Matenda ena amitsempha amatha kuyambitsa matenda oopsa a peripheral neuropathy, komanso kwa anthu omwe ali ndi vuto la peripheral neuropathy, kodi chithandizo chamankhwala chingathandize kusuntha motetezeka limodzi ndi mankhwala, njira, ndi kusintha kwa moyo kuti zithandizire kuwongolera ndikuwongolera zizindikiro?
Chithandizo cha Peripheral Neuropathy
Chithandizo cha peripheral neuropathy chimaphatikizapo chithandizo chamankhwala ndi chithandizo chamankhwala kuti ateteze kuwonongeka kwa mitsempha.
Kwa mitundu yovuta kwambiri ya peripheral neuropathy, chithandizo chamankhwala ndi mankhwala ochiritsira amatha kuchiza zomwe zikuchitika, kukonza vutoli.
Kwa mitundu yosatha ya peripheral neuropathy, chithandizo chamankhwala komanso momwe moyo umakhalira zingathandize kupewa kukula kwa matendawa.
Chithandizo cha matenda a peripheral neuropathy chimayang'ana kwambiri kuwongolera zizindikiro zowawa ndikuteteza madera omwe amachepetsa kuchepa kwa kuwonongeka kapena matenda.
Kudzisamalira ndi Kusintha kwa Moyo Wathu
Kwa anthu omwe adapezeka kuti ali ndi vuto la peripheral neuropathy kapena omwe ali pachiwopsezo chokhala ndi vutoli, zomwe zimachitika pa moyo zimathandizira kwambiri pakuwongolera zizindikiro ndikuletsa kuwonongeka kwa mitsempha kuti zisapitirire kuipiraipira ndipo zimatha kuletsa vutoli kuti lisachitike. (Jonathan Enders et al., 2023)
Acupressure imaphatikizapo kukakamiza madera ena a thupi kuti achepetse zizindikiro za ululu.
Kupaka minofu kungathandize kuchepetsa kupsinjika kwa minofu.
Kusinkhasinkha ndi mankhwala opumula angathandize kuthana ndi zizindikiro.
Thandizo lamankhwala litha kukhalanso gawo lofunikira pakukhala ndi vuto la peripheral neuropathy komanso kuchira ku pachimake peripheral neuropathy.
Thandizo lolimbitsa thupi lingathandize kulimbikitsa minofu yofooka, kugwirizanitsa bwino, ndi kuphunzira momwe mungasinthire kusintha kwa zomverera ndi zamagalimoto kuti muyende bwino.
Anthu omwe akuganizira chithandizo chowonjezera kapena chithandizo china akulimbikitsidwa kuti alankhule ndi dokotala wawo wamkulu kuti awone ngati kuli kotetezeka ku matenda awo. Chiropractic Medical Chiropractic ndi Functional Medicine Clinic idzagwira ntchito ndi wothandizira zaumoyo wa munthu payekha komanso / kapena akatswiri kuti apange njira yothetsera thanzi labwino komanso thanzi labwino kuti apereke mpumulo ndi kupititsa patsogolo moyo.
Peripheral Neuropathy: Nkhani Yochira Bwino
Zothandizira
Enders, J., Elliott, D., & Wright, DE (2023). Zomwe Zachitika Zopanda Mankhwala Othandizira Kuchiza Matenda a Diabetes Peripheral Neuropathy. Antioxidants & redox signing, 38 (13-15), 989-1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). Kupewa ndi Kuchiza kwa Chemotherapy-Induced Peripheral Neuropathy (CIPN) ndi Zopanda Mankhwala Othandizira: Malangizo a Zachipatala Kuchokera Kukanika Kwambiri Kukambitsirana ndi Njira Yogwirizana ndi Katswiri. Sayansi ya zamankhwala (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Zowawa za Diabetes peripheral Neuropathy: Kuyerekeza zenizeni zenizeni pakati pa mankhwala apakhungu ndi lidocaine wa 700 mg pulasitala ndi mankhwala apakamwa. BMJ Open Diabetes Research & Care, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine for Chithandizo cha Ululu Wosatha: Kafukufuku Wamagulu Obwereza. Journal ya kafukufuku wowawa, 15, 3459-3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kuchepetsa Ululu ndi Kupititsa patsogolo Umoyo Wokhudzana ndi Umoyo Pambuyo pa Microsurgical Decompression of Entrapped Peripheral nerves mwa Odwala Odwala Matenda a Diabetes Peripheral Neuropathy. The Journal of Phazi ndi Ankle Surgeons: chofalitsidwa chovomerezeka cha American College of Foot and Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004
Kafukufuku wina adawonetsa kusintha kwa magulu a othamanga omwe adayikidwa muzochita zolimbitsa thupi zolimbitsa thupi komanso kupumula kwakanthawi kochepa. Gulu lina la othamanga linathandizidwa ndi acupuncture pa acupoints osankhidwa pamene ena anapatsidwa mpumulo wotalikirapo. Kusanthula kunagwiritsidwa ntchito pazambiri za kagayidwe kachakudya zamkodzo zomwe zimasonkhanitsidwa kuchokera kwa othamanga pazigawo zitatu: asanachite masewera olimbitsa thupi, asanayambe kapena atatha chithandizo cha acupuncture, kapena kupuma nthawi yayitali. Zotsatirazi zikuwonetsa kuti kuchira kwa metabolites osokonekera mwa othamanga omwe amathandizidwa ndi acupuncture kunali kofulumira kwambiri kuposa omwe adangopuma nthawi yayitali. (Haifeng Ma et al., 2015)
Ofufuza adati kafukufuku wokhudza kutema mphini yekha kapena kuphatikiza ndi mankhwala ena akuwoneka kuti akuwonetsa kuti ndi othandiza kuchepetsa kutopa. (Yu-Yi Wang et al., 2014) Komabe, maphunziro owonjezereka akufunika kuti atsimikizire ubwino wake. Uku ndikusintha kwakukulu kuchokera ku ndemanga yomwe inapeza umboni wochepa wothandiza kwa njira zina zothandizira kuthetsa kutopa kosatha. (Terje Alraek et al., 2011)
Kupenda kwina kwa njira zochiritsira zosagwiritsidwa ntchito masiku ano kunapeza kuti kutema mphini ndi njira zina zosinkhasinkha zinasonyeza lonjezo lalikulu la kufufuza kwamtsogolo. (Nicole S. Porter et al., 2010)
Kafukufuku wina anayerekezera prednisone, steroid, ndi njira ya acupuncture yotchedwa coiling dragon ndi mankhwala ena otchedwa cupping. Inanena kuti chithandizo cha acupuncture ndi makapu chinaposa steroid ponena za kutopa. (Wei Xu et al., 2012)
Kafukufuku wina adapeza kuti kufunikira kogwiritsa ntchito kutentha kapena moxibustion kumatulutsa zotulukapo zabwinoko kuposa kutema mphini wamba pokhudzana ndi kutopa kwakuthupi ndi m'maganizo. (Chen Lu, Xiu-Juan Yang, Jie Hu 2014)
Kuchokera Kukambirana mpaka Kusintha: Kuwunika Odwala Mu Chiropractic Setting
Zothandizira
Zhang, Q., Gong, J., Dong, H., Xu, S., Wang, W., & Huang, G. (2019). Acupuncture for chronic fatigue syndrome: kuwunika mwadongosolo komanso kusanthula meta. Acupuncture mu mankhwala: magazini ya British Medical Acupuncture Society, 37 (4), 211-222. doi.org/10.1136/acupmed-2017-011582
Frisk, J., Källström, AC, Wall, N., Fredrikson, M., & Hammar, M. (2012). Kutema mphini kumapangitsa moyo wabwino wokhudzana ndi thanzi (HRQoL) komanso kugona mwa amayi omwe ali ndi khansa ya m'mawere komanso kutentha. Chisamaliro chothandizira mu khansa: nyuzipepala yovomerezeka ya Multinational Association of Supportive Care in Cancer, 20 (4), 715-724. doi.org/10.1007/s00520-011-1134-8
Mandıroğlu, S., & Ozdilekcan, C. (2017). Zotsatira za Acupuncture pa Kugona Kwambiri: Lipoti la Milandu iwiri yokhala ndi Polysomnographic Evaluation. Journal of acupuncture and meridian studies, 10 (2), 135-138. doi.org/10.1016/j.jams.2016.09.018
Zhu, L., Ma, Y., Ye, S., & Shu, Z. (2018). Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: A Network Meta-Analysis. Maumboni owonjezera ndi mankhwala ena: eCAM, 2018, 2890465. doi.org/10.1155/2018/2890465
Ma, H., Liu, X., Wu, Y., & Zhang, N. (2015). Zotsatira Zakulowetsedwa kwa Acupuncture pa Kutopa Kwambiri Chifukwa cha Zochita Zolimbitsa Thupi: Kufufuza kwa Metabolomics. Maumboni owonjezera ndi mankhwala ena: eCAM, 2015, 508302. doi.org/10.1155/2015/508302
Wang, YY, Li, XX, Liu, JP, Luo, H., Ma, LX, & Alraek, T. (2014). Traditional Chinese Medicine for chronic fatigue syndrome: kuwunika mwadongosolo kwa mayesero azachipatala osasintha. Chithandizo chothandizira pamankhwala, 22 (4), 826-833. doi.org/10.1016/j.ctim.2014.06.004
Alraek, T., Lee, MS, Choi, TY, Cao, H., & Liu, J. (2011). Chithandizo chothandizira komanso china kwa odwala omwe ali ndi matenda otopa kwambiri: kuwunika mwadongosolo. Mankhwala othandizira a BMC, 11, 87. doi.org/10.1186/1472-6882-11-87
Porter, NS, Jason, LA, Boulton, A., Bothne, N., & Coleman, B. (2010). Njira zina zamankhwala zomwe zimagwiritsidwa ntchito pochiza ndi kusamalira myalgic encephalomyelitis/chronic fatigue syndrome ndi fibromyalgia. Journal ya mankhwala ena ndi othandizira (New York, NY), 16 (3), 235-249. doi.org/10.1089/acm.2008.0376
Lu, C., Yang, XJ, & Hu, J. (2014). Zhen ci yan jiu = Kafukufuku wa Acupuncture, 39 (4), 313-317.
Kwa anthu omwe ali ndi vuto la maso, kodi chithandizo cha acupuncture chingathandize ndi kupindulitsa maso onse?
Acupuncture For Eye Health
Acupuncture ndi njira ina yachipatala yomwe imaphatikizapo kuyika singano zoonda m'malo enieni a thupi. Cholinga chake ndi kubwezeretsa thanzi ndi thanzi mwa kubwezeretsa ndi kugwirizanitsa kayendedwe ka mphamvu kudzera m'njira za thupi lonse. Njirazi, zomwe zimadziwika kuti meridians, ndizosiyana ndi mitsempha ndi magazi.
Kafukufuku wasonyeza kuti kuyika kwa singano kumapangitsa kuti ma neurotransmitters adziunjike ndi mitsempha yapafupi ndipo mwina ndizomwe zimayambitsa thanzi labwino. (Heming Zhu 2014)
Asayansi sakutsimikiza kuti kutema mphini kumagwira ntchito bwanji, koma kwasonyezedwa kuti kumathandizira kuchepetsa ululu komanso kuchepetsa nseru yochiza khansa. (Weidong Lu, David S. Rosenthal 2013)
Kafukufuku wasonyeza kuti kutema mphini kungathandize kuchiza matenda a maso monga matenda a maso. (Tae-Hun Kim et al., 2012)
Mavuto Amaso
Kwa anthu ena, kusalinganika kwa thupi kungayambitsidwe ndi vuto la maso kapena matenda. Ndi acupuncture, zizindikiro zoyambitsa kusalinganika zimathetsedwa. Acupuncture imathandizira kufalikira kwa mphamvu ndi magazi kuzungulira maso.
Acupuncture yakhala ikugwiritsidwa ntchito ngati njira ina yochizira matenda amaso owuma. (Tae-Hun Kim et al., 2012)
Glaucoma ndi matenda a mitsempha ya optic yomwe nthawi zambiri imayamba chifukwa cha kuchuluka kwamphamvu kwa maso.
Kafukufuku wina anapeza kuti kuthamanga kwa maso kumachepa kwambiri pambuyo pa acupuncture. (Simon K. Law, Tianjing Li 2013)
Kafukufuku wina adawonetsa bwino kuchepa kwa matupi awo sagwirizana ndi kutupa kwamaso. (Justine R. Smith et al., 2004)
Eye Acupoints
Ma acupoints otsatirawa ndi a thanzi la maso.
Jingming
Jingming - UB-1 lili mkati mwa ngodya ya diso.
Mfundo imeneyi imaganiziridwa kuti imawonjezera mphamvu ndi magazi komanso kuthandiza pamavuto monga kusawona bwino, ng’ala, glaucoma, khungu la usiku, ndi conjunctivitis. (Tilo Blechschmidt et al., 2017)
Zanzhu
Mfundo ya Zanzhu – UB-2 ili m'mphepete mwa mkati mwa nsidze.
Acupoint amagwiritsidwa ntchito pamene anthu akudandaula za mutu, kusawona bwino, kupweteka, kung'ambika, kufiira, kugwedeza, ndi glaucoma. (Gerhard Litscher 2012)
Yuyao
Yuyao ali pakati pa nsidze, pamwamba pa wophunzira.
Mfundo imeneyi imagwiritsidwa ntchito pochiza kupsinjika kwa diso, kugwedezeka kwa zikope, ptosis, kapena chikope cham'mwamba chikagwa, diso lamtambo lamtambo, lofiira, ndi kutupa. (Xiao-yan Tao et al., 2008)
Sizhukong
The Sizhukog - SJ 23 malo ali m'dera dzenje kunja kwa nsidze.
Kulingaliridwa kukhala pamene kutema mphini kungathandize ndi kupweteka kwa maso ndi kumaso, kuphatikizapo kupweteka kwa mutu, kufiira, kuwawa, kusaona bwino, kupweteka kwa mano, ndi ziwalo za nkhope. (Hongjie Ma et al., 2018)
Tongzilia
The Tongzilia – GB 1 lili pa ngodya yakunja ya diso.
Mfundoyi imathandiza kuwunikira maso.
Kutema mphini kumathandizanso kuchiza mutu, kufiira, kupweteka kwa maso, kumva kuwala, maso owuma, ng'ala, ndi conjunctivitis. (GladGirl 2013)
Maphunziro oyambilira a acupuncture awonetsa lonjezano lothandizira thanzi la maso. Anthu akuganizira kutema mphini akulimbikitsidwa kukaonana ndi dokotala wawo wamkulu kuti awone ngati ingakhale njira kwa iwo omwe sanapeze chigamulo mwa njira zachikhalidwe.
Kuvulala Pakhosi
Zothandizira
Zhu H. (2014). Acupoints Amayambitsa Njira Yochiritsira. Medical acupuncture, 26 (5), 264-270. doi.org/10.1089/acu.2014.1057
Lu, W., & Rosenthal, DS (2013). Acupuncture ya ululu wa khansa ndi zizindikiro zina. Zowawa zamakono komanso malipoti amutu, 17(3), 321. doi.org/10.1007/s11916-013-0321-3
Kim, TH, Kang, JW, Kim, KH, Kang, KW, Shin, MS, Jung, SY, Kim, AR, Jung, HJ, Choi, JB, Hong, KE, Lee, SD, & Choi, SM (2012 ). Acupuncture yochiza diso louma: kuyesa kosawerengeka kosawerengeka kosalekeza ndi kulowererapo kofananiza (misozi yopangira). PloS imodzi, 7(5), e36638. doi.org/10.1371/journal.pone.0036638
Law, SK, & Li, T. (2013). Acupuncture kwa glaucoma. Dongosolo la Cochrane la ndemanga mwadongosolo, 5(5), CD006030. doi.org/10.1002/14651858.CD006030.pub3
Smith, JR, Spurrier, NJ, Martin, JT, & Rosenbaum, JT (2004). Kugwiritsiridwa ntchito kofala kwa mankhwala owonjezera ndi njira zina ndi odwala omwe ali ndi matenda opweteka a maso. Ocular immunology ndi kutupa, 12 (3), 203-214. doi.org/10.1080/092739490500200
Blechschmidt, T., Krumsiek, M., & Todorova, MG (2017). Zotsatira za Acupuncture pa Ntchito Yowoneka mwa Odwala Obadwa ndi Nystagmus Opezeka. Mankhwala (Basel, Switzerland), 4(2), 33. doi.org/10.3390/medicines4020033
Litscher G. (2012). Mankhwala ophatikizika a laser ndi matekinoloje apamwamba kwambiri ku yunivesite ya zamankhwala ya Graz, austria, Europe. Maumboni owonjezera ndi mankhwala ena: eCAM, 2012, 103109. doi.org/10.1155/2012/103109
Kodi anthu omwe ali ndi ululu wa nsagwada angapeze mpumulo mu chithandizo cha acupuncture kuti achepetse kupweteka komanso kusuntha nsagwada kumtunda kwa thupi?
Introduction
Mutu ndi gawo la quadrant yapamwamba ya minofu ndi mafupa omwe amathandizidwa ndi dera la khosi, lomwe lili ndi chigaza, minofu yosiyanasiyana, ndi ziwalo zofunika zomwe zimapereka bata, kuyenda, ndi ntchito. Kuzungulira mutu, mawonekedwe a nkhope osiyanasiyana amaphatikizapo pakamwa, mphuno, maso, ndi nsagwada zolola mwininyumba kudya, kulankhula, kununkhiza, ndi kuwona. Ngakhale kuti mutu umapereka ntchito zomveka komanso zamagalimoto, khosi limaphatikizapo kukhazikika kwa magalimoto kuti zitsimikizire kuti palibe kuvulala kapena kuvulala komwe kumakhudza mutu. Pansi pa maso pali nsagwada, yomwe imalola kuti magalimoto azigwira ntchito ndi minofu ndi mafupa osiyanasiyana kuti azitha kutulutsa popanda kupweteka kapena kusamva bwino. Komabe, zinthu zambiri zimatha kukhudza minofu ya nsagwada ndi mafupa kuti amve ululu ndi kusamva bwino, zomwe zingayambitse kupweteka komwe kumachokera kumisempha ya khosi. Nkhani ya lero ikuwona momwe kupweteka kwa nsagwada kungakhudzire kumtunda kwa thupi, momwe mankhwala osagwiritsa ntchito opaleshoni angathandizire kupweteka kwa nsagwada, ndi momwe mankhwala monga acupuncture angathandizire kubwezeretsa kuyenda kwa nsagwada. Timalankhula ndi madokotala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti apereke chithandizo chochepetsera kupweteka kwa nsagwada zomwe zimakhudza nsagwada ndi khosi lawo. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha acupuncture ndi osachita opaleshoni chingapindulire anthu ambiri omwe ali ndi ululu wogwirizana ndi nsagwada. Timalimbikitsa odwala athu kuti afunse omwe amawathandizira azachipatala mafunso ovuta komanso ofunikira okhudza momwe ululu wawo umakhudzira moyo wawo komanso kuchepetsa kupweteka kwa nsagwada. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kupweteka kwa Chibwano Kukhudza Kumtunda kwa Thupi
Kodi mumamva kupweteka kwa minofu m'nsagwada ndi m'khosi mwanu tsiku lonse? Kodi nthawi zonse mumasisita kapena kusisita minofu ya nsagwada zanu kuti muchepetse kupsinjika? Kapena mwakhala mukukumana ndi mutu kapena kupweteka kwa khosi kosalekeza komwe kumakhudza zomwe mumachita tsiku ndi tsiku? Anthu ambiri omwe ali ndi zizindikiro zowawa ngati izi akudwala nsagwada kapena TMJ (temporomandibular joint syndrome). Chibwano chimakhala ndi minofu ya mastication kumbali zonse zomwe zimathandiza kupereka ntchito zosiyanasiyana monga kutafuna, kumeza, kapena kulankhula. Pamene zinthu zambiri zoopsa kapena wamba zimayamba kukhudza nsagwada, zimatha kusokoneza ntchito ya sensory-motor ya kumtunda kwa thupi. Kwa anthu pawokha, kupweteka kwa nsagwada kumakhala kofala padziko lonse lapansi, ndipo ndi TMJ, imatha kukhala vuto chifukwa ululuwo umawoneka kuti umakhudza kayendetsedwe ka nsagwada ndikutsagana ndi kutsegula pakamwa komanso kuluma kwamphamvu kwambiri. (Al Sayegh et al., 2019) Kuonjezera apo, TMJ imakhudza osati minofu ya mastication komanso mgwirizano wa temporomandibular, mgwirizano womwe umagwirizanitsa nsagwada ndi chigaza, zomwe zimayaka ndi kuyambitsa nkhani zambiri.
Izi zimayambitsa matenda a myofascial ndi intraarticular omwe amakhudza minofu ndi ziwalo za nsagwada, zomwe zimagwirizanitsidwa ndi chigaza. (Maini & Dua, 2024) Kufikira pamenepo, anthu ambiri adzakhala akumva ululu wotchulidwa, poganiza kuti akulimbana ndi dzino likundiwawa chifukwa cha minyewa ya mastication. Apa ndi pamene TMJ imatsagana ndi kupweteka kwa minofu m'khosi kapena kumtunda kumbuyo kapena ngati vuto la mano likutsagana ndi TMJ, koma zimatengera munthu ndi momwe alili. Komabe, mankhwala ambiri amatha kuchepetsa kupweteka kwa nsagwada ndi zizindikiro zake zomwe zimakhudza nsagwada ndi khosi.
Njira Yopanda Opaleshoni Yaumoyo - Kanema
Zosachita Opaleshoni Zopweteka Za Chibwano
Pochepetsa kupweteka kwa nsagwada, anthu ambiri amafunafuna chithandizo kuti achepetse zowawazo ndikuyambiranso kuyenda kunsagwada zawo. Zingakhale zovuta komanso zovuta pamene anthu akukumana ndi ululu wa nsagwada. Ndizinthu zambiri zomwe zingakhudze khosi ndi madera akumbuyo. Choncho, anthu akamalankhula ndi madokotala awo oyambirira za ululu wa nsagwada, amawona momwe ululu wawo ulili komanso ngati ali ndi madandaulo okhudzana ndi ululu wa nsagwada. Pambuyo pake, madokotala ambiri amatchula akatswiri a minofu ndi mafupa kuti athetse ululu wa nsagwada. Kuchiza ndi njira zomwe zimagwiritsidwa ntchito ndi ma chiropractor, ochiritsa misala, ndi ma physiotherapists angathandize kuchepetsa kutupa komanso kulimba kwa minofu ya mastication. Njira monga kusonkhanitsa minofu yofewa kungathandize kumasula minofu ya masticatory powatalikitsa mpaka kumasula mfundo zoyambira mu minofu. (Kuc et al., 2020) Panthawi imodzimodziyo, physiotherapy ingathandize minofu ya nsagwada pogwiritsa ntchito njira zosiyanasiyana zotsitsimula kuti ziwonjezeke maulendo angapo pamene kulimbikitsa nsagwada kuchepetsa ululu ndi kupsinjika maganizo. (Byra et al., 2020) Mankhwala ambiriwa amakhala osachita opaleshoni, kutanthauza kuti sasokoneza komanso amathandiza kupweteka kwa munthuyo pamene angakwanitse.
Acupuncture Kubwezeretsa Kusuntha kwa Nsagwada
Pankhani ya mankhwala osachita opaleshoni, imodzi mwa mitundu yakale kwambiri ndi acupuncture, yomwe ingathandize kuchepetsa kupweteka kwa nsagwada ndi kubwezeretsanso kuyenda. Acupuncture imachokera ku China, ndipo akatswiri azachipatala ophunzitsidwa bwino amagwiritsa ntchito singano zoonda, zolimba kuti ziyikidwe mu acupoints pathupi kuti asokoneze chizindikiro cha ululu ndikupereka mpumulo. Kwa ululu wa nsagwada, acupuncturists amaika singano pazitsulo za nsagwada kapena minofu yozungulira kuti achepetse kukhudzidwa kwa makina a mitsempha ya mitsempha yomwe imayambitsa kupweteka pamene ikuwongolera ntchito yamagetsi ndi yankho labwino. (Teja & Nareswari, 2021) Kuonjezera apo, polimbana ndi ululu wa khutu wokhudzana ndi TMJ womwe umakhudza minofu ya khosi, acupuncture ingathandize kupititsa patsogolo kayendetsedwe ka khosi mwa kuika singano pazitsulo zoyambitsa mitsempha ya chiberekero. (Sajadi et al., 2019) Pamene chithandizo cha acupuncture chimathandiza anthu ambiri omwe ali ndi ululu wa nsagwada omwe amakhudza khosi ndi mitu yawo, amatha kupereka zopindulitsa, zotsatira zabwino kudzera mu chithandizo chotsatizana komanso kupititsa patsogolo kayendetsedwe ka nsagwada.
Zothandizira
Al Sayegh, S., Borgwardt, A., Svensson, KG, Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Zotsatira za Chronic and Experimental Acute Masseter Pain pa Precision Biting Behavior mwa Anthu. Physiol Wam'mbuyo, 10, 1369. doi.org/10.3389/fphys.2019.01369
Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). Physiotherapy mu hypomobility wa ziwalo temporomandibular. Folia Med Cracov, 60(2), 123-134. www.ncbi.nlm.nih.gov/pubmed/33252600
Kuc, J., Szarejko, KD, & Golebiewska, M. (2020). Kuunikira kwa Kulimbikitsa Tissue Ofewa kwa Odwala omwe Ali ndi Matenda a Temporomandibular-Myofascial Pain with Referral. Int J Environ Res Public Health, 17(24). doi.org/10.3390/ijerph17249576
Sajadi, S., Forogh, B., & ZoghAli, M. (2019). Cervical Trigger Point Acupuncture Yochizira Somatic Tinnitus. J Acupunct Meridian Stud, 12(6), 197-200. doi.org/10.1016/j.jams.2019.07.004
Teja, Y., & Nareswari, I. (2021). Chithandizo cha Acupuncture for Addressing Post Odontectomy Neuropathy. Med Acupunct, 33(5), 358-363. doi.org/10.1089/acu.2020.1472
Zaka - Ana ndi akuluakulu azaka 65 kapena kuposerapo ali ndi chiopsezo chachikulu.
Thukuta kwambiri.
Zakudya zochepa za sodium.
Zomwe Zili Zachipatala Zomwe Zilipo - matenda a mtima, matenda a shuga, ndi kunenepa kwambiri ndi zinthu zomwe zingapangitse chiopsezo cha kupsinjika kwa minofu.
Mankhwala - kuthamanga kwa magazi, okodzetsa, ndi antidepressants angakhudze kuchuluka kwa electrolyte ndi hydration.
Mowa.
Kudzikonda
Ngati kutentha kumayamba, nthawi yomweyo siyani ntchitoyi ndikuyang'ana malo ozizira. Bweretsaninso madzi m'thupi kuti mubwezere madzi omwe atayika. Kukhala wothira madzi ndi kumwa zamadzimadzi pafupipafupi pakuchita zolimbitsa thupi kwambiri kapena pamalo otentha kungathandize kuti thupi lisagwedezeke. Zitsanzo za zakumwa zomwe zimachulukitsa ma electrolyte ndi awa:
Kwa anthu omwe ali ndi vuto la mtima kapena pazakudya zochepa za sodium omwe amayamba kutentha kwanthawi yayitali, mosasamala kanthu za nthawi yayitali, chithandizo chamankhwala ndichofunika kuonetsetsa kuti palibe zovuta.
Gauer, R., & Meyers, BK (2019). Matenda Okhudzana ndi Kutentha. Dokotala wabanja waku America, 99 (8), 482-489.
Centers for Disease Control and Prevention. (2022). Kutentha kupsinjika - matenda okhudzana ndi kutentha. National Institute for Occupational Safety and Health (NIOSH) Yotengedwa kuchokera www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
Kutambasula kwa minofu yakumbuyo, kuphatikizapo omwe akuyenda molunjika m'mphepete mwa msana ndi omwe akuyenda mozungulira kuchokera ku pelvis kupita ku lumbar msana, amathandiza kuthetsa kulimba kwa minofu ndi kupweteka ndipo amatha kusintha kayendedwe kake komanso kusuntha kwa lumbar msana.
Kutambasula minofu ya m'chiuno, kuphatikizapo hip flexors kutsogolo, piriformis kumbuyo, ndi nyundo zomwe zimayenda kuchokera kumbuyo kwa chiuno mpaka mwendo mpaka bondo, ndizofunikanso chifukwa minofuyi imamangiriridwa ku pelvis, yomwe imagwirizanitsa mwachindunji msana.
Zolimbitsa thupi zolimbitsa minofu yapakati pamimba, kuphatikizapo minofu ya thunthu, m'chiuno, m'munsi kumbuyo, m'chiuno, ndi pamimba, kumathandiza kukhazikika kwa msana ndikuuteteza ku kuyenda mopitirira muyeso ndi mphamvu zopondereza.
Kugwira ntchito ndi wothandizira thupi kungathandize kupewa mavuto amtsogolo mwa kusunga kuyenda kwa msana, kusunga munthu wachangu, ndi kuchita masewera olimbitsa thupi kuti akhalebe ndi mphamvu komanso kukhazikika kuti apereke maziko olimba kuti athandize m'munsi kumbuyo ndikupewa zizindikiro kuti ziwonongeke.
Kuchiza Kwambiri kwa Spinal Stenosis Physical Therapy
Thandizo lolimbitsa thupi nthawi zambiri limaphatikizapo kuchita masewera olimbitsa thupi m'munsi, m'chiuno, ndi miyendo, masewera olimbitsa thupi, ndi masewera olimbitsa thupi kuti mukhale ndi chithandizo chamsana ndi kuchepetsa ululu. Mankhwala monga kutentha kapena kukondoweza magetsi angagwiritsidwenso ntchito pazochitika ngati pali ululu waukulu kapena kutsekeka kwa minofu yam'mbuyo. Komabe, palibe umboni wokwanira wachipatala wotsimikizira kuti pali zopindulitsa zina. (Luciana Gazzi Macedo, et al., 2013) Kuchita bwino kwa mankhwala ochiritsira thupi kumakhala kwakukulu chifukwa opaleshoni yokhayo sikungalimbikitse minofu yomwe imakhazikika msana, kuonjezera kuyenda kapena kusinthasintha kwa minofu yozungulira, ndikuwongolera kusintha kwa postural.
Zomwe Zimayambitsa Spinal Stenosis
Zothandizira
Lurie, J., & Tomkins-Lane, C. (2016). Kuwongolera kwa lumbar spinal stenosis. BMJ (Clinical Research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Kuchita masewera olimbitsa thupi motsutsana ndi opaleshoni ya lumbar spinal stenosis: kuwunika mwadongosolo komanso kusanthula meta. Pakistan magazini ya sayansi ya zamankhwala, 34 (4), 879-885. doi.org/10.12669/pjms.344.14349
Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Thandizo la thupi lachidziwitso cha degenerative lumbar spinal stenosis: kubwereza mwadongosolo. Physical therapy, 93 (12), 1646-1660. doi.org/10.2522/ptj.20120379
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
