyamula katundu wolemetsa. (Yunivesite ya Wisconsin School of Medicine ndi Public Health, 2021) M'milungu iwiri yoyambirira, wodwalayo amapatsidwa zoletsa kuti msana ukhale wolimba mpaka utakhala wolimba. Zoletsa zingaphatikizepo: (Yunivesite ya Wisconsin School of Medicine ndi Public Health, 2021)
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Percutaneous laser disc decompression motsutsana ndi microdiscectomy wamba mu sciatica: kuyesedwa kosasinthika. Magazini ya msana: magazini yovomerezeka ya North American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
University of Wisconsin School of Medicine ndi Public Health. (2021). Malangizo Osamalira Pakhomo Pambuyo pa Lumbar Laminectomy, Decompression kapena Discectomy Opaleshoni. patient.uwhealth.org/healthfacts/4466
