Gulu la Back Clinic Headaches & Chithandizo. Chifukwa chofala kwambiri cha mutu chikhoza kugwirizana ndi zovuta za khosi. Kuchokera kuwononga nthawi yochuluka ndikuyang'ana pansi pa laputopu, kompyuta, iPad, komanso ngakhale kutumizirana mameseji kosalekeza, kuyimitsidwa kolakwika kwa nthawi yaitali kumatha kuyambitsa kupanikizika pakhosi ndi kumtunda, zomwe zimayambitsa mavuto omwe angayambitse mutu. Mitundu yambiri yamutu wamtunduwu imachitika chifukwa chomangika pakati pa mapewa, zomwe zimapangitsa kuti minofu yomwe ili pamwamba pa mapewa ikhale yolimba komanso kutulutsa ululu m'mutu.
Ngati gwero la mutu likugwirizana ndi vuto la msana wa khomo lachiberekero kapena madera ena a msana ndi minofu, chisamaliro cha chiropractic, monga kusintha kwa chiropractic, kugwiritsira ntchito pamanja, ndi chithandizo chamankhwala, kungakhale njira yabwino yothandizira. Komanso, chiropractor nthawi zambiri amatha kutsatira chithandizo cha chiropractic ndi masewera olimbitsa thupi angapo kuti asinthe kaimidwe ndikupereka upangiri wakusintha kwa moyo wamtsogolo kuti apewe zovuta zina.
Cervicogenic migraine mutu ungayambitse kupweteka, kuyenda kochepa, kapena zizindikiro zosokoneza monga chizungulire kapena nseru. Zitha kuchokera ku khosi kapena msana wa khomo lachiberekero ndikutchedwa mutu wa cervicogenic. Gulu la chiropractic physiotherapy litha kuyesa msana ndikupereka chithandizo chomwe chimathandizira kuyenda komanso kuchepetsa ululu. Anthu angapindule pogwira ntchito ndi gulu la migraine physiotherapy kuti apange chithandizo chamankhwala pazochitika zinazake, mwamsanga komanso mosamala kuchepetsa ululu ndikubwerera ku msinkhu wawo wakale.
Cervical Spine Anatomy
Khosi limapangidwa ndi ma vertebrae asanu ndi awiri a khomo lachiberekero. Mitsempha ya khomo lachiberekero imateteza msana ndikulola kuti khosi lidutse:
Kudandaula
Kuwonjezera
Kusinthasintha
Kupinda m'mbali
Mitsempha yam'mwamba ya khomo lachiberekero imathandizira kuthandizira chigaza. Pali ziwalo kumbali zonse za khomo lachiberekero. Mmodzi amalumikizana kumbuyo kwa chigaza ndikulola kuyenda. Dera la suboccipital ili ndi minofu yambiri yomwe imathandizira ndi kusuntha mutu, ndi mitsempha yomwe imayenda kuchokera pakhosi kudutsa m'dera la suboccipital kupita kumutu. Mitsempha ndi minofu m'derali ikhoza kukhala gwero la ululu wa khosi ndi / kapena mutu.
zizindikiro
Kusuntha mwadzidzidzi kungayambitse zizindikiro za cervicogenic migraine, kapena zikhoza kubwera panthawi yokhazikika ya khosi. (Tsamba P. 2011) Zizindikiro zake nthawi zambiri zimakhala zoziziritsa komanso zosagunda ndipo zimatha kukhala maola angapo mpaka masiku. Zizindikiro za mutu wa cervicogenic migraine zingaphatikizepo:
Ululu kumbali zonse za kumbuyo kwa mutu.
Ululu kumbuyo kwa mutu womwe umatuluka paphewa limodzi.
Ululu kumbali imodzi ya kumtunda kwa khosi lomwe limatulukira ku kachisi, pamphumi, kapena diso.
Poyamba kukaonana ndi dokotala, adzadutsa mbiri yachipatala ndi zikhalidwe, ndipo mafunso adzafunsidwa ponena za kuyamba kwa ululu, khalidwe la zizindikiro, mankhwala, ndi maphunziro a matenda. Wothandizira adzafunsanso za mankhwala am'mbuyomu ndikuwunikanso mbiri yachipatala ndi opaleshoni. Zigawo za kuwunika zingaphatikizepo:
Zochita zolimbitsa thupi kuti zithandizire kusuntha kwa khosi ndi kuchepetsa kupanikizika kwa mitsempha ya khomo lachiberekero zitha kuperekedwa ndipo zingaphatikizepo. (Park, SK et al., 2017)
Gawo la dongosolo lamankhwala laching'alang'ono limatha kuphatikizira kumakoka kwamakina kapena pamanja kuti muchepetse ma discs a khosi ndi mafupa, kuwongolera kuyenda kwa khosi, ndikuchepetsa ululu.
Kulimbikitsana pamodzi kungagwiritsidwe ntchito kupititsa patsogolo kuyenda kwa khosi ndi kuthetsa ululu. (Paquin, JP 2021)
Kukondoweza Kwamagetsi
Kukondoweza kwamagetsi, monga electro-acupuncture kapena transcutaneous neuromuscular magetsi stimulation, angagwiritsidwe ntchito pa minofu ya khosi kuchepetsa ululu ndi kusintha zizindikiro za mutu.
Kutalika kwa Chithandizo
Nthawi zambiri migraine physiotherapy magawo a mutu wa cervicogenic amatha masabata anayi kapena asanu ndi limodzi. Anthu amatha kupeza mpumulo mkati mwa masiku ochepa atayamba kulandira chithandizo, kapena zizindikiro zimatha kubwera mosiyanasiyana kwa milungu ingapo. Zomwe zinachitikira zinapitirizabe kupweteka kwa mutu wa migraine kwa miyezi yambiri atayamba kulandira chithandizo ndikugwiritsa ntchito njira zomwe adaphunzira kuti athetse zizindikiro.
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 komanso kuvulala kwa minofu yofewa. Timagwiritsa ntchito Specialized Chiropractic Protocols, Wellness Programs, Nutrition Yogwira Ntchito ndi Yophatikizana, Agility and Mobility Fitness Training, ndi Rehabilitation Systems kwa mibadwo yonse. Mapulogalamu athu achilengedwe amagwiritsa ntchito kuthekera kwa thupi kukwaniritsa zolinga zoyezedwa. Tagwirizana ndi madotolo akuluakulu ammzindawu, asing'anga, ndi ophunzitsa kuti apereke chithandizo chapamwamba chomwe chimapatsa mphamvu odwala athu kukhala ndi moyo wathanzi komanso kukhala ndi moyo wathanzi wokhala ndi mphamvu zambiri, malingaliro abwino, kugona bwino, komanso kupweteka pang'ono. .
Kusamalira Chiropractic Kwa Migraines
Zothandizira
Tsamba P. (2011). Mutu wa Cervicogenic: njira yotsogozedwa ndi umboni pakuwongolera zamankhwala. Magazini yapadziko lonse ya masewera olimbitsa thupi, 6 (3), 254-266.
Komiti Yoyang'anira Mutu wa Mutu wa International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia: International Journal of Headaches, 33 (9), 629-808. doi.org/10.1177/0333102413485658
Rana MV (2013). Kusamalira ndi kuchiza mutu wa cervicogenic chiyambi. Zipatala zachipatala zaku North America, 97 (2), 267-280. doi.org/10.1016/j.mcna.2012.11.003
Park, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Zotsatira za kutambasula kwa khomo lachiberekero ndi zochitika za cranio-cervical flexion pa makhalidwe a minofu ya chiberekero ndi kaimidwe ka odwala omwe ali ndi mutu wa cervicogenic. Journal of Physical Therapy Science, 29 (10), 1836-1840. doi.org/10.1589/jpts.29.1836
Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Zotsatira za SNAG kusonkhanitsa pamodzi ndi kudzipangira-SNAG kunyumba-zochita zochizira mutu wa cervicogenic: phunziro loyendetsa ndege. Journal of manual & manipulative therapy, 29 (4), 244-254. doi.org/10.1080/10669817.2020.1864960
Kwa anthu omwe akuvutika ndi ululu wa khosi komanso mutu, kodi chithandizo cha misala cha mutu wa craniosacral chingathandize kuthandizira?
Craniosacral Therapy
Craniosacral therapy ndi kutikita mofatsa kuti mutulutse fascia kapena kulumikizidwa kwa netiweki. Thandizoli si lachilendo koma lapeza chidwi chatsopano chifukwa cha chidwi cha anthu pamankhwala ochizira komanso machiritso achilengedwe. Maphunziro ndi ochepa, koma kafukufuku wazachipatala akupitilira kuti awone ngati chithandizocho chingakhale njira yodziwika bwino yamankhwala. Chithandizochi chikufuna kuchepetsa zizindikiro za matenda ndi mikhalidwe yosiyanasiyana, kuphatikizapo:
Pochotsa kupsinjika m'munsi kumbuyo, mutu, ndi msana, kufalikira kwa madzi a muubongo kumabwezeretsedwa, ndipo machitidwe a thupi mkati mwa dongosolo lamanjenje amayambiranso. Izi zimapereka mpumulo wa ululu, zimachepetsa kupsinjika, komanso zimathandizira kukhala ndi moyo wabwino.
Chidziwitso cha kuchepa kwa vuto la hyperactivity - ADHD
mphumu
Therapy kuthetsa mavuto a khansa.
Malo omwe amayang'ana kwambiri ndi omwe ali m'mphepete mwa fascia, minofu yolumikizana yomwe imagwira ziwalo, mitsempha ya magazi, mafupa, mitsempha ya mitsempha, ndi minofu m'malo mwake. Pogwiritsira ntchito minofu imeneyi pogwiritsa ntchito kutikita mofatsa, ochita masewerawa amathandizira kuthetsa kumenyana kapena kuthawa mwa kumasula dongosolo lamanjenje lachifundo. Zizindikirozi zimatsimikizira kuti ndi zigawo ziti za thupi zomwe zimafunikira chithandizo cha craniosacral. Anthu omwe ali ndi mutu adzapatsidwa mutu kapena khosi kutikita minofu. Madera ena omwe amakhudzidwa ndi craniosacral therapy ndi awa:Heidemarie Haller, Gustav Dobos, ndi Holger Cramer, 2021)
Back
Pansi pa msana.
Malo ena monga mafupa kapena minofu.
Kupanikizika komwe kumagwiritsidwa ntchito panthawi ya craniosacral therapy ndikopepuka komanso sikufanana ndi kutikita minofu yakuya.
Kupanikizika kopepuka kumagwiritsidwa ntchito pa minofu yomwe yakhudzidwa ndi fascial kuti ithandizire kubwezeretsanso machitidwe ena amthupi omwe angayambitse ululu ndi zizindikiro zina. (Heidemarie Haller, Gustav Dobos, ndi Holger Cramer, 2021)
Parasympathetic ndi Sympathetic Nervous System
Matenda a parasympathetic ndi achifundo amawongolera mayankho osiyanasiyana a thupi.
Craniosacral therapy imatengedwa kuti ndi yotetezeka; komabe, anthu ena ayenera kupewa kapena kukaonana ndi achipatala asanayese. Omwe akulimbikitsidwa kuti asalandire chithandizocho ndi omwe ali ndi matenda kapena zovuta zotsatirazi:
Monga gawo la minofu ndi mafupa, khosi ndi gawo la zigawo zapamwamba za thupi ndipo zimalola kuti mutu ukhale woyendayenda kupyolera mu kuzungulira kwathunthu popanda kupweteka ndi kusokonezeka. Minofu yozungulira, mitsempha, ndi tendon zimathandiza kuteteza dera la msana wa khomo lachiberekero ndikukhala ndi ubale wabwino kwambiri ndi mapewa. Komabe, dera la khosi likhoza kugonjetsedwa ndi kuvulala, zomwe zimayambitsa zizindikiro zowawa zomwe zingayambitse ululu ndi zowawa m'madera apamwamba. Chimodzi mwa zizindikiro zowawa zomwe zimagwirizana ndi ululu wa khosi ndi mutu. Kupweteka kwamutu kumatha kusiyanasiyana pang'onopang'ono mpaka kwakanthawi chifukwa kumakhudza anthu ambiri komanso zinthu zosiyanasiyana zomwe zimagwirizana nazo. Mutu ukayamba kupangika, anthu ambiri amawona chithandizo chambiri kuti achepetse zowawa zomwe zimagwirizana ndi mutu ndikukhala ndi mpumulo womwe ukuyenera. Nkhani ya lero ikuyang'ana zinthu zosiyanasiyana zomwe zimagwirizana ndi kupweteka kwa mutu, momwe mutu umayambitsa kuphatikizika kwa mbiri yangozi ndi kupweteka kwa khosi, komanso momwe chithandizo chamankhwala monga acupuncture chingachepetsere mutu. Timalankhula ndi madokotala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti azipereka chithandizo monga acupuncture kuti muchepetse kupweteka kwa mutu. Timadziwitsanso ndikuwatsogolera odwala momwe acupuncture angapindulire anthu ambiri omwe ali ndi ululu wa m'khosi wokhudzana ndi mutu. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amagwirizana nawo mafunso ovuta komanso ofunikira okhudza zizindikiro zawo zowawa zomwe zimagwirizana ndi kupweteka kwa mutu ndi kupweteka kwa khosi. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Zinthu Zosiyanasiyana Zogwirizana ndi Mutu
Kodi mwakhala mukukumana ndi zovuta kumbuyo kwa khosi lanu pambuyo pa tsiku lalitali? Kodi mumamva kuwawa kwakanthawi mukayang'ana pakompyuta kapena pa foni? Kapena mumamva kugunda kwamphamvu kuti mugone kwa mphindi zingapo? Zambiri mwazochitika zowawa zoterezi zimagwirizanitsidwa ndi mutu womwe umakhudza anthu ambiri nthawi ndi nthawi. Kupweteka kwamutu kumayenderana ndi mbiri zosiyanasiyana za biochemical ndi kagayidwe kachakudya kapena kusintha komwe kumayambitsa kukhudzidwa kwapakati komanso kukanika kwa neuronal. (Walling, 2020) Izi zimapangitsa anthu ambiri kukhala ndi zizindikiro zopweteka kapena zopweteka zomwe zimakhudza mitu yawo ndi malo osiyanasiyana a nkhope ndi khosi. Zina mwazinthu zambiri zomwe zingayambitse kukula kwa mutu ndizo:
kupanikizika
Nthendayi
Kutsutsana
Kulephera kugona
Kusowa madzi ndi chakudya
Kuvulala koopsa
Nyali zowala
Kuphatikiza apo, zinthu zina monga kunenepa kwambiri zitha kukhala chiwopsezo chachikulu cha mutu waching'alang'ala monga migraines kukhala ndi zizindikiro za matenda oopsa a intracranial amakhudza thupi. (Fortini & Felsenfeld Junior, 2022) Izi zingayambitse kupweteka kwa khosi chifukwa cha mutu.
Mutu & Ululu Wa Pakhosi
Pankhani ya mutu wokhudzana ndi kupweteka kwa khosi, anthu ambiri amavutika ndi kupweteka kwa minofu yozungulira komanso zizindikiro zomwe zikuchitika. Kupweteka kwapakhosi kungayambitse kuphatikizika kwa mbiri ya ngozi ku minofu, mitsempha, ziwalo zamagulu, ndi ziwalo za m'khosi zomwe zingayambitse kupweteka kwa mutu kapena kukhala chizindikiro chomwe chimakhalapo ndi vuto la khosi. (Vicente et al., 2023) Kuonjezera apo, kupweteka kwa khosi ndi kupweteka kwa mutu kumagwirizanitsidwa kwambiri monga kupweteka kwa minofu kumathandizira pa chitukuko cha mutu pamene amapereka zotsatira zoipa m'miyoyo yawo. Mutu ukhoza kulepheretsa munthu kuyika maganizo ake, pamene kupweteka kwa khosi kumayambitsa kuyenda kochepa ndi kuuma. (Rodriguez-Almagro et al., 2020)
Kukanika kwa Mutu Mwachidule- Kanema
Acupuncture Kuchepetsa Mutu
Anthu akamadwala mutu, ambiri amaphatikiza zochizira kunyumba kuti achepetse kupsinjika komwe akukumana nako kuchokera kuzinthu zosiyanasiyana. Izi zingapereke mpumulo kwakanthawi kuti muchepetse zotsatira za zizindikiro zowawa zomwe zimagwirizanitsidwa ndi mutu. Komabe, pamene kupweteka kwa mutu kumakhala kosasunthika ndi kupweteka kwa khosi mukusakaniza, ndipamene mankhwala osapanga opaleshoni angakhale yankho. Thandizo lopanda opaleshoni limakhala lothandiza pa ululu umene umabwera chifukwa cha kupwetekedwa kwa mutu ndipo umasinthidwa ndi ululu wa munthuyo. Mwachitsanzo, kutema mphini kungathandize ndi mutu ndi ululu wa khosi. Kutema mphini ndi imodzi mwa njira zakale kwambiri zochiritsira zosapanga opaleshoni; akatswiri ophunzitsidwa bwino amagwiritsa ntchito singano zolimba zoonda kuti aziyika mu ma acupoints osiyanasiyana m'thupi kuti abwezeretse mphamvu komanso kuchepetsa ululu wokhudzana ndi mutu. (Turkistani et al., 2021)
Acupuncture ingathandizenso kuchepetsa nthawi zambiri komanso nthawi ya mutu wa mutu pamene kusokoneza zizindikiro zowawa ndikuthandizira kuzindikira zotsatira zabwino za kuchepetsa ululu. (Li et al., 2020) Pamene anthu ayamba kuphatikizira acupuncture monga gawo la ndondomeko ya chithandizo chaumoyo ndi thanzi labwino, amamva kuti mutu wawo wachepetsedwa ndipo khosi lawo likuyenda bwino. Kupyolera mu chithandizo chotsatizana, adzamva bwino kwambiri ndikuzindikira zinthu zosiyanasiyana zokhudzana ndi kupanga mutu pamene akupanga kusintha kochepa kuti achepetse mwayi wawo wobwerera.
Zothandizira
Fortini, I., & Felsenfeld Junior, BD (2022). Mutu ndi kunenepa kwambiri. Arq Neuropsiquiatr, 80(5 Zowonjezera 1), 204-213. doi.org/10.1590/0004-282X-ANP-2022-S106
Li, YX, Xiao, XL, Zhong, DL, Luo, LJ, Yang, H., Zhou, J., He, MX, Shi, LH, Li, J., Zheng, H., & Jin, RJ (2020) ). Kuchita Bwino ndi Chitetezo cha Acupuncture kwa Migraine: Chidule cha Ndemanga Zadongosolo. Pain Res Management, 2020, 3825617. doi.org/10.1155/2020/3825617
Rodriguez-Almagro, D., Achalandabaso-Ochoa, A., Molina-Ortega, FJ, Obrero-Gaitan, E., Ibanez-Vera, AJ, & Lomas-Vega, R. (2020). Kupweteka kwa Pakhosi- ndi Zochita Zoyambitsa Kusakhazikika ndi Ubale Wawo ndi Kukhalapo, Kulimba, Kuthamanga, ndi Kulemala kwa Mutu. Ubongo Sci, 10(7). doi.org/10.3390/brainsci10070425
Turkistani, A., Shah, A., Jose, AM, Melo, JP, Luenam, K., Ananias, P., Yaqub, S., & Mohammed, L. (2021). Kuchita Bwino kwa Chithandizo Chamanja ndi Kutema Mphini mu Kupweteka kwa Mutu Wamtundu: Kubwereza Mwadongosolo. Cureus, 13(8), e17601. doi.org/10.7759/cureus.17601
Vicente, BN, Oliveira, R., Martins, IP, & Gil-Gouveia, R. (2023). Zizindikiro za Cranial Autonomic ndi Kupweteka kwa Pakhosi mu Kuzindikira Kosiyana kwa Migraine. Diagnostics (Basel), 13(4). doi.org/10.3390/diagnostics13040590
Walling, A. (2020). Kupweteka kwamutu pafupipafupi: Kuunika ndi Kuwongolera. American Family Physician, 101(7), 419-428. www.ncbi.nlm.nih.gov/pubmed/32227826
Kwa anthu omwe akukhudzidwa ndi mutu womwe umachitika kwa masiku 15 kapena kupitilira mwezi kwa miyezi yopitilira itatu, kodi kudziwa zizindikiro ndi zizindikiro zake kungathandize othandizira azaumoyo kuthandizira ndikupewa kupwetekedwa mutu kwanthawi yayitali?
Kupweteka Kwambiri Mutu Kumutu
Anthu ambiri adakumanapo ndi mutu wovuta. Ululuwu nthawi zambiri umafotokozedwa ngati kumangika koziziritsa kapena kukanikiza mbali zonse za mutu, monga kukhala ndi bande yomangika kuzungulira mutu. Anthu ena amamva kupweteka kwa mutu nthawi zambiri, matenda omwe amadziwika kuti mutu wopweteka kwambiri. Kupweteka kwamutu kosalekeza sikozolowereka koma kumatha kufooketsa, chifukwa kumatha kusokoneza moyo wabwino komanso moyo watsiku ndi tsiku.
Kupweteka kwa mutu nthawi zambiri kumayamba chifukwa cha kupsinjika, nkhawa, kutaya madzi m'thupi, kusala kudya, kapena kusowa tulo ndipo nthawi zambiri amathetsa ndi mankhwala osagulitsika. (Cleveland Clinic. 2023)
Ichi ndi vuto lalikulu la mutu lomwe limakhudza pafupifupi 3% ya anthu.
Kupweteka kwamutu kosalekeza kumatha kuchitika tsiku ndi tsiku ndipo kumakhudza kwambiri moyo ndi magwiridwe antchito a tsiku ndi tsiku. (Cleveland Clinic. 2023)
zizindikiro
Kupweteka kwa mutu kumatha kutchedwa kupsinjika mutu or kupweteka kwa mutu kwa minofu.
Thandizo la pharmacological la mutu wopweteka kwambiri nthawi zambiri limaphatikizapo mankhwala odzitetezera.
Amitriptyline ndi imodzi mwamankhwala omwe apezeka kuti ali opindulitsa pakupewa mutu kwanthawi yayitali.
Tricyclic antidepressant ndi mankhwala oziziritsa ndipo nthawi zambiri amamwedwa asanagone. (Jeffrey L. Jackson et al., 2017)
Malinga ndi kafukufuku wa 22 wofalitsidwa mu Journal of General Internal Medicine, mankhwalawa ndi apamwamba kuposa placebo pochepetsa kupweteka kwa mutu, ndi pafupifupi 4.8 masiku ochepa a mutu pamwezi.
Mankhwala owonjezera odzitetezera angaphatikizepo ma antidepressants ena monga:
Anthu ena omwe ali ndi mutu wopweteka kwambiri amatha kupeza mpumulo pogwiritsa ntchito zowonjezera. American Academy of Neurology ndi American Headache Society inanena kuti zotsatirazi zitha kukhala zothandiza: (National Center for Complementary and Integrative Health. 2021)
butterbur
feverfew
mankhwala enaake a
zinanso zofunika
Ngati mutu ubwera mwadzidzidzi, kudzutsa kutulo, kapena kutha kwa masiku angapo, ndikofunikira kukaonana ndi dokotala kuti athetse zomwe zimayambitsa ndikuyambitsa dongosolo lamankhwala lokhazikika.
Ahmed F. (2012). Kusokonezeka kwamutu: kusiyanitsa ndikuwongolera ma subtypes wamba. British Journal of pain, 6 (3), 124-132. doi.org/10.1177/2049463712459691
Jackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). Tricyclic ndi Tetracyclic Antidepressants for Prevention of Frequent Episodic or Chronic Tension-Type Headache in Adults: A Systematic Review and Meta-Analysis. Journal of General Internal Medicine, 32 (12), 1351-1358. doi.org/10.1007/s11606-017-4121-z
Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS team. (2017). Kudzisamalira kopanda mankhwala kwa anthu omwe ali ndi mutu wa migraine kapena kupsinjika kwa mutu: kuwunika mwadongosolo kuphatikiza kusanthula kwa zigawo zothandizira. BMJ tsegulani, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670
Mutu womwe umabwera chifukwa cha mowa nthawi zambiri umatha mkati mwa maola 72.
Zomwe zimayambitsa mutuwu sizinafufuzidwe mokwanira, koma zimaganiziridwa kuti kuwonjezeka kwa mitsempha ya magazi mu ubongo / vasodilation pamene kumwa mowa kungayambitse kupweteka mutu.
Mtundu woterewu wa mutu ndi wosiyana ndi mutu wopweteka womwe umabwera chifukwa cha kumwa mopitirira muyeso ndipo umachokera ku kutaya madzi m'thupi ndi zotsatira za poizoni za mowa. (JG Wiese, MG Shlipak, WS Browner. 2000)
Zifukwa Zosowa
Kupweteka kwapamutu kumathanso chifukwa cha zifukwa zazikulu komanso zosawerengeka:
Matenda a ubongo
Mutu ndi chimodzi mwa zizindikiro zofala kwambiri za zotupa muubongo.
Mutu womwe uli pamwamba pa mutu umadalira malo ndi kukula kwa chotupacho. (MedlinePlus. 2021)
Aneurysm ya ubongo
Iyi ndi malo ofooka kapena ochepa kwambiri mu mtsempha wa ubongo womwe umaphulika ndikudzaza ndi magazi, zomwe zingayambitse kuphulika kwa moyo.
Kutaya magazi muubongo kungayambitsidwe ndi kupwetekedwa mutu, kuthamanga kwa magazi, kutsekeka kwa magazi, matenda a magazi, kapena matenda a chiwindi. (New York-Presbyterian. 2023)
Kodi ma protocol ochizira a chiropractic angazindikire zomwe zimayambitsa kupsinjika kwa mutu mwa anthu, ndikupereka chithandizo chothandiza?
Kupanikizika Kumutu
Kuthamanga kwa mutu kungakhale ndi zifukwa zosiyanasiyana ndi zizindikiro zomwe zimakhudza madera osiyanasiyana malingana ndi chifukwa chake ndi mutu, chifuwa, kuvulala, matenda, kapena matenda. Malo a kupsinjika kapena kupweteka kungathandize dokotala wa chiropractic kudziwa chifukwa chake.
Zomwe zimayambitsa nthawi zambiri sizikhala pachiwopsezo cha moyo, koma kupanikizika komwe kwamanga kumatha kukhala chifukwa cha zovuta zazikulu monga kuvulala mutu kapena chotupa muubongo.
Chisamaliro cha Chiropractic, chomwe chimaphatikizapo kuphatikiza kwa msana, kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi, komanso kutikita minofu, nthawi zambiri amagwiritsidwa ntchito pakuwongolera mutu ndi kupewa. (Moore Craig, et al., 2018)
Chithandizo cha chiropractic nthawi zambiri chimafunidwa chifukwa cha kupsinjika ndi mutu wa cervicogenic, migraines, ndipo aliyense amayankha mosiyana ndi chithandizo.
Mutu
Mutu umapangidwa ndi dongosolo lovuta la lobes, sinus / channels, mitsempha ya magazi, mitsempha, ndi ma ventricles. (Thau L, et al., 2022)
Kupanikizika kwa machitidwewa kumayendetsedwa ndipo kusokonezeka kulikonse kwa izi kungawonekere.
Schizodimos, T., Soulountsi, V., Iasonidou, C., & Kapravelos, N. (2020). Chidule cha kasamalidwe ka intracranial hypertension mu chipinda cha odwala kwambiri. Journal of Anesthesia, 34 (5), 741-757. doi.org/10.1007/s00540-020-02795-7
Wall M. (2017). Kusintha kwa Idiopathic Intracranial Hypertension. Zipatala za Neurological, 35 (1), 45-57. doi.org/10.1016/j.ncl.2016.08.004
Kutentha kukakhala kokwera m'nyengo yachilimwe, kupwetekedwa kwa mutu kumayambitsa kutentha ndi mutu waukulu monga mutu waching'alang'ala ndizofala m'miyezi yotentha. Komabe, mutu waching’alang’ala umene umabwera chifukwa cha kutentha sikufanana ndi mutu umene umabwera chifukwa cha kutentha, chifukwa chakuti awiriwa ali ndi zizindikiro zosiyana. Chomwe ali nacho ndi chakuti onse amayambitsidwa ndi njira nyengo yotentha zimakhudza thupi. Kumvetsetsa zomwe zimayambitsa komanso zizindikiro zochenjeza za mutu wa kutentha kungathandize kupewa ndi kuchiza matenda omwe angakhale oopsa chifukwa cha kutentha. Chiropractic Medical Chiropractic ndi Functional Medicine Clinic amagwiritsa ntchito njira zosiyanasiyana zochiritsira zomwe zimapangidwira munthu kuti athetse ululu ndikuwongolera ntchito.
Kupweteka kwa Mutu Woyambitsa Kutentha
litsipa ndipo migraine ndi yofala, yomwe imakhudza 20 peresenti ya akazi ndi pafupifupi 10 peresenti ya amuna. Kuwonjezeka kwafupipafupi kungayambitsidwe ndi
Kutaya madzi m'thupi.
Zinthu zachilengedwe.
Kutopa kwa kutentha.
Kutentha kwamphamvu.
Kupweteka kwa mutu wopweteka kumatha kumva ngati kupweteka kwapang'onopang'ono kuzungulira makachisi kapena kumbuyo kwa mutu. Malingana ndi chifukwa chake, kupweteka kwa mutu kumayambitsa kutentha kungapangitse ululu wopweteka kwambiri wamkati.
Zimayambitsa
Kupweteka kwamutu chifukwa cha kutentha sikungayambe chifukwa cha nyengo yotentha koma ndi momwe thupi limayankhira kutentha. Zomwe zimayambitsa mutu ndi migraine zokhudzana ndi nyengo zikuphatikizapo:
Likakumana ndi kutentha kwapamwamba, thupi limafunikira madzi ochulukirapo kuti libwezere madzi otayikawo pamene limawagwiritsa ntchito ndikutuluka thukuta. Kutentha kwanthawi yayitali kumayika thupi pachiwopsezo kutentha kutentha, imodzi mwa magawo a kutentha kwa thupi, ndi kupweteka kwa mutu monga chizindikiro cha kutopa kwa kutentha. Nthawi iliyonse thupi limakhala lotentha kwambiri kapena limakhala nthawi yayitali kunja kwadzuwa lotentha, ndipo mutu umapezeka pambuyo pake, kupweteka kwamoto kumatheka.
Kutentha kwa Mutu Zizindikiro
Zizindikiro za mutu wochititsa kutentha zimatha kusiyana malinga ndi momwe zinthu zilili. Ngati mutu umayamba chifukwa cha kutentha kwa thupi, thupi lidzakhala ndi zizindikiro za kutentha kwa kutentha ndi kupweteka mutu. Zizindikiro za kutopa kwa kutentha ndi:
Chizungulire.
Minofu kukokana kapena kukanika.
Mseru.
Kukomoka.
Ludzu lalikulu lomwe silitha.
Ngati mutu kapena mutu waching'alang'ala umagwirizana ndi kutentha koma osalumikizidwa ndi kutopa kwa kutentha, zizindikiro zingaphatikizepo izi:
Kugunda kwamphamvu, kusamveka bwino m'mutu.
Kutaya madzi m'thupi.
Kutopa.
Kumvetsetsa kuunika.
Mpumulo
Anthu amatha kukhala osamala popewa kupewa.
Ngati n’kotheka, chepetsani nthaŵi ya panja, tetezani maso ndi magalasi adzuŵa, ndipo valani chipewa chokhala ndi mlomo pamene mukukhala panja.
Bryans, Roland, et al. "Maumboni okhudzana ndi chithandizo cha chiropractic kwa akuluakulu omwe ali ndi mutu." Journal of Manipulative and physiological Therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008
Demont, Anthony, et al. "Kugwira ntchito kwa physiotherapy kwa kasamalidwe ka akuluakulu omwe ali ndi mutu wa cervicogenic: kuwunika mwadongosolo komanso kusanthula meta." PM & R: nyuzipepala ya Injury, Function, and Rehabilitation vol. 15,5 (2023): 613-628. doi:10.1002/pmrj.12856
Di Lorenzo, C et al. "Kusokonezeka kwapang'onopang'ono ndi mutu: vuto la mutu watsopano watsiku ndi tsiku wachiwiri mpaka kutentha kupwetekedwa." Malipoti amilandu a BMJ vol. 2009 (2009): bcr08.2008.0700. doi:10.1136/bcr.08.2008.0700
Fernández-de-Las-Peñas, César, ndi María L Cuadrado. "Thandizo lakuthupi la mutu." Cephalalgia: International Journal of Headache Vol. 36,12 (2016): 1134-1142. doi:10.1177/0333102415596445
Swanson JW. (2018). Migraines: Kodi amayamba chifukwa cha kusintha kwa nyengo? mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/migraine-headache/faq-20058505
Victoria Espí-López, Gemma, et al. "Kuchita Bwino kwa Physical Therapy kwa Odwala Omwe Ali ndi Mutu Wamtundu Wovuta: Ndemanga Yamabuku." Journal of the Japanese Physical Therapy Association = Rigaku ryoho vol. 17,1, 2014 (31): 38-10.1298. doi:17/jjpta.Vol005_XNUMX
Whalen, John, et al. "Kuwunika Kwachidule Kwa Chithandizo cha Mutu Wamutu Pogwiritsa Ntchito Osteopathic Manipulative Treatment." Ululu wamakono ndi malipoti a mutu vol. 22,12 82. 5 Oct. 2018, doi:10.1007/s11916-018-0736-y
