Back Clinic Chiropractic Neck Pain Treatment Team. Zolemba za Dr. Alex Jimenez za ululu wa khosi zimaphimba mitundu yosiyanasiyana yachipatala ndi / kapena kuvulala kokhudzana ndi ululu ndi zizindikiro zina zozungulira msana wa khomo lachiberekero. Khosi lili ndi zinthu zosiyanasiyana zovuta; mafupa, minofu, minyewa, minyewa, minyewa, minyewa, ndi zina. Zomangamangazi zikawonongeka kapena kuvulazidwa chifukwa cha kaimidwe kosayenera, osteoarthritis, kapena chikwapu, pakati pa zovuta zina, zowawa ndi zowawa zomwe munthu wina wakumana nazo zimatha kufooketsa.
Malingana ndi zomwe zimayambitsa, zizindikiro za ululu wa m'khosi zimatha kutenga mitundu yosiyanasiyana. Zikuphatikizapo:
Ululu mukamagwira mutu pamalo amodzi kwa nthawi yayitali
Kulephera kusuntha mutu wanu momasuka
Kuthina kwa minofu
Mitundu ya misampha
mutu
Kusweka pafupipafupi komanso kusweka
Kumva dzanzi ndi kupweteka kwa minyewa kumachokera pakhosi mpaka kumtunda kwa mkono ndi dzanja
Kupyolera mu chisamaliro cha chiropractic, Dr. Jimenez akufotokoza momwe kugwiritsa ntchito kusintha kwamanja kwa msana wa chiberekero kungathandize kwambiri kuthetsa zizindikiro zowawa zomwe zimagwirizanitsidwa ndi nkhani za khosi. Kuti mudziwe zambiri, chonde omasuka kulankhula nafe pa (915) 850-0900 kapena meseji kuitana Dr. Jimenez payekha pa (915) 540-8444.
Omwe akukumana ndi ululu wa khosi, kuuma, kupweteka kwa mutu, mapewa ndi ululu wammbuyo akhoza kuvutika ndi kuvulala kwa whiplash. Kodi kudziwa zizindikiro ndi zizindikiro za whiplash kungathandize anthu kuzindikira chovulalacho ndikuthandizira othandizira azaumoyo kupanga dongosolo lothandizira lamankhwala?
Zizindikiro za Whiplash ndi Zizindikiro
Whiplash ndi kuvulala kwa khosi komwe kumachitika pambuyo pa kugunda kwa galimoto kapena ngozi koma kumatha kuchitika ndi chovulala chilichonse chomwe chimakwapula khosi kutsogolo ndi kumbuyo. Ndi kuvulala pang'ono kapena pang'ono kwa minofu ya khosi. Zizindikiro zodziwika bwino za whiplash ndi izi:
Anthu ena amatha kukhala ndi ululu wosatha komanso mutu.
Zizindikiro ndi chithandizo zimadalira kuopsa kwa kuvulala. Kuchiza kungaphatikizepo mankhwala opweteka omwe amagulitsidwa m'malo mwa mankhwala, ayezi ndi kutentha, chiropractic, masewero olimbitsa thupi, ndi masewera olimbitsa thupi.
Zizindikiro ndi Zizindikiro pafupipafupi
Kuthamanga kwadzidzidzi kwa mutu kungakhudze nyumba zingapo mkati mwa khosi. Zomanga izi zikuphatikiza:
minofu
Miyala
zimfundo
Tendons
Zigamulo
Mitundu ya intervertebral discs
Mitsempha yamagazi
Mitsempha.
Zonse kapena zonsezi zingakhudzidwe ndi kuvulala kwa whiplash. (MedlinePlus, 2017)
Statistics
Whiplash ndi kupweteka kwa khosi komwe kumachitika kuchokera kumayendedwe othamanga a khosi. Kuvulala kwa Whiplash kumawonjezera theka la kuvulala kwa magalimoto pamsewu. (Michele Sterling, 2014) Ngakhale mutavulala pang’ono, zizindikiro zofala kwambiri ndi monga:Nobuhiro Tanaka et al., 2018)
kupweteka khosi
Kenako kuuma
Kukoma kwa khosi
Kuyenda kochepa kwa khosi
Anthu amatha kukhala ndi vuto la khosi ndi ululu atangovulala; komabe, kupweteka kwambiri ndi kuuma mtima sikumachitika pambuyo povulala. Zizindikiro zimakonda kukulirakulira tsiku lotsatira kapena maola 24 pambuyo pake. (Nobuhiro Tanaka et al., 2018)
Zizindikiro Zoyamba
Ofufuza apeza kuti pafupifupi theka la anthu omwe ali ndi chikwapu amakhala ndi zizindikiro mkati mwa maola asanu ndi limodzi atavulala. Pafupifupi 90% amakhala ndi zizindikiro mkati mwa maola 24, ndipo 100% amakhala ndi zizindikiro mkati mwa maola 72. (Nobuhiro Tanaka et al., 2018)
Whiplash vs. Traumatic Cervical Spine Kuvulala
Whiplash amafotokoza kuvulala pang'ono kapena pang'ono kwa khosi popanda zizindikiro zazikulu za chigoba kapena minyewa. Kuvulala kwakukulu kwa khosi kungayambitse fractures ndi kusokonezeka kwa msana zomwe zingakhudze mitsempha ndi msana. Munthu akayamba kudwala matenda a ubongo okhudzana ndi kuvulala kwa khosi, matendawa amasintha kuchokera ku whiplash mpaka kuvulala koopsa kwa msana. Kusiyanaku kumatha kukhala kosokoneza popeza ali pamtundu womwewo. Kuti mumvetse bwino kuopsa kwa khosi la khosi, dongosolo la Quebec limagawaniza kuvulala kwa khosi m'makalasi otsatirawa (Nobuhiro Tanaka et al., 2018)
Kalasi ya 0
Izi zikutanthauza kuti palibe zizindikiro za khosi kapena zizindikiro za thupi.
Kuchepetsa kuyenda kapena kuyenda kwa khosi pakuwunika thupi.
Kalasi ya 3
Zimaphatikizapo kupweteka kwa minofu ndi kuuma.
Zizindikiro za Neurological zikuphatikizapo:
Numbness
Kugwiritsa ntchito
Kufooka m'manja
Kuchepa kwamalingaliro
Kalasi ya 4
Zimaphatikizapo kuthyoka kapena kusuntha kwa mafupa a msana wa msana.
Zizindikiro Zina
Zizindikiro zina za whiplash ndi zizindikiro zomwe zingagwirizane ndi kuvulala koma zimakhala zochepa kapena zimangochitika ndi kuvulala koopsa ndi monga (Nobuhiro Tanaka et al., 2018)
Kupweteka mutu
Kupweteka kwa jaw
Mavuto ogona
Migraine mutu
Kuvuta kuika maganizo
Kuvutika kuwerenga
kusawona
chizungulire
Kuyendetsa zovuta
Zizindikiro Zosowa
Anthu omwe amavulala kwambiri amatha kukhala ndi zizindikiro zosawerengeka zomwe nthawi zambiri zimasonyeza kuvulala kwa msana wa chiberekero ndipo zimaphatikizapo:Nobuhiro Tanaka et al., 2018)
Amnesia
Kudandaula
Liwu limasintha
Torticollis - kupweteka kwa minofu yowawa komwe kumapangitsa mutu kutembenukira mbali imodzi.
Kutuluka magazi mu ubongo
Mavuto
Anthu ambiri nthawi zambiri amachira pakadutsa milungu ingapo mpaka miyezi ingapo. (Michele Sterling, 2014) Komabe, zovuta za whiplash zikhoza kuchitika, makamaka ndi kuvulala kwakukulu kwa kalasi ya 3 kapena 4. Zovuta zofala kwambiri za kuvulala kwa whiplash zimaphatikizapo kupweteka kosalekeza / kwa nthawi yaitali ndi mutu. (Michele Sterling, 2014) Kuvulala koopsa kwa msana wa chiberekero kungakhudze msana ndipo kumagwirizanitsidwa ndi mavuto aakulu a ubongo, kuphatikizapo dzanzi, kufooka, ndi kuyenda movutikira. (Luc van Den Hauwe et al., 2020)
chithandizo
Ululu umakhala wowawa kwambiri tsiku lotsatira kuposa pambuyo povulala. Chithandizo cha kuvulala kwa Whiplash musculoskeletal chimadalira ngati ndi kuvulala koopsa kapena munthuyo wayamba kupweteka kwapakhosi komanso kuuma.
Kupweteka koopsa kumatha kuthandizidwa ndi mankhwala osagwiritsidwa ntchito ngati Tylenol ndi Advil, omwe amathandizira ululu.
Advil ndi nonsteroidal anti-inflammatory yomwe ingatengedwe ndi mankhwala opweteka a Tylenol, omwe amagwira ntchito m'njira zosiyanasiyana.
Mfundo yaikulu ya chithandizo ndi kulimbikitsa kuchita masewera olimbitsa thupi nthawi zonse ndi kutambasula ndi kuchita masewera olimbitsa thupi. (Michele Sterling, 2014)
Kodi anthu omwe ali ndi matenda a thoracic outlet angaphatikizepo electroacupuncture kuti achepetse kupweteka kwa khosi ndikubwezeretsanso kaimidwe koyenera?
Introduction
Nthawi zambiri padziko lonse lapansi, anthu ambiri adakumana ndi zowawa pakhosi, zomwe zingayambitse kupweteka komanso kusapeza bwino. Zinthu zambiri zachilengedwe, monga kukhala pachiwopsezo poyang'ana kompyuta kapena foni, kuvulala koopsa, kusakhazikika bwino, kapena zovuta za msana, zimatha kuyambitsa zizindikiro zowawa komanso zovuta m'thupi. Popeza kupweteka kwa khosi ndi kudandaula komwe anthu ambiri amavutika, zizindikiro monga kugwedeza, dzanzi, kapena kufooka kwa minofu kumtunda kungayambitse matenda. Izi zikachitika, zingayambitse chitukuko cha zovuta zomwe zimatchedwa thoracic outlet syndrome kapena TOS. Nkhani ya lero ikuyang'ana kugwirizana pakati pa matenda a thoracic outlet ndi kupweteka kwa khosi, momwe mungasamalire TOS pamene mumachepetsa ululu wa khosi, ndi momwe electroacupuncture ingathandizire ndi TOS. Timayankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza chidziwitso cha odwala athu kuti awone momwe angachepetsere zotsatira za TOS pamene amachepetsa ululu wa khosi. Timadziwitsanso ndikuwatsogolera odwala momwe electroacupuncture ingathandizire kusamalira TOS. Timalimbikitsa odwala athu kuti afunse omwe amawathandizira azachipatala mafunso ovuta komanso ofunikira okhudza kuphatikiza electroacupuncture kuti achepetse TOS yokhudzana ndi khosi. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kulumikizana Pakati pa Thoracic Outlet Syndrome & Neck Pain
Kodi mwakhala mukuwona momwe mukuvutikira kuposa nthawi zonse? Kodi mumakumana ndi zizindikiro za kumva kumva kumva kumva kumva kumva kuwawa kapena dzanzi kuchokera m'manja mpaka m'manja mwanu? Kapena mumamva kupsinjika kwa minofu m'khosi mwanu? Thoracic outlet syndrome, kapena TOS, ndivuto lomwe limapangitsa kuti mitsempha ya mitsempha ikhale pakati pa clavicle ndi nthiti yoyamba. (Masocatto et al., 2019) Mitsempha iyi ili pafupi ndi khosi ndi mapewa. Zomangamanga zachilengedwe zikakhudza kumtunda, zimatha kuyambitsa kupweteka kwapakhosi, komwe kungayambitse mbiri yowopsa. Zina mwa zinthu zomwe TOS zingapangitse kupweteka kwa khosi ndi izi:
Kusiyana kwa ma atomiki
Kusasintha kosauka
Kubwereza mobwerezabwereza
Kuvulala koopsa
Panthawi imodzimodziyo, anthu omwe ali ndi ululu wa m'khosi amatha kukhala ndi TOS, monga kupweteka kwa khosi ndi multifactorial musculoskeletal condition yomwe ingagwirizane ndi zochitika zowonongeka zomwe zimathandizira ku TOS. (Kazeminasab et al., 2022) Monga tanenera kale, zinthu monga kusamalidwa bwino zimatha kutambasula minofu ya khosi ndi mitsempha ya mitsempha, zomwe zimayambitsa zizindikiro za ululu wa neuropathic zomwe zingayambitse kupweteka kwakukulu komwe kumatchulidwa ku khosi ndi kufooka kwa minofu. (Childress & Stuek, 2020) Izi zikachitika, anthu ambiri amayamba kumva chisoni ndikuyamba kufunafuna chithandizo kuti asachepetse TOS komanso kuchepetsa ululu wa khosi.
Kodi Thoracic Outlet Syndrome - Video
Kusamalira TOS & Kuchepetsa Kupweteka kwa Pakhosi
Pankhani yochiza TOS, makamaka pamene kupweteka kwa khosi ndi gawo lofunika kwambiri, anthu ambiri amayesa kupeza mankhwala osagwiritsa ntchito opaleshoni kuti achepetse zizindikiro. Anthu ambiri amatha kuyesa chithandizo chamankhwala kuti atambasule ndikulimbitsa mapewa awo, chifuwa, ndi minofu ya khosi kuti achepetse kupsinjika. Ena angayesere chithandizo chamanja chomwe chimakhala chogwirizana ndi khosi pomwe neural-tissue-oriented for TOS kuti apititse patsogolo kulimbikitsana kumtunda komanso kupititsa patsogolo kaimidwe kosauka. (Kuligowski et al., 2021) Kuonjezera apo, mankhwala osagwiritsa ntchito opaleshoni amatha kuphatikizidwa ndi mankhwala ena kuti achepetse mwayi wa TOS kuti asabwererenso chifukwa amatha kuonjezeranso ntchito ya sensory-motor kumbuyo kwa khosi ndi kumtunda. (Borrella-Andres et al., 2021)
Momwe Electroacupuncture Ingathandizire ndi TOS
Electroacupuncture ndi njira yamakono yopangira opaleshoni yomwe ili mbali ya mankhwala osachita opaleshoni omwe angathandize kusamalira TOS pamene amachepetsa ululu wa khosi. Electroacupuncture ndikusintha kolowetsa singano mu ma acupoints amthupi ndikuphatikiza kukondoweza kwamagetsi kuti apereke mphamvu yamagetsi yamagetsi kumalo okhudzidwa pang'onopang'ono. (Zhang et al., 2022) Zina mwazinthu zopindulitsa zomwe electrostimulation ingapereke kwa TOS ndi monga:
Kuchepetsa ululu polimbikitsa kutulutsidwa kwa endorphins kuti muchepetse kutupa.
Thandizani kumasula minofu yomwe yakhudzidwa mu chifuwa ndi khosi kuti muchepetse kupanikizika kwa mitsempha ya thoracic outlet.
Thandizani kuyendetsa magazi kuti muchepetse kupsinjika kwa mitsempha ya TOS.
Thandizani kulimbikitsa njira ya mitsempha kuti ipititse patsogolo ntchito ya mitsempha yathanzi ndikuchepetsa zizindikiro za ululu.
Pophatikizira chithandizo cha electroacupuncture komanso osachita opaleshoni kuti achepetse TOS, anthu ambiri amatha kusintha zizolowezi zawo zamoyo ndikuletsa zovuta kukhudza kumtunda kwa thupi lawo. Pogwiritsa ntchito mankhwalawa, anthu ambiri amatha kumvetsera matupi awo ndikuyang'ana pa thanzi lawo ndi thanzi lawo pothana ndi zizindikiro zowawa zomwe akukumana nazo kuchokera ku TOS zogwirizana ndi ululu wa khosi. Panthawi imodzimodziyo, ali ndi ubale wabwino ndi madokotala awo oyambirira kuti apange ndondomeko ya chithandizo chaumwini chomwe chingayang'anire zizindikiro zawo za TOS kuti zikhale ndi zotsatira zabwino.
Zothandizira
Borrella-Andres, S., Marques-Garcia, I., Lucha-Lopez, MO, Fanlo-Mazas, P., Hernandez-Secorun, M., Perez-Bellmunt, A., Tricas-Moreno, JM, & Hidalgo- Garcia, C. (2021). Manual Therapy monga Management of Cervical Radiculopathy: Kuwunika Mwadongosolo. Zomwe Zimapangidwira, 2021, 9936981. doi.org/10.1155/2021/9936981
Childress, MA, & Stuek, SJ (2020). Ululu Wapakhosi: Kuwunika Koyamba ndi Kuwongolera. American Family Physician, 102(3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy mu Cervical and Lumbar Radiculopathy: Kubwereza Mwadongosolo kwa Literature. Int J Environ Res Public Health, 18(11). doi.org/10.3390/ijerph18116176
Masocatto, NO, Da-Matta, T., Prozzo, TG, Couto, WJ, & Porfirio, G. (2019). Thoracic outlet syndrome: ndemanga yofotokozera. Rev Col Bras Cir, 46(5), e20192243. doi.org/10.1590/0100-6991e-20192243 (Sindrome do desfiladeiro toracico: uma revisao narrativa.)
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Kuwulula matsenga a acupuncture kutengera njira zamoyo: kuwunika kwa mabuku. Zotsatira za Biosci, 16(1), 73-90. doi.org/10.5582/bst.2022.01039
Kodi anthu omwe ali ndi ululu wa msana angaphatikizepo chithandizo chamsana kuti achepetse kupweteka kwa khosi ndi mutu?
Introduction
Anthu ambiri amakumana ndi ululu wa khosi nthawi zina, zomwe zimayambitsa zovuta zambiri zomwe zingakhudze moyo wawo watsiku ndi tsiku. Mwaona, khosi ndi gawo la khomo lachiberekero la musculoskeletal system. Zimazunguliridwa ndi minofu, minofu yofewa, ndi mitsempha yomwe imateteza msana pamene imalola kuti mutu ukhale wothamanga. Mofanana ndi ululu wammbuyo, kupweteka kwa m'khosi ndi nkhani yofala yomwe imayambitsa kupweteka ndi kukhumudwa kuchokera kuzinthu zomwe zimagwirizana ndi chilengedwe komanso kuvulala koopsa. Pamene munthu akukumana ndi ululu wa m'khosi, amakhalanso ndi zovuta zomwe zimayambitsa zochitika zoopsa monga mutu ndi migraines. Komabe, mankhwala monga kupweteka kwa msana kungathandize kuchepetsa ululu wa msana wa chiberekero umene umakhudza khosi ndi kuchepetsa zotsatira zopweteka za mutu ndi migraines. Nkhani ya lero ikuyang'ana zotsatira za kupweteka kwa khomo lachiberekero ndi mutu, momwe kupweteka kwa msana kungachepetse kupweteka kwa msana, komanso momwe kumapindulira kuchepetsa kupweteka kwa mutu. Timalankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza chidziwitso cha odwala athu kuti awone momwe angachepetsere ululu wa msana wa khomo lachiberekero kuchokera pakhosi. Timadziwitsanso ndikuwatsogolera odwala momwe kuwonongeka kwa msana kungathandize kuchepetsa kupweteka kwa mutu chifukwa cha kupweteka kwa msana. Timalimbikitsa odwala athu kuti afunse mafunso omwe amawathandizira azachipatala ovuta komanso ofunikira okhudza kuphatikizira chithandizo chamankhwala chamsana monga gawo lachizoloŵezi chawo chochepetsera kupweteka kwa mutu ndi migraine zomwe zimagwirizanitsidwa ndi khosi. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Zotsatira Za Ululu Wa Pakhomo Lachiberekero & Mutu Wamutu
Kodi mumamva kuuma kumbali zonse za khosi lanu zomwe zimakupangitsani kuyenda kochepa mukatembenuza khosi lanu? Kodi mwakhala mukumva kuwawa kosalekeza m'makachisi anu? Kapena mumamva kupweteka kwa minofu pakhosi ndi mapewa anu chifukwa chogwidwa pakompyuta kwa nthawi yayitali? Anthu ambiri omwe amakumana ndi zovuta ngati zowawa izi amatha kuthana ndi ululu wamtsempha wa khomo lachiberekero. Zifukwa zosiyanasiyana zomwe zingayambitse kukula kwa ululu wa msana wa khomo lachiberekero zimaphatikizapo ma disc a herniated, mitsempha ya pinched, spinal stenosis, ndi kupsyinjika kwa minofu yomwe imachokera ku dera la khosi. Izi ndichifukwa chakuti ululu wa msana wa chiberekero ukhoza kugwirizanitsidwa ndi zinthu zachilengedwe zomwe zingayambitse ululu ndi zowawa, zolemala, ndi kuwonongeka kwa moyo monga momwe minofu yozungulira yapakhosi imakhala yowonjezereka komanso yolimba. (Ben Ayed et al., 2019) Pamene anthu akukumana ndi ululu wa msana wa khomo lachiberekero, chimodzi mwa zizindikiro zomwe zimagwirizanitsidwa ndi mutu. Izi zili choncho chifukwa minyewa yodabwitsayi imalumikizidwa ndi khosi ndi mutu. Pamene kupweteka kwa msana kumayambitsa izi, zimatha kukhudza kwambiri ntchito ya thupi la munthu tsiku ndi tsiku pamene ululuwo ukukwera mmwamba.
Panthawi imodzimodziyo, kupweteka kwa khosi ndi matenda a multifactorial omwe angakhale nkhani yaikulu padziko lonse lapansi. Mofanana ndi ululu wammbuyo, zifukwa zambiri zoopsya zingathe kuthandizira kukula kwake. (Kazeminasab et al., 2022) Zinthu zina zowopsa, monga kugwiritsa ntchito foni mopitirira muyeso, zimayambitsa kupindika kwa khosi kwanthawi yayitali kukhosi ndi mapewa, zomwe zimapangitsa kuti minofu ikhale yosasunthika popanda kuthandizira kumtunda. (Al-Hadidi et al., 2019) Mpaka pano, zoopsa za chilengedwe monga kugwiritsa ntchito foni mopitirira muyeso zingapangitse anthu kukhala ndi malo obisala m'khosi mwawo omwe amatha kupondereza diski ya msana m'dera la khomo lachiberekero ndikuwonjezera mizu ya mitsempha kuti ipange mutu ndi ululu. Komabe, anthu ambiri apeza njira zochepetsera ululu wa msana wa khomo lachiberekero ndikupeza mpumulo wa ululu wa mutu wawo.
Momwe Kuwonongeka kwa Msana Kumachepetsa Kupweteka kwa Msana
Pankhani yochepetsera ululu wa msana, anthu ambiri adawonapo kuti kupweteka kwa msana kungathandize kuchepetsa zotsatira za ululu wa chiberekero. Kuwonongeka kwa msana kwadziwika kwambiri ngati chithandizo chopanda opaleshoni chothandizira kuchepetsa ululu wa msana. Chomwe chimapangitsa kuti msana uwonongeke ndikuti amalola kupanikizika koipa pa msana wa khomo lachiberekero kuti athetse chimbale chilichonse cha herniated cha mizu yowonjezereka ya mitsempha ndikuthandizira kusintha zizindikiro za ubongo. (Kang et al., 2016) Izi zimachitika chifukwa chomangirira munthu bwino pamakina okoka omwe amatambasula pang'onopang'ono ndikuchepetsa fupa la msana. Kuphatikiza apo, zina mwazabwino za kuchepa kwa msana kwa ululu wa msana wa khomo lachiberekero ndi monga:
Kuwongolera bwino kwa msana kuti muchepetse kupsinjika kwa minofu pamitsempha ya khosi ndi mafupa.
Kupititsa patsogolo machiritso achilengedwe a thupi powonjezera kutuluka kwa magazi ndi kusinthana kwa michere.
Kuwonjezeka kwa kuyenda kwa khosi mwa kuchepetsa kuuma kwa minofu.
Kuonjezera apo, kupweteka kwa msana kungathandize kuchepetsa kupweteka kwa mutu wokhudzana ndi kupweteka kwa msana monga kupweteka kwa msana kungaphatikizidwe ndi mankhwala ena monga acupuncture ndi chithandizo chamankhwala kuti athetse mabala a msana omwe akutuluka ndikukhazikika mkati mwa annulus ndi kutalika kwa msana. (Van Der Heijden et al., 1995) Izi zimachitika chifukwa cha kutsekemera kofatsa pakhosi komwe kumapangitsa kuti diski yowonongeka ikhale yokhazikika pamene ikubwezeretsanso kutalika kwa disc kuti kuchepetsa kupanikizika kwa mitsempha. (Amjad et al., 2022) Pamene munthu akuchita chithandizo chamsana motsatizanatsatizana, zowawa ngati zotsatira za ululu wa msana wa chiberekero ndi mutu wokhudzana ndi mutu umayamba kuchepa pakapita nthawi, ndipo anthu ambiri amayamba kuona momwe zizoloŵezi zawo zimayenderana ndi ululu wawo. Mwa kuphatikizira chithandizo chamankhwala a msana monga gawo la chithandizo chawo, anthu ambiri amatha kusintha pang'ono pazochitika zawo ndikuganizira kwambiri matupi awo kuti asapitirire kupweteka kwa msana wa chiberekero kuti asabwerere.
Zothandizira
Al-Hadidi, F., Bsisu, I., AlRyalat, SA, Al-Zu'bi, B., Bsisu, R., Hamdan, M., Kanaan, T., Yasin, M., & Samarah, O. (2019). Chiyanjano pakati pa kugwiritsa ntchito foni yam'manja ndi kupweteka kwa khosi kwa ophunzira aku yunivesite: kafukufuku wophatikizika pogwiritsa ntchito sikelo yowerengera manambala poyesa kupweteka kwa khosi. MITU YOYAMBA, 14(5), e0217231. doi.org/10.1371/journal.pone.0217231
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Zotsatira za chithandizo chopanda opaleshoni chopanda opaleshoni kuwonjezera pa chithandizo chamankhwala chokhazikika pa zowawa, kuyenda kosalekeza, kupirira, kulemala kwa ntchito ndi khalidwe la moyo motsutsana ndi chithandizo chamankhwala chokhazikika chokha kwa odwala omwe ali ndi lumbar radiculopathy; kuyesedwa kosasinthika. BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Kuchuluka, Zowopsa Zowopsa ndi Zotsatira za Khosi, Mapewa ndi Kupweteka Kwapambuyo Kwa Ana a Sukulu ya Sekondale. J Res Health Sci, 19(1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Zotsatira za kusokonezeka kwa msana pa ntchito ya lumbar minofu ndi kutalika kwa disk kwa odwala omwe ali ndi herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125
Van Der Heijden, GJ, Beurskens, AJ, Koes, BW, Assendelft, WJ, De Vet, HC, & Bouter, LM (1995). Kuchita Bwino kwa Kupweteka Kwa Msana ndi Pakhosi: Kubwereza Mwadongosolo, Kusawona Kwa Njira Zoyesera Zachipatala. Thandizo la Thupi, 75(2), 93-104. doi.org/10.1093/ptj/75.2.93
Kuonjezera apo, electroacupuncture ikhoza kuphatikizidwa ndi chithandizo chamankhwala kuti muchepetse kuuma kwa khosi ndi mapewa. Anthu akamaphatikiza masewera olimbitsa thupi omwe amakhudza khosi ndi mapewa pamene akuphatikiza electroacupuncture, amatha kuona zotsatira zabwino za nthawi yayitali pakuchepetsa ululu. (Duenas et al., 2021) Khosi ndi mapewa zidzasintha kusinthasintha ndi kuyenda kuchokera ku masewera olimbitsa thupi. Panthawi imodzimodziyo, kutuluka kwa magazi kungathandize kufulumira kuchira, ndipo zizindikiro zowawa zimatsekedwa ndi electroacupuncture. Kwa anthu ambiri omwe ali ndi ululu wa mapewa ogwirizana ndi khosi, electroacupuncture ikhoza kukhala chithandizo chothandizira kuchiritsa minofu yomwe yakhudzidwa ndikuchepetsa ululu.
Zothandizira
Duenas, L., Aguilar-Rodriguez, M., Voogt, L., Lluch, E., Struyf, F., Mertens, M., Meulemeester, K., & Meeus, M. (2021). Zochita Zachindunji Zotsutsana ndi Zochita Zosakhazikika za Ululu Wapakhosi kapena Paphewa: Kubwereza Mwadongosolo. J Clin Med, 10(24). doi.org/10.3390/jcm10245946
Elsiddig, AI, Altalhi, IA, Althobaiti, ME, Alwethainani, MT, & Alzahrani, AM (2022). Kuchuluka kwa kupweteka kwa khosi ndi mapewa pakati pa ophunzira aku Saudi mayunivesite omwe akugwiritsa ntchito mafoni ndi makompyuta. J Kusamalira Banja Kwambiri, 11(1), 194-200. doi.org/10.4103/jfmpc.jfmpc_1138_21
Heo, JW, Jo, JH, Lee, JJ, Kang, H., Choi, TY, Lee, MS, & Kim, JI (2022). Electroacupuncture pochiza mapewa oundana: kuwunika mwadongosolo komanso kusanthula meta. Front Med (Lausanne), 9, 928823. doi.org/10.3389/fmed.2022.928823
Mwezi, SE, & Kim, YK (2023). Kupweteka kwa Pakhosi ndi Paphewa ndi Scapular Dyskinesis mu Ogwira Ntchito Pakompyuta. Medicina (Kaunas, Lithuania), 59(12). doi.org/10.3390/medicina59122159
Onda, A., Onozato, K., & Kimura, M. (2022). Zachipatala za ululu wa khosi ndi mapewa (Katakori) mwa ogwira ntchito m'chipatala ku Japan. Fukushima J Med Sci, 68(2), 79-87. doi.org/10.5387/fms.2022-02
Suzuki, H., Tahara, S., Mitsuda, M., Izumi, H., Ikeda, S., Seki, K., Nishida, N., Funaba, M., Imajo, Y., Yukata, K., & Sakai, T. (2022). Lingaliro Lamakono la Kuyesa Kwachidziwitso Chachidziwitso ndi Kupanikizika Pain Pain Threshold mu Khosi / Mapewa ndi Kupweteka Kwapambuyo. Zaumoyo (Basel), 10(8). doi.org/10.3390/healthcare10081485
Kodi anthu omwe ali ndi ululu wa m'khosi angapeze mpumulo ndi electroacupuncture therapy pamene amachepetsa zizindikiro za ululu kuti abwezeretse khosi?
Introduction
Chigawo cha chiberekero cha thupi chimakhala ndi dera la khosi, lomwe limalola kuti mutu ukhale wothamanga komanso wokhazikika kuchokera ku zovuta kapena zowawa. Khosi liri ndi minofu yambiri, mitsempha, ndi mitsempha yozungulira khosi lachiberekero ndi ma discs a msana. Komabe, pamene minofu ya khosi ikugwedezeka kapena kupwetekedwa chifukwa cha chilengedwe kapena kuvulala koopsa komwe kumapangitsa kuti mutu ndi khosi zikwapule mofulumira, zimatha kukakamiza anthu kuti asamangokhalira kupweteka komanso kusokonezeka kwa khosi komanso mutu. ndipo mapewa amakhudzidwanso. Izi zikachitika, anthu ambiri amayesa kupeza njira zosiyanasiyana zothandizira kuchepetsa ululu ndi zizindikiro zake. Nkhani zamasiku ano zikuyang'ana momwe zizindikiro zowawa zimagwirizanirana ndi khosi, momwe pali mankhwala osagwiritsa ntchito opaleshoni ya ululu wa khosi, komanso momwe electroacupuncture ingathandizire kubwezeretsa ntchito ya khosi. Timalankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti amvetse bwino chifukwa chake akumva kupweteka kwa khosi. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osachita opaleshoni monga electroacupuncture angathandizire kubwezeretsa ntchito ya khosi m'thupi. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudza kuchepetsa kupwetekedwa kwa khosi pamene akuyesera kuphatikizirapo chithandizo chamankhwala osiyanasiyana m'matupi awo. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kodi Zizindikiro Zowawa Zimagwirizanitsidwa Bwanji ndi Khosi?
Kodi mumamva kuuma kapena kupweteka kwa khosi lanu kumanzere kapena kumanja? Kodi mumamva kupweteka mutu nthawi zonse kuti mugone m'chipinda chamdima kuti muchepetse ululu? Kapena mumamva dzanzi kapena kumva kunjenjemera pamapewa ndi m'manja mwanu? Zambiri mwazochitika zowawa zoterezi zimagwirizanitsidwa ndi ululu wa khosi. Tsopano mofanana ndi ululu wammbuyo, kupweteka kwa khosi ndi multifactorial musculoskeletal condition yomwe ingayambitse mavuto a chikhalidwe cha anthu omwe amachititsa kuti anthu ambiri achepetse zokolola komanso mavuto okhudzana ndi ntchito omwe angakhale ovuta. (Kazeminasab et al., 2022) Ululu wa khosi ukhoza kukhala wovuta kwambiri kapena wokhazikika chifukwa zinthu zambiri zimatha kuchita mbali ya chitukuko cha ululu wa khosi. Zina mwazinthu zachilengedwe komanso kuvulala koopsa komwe kumakhudzana ndi ululu wa khosi ndi monga:
Kusasintha kosauka
Whiplash
Mavuto osachiritsika
Slouching/hunching position
Sprains kapena zovuta
Kuthyoka kwa msana
Zinthu zovulaza zachilengedwe ndi zoopsazi zikayamba kuyambitsa zovuta m'dera la khosi la thupi, zimatha kuyambitsa zizindikiro zowawa.
Kotero, kodi ululu umagwirizanitsidwa bwanji ndi khosi? Chabwino, anthu ambiri omwe ali ndi ululu wa m'khosi akhoza kukhala ndi ululu wapakhosi kapena wosadziwika bwino ndi zizindikiro zosiyanasiyana malinga ndi kukula kwa ululu. Ngakhale kupweteka kwapakhosi kwapadera kumagwirizana ndi msana wa khomo lachiberekero, kupweteka kwapakhosi kosadziwika bwino kumagwirizana ndi minofu yozungulira ndi mitsempha. Mpaka pano, anthu ambiri omwe akuvutika ndi ululu wa m'khosi amakhalanso ndi ululu wowawa kwambiri komanso ululu waukulu womwe umagwirizanitsidwa ndi zizindikiro za ubongo zomwe zimapangitsa kuti matendawa akhale ovuta kuwayika. (Misailidou et al., 2010) Izi zitha kupangitsa anthu ambiri kumva kuwawa kwa mapewa ndi manja awo kapena kukhala ndi vuto la minyewa monga kupweteka kwa mutu ndi kupsinjika m'madera akumtunda kwa thupi lawo, zomwe zimayambitsa kusapeza bwino, kulumala, komanso kusokonezeka kwa moyo. (Ben Ayed et al., 2019) Koma zonse sizitayika, monga momwe anthu ambiri amafunira chithandizo kuti achepetse zotsatira za ululu wa khosi.
Kuyenda Monga Mankhwala- Kanema
Mankhwala Opanda Opaleshoni Opweteka Pakhosi
Pankhani yochepetsera ululu wa khosi kuchokera kuzinthu zachilengedwe kapena kuvulala koopsa, anthu ambiri amafunafuna chithandizo chamankhwala chotsika mtengo komanso chothandiza osati kuchepetsa ululu wa khosi komanso zizindikiro zake zonga zowawa. Mankhwala osagwiritsa ntchito opaleshoni ndi njira yabwino kwambiri yochepetsera zotsatira za kupweteka kwa khosi, ndipo akhoza kuphatikizidwa ndi mankhwala ena. Zina mwa mankhwala osachita opaleshoni omwe ali oyenera kupweteka kwa khosi ndi awa:
Kusamalira tizilombo
kutema mphini
Electroacupuncture
Kuwonongeka kwa msana
Kuchiza mankhwala
Kuchiza thupi
Anthu ambiri omwe ali ndi ululu wopweteka kwambiri wa m'khosi amatha kuphatikiza mankhwala osachita opaleshoni chifukwa samangogwira ntchito motsatizana komanso ndi otsika mtengo. (Chou et al., 2020) Izi zimathandiza anthu ambiri kuti azikumbukira zomwe zimakhudza khosi ndikusintha pang'ono kuti asabwerere.
Electroacupuncture Restoring Neck Function
Njira imodzi yakale kwambiri ya chithandizo chosapanga opaleshoni ndi kudzera mu acupuncture, yomwe imachokera ku China ndipo imachitidwa ndi akatswiri ophunzitsidwa bwino. Kutengera momwe kupweteka kwapakhosi kumakulirakulira, anthu ambiri amafunafuna chithandizo chamankhwala kapena electroacupuncture kuti achepetse ululu. Kusiyana pakati pa ziwirizi ndikuti kutema mphini kumaphatikizapo singano zoonda, zolimba ku ma acupoints enieni m'thupi omwe amakhudza dongosolo lapakati lamanjenje. Mosiyana ndi zimenezi, electroacupuncture imaphatikizapo kusonkhezera kwa magetsi kuti ikhale kusintha kwa mphamvu kulepheretsa zizindikiro zowawa zomwe zimayambitsa ululu m'dera la khosi. (Liu et al., 2022)
Kuonjezera apo, pamene khomo lachiberekero la msana lakhudzidwa ndi mphamvu zowonongeka, zingayambitse khosi kutaya ntchito. Chifukwa chake, anthu akaphatikiza electroacupuncture kuti abwezeretse magwiridwe antchito a khosi, amakhala ndi analgesic komanso anti-inflammatory properties zomwe zimayang'anira dongosolo la endocannabinoid. (Wang et al., 2021) Izi zikutanthauza kuti zolandilira zowawa zochokera kumizu ya mitsempha zimatsekedwa, ndipo mawonekedwe ampumulo pakhosi. Malingana ndi kuuma kwake, anthu ambiri omwe ali ndi ululu wa m'khosi amatha kugwiritsa ntchito electroacupuncture motsatizana kuti ayambenso kuyenda pakhosi ndi kuchepetsa zotsatira zopweteka zomwe zimawapangitsa kukhala omvetsa chisoni. Anthu akamaganizira za thanzi lawo komanso thanzi lawo, amatha kusintha pang'ono kuti achepetse zinthu zachilengedwe ndikuyamba kukhala ndi moyo mokwanira.
Zothandizira
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Kuchuluka, Zowopsa Zowopsa ndi Zotsatira za Khosi, Mapewa ndi Kupweteka Kwapambuyo Kwa Ana a Sukulu ya Sekondale. J Res Health Sci, 19(1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
Chou, R., Wagner, J., Ahmed, AY, Blazina, I., Brodt, E., Buckley, DI, Cheney, TP, Choo, E., Dana, T., Gordon, D., Khandelwal, S ., Kantner, S., McDonagh, MS, Sedgley, C., & Skelly, AC (2020). Mu Chithandizo cha Kupweteka Kwambiri: Kubwereza Mwadongosolo. www.ncbi.nlm.nih.gov/pubmed/33411426
Liu, R., Li, S., Liu, Y., He, M., Cao, J., Sun, M., Duan, C., & Li, T. (2022). Acupuncture Analgesia kwa Odwala Omwe Ali ndi Postoperative Neck Pain: Protocol for Systematic Review ndi Meta-Analysis. Evid based Complement Alternat Med, 2022, 1226702. doi.org/10.1155/2022/1226702
Misailidou, V., Malliou, P., Beneka, A., Karagiannidis, A., & Godolias, G. (2010). Kuwunika kwa odwala omwe ali ndi ululu wa khosi: kubwereza matanthauzo, njira zosankhidwa, ndi zida zoyezera. J Chiropr Med, 9(2), 49-59. doi.org/10.1016/j.jcm.2010.03.002
Wang, J., Zhang, J., Gao, Y., Chen, Y., Duanmu, C., & Liu, J. (2021). Electroacupuncture Imachepetsa Hyperalgesia mwa Kuwongolera CB1 Receptor ya Spinal Cord mu Incisional Neck Pain Rats. Evid based Complement Alternat Med, 2021, 5880690. doi.org/10.1155/2021/5880690
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
Maayah, MF, Nawasreh, ZH, Gaowgzeh, RAM, Neamatallah, Z., Alfawaz, SS, & Alabasi, UM (2023). Ululu wa khosi wokhudzana ndi kugwiritsa ntchito foni yamakono pakati pa ophunzira aku yunivesite. MITU YOYAMBA, 18(6), e0285451. doi.org/10.1371/journal.pone.0285451
Peron, R., Rampazo, EP, & Liebano, RE (2022). Traditional acupuncture ndi laser acupuncture mu ululu wosaneneka wa khosi: ndondomeko yophunzira ya mayesero olamulidwa mwachisawawa. mayesero, 23(1), 408. doi.org/10.1186/s13063-022-06349-y
Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Kuchita bwino kwa kusowa kowuma pofuna kupititsa patsogolo ululu ndi kulemala kwa akuluakulu omwe ali ndi vuto lamtundu, cervicogenic, kapena mutu wa migraine: protocol yowunikira mwadongosolo. Chiropr Man Therap, 27, 43. doi.org/10.1186/s12998-019-0266-7
Urits, I., Patel, M., Putz, ME, Monteferrante, NR, Nguyen, D., An, D., Cornett, EM, Hasoon, J., Kaye, AD, & Viswanath, O. (2020). Acupuncture ndi Ntchito Yake Pochiza Mutu wa Migraine. Neurol Ther, 9(2), 375-394. doi.org/10.1007/s40120-020-00216-1
