Back Clinic Chiropractic. Uwu ndi mtundu wina wa chithandizo chomwe chimayang'ana pakuzindikira ndi kuchiza kuvulala kosiyanasiyana kwa minofu ndi mafupa, makamaka zomwe zimagwirizanitsidwa ndi msana. Dr. Alex Jimenez akukambirana momwe kusintha kwa msana ndi kugwiritsira ntchito pamanja nthawi zonse kungathandize kwambiri kuthetsa ndi kuthetsa zizindikiro zambiri zomwe zingayambitse munthu. Madokotala amakhulupirira kuti pakati pa zifukwa zazikulu zowawa ndi matenda ndi kusalinganika kwa vertebrae mumsana wa msana (izi zimatchedwa chiropractic subluxation).
Kupyolera mukugwiritsa ntchito kuzindikira kwapamanja (kapena palpation), kukakamiza mosamala, kutikita minofu, ndi kuwongolera pamanja kwa vertebrae ndi mafupa (otchedwa kusintha), chiropractor amatha kuchepetsa kupsinjika ndi kukwiyitsa kwa mitsempha, kubwezeretsa kusuntha kwa mgwirizano, ndikuthandizira kubwezeretsa homeostasis ya thupi. . Kuchokera ku subluxations, kapena misalignments ya msana, kupita ku sciatica, zizindikiro za mitsempha ya sciatic chifukwa cha kupindika kwa mitsempha, chisamaliro cha chiropractic chikhoza kubwezeretsa pang'onopang'ono chikhalidwe cha munthu. Dr. Jimenez akupanga gulu la malingaliro okhudza chiropractic kuti aphunzitse bwino anthu pamitundu yosiyanasiyana ya kuvulala ndi zikhalidwe zomwe zimakhudza thupi la munthu.
Kodi akatswiri azachipatala ku chipatala cha chiropractic amapereka bwanji njira yachipatala kuti apewe zolakwika zachipatala kwa anthu omwe ali ndi ululu?
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
Kodi anthu omwe ali ndi matenda a Ehlers-Danlos angapeze mpumulo kudzera m'njira zosiyanasiyana zosapanga opaleshoni kuti achepetse kusakhazikika pamodzi?
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
Kwa anthu omwe ali ndi sciatica, kodi mankhwala osachita opaleshoni monga chisamaliro cha chiropractic ndi acupuncture amachepetsa ululu ndikubwezeretsanso ntchito?
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
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?
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?
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
Zomwe zimayambitsa mtundu uwu wa herniation sizikudziwika.
Episacral Lipoma
Episacral lipoma ndi kagawo kakang'ono kowawa pansi pa khungu komwe kamakhala pamwamba pa fupa la m'chiuno. Ziphuphuzi zimachitika pamene gawo lina la dorsal mafuta pad limatuluka kupyolera mu misozi ya thoracodorsal fascia, minyewa yolumikizana yomwe imathandiza kuti minofu yam'mbuyo ikhale. (Erdem, HR et al., 2013) Wopereka chithandizo chamankhwala akhoza kutumiza munthu kwa dokotala wa mafupa kapena ochita opaleshoni ya mafupa chifukwa cha lipoma iyi. Munthu athanso kupeza mpumulo wowawa kuchokera kwa akatswiri otikita minofu omwe amadziwa bwino matendawa. (Erdem, HR et al., 2013)
zizindikiro
Nthawi zambiri zotupa zam'mbuyo zimatha kuwoneka pansi pakhungu. Nthawi zambiri amakhala achifundo kukhudza ndipo amatha kukhala pampando kapena kugona chagada kukhala kovuta, chifukwa nthawi zambiri amawonekera pamafupa a chiuno ndi dera la sacroiliac. (Bicket, MC et al., 2016) Manodule angakhale:
Khalani olimba kapena olimba.
Khalani ndi kumva zotanuka.
Yendani pansi pa khungu mukapanikizika.
Chifukwa chachikulu, kupweteka kwambiri.
Ululu umabwera chifukwa cha kukanikiza kwa chotupacho, komwe kumapangitsa minyewa.
Kuwonongeka kwa fascia yapansi kungayambitsenso zizindikiro zowawa.
Matendawa
Anthu ena samazindikira kuti ali ndi timinofu totupa kapena zotupa mpaka kukakamizidwa. Madokotala ndi othandizira kutikita minofu nthawi zambiri amawapeza panthawi yamankhwala koma samazindikira kukula kwamafuta osadziwika bwino. Katswiri wa chiropractor kapena kutikita minofu amatumiza wodwalayo kwa dermatologist wodziwa bwino ntchito kapena katswiri wazachipatala yemwe angachite maphunziro a kujambula ndi biopsy. Kuzindikira kuti zotupazo ndi zotani kungakhale kovuta chifukwa sizomwe zili zenizeni. Othandizira azaumoyo nthawi zina amazindikira tinthu tating'onoting'ono tambirimbiri pobaya jekeseni wamankhwala am'deralo. (Bicket, MC et al., 2016)
Kusiyanitsa kusiyana
The mafuta madipoziti akhoza kukhala chiwerengero cha zinthu, ndi chimodzimodzi ndi magwero a mitsempha ululu. Wothandizira zaumoyo atha kuwunikanso zina mwa kuletsa zifukwa zina, zomwe zingaphatikizepo:
Sebaceous Cysts
Kapisozi wabwino, wodzaza madzimadzi pakati pa khungu.
Subcutaneous abscess
Kutolere mafinya pansi pa khungu.
Nthawi zambiri zowawa.
Ikhoza kuyaka.
Sciatica
Kupweteka kwa mitsempha pansi pamiyendo imodzi kapena yonse yomwe imayamba chifukwa cha disni ya herniated, fupa la fupa, kapena minofu ya m'munsi.
Ngati ululu uli waukulu, kuchotsa opaleshoni kungakhale kovomerezeka. Izi zimaphatikizapo kudula misa ndi kukonza fascia kuti mupumule kwamuyaya. Komabe, kuchotsa sikungakhale kovomerezeka ngati pali tinthu tambirimbiri, chifukwa anthu ena amatha kukhala ndi mazana. Liposuction ikhoza kukhala yothandiza ngati zotupazo zili zazing'ono, zokulirapo, komanso zimakhala ndi madzi ambiri. (American Family Doctor. 2002) Mavuto ochotsa opaleshoni angaphatikizepo:
Kutaya
Kudandaula
Kusafanana khungu kapangidwe
Kutenga
Thandizo Lowonjezera ndi Njira Zina
Chithandizo chamankhwala ovomerezeka komanso amtundu wina monga kutema mphini, kusowa kowuma, komanso kuwongolera msana kungathandize. Ma chiropractor ambiri amakhulupirira kuti minyewa yam'mbuyo imatha kuthandizidwa bwino ndi chithandizo chothandizira komanso china. Njira yodziwika bwino imagwiritsa ntchito acupuncture ndi kusintha kwa msana pamodzi. Kafukufuku wina adawonetsa kuti jakisoni wogonetsa wotsatiridwa ndi kusowa kowuma, komwe kuli kofanana ndi kutema mphini, kumathandizira kuchepetsa ululu. (Bicket, MC et al., 2016)
Chiropractic Medical Chiropractic ndi Functional Medicine Clinic imayang'anira njira zochiritsira zopita patsogolo komanso njira zochiritsira zomwe zimayang'ana pakubwezeretsa magwiridwe antchito amthupi pambuyo povulala ndi kuvulala kwa minofu yofewa komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Ubwino & Chakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambuyo, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Mutu, Kuvulala Kwa Masewera, Sciatica Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwakukulu, Kuwongolera Kupsinjika, Chithandizo Chamankhwala Ogwira Ntchito, ndi ma protocol a chisamaliro chapakatikati. 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.
Kupitilira Pamwamba
Zothandizira
Dąbrowski, K., & Ciszek, B. (2023). Anatomy ndi morphology ya iliolumbar ligament. Opaleshoni ndi radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Kusintha kwa lumbar minofu morphology ndi kapangidwe kake pokhudzana ndi ululu wochepa wammbuyo: kuwunika mwadongosolo ndi kusanthula meta. Magazini ya msana: magazini yovomerezeka ya North American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: chomwe chimayambitsa kupweteka kwa msana]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Magazini ya Turkey Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Mapulani Abwino Kwambiri a "Mbewa Zakumbuyo" ndi Amuna: Lipoti la Nkhani ndi Kubwereza Zolemba za Episacroiliac Lipoma. Dokotala wa ululu, 19 (3), 181-188.
Pamene sciatica kapena kupweteka kwina kwa mitsempha kumapereka, kodi kuphunzira kusiyanitsa pakati pa ululu wa mitsempha ndi mitundu yosiyanasiyana ya ululu kumathandiza anthu kuzindikira pamene mitsempha ya msana imakwiyitsidwa kapena kupanikizika kapena mavuto aakulu omwe amafunikira chithandizo chamankhwala?
Mizu ya Mitsempha ya Msana ndi Dermatomes
Matenda a msana monga ma disc a herniated ndi stenosis amatha kubweretsa ululu wowawa womwe umayenda pansi pa mkono kapena mwendo umodzi. Zizindikiro zina ndi kufooka, dzanzi, ndi/kapena kuwombera kapena kuyaka kukhudzidwa kwa magetsi. Mawu azachipatala azizindikiro za mitsempha yotsina ndi radiculopathy (National Institutes of Health: National Institute of Neurological Disorders ndi Stroke. 2020). Dermatomes ikhoza kuyambitsa kukwiya kwa msana, komwe mizu ya mitsempha imayambitsa zizindikiro kumbuyo ndi miyendo.
Anatomy
Msana uli ndi magawo 31.
Gawo lirilonse liri ndi mizu ya mitsempha kumanja ndi kumanzere yomwe imapereka ntchito zamagalimoto ndi zomverera ku miyendo.
Nthambi zolankhulana zam'mbuyo ndi zam'mbuyo zimagwirizanitsa kupanga mitsempha ya msana yomwe imatuluka mumtsinje wa vertebral.
Zigawo za 31 za msana zimabweretsa mitsempha ya 31 ya msana.
Iliyonse imatumiza kulowetsa kwa minyewa kuchokera kudera linalake la khungu kumbali imeneyo ndi gawo la thupi.
Madera amenewa amatchedwa dermatomes.
Kupatula pa mitsempha yoyamba ya msana wa khomo lachiberekero, dermatomes alipo pa mitsempha iliyonse ya msana.
Mitsempha ya msana ndi ma dermatome omwe amalumikizana nawo amapanga maukonde pathupi lonse.
Dermatomes Cholinga
Dermatomes ndi madera a thupi/pakhungu omwe ali ndi zomverera zomwe zimaperekedwa ku mitsempha ya msana. Mizu ya mitsempha iliyonse imakhala ndi dermatome yogwirizana, ndipo nthambi zosiyanasiyana zimapereka dermatome iliyonse kuchokera muzu umodzi wa mitsempha. Dermatomes ndi njira zomwe zidziwitso zowoneka bwino zapakhungu zimatumiza mauthenga kupita ndi kuchokera kumagulu apakati amanjenje. Zomverera zomwe zimamveka mwathupi, monga kupanikizika ndi kutentha, zimafalikira kudera lapakati lamanjenje. Pamene muzu wa mitsempha ya msana umakhala woponderezedwa kapena kukwiyitsidwa, kawirikawiri chifukwa umagwirizana ndi dongosolo lina, umayambitsa radiculopathy. (National Institutes of Health: National Institute of Neurological Disorders ndi Stroke. 2020).
Kuchuluka kwa mankhwala
Radiculopathy imatanthawuza zizindikiro zomwe zimayambitsidwa ndi minyewa yopindika pamsana. Zizindikiro ndi zomverera zimadalira komwe minyewa imatsinidwa komanso kuchuluka kwa kupsinjika.
Chiberekero
Ichi ndi matenda a ululu ndi / kapena zofooka za sensorimotor pamene mizu ya mitsempha pakhosi imakanizidwa.
Nthawi zambiri amawoneka ndi ululu womwe umatsika pa mkono umodzi.
Anthu amathanso kumva zomverera zamagetsi monga ma pini ndi singano, kugwedezeka, ndi kuyaka, komanso zizindikiro zamagalimoto monga kufooka ndi dzanzi.
Lumbar
Radiculopathy iyi imachokera ku kupsinjika, kutupa, kapena kuvulala kwa mitsempha ya msana kumunsi kumbuyo.
Kumva kupweteka, dzanzi, kumva kuwawa, kumveka kwamagetsi kapena kuyaka, ndi zizindikiro zamagalimoto monga kufooka kumayenda pansi pa mwendo umodzi ndizofala.
Matendawa
Gawo la kafukufuku wakuthupi wa radiculopathy ndikuyesa ma dermatomes kuti amve. Dokotala adzagwiritsa ntchito mayesero apadera amanja kuti adziwe msinkhu wa msana umene zizindikirozo zimachokera. Mayeso apamanja nthawi zambiri amatsagana ndi mayeso oyerekeza ngati MRI, omwe amatha kuwonetsa zolakwika muzu wa msana. Kufufuza kwathunthu kwa thupi kudzatsimikizira ngati mizu ya mitsempha ya msana ndiyo gwero la zizindikiro.
Kuchiza Zomwe Zimayambitsa
Matenda ambiri am'mbuyo amatha kuthandizidwa ndi njira zochiritsira zochiritsira kuti apereke mpumulo wogwira mtima. Mwachitsanzo, pa disk herniated, anthu akhoza kulangizidwa kuti apume ndi kumwa mankhwala osagwiritsidwa ntchito poletsa kutupa. Acupuncture, physiotherapy, chiropractic, kusachita opaleshoni, kapena mankhwala a decompression akhozanso kulembedwa. Kwa ululu waukulu, anthu akhoza kupatsidwa jakisoni wa epidural steroid omwe angathandize kuchepetsa ululu pochepetsa kutupa. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022) Kwa stenosis ya msana, wothandizira angayambe kuyang'ana pa chithandizo chamankhwala kuti apititse patsogolo thupi lonse, kulimbikitsa mimba ndi minofu yam'mbuyo, ndi kusunga kayendedwe ka msana. Mankhwala ochepetsa ululu, kuphatikizapo NSAIDs ndi jakisoni wa corticosteroid, amatha kuchepetsa kutupa ndi kuchepetsa ululu. (American College of Rheumatology. 2023) Ochiritsa amthupi amapereka njira zosiyanasiyana zochizira kuti achepetse zizindikiro, kuphatikiza kupukutira kwapamanja ndi makina ndikukokera. Opaleshoni ikhoza kulimbikitsidwa pazochitika za radiculopathy zomwe sizimayankha chithandizo chokhazikika.
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 & Chakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambuyo, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Mutu, Kuvulala Kwa Masewera, Sciatica Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwakukulu, Kuwongolera Kupsinjika, Chithandizo Chamankhwala Ogwira Ntchito, komanso njira zosamalira odwala. Timayang'ana kwambiri kubwezeretsa magwiridwe antchito amthupi pambuyo povulala ndi kuvulala kwa minofu yofewa pogwiritsa ntchito Specialized Chiropractic Protocols, Wellness Programs, Nutrition Yogwira Ntchito ndi Yophatikizana, Agility, ndi Mobility Fitness Training, ndi Rehabilitation Systems kwazaka zonse. Ngati munthuyo akufunikira chithandizo china, adzatumizidwa ku chipatala kapena dokotala woyenerera bwino matenda ake. Dr. Jimenez adagwirizana ndi madokotala ochita opaleshoni, akatswiri a zachipatala, ofufuza zachipatala, othandizira, ophunzitsa, ndi opereka chithandizo choyamba kuti abweretse El Paso, chithandizo chamankhwala apamwamba, kumudzi wathu.
Bweretsani Kuyenda Kwanu: Chiropractic Care For Sciatica Recovery
