Back Clinic Arthritis Team. Nyamakazi ndi matenda ofala koma osamvetsetseka bwino. Mawu akuti nyamakazi satanthauza matenda amodzi koma amatanthauza kupweteka kwa mafupa kapena mafupa. 100 mitundu yosiyanasiyana ilipo. Anthu a misinkhu yonse, kugonana, ndi mafuko akhoza kudwala nyamakazi. Ndilo lomwe likuyambitsa kulumala ku America. Akuluakulu oposa 50 miliyoni ndi ana 300,000 ali ndi mtundu wina wa ululu kapena matenda. Zimakhala zofala pakati pa amayi ndipo zimachitika kwambiri anthu akamakula. Zizindikiro zimaphatikizapo kutupa, kupweteka, kuuma, ndi kuchepa kwa kayendetsedwe kake (ROM).
Zizindikiro zimatha kubwera ndikupita, ndipo zimatha kukhala zochepa, zocheperako, kapena zowopsa. Zitha kukhala chimodzimodzi kwa zaka koma zimatha kuipiraipira pakapita nthawi. Zikavuta kwambiri, zingayambitse kupweteka kosalekeza, kulephera kugwira ntchito za tsiku ndi tsiku komanso kuyenda movutikira kapena kukwera masitepe. Zingayambitse kuwonongeka kwa mgwirizano wokhazikika ndi kusintha. Zosinthazi zitha kuwoneka, mwachitsanzo, zolumikizira zala za knobby, koma nthawi zambiri zimatha kuwonedwa pa x-ray. Mitundu ina ya nyamakazi imakhudza maso, mtima, impso, mapapo, ndi khungu.
Kwa anthu omwe ali ndi nyamakazi, kodi kuphatikiza kutema mphini ndi mankhwala ena kungathandize kuchepetsa ululu ndi zizindikiro zina?
Acupuncture Kwa Nyamakazi
Kutema mphini kwakhalapo kwa zaka masauzande ambiri ndipo ndi mtundu wamankhwala achi China omwe amagwiritsa ntchito singano zolowetsedwa m'zigawo zosiyanasiyana za thupi kuti athetse ululu ndi kutupa. Mchitidwewu umachokera ku lingaliro la mphamvu ya moyo yomwe imayenda m'thupi lonse m'njira zotchedwa meridians. Pamene kuthamanga kwa mphamvu kumasokonekera, kutsekedwa, kapena kuvulala, ululu kapena matenda amatha kuwonekera. (Arthritis Foundation. ND.) Kafukufuku wowonjezereka akufunika kuti adziwe momwe njira zochizira acupuncture zimagwirira ntchito komanso mphamvu zake zonse. Komabe, pali umboni womwe ukuwoneka wosonyeza kuti kutema mphini kumatha kupereka mpumulo kwa anthu omwe ali ndi ululu m'malo olumikizirana mafupa, makamaka omwe ali ndi osteoarthritis ndi nyamakazi. (Pei Chi Chou, Heng Yi Chu. 2018)
ubwino
Njira yeniyeni yomwe imachepetsa ululu ndi kutupa sikudziwikabe. Malingaliro amaphatikizapo kuti singano zimapondereza mayankho otupa, kusintha magazi, ndi kupumula minofu. Ngakhale kuti kutema mphini sikungathe kuchiza kapena kuchiza nyamakazi, kungakhale kothandiza pothana ndi ululu ndi kuchepetsa zizindikiro zomwe zikugwirizana nazo, makamaka kuphatikiza ndi mankhwala ena. (Pei Chi Chou, Heng Yi Chu. 2018)
nyamakazi
Kuwunika mwadongosolo maphunziro 43, kuphatikiza anthu ndi nyama zomwe zili ndi nyamakazi ya nyamakazi, zidawonetsa zotsatira zosiyanasiyana. Kafukufuku wambiri adawonetsa kusintha kwazizindikiro komanso kuchepa kwa zizindikiro za nyamakazi ya nyamakazi pambuyo pa gawo limodzi kapena atatu la acupuncture kwa milungu inayi kapena kupitilira apo. (Sharon L. Kolasinski et al., 2020) Zotsatira zabwino zotsatila chithandizo cha acupuncture pa nyamakazi ya nyamakazi ndi monga:
Kuchepetsa ululu
Kuchepetsa kuuma kwamagulu
Kuchita bwino kwa thupi
Zotsatira za kafukufuku wa anthu ndi nyama zimasonyeza kuti kutema mphini kungathe pansi-regulate:
Miyezo ya interleukin
Miyezo ya chotupa necrosis factor
Mapuloteni / ma cytokines omwe amawonetsa ma cell omwe amakhudzidwa ndi kutupa, omwe amakhala okwera m'mikhalidwe ya autoimmune monga nyamakazi ya nyamakazi. (Pei Chi Chou, Heng Yi Chu. 2018)
Ambiri mwa maphunzirowa anali kulandiranso mitundu ina ya chithandizo, makamaka mankhwala. Choncho, n'zovuta kunena kuti kutema mphini kuli kopindulitsa kokha kapena monga chowonjezera pamankhwala ena. (Pei Chi Chou, Heng Yi Chu. 2018)
Osteoarthritis
Acupuncture ya osteoarthritis ya dzanja, m'chiuno, ndi bondo akulimbikitsidwa, malinga ndi American College of Rheumatology and Arthritis Foundation, kutanthauza kuti kungakhale koyenera kuyesera, ngakhale kuti kufufuza kwina kuli kofunika kuti kutsimikizire kugwira ntchito kwake. Komabe, popeza chiwopsezo chake ndi chaching'ono, kutema mphini nthawi zambiri kumawonedwa ngati njira yotetezeka yochizira matenda. (Sharon L. Kolasinski et al., 2020)
aakulu Chisoni
Monga momwe mayesero azachipatala amasonyezera kuti kutema mphini kungakhale kothandiza popereka mpumulo wa ululu, ikhoza kukhala njira yovomerezeka kwa anthu omwe akudwala ululu wosatha. Ndemanga yaposachedwa ya odwala 20,827 ndi mayesero 39 adatsimikiza kuti kutema mphini ndi kothandiza pochiza kupweteka kwa minofu ndi mafupa, kupweteka mutu, ndi ululu wa osteoarthritis. (Andrew J. Vickers et al., 2018)
Kuyambitsa kutulutsidwa kwa endorphins / mahomoni omwe amathandizira kuchepetsa ululu.
Safety
Acupuncture imatengedwa ngati njira yotetezeka ndi katswiri wovomerezeka komanso wovomerezeka.
Kuti agwiritse ntchito acupuncture ku United States, katswiri wa acupuncturist amafunikira digiri ya masters yocheperako kuchokera ku pulogalamu yovomerezeka ndi American Academy of Acupuncture and Oriental Medicine ndi laisensi m'boma lomwe adalandira chithandizo chamankhwala awo.
Madokotala omwe ali ndi digiri ya MD kapena DO omwe ali ndi zilolezo ku United States kuchita zamankhwala amathanso kupatsidwa chilolezo ndi American Academy of Medical Acupuncture pambuyo pa maphunziro owonjezera.
Kuwopsa
Zowopsa zomwe zimagwirizanitsidwa ndi kutema mphini ndikutaya magazi komanso kuvulala, makamaka kwa anthu omwe ali ndi vuto lotaya magazi monga hemophilia kapena kumwa mankhwala ochepetsa magazi. Anthu amalimbikitsidwa kuti alankhule ndi wothandizira zaumoyo wawo kuti awone ngati acupuncture ndi njira yabwino.
Zotsatira Zotsatira
Anthu ambiri samakumana ndi zovuta zilizonse, ngakhale zomwe zingachitike zingaphatikizepo: (Shifen Xu et al., 2013)
Chisoni
Kudandaula
Kutaya
Kugwedezeka kwa singano: kuyankha kwa vasovagal komwe kumawoneka ngati kukomoka, manja akunjenjemera, kuzizira, ndi nseru pang'ono.
Gawo la Acupuncture
Pachithandizo choyambirira, anthu amakambirana mbiri yawo yachipatala ndi ziwalo ndi madera a matupi awo omwe akuwonetsa zizindikiro.
Pambuyo poyezetsa thupi, munthuyo adzagona pa tebulo lamankhwala.
Kuchuluka kwa magawo a acupuncture kudzasiyana malinga ndi kuopsa kwa zizindikiro komanso ngati maulendo amavomerezedwa ndikubwezeredwa ndi kampani ya inshuwalansi ya umoyo.
Mtengo ndi Inshuwaransi
Mitengo ya acupuncture imatha kusiyana kuchokera pa $75 mpaka $200 pagawo lililonse.
Kaya inshuwaransi yazaumoyo idzalipira zina kapena zonse za magawo a acupuncture zimatengera kampani ya inshuwaransi komanso momwe akuchizidwa.
Medicare pakali pano imagwira ntchito za acupuncture mpaka maulendo a 12 mkati mwa nthawi ya masiku a 90 chifukwa cha kupweteka kwapweteka kosalekeza kokha.
Kutema mphini si mankhwala a nyamakazi, koma kungakhale chida chothandiza kuchepetsa ululu ndi zizindikiro zina. Onetsetsani kuti mufunsane ndi azaumoyo ngati kutema mphini ndizotetezeka kuyesa malinga ndi mbiri yachipatala.
Chou, PC, & Chu, HY (2018). Kuchita Kwachipatala kwa Acupuncture pa Rheumatoid Arthritis ndi Associated Mechanisms: Kubwereza Kwambiri. Umboni Wothandizira ndi Njira Zina Zochiritsira: eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Kusamalira nyamakazi & kafukufuku, 72 (2), 149-162. doi.org/10.1002/acr.24131
Vickers, AJ, Vertosick, EA, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Irnich, D., Witt, CM, Linde, K., & Acupuncture Trialists' Collaboration (2018). Acupuncture kwa Ululu Wosatha: Kusintha kwa Data Yodwala Payekha Meta-Analysis. Magazini ya ululu, 19 (5), 455-474. doi.org/10.1016/j.jpain.2017.11.005
Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Zochitika zoyipa za acupuncture: kuwunika mwadongosolo malipoti amilandu. Maumboni owonjezera ndi mankhwala ena: eCAM, 2013, 581203. doi.org/10.1155/2013/581203
Kodi mwawona kuuma kwa m'mawa mutatha kupuma bwino usiku? Kodi mumamva kukoma m'malo olumikizirana mafupa anu mukatha kupanikizika pang'ono? Kapena mumamva kusayenda pang'ono m'malo olumikizirana mafupa anu, zomwe zimapangitsa kuti muziyenda mocheperako? Zambiri mwazochitika zowawa ngati izi zimagwirizana ndi osteoarthritis, matenda osokonekera omwe akhudza anthu ambiri, kuphatikiza achikulire. Monga tanenera kale, thupi likamakalamba, mafupa, mafupa ndi msana zimakulanso. Ponena za nyamakazi ya osteoarthritis, mafupa amawonongeka chifukwa cha kuvala kwachilengedwe ndikung'ambika mozungulira chichereŵechereŵe. Osteoarthritis imakhudza ziwalo zingapo monga m'chiuno ndi mawondo, zomwe ndizofala kwambiri, ndi msana, ndipo zimayambitsa kusokonezeka kwa magalimoto ambiri. (Yao et al., 2023) Pamene chiwombankhanga chozungulira mafupa okhudzidwawo chimayamba kuwonongeka, matenda a osteoarthritis amachititsa kusokonezeka kwa cytokine ya proinflammatory cytokines kuyambitsa chizungulire choopsa chomwe chimayambitsa cartilage ndi zina zowonongeka zowonongeka kuzungulira mgwirizano. (Molnar et al., 2021) Zomwe zimachitika ndikuti nyamakazi ikayamba kukhudza mafupa, imatha kuyambitsa zizindikiro zambiri monga zowawa.
Komabe, ngakhale nyamakazi imatha kukhudza mafupa, mwachibadwa, zinthu zambiri zachilengedwe zimathandizira pakukula kwa osteoarthritis. Kusagwira ntchito kwa thupi, kunenepa kwambiri, kupunduka kwa mafupa, ndi kuvulala pamodzi ndi zina mwa zifukwa zomwe zingapititse patsogolo vutoli. Zizindikiro zomwe zimagwirizanitsidwa ndi zinthu zachilengedwe izi ndi izi:
ululu
Kuuma pamodzi
Chifundo
Kutupa
kutupa
Grating sensation
Bone spurs
Anthu ambiri omwe ali ndi zizindikiro zowawa zomwe zimayambitsidwa ndi osteoarthritis amafotokozera madokotala awo oyambirira kuti ululu umasiyana ndi nthawi, kuya, mtundu wa zochitika, mphamvu, ndi kamvekedwe. Izi ndichifukwa choti kupweteka kwa osteoarthritis ndizovuta komanso zambiri. (Wood et al., 2022) Komabe, anthu ambiri amatha kuyang'ana chithandizo chomwe angafunikire kuti achepetse ululu wofanana ndi matenda a nyamakazi pogwiritsa ntchito mankhwala omwe angachedwetse kupita patsogolo.
Kuyang'ana Mozama pa Spinal Decompression-Video
Pankhani yofuna chithandizo kuti muchepetse zotsatira za osteoarthritis, anthu ambiri amafunafuna chithandizo chamankhwala chotsika mtengo komanso chotetezeka kwa okalamba. Chithandizo chosapanga opaleshoni chingakhale yankho lomwe anthu ambiri amafuna kuti achepetse kupita patsogolo kwa osteoarthritis. Pamene anthu omwe ali ndi nyamakazi amapita ku mankhwala osachita opaleshoni, amapeza kuti kupweteka kwachepa, kuyenda kwawo kumawonjezeka, ndipo ntchito yawo ya thupi yakula. (Alkhawajah & Alshami, 2019) Panthaŵi imodzimodziyo, mankhwala osachita opaleshoni angaphatikizidwe ndi machiritso ena ku dongosolo lamankhwala la munthu payekha. Thandizo lopanda opaleshoni limatha kuchokera ku chisamaliro cha chiropractic mpaka kupsinjika kwa msana pamene akugwira ntchito mofatsa kuwongolera msana kudzera m'makoka ndikuthandizira kuchepetsa ululu wamagulu ndi minofu. Vidiyo yomwe ili pamwambayi ikufotokoza mozama za kuwonongeka kwa msana ndi momwe kungathandizire anthu omwe akumva ululu.
Kupsinjika kwa Msana Kubwezeretsa Kusuntha Kwa Msana Kuchokera ku Osteoarthritis
Popeza kuwonongeka kwa msana ndi njira yochiritsira yopanda opaleshoni, ingathandize kuchepetsa njira ya osteoarthritis. Kuwonongeka kwa msana kumaphatikizapo kukokera kuti kukoka pang'onopang'ono pa msana, kulola kuti ma discs ndi ziwalo zikhale ndi mafuta komanso kulola kuti machiritso achilengedwe achitike. Izi ndichifukwa chakuti minofu yozungulira yomwe imateteza ziwalozo ikutambasulidwa mofatsa ndipo malo a vertebral disc akuwonjezeka kuti alole kuti diski ikhale yowonjezereka komanso kuti pulojekitiyi ibwererenso kumalo ake oyambirira. (Cyriax, 1950) Kuwonongeka kwa msana kungathandize kuchepetsa kuchepa kwa mitsempha ya osteoarthritis, ndipo ikaphatikizidwa ndi chithandizo chamankhwala, minofu yozungulira, minofu, ndi mitsempha imalimbikitsidwa.
Mosiyana ndi zimenezi, kuyenda limodzi ndi msana ndi kusinthasintha kumawonjezeka. Kuwonongeka kwa msana kungathandizenso anthu ambiri kuchepetsa mwayi wawo wochitidwa opaleshoni, monga magawo otsatizana angathandize kupereka ululu ndi kusintha kwa msana. (Choi et al., 2022) Anthu akayambanso kuyenda kwa msana kubwerera ku matupi awo kuchokera ku kuwonongeka kwa msana, amatha kusintha pang'ono pazochitika zawo za tsiku ndi tsiku kuti achepetse kuchepa kwa osteoarthritis.
Zothandizira
Alkhawajah, H. A., & Alshami, A. M. (2019). Zotsatira za kulimbikitsana ndi kuyenda pa zowawa ndi ntchito kwa odwala osteoarthritis a mawondo: kuyesedwa kosawerengeka kosawerengeka kawiri kawiri. BMC Musculoskelet Disord, 20(1), 452. doi.org/10.1186/s12891-019-2841-4
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Zotsatira za Nonsurgical Spinal Decompression pa Intensity of Pain ndi Herniated Disc Volume mu Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837
Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). Ma Cytokines ndi Chemokines Ophatikizidwa mu Osteoarthritis Pathogenesis. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179208
Wood, MJ, Miller, R. E., & Malfait, A. M. (2022). Genesis of Pain mu Osteoarthritis: Kutupa Monga Mkhalapakati wa Osteoarthritis Pain. Chipatala cha Geriatr Med, 38(2), 221-238. doi.org/10.1016/j.cger.2021.11.013
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: njira zowonetsera za pathogenic ndi zolinga zochiritsira. Signal Transduct Target Ther, 8(1), 56. doi.org/10.1038/s41392-023-01330-w
Pamene thupi limakalamba, anthu amafuna kukhalabe achangu komanso kukhala ndi moyo wopanda ululu. Kodi ma cell oyambitsanso nyamakazi ndi kuwonongeka kwa cartilage angakhale tsogolo lamankhwala a neuromusculoskeletal ndi machiritso olumikizana?
Maselo Obwezeretsa Kwa Nyamakazi ndi Kuwonongeka kwa Cartilage
Anthu amafuna kupitiriza kuchita zinthu zolimbitsa thupi zomwe amakonda, zomwe zimafuna mafupa athanzi. Asayansi akuphunzira momwe angagwiritsire ntchito mphamvu za maselo obadwanso kuti akonze ndi kumeretsanso chichereŵechereŵe chowonongeka ndi chosokonekera. Kuchiza kwamakono kwa maselo amtundu wa cartilage sikunawonetsedwe kuti asinthe zotsatira za nyamakazi ndipo pamene maphunziro akuwonetsa kusintha kwachipatala, kufufuza kwina n'kofunika. (Bryan M. Saltzman, et al., 2016)
Cartilage ndi Momwe Imawonongera
Cartilage ndi mtundu wa minofu yolumikizana. M'malo olumikizirana mafupa, pali mitundu ingapo ya cartilage. Chomwe chimatchulidwa kwambiri ndi chingwe chosalala chomwe chimatchedwa articular kapena hyaline cartilage. Mtundu uwu umapanga khushoni yosalala kumapeto kwa fupa pamgwirizano. (Rocky S. Tuan, et al., 2013)
Minofuyi ndi yamphamvu kwambiri ndipo imatha kufinya ndikuyamwa mphamvu.
Ndi yosalala kwambiri, yomwe imalola kuti olowa azitha kuyenda mosavutikira.
Pamene chichereŵechereŵe cha mafupa chawonongeka, mphunoyo imatha kufooka.
Pali mankhwala ochiza nyamakazi ndi kuwonongeka kwa chichereŵechereŵe, koma mankhwalawa nthawi zambiri amayang'ana kuthetsa zizindikiro mwa kusalaza chichereŵecheretsa chowonongeka kapena kusintha malo olowa ndi kuikapo, monga mawondo kapena maopaleshoni a chiuno. (Robert F. LaPrade, et al., 2016)
Maselo Osintha
Maselo a regenerative ndi maselo apadera omwe amatha kuchulukitsa ndikukula kukhala mitundu yosiyanasiyana ya minofu. Popanga opaleshoni ya mafupa chifukwa cha zovuta zolumikizana, ma cell stem cell amachokera ku ma cell stem cell magwero omwe ndi mafupa ndi minofu yamafuta. Maselo amenewa amatha kukhala maselo a cartilage, otchedwa chondrocytes. (Rocky S. Tuan, et al., 2013)
Njirayi imayamba chifukwa cha zizindikiro zama cell ndi kukula kwa zinthu zomwe zimalimbikitsa thupi kuyambitsa machiritso.
Maselo a tsinde akapezeka, amafunika kuperekedwa kudera la kuwonongeka kwa cartilage.
Cartilage ndi minofu yovuta yomwe imafotokozedwa ngati scaffold yomwe imapangidwa ndi collagen, proteoglycans, madzi, ndi maselo. (Rocky S. Tuan, et al., 2013)
Kuti minyewa ya cartilage ipangidwenso, minofu yovutayo iyeneranso kumangidwanso.
Pali maphunziro okhudza mitundu ya ma scaffolds opangidwa kuti apangirenso mtundu wofananira wa cartilage.
Maselo a tsinde amatha kubayidwa mu scaffold, ndi chiyembekezo chobwezeretsa mtundu wa cartilage wabwinobwino.
Chithandizo cha Nyamakazi Yopanda Opaleshoni
Standard mankhwala monga kuwombera kwa cortisone kapena mankhwala ochiritsira thupi amagwiranso ntchito ndikupereka zopindulitsa zomwe zingagwiritsidwe ntchito pamodzi ndi maselo osinthika a nyamakazi ndi kuwonongeka kwa cartilage posachedwa. Deta imatenga nthawi ndiye momwe izi zimakhudzira thanzi lanthawi yayitali la zosoweka zolumikizana ndikupitilira kafukufuku wokhudzana ndi uinjiniya wa minofu ndi kutumiza ma cell kuti adziwe njira yabwino yothandizira anthu pawokha.
nyamakazi
Zothandizira
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). Zosintha za AAOS Research Symposium ndi Consensus: Chithandizo cha Biologic cha Kuvulala kwa Orthopedic. The Journal of the American Academy of Orthopedic Surgeons, 24 (7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086
Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Ma cell Stem mu Orthopedics: Buku Lokwanira la General Orthopedist. Magazini ya American of Orthopedics (Belle Mead, NJ), 45 (5), 280-326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Kusintha kwa chichereŵechereŵe. The Journal of the American Academy of Orthopedic Surgeons, 21 (5), 303-311. doi.org/10.5435/JAAOS-21-05-303
Zizindikiro zimayambira pang'onopang'ono mpaka kuopseza moyo.
Kuwona katswiri wamaphunziro akulimbikitsidwa, popeza ndi akatswiri omwe amatha kuzindikira ndi kuchiza nyamakazi, lupus, ndi matenda ena okhudzana ndi mafupa.
Matenda a Nyamakazi Achibwana
Matenda a nyamakazi mwa ana amadziwika kuti ubwana kapena nyamakazi.
Matendawa angayambitse kuwonongeka kwa mgwirizano kwa nthawi yayitali komwe kungayambitse kulemala.
Kukalamba Nyamakazi ndi Chiropractic Care
Chisamaliro cha Chiropractic chikulimbikitsidwa kuchiza mtundu uliwonse wa nyamakazi. Chisamaliro cha Chiropractic chingagwire ntchito ndi mankhwala ena kuti achepetse kutupa ndi kutupa, kuchepetsa ululu, komanso kupititsa patsogolo kuyenda ndi kusinthasintha.
Chiropractor amagwiritsa ntchito zithunzi za thupi asanayambe chithandizo.
Kujambula kumapereka chidziwitso cha momwe ziwalozo zilili, ndipo zowoneka, kuphatikizapo kudzidziwitsa nokha kuchokera kwa munthuyo, zimalola chiropractor kupanga ndondomeko ya chithandizo chaumwini.
Cholinga cha chiropractor ndikuwongolera, kusinthanso ndi kulimbikitsa thupi, kuthetsa kupsinjika kapena kupsinjika komwe kumalumikizana mafupa, ndikufulumizitsa machiritso ndi kukonzanso.
LLT Laser Therapy
Zothandizira
Abyad, A, ndi JT Boyer. "Matenda a nyamakazi ndi kukalamba." Malingaliro apano mu rheumatology vol. 4,2 (1992): 153-9. doi:10.1097/00002281-199204000-00004
Chalan, Paulina, et al. "Rheumatoid Arthritis, Immunosenescence ndi Zizindikiro Zakukalamba." Sayansi yokalamba yamakono vol. 8,2 (2015): 131-46. doi:10.2174/1874609808666150727110744
Goronzy, Jorg J et al. "Kukalamba kwa chitetezo chamthupi, ndi nyamakazi ya nyamakazi." Zipatala za Rheumatic Diseases ku North America vol. 36,2 (2010): 297-310. doi:10.1016/j.rdc.2010.03.001
Greene, MA, ndi RF Loeser. "Kutupa kokhudzana ndi ukalamba mu osteoarthritis." Osteoarthritis ndi cartilage vol. 23,11 (2015): 1966-71. doi:10.1016/j.joca.2015.01.008
Thupi limakhala ndi njira yodzitetezera yomwe imadziwika kuti chitetezo cha mthupi chomwe chimabwera kudzapulumutsa pamene zochitika zoopsa kapena zovulala zimakhudza mbali zina za thupi. The chitetezo amatulutsa ma cytokines otupa kudera lomwe lakhudzidwa ndikuyamba kuchira kuti akonze zowonongeka ndikuchotsanso olowa m'thupi. Kutupa ikhoza kukhala yopindulitsa komanso yovulaza thupi, malingana ndi momwe kuvulala kwawonongera dera. Pamene kutupa kumayamba kukhudza minofu yozungulira, mitsempha, ndi mafupa, kungayambitse mavuto aakulu okhudzana ndi ululu. Kufikira pamenepo, zimapangitsa kuti thupi lisagwire ntchito bwino potengera zizindikiro zina. Nkhani ya lero ikuwunika momwe mayankho otupa osatha amakhudzira mafupa, zizindikiro zawo, komanso momwe angathanirane ndi kutupa kwa mafupa osatha. Timatumiza odwala kwa othandizira ovomerezeka omwe amadziwika bwino ndi mankhwala oletsa kutupa kuti athandize anthu ambiri omwe ali ndi kutupa kosatha kwa mafupa. Timawongoleranso odwala athu potengera azachipatala omwe timalumikizana nawo potengera momwe amayezera pakafunika. Timapeza kuti maphunziro ndi njira yothetsera kufunsa opereka athu mafunso ozindikira. Dr. Alex Jimenez DC amapereka chidziwitso ichi ngati ntchito yophunzitsa yekha. chandalama
Kodi Mayankho a Chronic Inflammatory Response Amakhudza Bwanji Ma Joint?
Kodi mwakhala mukumva kupweteka m'madera ena a thupi lanu? Nanga bwanji kukhala ndi chifundo m'minyewa yanu? Kodi mafupa anu amamva kupweteka pamene mukuchita ntchito za tsiku ndi tsiku? Ngati mukukumana ndi zovuta izi, zitha kukhala chifukwa cha mayankho otupa omwe amakhudza mafupa anu a minofu ndi mafupa. Monga tanenera kale, kutupa kumatha kukhala kopindulitsa komanso kovulaza thupi, kutengera kuopsa kwa momwe thupi lakhudzira. Mu mawonekedwe ake opindulitsa, thupi limayendetsa chitetezo cha mthupi ndikuchotsa tizilombo toyambitsa matenda kuchokera ku mabakiteriya, mavairasi, ndi zina zomwe zimayambitsa chilengedwe kuti zilimbikitse machiritso ndi kukonza minofu. Izi zimatha kupangitsa malo okhudzidwawo kukhala ofiira komanso otupa, motero kukonzanso maselo owonongeka.
Komabe, mu mawonekedwe ake owopsa, maphunziro amawulula kuti mayankho otupa osatha amatha kusokoneza kulolerana kwa chitetezo chamthupi, kupangitsa kusintha kwakukulu kwamitundu yonse, ziwalo, ndi mafupa. Mpaka pano, zotsalira zotsalira za kutupa kwakukulu zimatha kuvulaza mafupa ndi cartilage, kuwapangitsa kukhala okhudzidwa ndi ululu komanso mwina kupunduka pakapita nthawi. Zolumikizana zimathandizira kuti thupi liziyenda, kuzungulira ndi minofu yolumikizana yomwe imathandiza kukhazikika kwa thupi; pamene mayankho otupa osatha amayamba kukhudza mafupa, amatha kukhala mkhalapakati wa ululu ndi kusamva bwino pamene akuyambitsa matenda a musculoskeletal. Kafukufuku akuwonetsa kuti kutupa m'malo olumikizirana mafupa kumatha kuwononga chichereŵechereŵe ndipo kumabweretsa kusintha kosasinthika kwa thupi. Izi zikuphatikizapo kutayika kwa ntchito, kusakhazikika kwamagulu, ndi zizindikiro zina zomwe zimagwirizanitsidwa ndi kutupa kosatha.
Zizindikiro Zogwirizana ndi Kutupa kwa Mgwirizano Wanthawi Zonse
Pankhani ya kutupa m'mafupa osatha, kumatha kutsanzira matenda ena osakhazikika omwe amawonetsa kusakhazikika kwamagulu pomwe akukumana ndi zovuta zosiyanasiyana. Izi zimapangitsa kuzindikira kukhala kovuta, makamaka ngati munthuyo akulimbana ndi kutupa mbali imodzi ya thupi lake, koma kumakhudza gawo lina. Izi zimadziwika kuti ululu wotchulidwandipo maphunziro amawulula kuti mitundu yambiri yotupa yomwe imakhudza mafupa nthawi zina imakhala ndi nyamakazi ndipo imakhala ndi zizindikiro zomwe zimatha kuchitika m'madera osiyanasiyana a thupi. Zina mwa zizindikiro zogwirizana ndi kutupa kwa mafupa osatha kungaphatikizepo:
kutupa
stiffness
Phokoso lakupera
Kuyenda kovuta
Numbness
Kupunduka kolumikizana
Kusiyana Pakati pa Malumikizidwe Athanzi & Malumikizidwe Oyaka-Kanema
Kodi mwakhala mukukumana ndi ululu wamagulu m'moyo wanu wonse? Kodi mumamva kulimba kwa minofu m'madera ena pamene mukuyenda? Kapena mumamva kupweteka kwa minofu m'madera ena? Zambiri mwazizindikirozi zimagwirizanitsidwa ndi kutupa m'malo olumikizirana mafupa, komwe kumatha kuphatikizika ndi ululu wa minofu ndi mafupa. Vidiyo yomwe ili pamwambayi ikufotokoza kusiyana pakati pa ziwalo zathanzi ndi zotupa zotupa. Kulumikizana kwathanzi kumagwiritsidwa ntchito pamene minofu yozungulira imakhala yolimba komanso yogwira ntchito pamene palibe ululu umene umaperekedwa pa thupi. Kutupa kwa mafupa kumatha kuyambitsidwa ndi zinthu zambiri monga chizolowezi cha moyo, kusachita masewera olimbitsa thupi, kapena mikhalidwe yam'mbuyomu yokhudzana ndi kupweteka kwam'malo olumikizirana mafupa. Kafukufuku akuwonetsa kuti ma cytokines otupa amatha kukulitsa kukhumudwa kwa minofu ndi mafupa komwe kumakhudza minofu ya minofu yomwe imazungulira mafupawo. Kufikira pamenepo, kutupa kwa minofu ndi mafupa kumatha kuphatikizika ndi ululu wamgwirizano, motero zimakhudza kwambiri moyo wamunthu. Mwamwayi, pali njira zothetsera kutupa kwa mafupa osatha ndikubwezeretsa thanzi la munthu.
Kusamalira Kutupa Kwamalumikizana Kwambiri
Popeza kutupa kumakhala kopindulitsa komanso kovulaza thupi, pali njira zosiyanasiyana zothanirana ndi zotupa zosatha zomwe zimayambitsa kupweteka kwamagulu. Anthu ambiri omwe akufuna kuchepetsa kutupa m'malo olumikizirana mafupa awo amayamba kugwiritsa ntchito njira zachilengedwe zochepetsera ululu. Kudya zakudya zokhala ndi ulusi wambiri kungathandize kuchepetsa zotupa zotupa, kuphatikiza zolimbitsa thupi kuti zithandizire kukhazikika kwa minofu ndi mafupa komanso kugwiritsa ntchito chisamaliro cha chiropractic. Kafukufuku akuwonetsa kuti kutupa m'malo olumikizirana mafupa kosatha komwe kumakhudzana ndi ululu kumakhudza kugona kwa munthu komanso thanzi lamalingaliro. Mpaka pano, kuphatikiza mankhwala othana ndi kutupa kungathandize kuti munthu azitha kuchita bwino. Tsopano chisamaliro cha chiropractic chimathandizira bwanji kuthana ndi kutupa kwapakatikati? Kusamalira tizilombo zikuphatikizapo njira zochepetsera kutupa zomwe zimathandiza kumasula minofu yolimba yomwe imazungulira ziwalo zotupa. Kutupa molumikizananso kungakhalenso chifukwa cha subluxation (kusokonezeka kwa msana) kumagwirizana ndi zochitika zachilengedwe. Kugwiritsira ntchito chisamaliro cha chiropractic sikungochepetsa zizindikiro zomwe zimayambitsidwa ndi kutupa pamodzi koma zingathe kuchepetsa zomwe zimayambitsa kutupa. Munthu akamaliza kulandira chithandizo cha chiropractic, amatha kubwerera kuntchito zachilendo popanda chiopsezo chovulalanso komanso kutupa.
Kutsiliza
Kutupa m'thupi kungakhale kopindulitsa komanso kovulaza malinga ndi dera lomwe lakhudzidwa. Thupi limatulutsa ma cytokines otupa pamene chochitika chowopsya kapena kuvulala kwachitika m'madera ena a thupi. Izi ndichifukwa cha chitetezo cha mthupi chomwe chimayankha mwachibadwa ku maselo owonongeka, motero amachititsa kuti malowa akhale ofiira, otentha, komanso otupa kuti apititse machiritso. Mpaka pano, kutupa kumatha kukhudza minofu yozungulira, mitsempha, ndi mafupa, zomwe zingayambitse mavuto aakulu okhudzana ndi ululu. Kutupa kwapang'onopang'ono kwapang'onopang'ono ndi zotsalira zotsalira zotupa zomwe zimabweretsa kuwonongeka kwa cartilage ndi zolumikizana, zomwe zimapangitsa kuti athe kukhala ndi ululu komanso kupunduka komwe kungachitike. Mwamwayi, chithandizo chamankhwala monga zakudya zopatsa thanzi komanso zotsutsana ndi zotupa, kuchita masewera olimbitsa thupi mokwanira, komanso chisamaliro cha chiropractic zingathandize kuthana ndi kutupa kwapamodzi kwapang'onopang'ono ndi zizindikiro zake zowawa. Mwanjira iyi, anthu ambiri amatha kuyambiranso ntchito zawo zanthawi zonse.
Zothandizira
Furman, David, et al. "Kutupa Kwambiri mu Etiology of Diseases mu Moyo Wonse." Nature Medicine, US National Library of Medicine, Dec. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/.
Lee, Yvonne C. "Zotsatira ndi Chithandizo cha Ululu Wosatha mu Nyamakazi Yotupa." Malipoti Amakono a Rheumatology, US National Library of Medicine, Jan. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/.
M'chiuno m'munsi mwa thupi kumathandiza kukhazikika kulemera kwa theka lapamwamba pamene akupereka kuyenda kwa theka lapansi. The m'chiuno amalolanso thupi kupotokola, kutembenuka, ndi kupindika mmbuyo ndi mtsogolo. Mafupa a m'chiuno amalumikizana mkati mwa fupa la m'chiuno, pamene fupa la m'chiuno limagwirizanitsidwa ndi mgwirizano wa sacroiliac, womwe umagwirizanitsa ndi msana. Liti kuvala kwachilengedwe ndi kung'ambika zimakhudza mafupa pamene thupi limakalamba, monga kupweteka kwa m'chiuno ndi osteoarthritis yokhudzana ndi ululu otsika kumbuyo zimachitika, zomwe zimayambitsa zizindikiro zosiyanasiyana m'thupi. Nkhani ya lero ikuyang'ana za osteoarthritis, momwe zimakhudzira chiuno, komanso momwe mungasamalire nyamakazi ya m'chiuno. Timatumiza odwala kwa othandizira ovomerezeka omwe amagwira ntchito zamatenda a minofu ndi mafupa kuti athandize omwe ali ndi ululu wa m'chiuno ndi osteoarthritis. Timawongoleranso odwala athu potengera azachipatala omwe timalumikizana nawo potengera momwe amayezera pakafunika. Timapeza kuti maphunziro ndi njira yothetsera kufunsa opereka athu mafunso ozindikira. Dr. Alex Jimenez DC amapereka chidziwitso ichi ngati ntchito yophunzitsa yekha. chandalama
Kodi Osteoarthritis Ndi Chiyani?
Kodi mwakhala mukumva kupweteka m'chiuno kapena m'munsi? Nanga bwanji kulimba kwa minofu pafupi ndi groin? Kodi zizindikiro zomwe zimagwirizanitsidwa ndi sciatica zimawoneka ngati zikuwombera pafupi ndi chiuno chanu ndi kumbuyo kwa mwendo wanu? Zambiri mwazizindikirozi ndizizindikiro kuti mutha kukhala pachiwopsezo chokhala ndi nyamakazi pafupi ndi m'chiuno mwanu. Ngakhale nyamakazi imatanthawuza kutupa kwa ziwalo za thupi, osteoarthritis ndi mtundu wa nyamakazi yomwe imayambitsa kuwonongeka kwa chichereŵechereŵe, kumayambitsa kupweteka kwa mafupa ndi kuwonongeka kwa ntchito. Ngakhale pali mitundu ingapo ya nyamakazi, nyamakazi ndi imodzi mwa mitundu yofala kwambiri yomwe anthu ambiri, makamaka achikulire, amakhudzidwa nayo. Pamene thupi likukula mwachibadwa kupyolera mu ukalamba, kukonzanso kuchokera kuvulala kumayamba kuchepa, ndipo cartilage (minofu yolumikizana yomwe imateteza mafupa kuchokera kwa wina ndi mzake) imayamba kuonda, kuyambitsa mafupa akugwedeza pamodzi, kuchititsa kutupa. kuphulika kwa mafupa, ndi ululu wosapeŵeka. Osteoarthritis nthawi zambiri imagwirizanitsidwa ndi ukalamba ndipo ndi multifactorial monga zinthu zomwe zingapangitse chiopsezo chokhala ndi osteoarthritis ndi monga:
kugonana
Age
kunenepa
Kuvulala kwamagulu
Genetics
Matenda a mafupa
Kodi Zimakhudza Bwanji Ma Hips?
Popeza osteoarthritis imakhudza mafupa, kodi imayambitsa bwanji m'chiuno? Mavuto azaumoyo akakhudza thupi, zimatha kuyambitsa zizindikiro zowawa pang'onopang'ono komanso kukhala pachiwopsezo chokhala ndi ululu wa m'chiuno. Kafukufuku akuwonetsa kuti ululu wa m'chiuno umakhala wofala kwa akuluakulu onse ndi zochitika zamagulu m'madera akumbuyo, kumbuyo, kapena kumbuyo pafupi ndi chiuno.
Ululu wam'chiuno wammbuyo: Zifukwa ululu wotchulidwa (kupweteka komwe kumamveka mu gawo limodzi la thupi koma kwenikweni kuli malo osiyana) okhudzana ndi machitidwe a ziwalo zamkati.
Kupweteka kwa m'chiuno: Zimayambitsa kupweteka kwa minofu yofewa m'mphepete mwa chiuno.
Ululu wam'chiuno wam'mbuyo: Zifukwa ululu wotchulidwa kugwirizana ndi lumbar spinal pathology monga sciatic mitsempha entrapment yogwirizana ndi deep gluteal syndrome.
Mavuto onsewa omwe amakhudza m'chiuno amakumana ndi zovuta zosiyanasiyana zokhudzana ndi nyamakazi. Kupweteka kwa m'chiuno kumayamba chifukwa cha nyamakazi, zinthu monga kuchita masewera olimbitsa thupi pang'ono kapena kuyenda pang'ono pogona pabedi zimatha kukulirakulira chifukwa mafupa a m'chiuno amakhala ndi mayendedwe ochepa kapena ochepa. Kafukufuku akuwonetsa kuti ululu wa m'chiuno umagwirizanitsidwa ndi zovuta zoyenda zosavuta zomwe zimapangitsa kuti zikhale zovuta kuzizindikira chifukwa cha ululu wotchulidwa kuchokera ku msana, mawondo, kapena ngakhale chigawo cha groin.
Kodi nyamakazi ya m'chiuno imagwirizana bwanji ndi ululu wa groin? Kafukufuku akuwonetsa kuti pamene munthu akulimbana ndi nyamakazi ya m'chiuno, kupweteka kwa m'chiuno ndi matako kumakhala kofala pang'ono. Mgwirizano wa m'chiuno uli kumbuyo kwa minofu ya groin, chifukwa chake ululu wa m'chiuno umadutsana ndi ululu wa m'chiuno ngati muzu. Kupweteka kwa m'chiuno ndi m'chuuno kumathanso kuphatikizirapo kuwawa kwa mawondo m'thupi.
Kodi mukukumana ndi vuto la chikhodzodzo? Nanga bwanji kuuma pafupi kapena kuzungulira m'chiuno mwanu ndi m'dera la groin? Kodi mavuto monga kupweteka kwa msana ndi sciatica? Kukumana ndi zovuta izi kungakhale zizindikiro za m'chiuno osteoarthritis zomwe zimakhudza thupi lanu lakumunsi. Kafukufuku akuwonetsa kuti nyamakazi ya m'chiuno ndi gwero lalikulu la kudwala, kuwawa, kusayenda bwino, komanso kuwonongeka kwa magwiridwe antchito komwe kungakhudzidwe ndi zovuta zina. Mwamwayi, pali njira zothanirana ndi nyamakazi ya m'chiuno, monga vidiyo yomwe ili pamwambapa ikuwonetsa masewera asanu ndi atatu ochita masewera olimbitsa thupi a m'chiuno osteoarthritis. Zochita zina zolimbitsa thupi kwa anthu omwe ali ndi nyamakazi ya m'chiuno amatha kuthandizira kulimbikitsa minofu yozungulira yozungulira mafupa pamene akuwonjezera kuyenda kwamagulu kuti achepetse ululu ndi kuuma. Kuchita masewera olimbitsa thupi kungakhalenso kopindulitsa kwa munthu chifukwa kungapereke:
Wonjezerani kuyendayenda kwa magazi
Pitirizani kulemera
Amapereka mphamvu zowonjezera
Amasintha kugona
Imalimbikitsa kupirira kwa minofu
Njira zina zochiritsira zomwe zilipo zimathandizira kuthana ndi nyamakazi ya m'chiuno ndikuchepetsa zizindikiro zomwe zimakhudza thupi.
Kusamalira Hip Osteoarthritis Pain
Anthu ambiri omwe akudwala nyamakazi ya m’chiuno amayesa kupeza njira zothetsera ululuwo. Ngakhale kuti sangachite chilichonse kuti ateteze kutayika ndi kung'ambika pamagulu kwathunthu, pali njira zochepetsera ndondomekoyi ndikuwongolera nyamakazi ya m'chiuno m'thupi. Kusintha kwakung'ono monga kuphatikizira chakudya kumatha kuchepetsa zotupa zolowa m'malo olumikizirana mafupa pomwe zikupereka zakudya m'thupi. Dongosolo lochita masewera olimbitsa thupi lingathandize kulimbikitsa minofu yofooka yothandizira mafupa pamene ikuwonjezera kuyenda ndi kuyenda. Zochizira monga kugwedeza kwa msana ndi chisamaliro cha chiropractic zimachepetsa ululu ndi kuuma kwa matenda olumikizana mafupa monga osteoarthritis. Chisamaliro cha Chiropractic chimapereka kuwongolera kwa msana kumbuyo ndi ziwalo kuti zisinthidwe. Ngakhale kuti kugwedeza kwa msana kumathandiza kuti ma disks opanikizika asiye kupanikizika kwa mitsempha yozungulira yomwe imakhudzana ndi ululu wa m'chiuno. Kuphatikizira chilichonse mwa izi kungathandize kuchepetsa kukula kwa nyamakazi ya m'chiuno ndikubwezeretsanso kuyenda m'chiuno.
Kutsiliza
Ziuno zimapereka bata kumtunda ndi kumunsi kwa thupi. Ngakhale kuchirikiza kulemera kwa theka lakumtunda ndikuyenda kumunsi kumunsi, chiuno chikhoza kugonja kuti chivale ndi kung'ambika m'thupi. Mitsempha ya m'chiuno ikayamba kung'ambika ndikung'ambika pang'onopang'ono, imatha kuyambitsa matenda a nyamakazi ya m'chiuno, pomwe chiwombankhanga cha mafupa chimayamba kupangitsa kuti mafupa azigwirana wina ndi mnzake, zomwe zimayambitsa kutupa. Hip osteoarthritis imapangitsa kuzindikira kukhala kovuta chifukwa kupweteka komwe kumachokera ku msana, mawondo, kapena groin kumadutsa zizindikirozo. Zonse sizikutayika, chifukwa pali mankhwala ochiritsira osteoarthritis a m'chiuno omwe angathandize kuchepetsa vutoli ndikubwezeretsanso kuyenda kwa theka la pansi la thupi.
Zothandizira
Ahuja, Vanita, et al. "Kupweteka Kwambiri kwa Hip kwa Akuluakulu: Chidziwitso Chamakono ndi Zomwe Zili M'tsogolo." Journal of Anaesthesiology, Clinical Pharmacology, Wolters Kluwer - Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
Chamberlain, Rachel. "Kupweteka kwa M'chiuno mwa Akuluakulu: Kuwunika ndi Kusiyanitsa Kosiyana." American Family Physician, Januware 15, 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html.
Khan, AM, et al. "Hip Osteoarthritis: Ululu Uli Kuti?" Annals wa Royal College of Surgeons of England, US National Library of Medicine, Mar. 2004, anayankha.
Kim, Chan, et al. "Kuyanjana kwa Ululu wa Hip ndi Umboni wa Radiographic wa Hip Osteoarthritis: Kafukufuku Woyesera." BMJ (Kafukufuku wa Zachipatala Ed.), BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/.
Sen, Rouhin, ndi John A Hurley. "Osteoarthritis - Statpearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 1 Meyi 2022, www.ncbi.nlm.nih.gov/books/NBK482326/.
Anthu ambiri adakumana ndi zovuta zomwe zimakhudza moyo wawo mwanjira ina kapena mwanjira ina. Anthu ndi matenda oponderezedwa ayenera kuphunzira kusamalira awo chitetezo kuchokera nthawi zonse kumenyana ndi matupi awo kuti azigwira ntchito bwino. Ntchito yayikulu ya chitetezo chamthupi m'thupi ndikuukira zinthu zachilengedwe zomwe zimawononga ma cell, minofu ndi ziwalo. Munthu akakhala ndi matenda a autoimmune, mwina kuchokera ku mbiri yabanja lawo kapena zochitika zachilengedwe, chitetezo chawo chamthupi chimayamba kuukira maselo abwinobwino amthupi chifukwa amaganiza kuti ndi woukira wachilendo kwa thupi. Matenda ena odziwika bwino a autoimmune omwe anthu ambiri amakhala nawo ndi lupus, ankylosing spondylitis, ndi nyamakazi. Zambiri mwazovuta za autoimmune izi zimagwirizana ndi zizindikiro zomwe zimawonjezera kuzinthu zina zomwe zimakhudza thupi. Nkhani ya lero ikufotokoza za nyamakazi ya nyamakazi, zizindikiro zake, mmene imagwirizanirana ndi kutopa, ndiponso mmene pali mankhwala ochizira matenda a nyamakazi komanso kutopa. Timatumiza odwala kwa othandizira ovomerezeka omwe amadziwika bwino ndi machiritso a musculoskeletal kuti athandize omwe akudwala nyamakazi ya nyamakazi komanso kutopa. Timawongoleranso odwala athu potengera azachipatala omwe timalumikizana nawo potengera momwe amayezera pakafunika. Timapeza kuti maphunziro ndi njira yothetsera kufunsa opereka athu mafunso ozindikira. Dr. Alex Jimenez DC amapereka chidziwitso ichi ngati ntchito yophunzitsa yekha. chandalama
Kodi Rheumatoid Arthritis Ndi Chiyani?
Kodi mwakhala mukumva kuuma ndi kutupa kuzungulira mafupa anu? mudakumanapo ndi zovuta zam'matumbo zomwe zimakhudza moyo wanu? Kapena kodi mavuto a kusowa tulo kapena kutopa akuwoneka kuti akusokoneza moyo wanu? Zambiri mwa zizindikirozi zimagwirizanitsidwa ndi nyamakazi ya nyamakazi. Rheumatoid nyamakazi ndi matenda a autoimmune omwe amayambitsa kutupa ndi kutupa m'malo olumikizirana mafupa. Vidiyo yomwe ili pamwambayi ikufotokoza momwe mungasamalire nyamakazi ya nyamakazi ndi zizindikiro zake. Kutopa ndi chimodzi mwa zizindikiro zomwe zimagwirizanitsidwa ndi nyamakazi ya nyamakazi monga kutupa kwa ma cytokines kungakhale co-morbidity pakusintha ntchito za ubongo zomwe zingayambitse kupweteka ndi kutopa m'thupi, monga maphunziro amawulula. Ngakhale kuti palibe mankhwala a nyamakazi ya nyamakazi, njira zosiyanasiyana zochiritsira zingathandize anthu kuthana ndi zizindikiro za nyamakazi ya nyamakazi.
Zizindikiro zake
Zina mwa zizindikiro za nyamakazi ya nyamakazi zomwe nthawi zambiri zimachita m'thupi ndi monga kupweteka, kutupa ndi kutupa kwa mfundo, kupunduka kwa mafupa, ndi kuuma. Mosiyana ndi kuwonongeka kwa mitundu yosiyanasiyana ya matenda otupa, zizindikiro za nyamakazi ya nyamakazi zimatha kubwera ndikupita zomwe zimatha kukhala zofatsa, zolimbitsa thupi, kapena zowopsa. Izi zikachitika, nyamakazi ya nyamakazi ikhoza kukhala chifukwa chopangitsa kuti zikhale zovuta kuchita ntchito zosavuta ndikupangitsa kusintha kwamagulu. Kafukufuku amasonyeza kuti nyamakazi yokhudzana ndi kutupa imatha kuwononga ziwalo zosiyanasiyana za thupi monga matumbo. Mavuto am'mimba monga leaky gut, IBS, kapena SIBO amatha kuyambitsa miliri mwa anthu omwe ali ndi nyamakazi. Izi zimadziwika kuti somato-visceral kupweteka, komwe minofu imakhudza ziwalo zofunika kwambiri, zomwe zimayambitsa mavuto kwa thupi.
Kodi Kutopa Kumagwirizana Bwanji ndi RA?
Anthu omwe ali ndi nyamakazi ya nyamakazi amakhala ndi zizindikiro zosiyanasiyana zomwe zimagwirizanitsidwa ndi kutupa. Pamene kutupa kumayamba kukhudza thupi, kumatha kuphatikizira mbiri ya kutopa komanso kusauka kwa moyo mwa munthu. Ndiye kutopa kumagwirizana bwanji ndi nyamakazi ya nyamakazi? Kafukufuku akuwonetsa kutopa kumaonedwa kuti ndi chimodzi mwa zizindikiro zowopsa za nyamakazi ya nyamakazi yomwe imabweretsa zolemetsa kwa anthu, motero zimagwirizanitsidwa ndi kuchepetsa thanzi lawo ndi thanzi lawo. Kutopa kuli ndi miyeso yambiri yomwe imakhudza anthu ambiri. Anthu ena adzafotokoza kwa madotolo awo oyamba kuti amakhala otopa nthawi zonse, olemedwa ndi ntchito, ndi kupsinjika mobwerezabwereza kuchokera ku moyo watsiku ndi tsiku kapena zovuta zomwe zimakhudza matupi awo. Kwa anthu odwala nyamakazi, maphunziro amawulula kuti zinthu zotupa kwambiri zomwe zimagwirizanitsidwa ndi kutopa zingawapangitse kumva kutopa. Izi zikugwirizana ndi anthu omwe ali ndi vuto la kusowa tulo kuchokera kuzinthu zina.
Kusamalira Matenda a Nyamakazi-Kanema
Kodi mwakhala mukumva kuuma ndi kutupa kuzungulira mafupa anu? mudakumanapo ndi zovuta zam'matumbo zomwe zimakhudza moyo wanu? Kapena kodi mavuto a kusowa tulo kapena kutopa akuwoneka kuti akusokoneza moyo wanu? Zambiri mwa zizindikirozi zimagwirizanitsidwa ndi nyamakazi ya nyamakazi. Rheumatoid nyamakazi ndi matenda a autoimmune omwe amayambitsa kutupa ndi kutupa m'malo olumikizirana mafupa. Vidiyo yomwe ili pamwambayi ikufotokoza momwe mungasamalire nyamakazi ya nyamakazi ndi zizindikiro zake. Kutopa ndi chimodzi mwa zizindikiro zomwe zimagwirizanitsidwa ndi nyamakazi ya nyamakazi monga kutupa kwa ma cytokines kungakhale co-morbidity pakusintha ntchito za ubongo zomwe zingayambitse kupweteka ndi kutopa m'thupi, monga maphunziro amawulula. Ngakhale kuti palibe mankhwala a nyamakazi ya nyamakazi, njira zosiyanasiyana zochiritsira zingathandize anthu kuthana ndi zizindikiro za nyamakazi ya nyamakazi.
Chithandizo cha RA & Kutopa
Ngakhale kuti palibe mankhwala a nyamakazi ya nyamakazi, pali njira zothetsera zizindikiro za nyamakazi ya nyamakazi. Kudya zakudya zokhala ndi anti-kutupa kumatha kuchepetseratu kutupa kwa mafupa. Njira imodzi pamene maseŵera olimbitsa thupi angathandize kumasula mfundo zolimba ndi kubweretsanso mphamvu ya minofu, motero kubwezeretsa kusuntha kwa mafupa. Kuchiza monga chisamaliro cha chiropractic kungaperekenso mpumulo ndi kasamalidwe ka anthu omwe akudwala nyamakazi. Chisamaliro cha Chiropractic chimaphatikizapo njira zochiritsira zokhazikika komanso zogwira ntchito za nyamakazi ya nyamakazi ndi kutopa. Ma chiropractor amagwiritsa ntchito kusintha kwa msana ndi kuwongolera pamanja kuti achepetse kusayenda bwino kapena kutsika kwa msana. Chisamaliro cha Chiropractic chingathandizenso ndi zizindikiro zambiri monga kutopa komwe kumakhudzana ndi nyamakazi ya nyamakazi popanda mankhwala osokoneza bongo kapena mankhwala. Chisamaliro cha Chiropractic chikhoza kupititsa patsogolo ntchito ya mafupa, mafupa, komanso dongosolo lamanjenje m'thupi.
Kutsiliza
Rheumatoid nyamakazi ndi matenda otupa omwe amayambitsa kuuma kwamagulu ndi kutupa. Zomwe zimayambitsa matenda a autoimmune sizidziwika. Komabe, zinthu monga kupsinjika, vuto la m'matumbo, ndi kunenepa kwambiri zimagwirizanitsidwa ndi zizindikiro monga kutopa, kutuluka m'matumbo, kuuma kwa minofu, komanso moyo wosauka bwino zitha kukhala ndi nyamakazi. Kuchiza monga kudya zakudya zoletsa kutupa, kuchita masewera olimbitsa thupi, komanso chisamaliro cha chiropractic kungathandize kuthana ndi zovuta zotupa zomwe zimayambitsa nyamakazi ya nyamakazi komanso kuchepetsa kutopa kwa thupi, motero kumachepetsa kupita patsogolo ndikubwezeretsa moyo wamunthu.
Korte, S Mechiel, ndi Rainer H Straub. "Kutopa kwa Matenda Opweteka a Rheumatic Disorders: Pathophysiological Mechanisms." Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/.
Santos, Eduardo JF, et al. "Zovuta za Kutopa kwa Matenda a Nyamakazi ndi Zovuta za Kuwunika Kwake." Rheumatology (Oxford, England), Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/.
