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Ngozi Personal

Back Clinic Personal Injury Chiropractic Team. Kuvulala kwa ngozi sikungovulaza thupi kwa inu kapena wokondedwa wanu, kukhala nawo pamlandu wovulalayo nthawi zambiri kumakhala kovuta komanso kovutirapo. Mitundu imeneyi mwatsoka imakhala yofala kwambiri ndipo pamene munthuyo akukumana ndi zowawa komanso zowawa chifukwa cha kupwetekedwa mtima chifukwa cha ngozi kapena vuto lomwe lakhala likukulirakulira chifukwa chovulala, kupeza chithandizo choyenera pa nkhani yawo yeniyeni kungakhale vuto lina. paokha.

Kulemba kwa Dr. Alex Jimenez nkhani zovulaza munthu kumasonyeza zochitika zosiyanasiyana zovulaza munthu, kuphatikizapo ngozi za galimoto zomwe zimayambitsa chikwapu, komanso kufotokoza mwachidule mankhwala osiyanasiyana othandiza, monga chisamaliro cha chiropractic. Kuti mudziwe zambiri, chonde omasuka kulankhula nafe pa (915) 850-0900 kapena meseji kuitana Dr. Jimenez payekha pa (915) 540-8444.

Musanyalanyaze Zizindikiro za Whiplash ndi Zizindikiro: Fufuzani Chithandizo

Musanyalanyaze Zizindikiro za Whiplash ndi Zizindikiro: Fufuzani Chithandizo

by | Mankhwala Opweteka Pakhosi, Whiplash

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?

Musanyalanyaze Zizindikiro za Whiplash ndi Zizindikiro: Fufuzani Chithandizo

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:

  • kupweteka khosi
  • Kuuma kwa khosi
  • mutu
  • chizungulire
  • kupweteka phewa
  • Ululu wammbuyo
  • Kumva kupweteka m'khosi kapena pansi pa mikono. (Johns Hopkins Medicine. 2024)
  • 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.

Kalasi ya 1

  • Pali kupweteka kwa khosi ndi kuuma.
  • Zochepa kwambiri zomwe zapeza kuchokera pakuyezetsa thupi.

Kalasi ya 2

  • Zimasonyeza kupweteka kwa khosi ndi kuuma
  • Kukoma kwa khosi
  • 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)
  • Physical therapy imagwiritsa ntchito masewera olimbitsa thupi osiyanasiyana kuti alimbikitse minofu ya khosi ndikuchepetsa ululu.
  • Kusintha kwa Chiropractic ndi kupsinjika kosachita opaleshoni kungathandize kusintha ndikudyetsa msana.
  • kutema mphini zingayambitse thupi kutulutsa mahomoni achilengedwe omwe amapereka mpumulo wa ululu, kuthandizira kupumula minofu yofewa, kuonjezera kuyendayenda, ndi kuchepetsa kutupa. Msana wa khomo lachiberekero ukhoza kubwereranso pamene minyewa yofewayo ilibenso kutupa komanso kuphulika. (Tae-Woong Moon et al., 2014)

Kuvulala Pakhosi

Zothandizira

Mankhwala, JH (2024). Kuvulala kwa Whiplash. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury

MedlinePlus. (2017). Kuvulala kwa Pakhosi ndi Kusokonezeka. Zabwezedwa kuchokera medlineplus.gov/neckinjuriesanddisorders.html#cat_95

Sterling M. (2014). Physiotherapy management of whiplash-associated disorders (WAD). Journal ya physiotherapy, 60 (1), 5-12. doi.org/10.1016/j.jphys.2013.12.004

Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology ndi Chithandizo cha Traumatic Cervical Spine Syndrome: Whiplash Kuvulala. Zotsogola mu Orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050

van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Kuvulala kwa Msana ndi Kuvulala kwa Msana (SCI). Mu: Hodler J, Kubik-Huch RA, von Schulthess GK, akonzi. Matenda a Ubongo, Mutu ndi Khosi, Msana 2020-2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Mutu 19. Akupezeka ku: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19

Moon, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). Acupuncture yochiza matenda okhudzana ndi whiplash: kuwunika mwadongosolo kwa mayeso azachipatala osasinthika. Maumboni othandizira komanso mankhwala ena: eCAM, 2014, 870271. doi.org/10.1155/2014/870271

Chitsogozo Chachikulu Cholimbitsa Minofu ya Multifidus

Chitsogozo Chachikulu Cholimbitsa Minofu ya Multifidus

by | Ululu Wakumananso, Ngozi Personal

Kwa anthu omwe akukumana ndi ululu wammbuyo amatha kumvetsetsa momwe thupi limagwirira ntchito komanso momwe minofu ya multifidus imathandizira kupewa kuvulala komanso kupanga dongosolo lothandizira kwambiri lamankhwala?

Chitsogozo Chachikulu Cholimbitsa Minofu ya Multifidus

Multifidus Minofu

Minofu ya multifidus ndi yayitali komanso yopapatiza kumbali zonse za msana wa msana, zomwe zimathandiza kukhazikika kumunsi kwa msana kapena lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Kukhala pansi kwambiri, kuchita masewera olimbitsa thupi, komanso kusayenda bwino kumatha kupita patsogolo ku minofu ya multifidus kufooketsa kapena atrophy, zomwe zingayambitse kusakhazikika kwa msana, kupweteka kwa msana, ndi kupweteka kwa msana. (Paul W. Hodges, Lieven Danneels 2019)

Anatomy

Amadziwika kuti chigawo chakuya, ndi gawo lamkati la minofu itatu yam'mbuyo ndikuyendetsa kayendetsedwe ka msana. Zigawo zina ziwiri, zomwe zimadziwika kuti intrinsic ndi zapamwamba, zimakhala ndi udindo wa thoracic khola / nthiti ndi kayendedwe ka mapewa. (Anouk Agten et al., 2020) Multifidus ili ndi mfundo zolumikizira pa:

  • The thoracic msana wapakati kumbuyo.
  • The lumbar msana wa m'munsi msana.
  • Msana wa Iliac - m'munsi mwa fupa la fupa la m'chiuno.
  • Sacrum - mafupa angapo m'munsi mwa msana wolumikizidwa ndi tailbone.
  • Poyimirira kapena kusuntha, minofu ya multifidus imagwira ntchito ndi transversus abdominus ndi minofu ya m'chiuno kuti ikhazikitse msana wa lumbar. (Christine Lynders 2019)

Minofu Ntchito

Ntchito yayikulu ndikukhazikika m'munsi kumbuyo, koma imathandizanso kukulitsa msana wam'munsi mukafika kapena kutambasula. (Jennifer Padwal et al., 2020) Chifukwa chakuti minofu imakhala ndi mfundo zambiri zogwirizanitsa ndipo imatumizidwa ndi nthambi inayake ya mitsempha yotchedwa posterior rami, imalola kuti vertebra iliyonse igwire ntchito payekha komanso mogwira mtima.

  • Izi zimateteza kuwonongeka kwa msana ndi chitukuko cha nyamakazi. (Jeffrey J Hebert et al., 2015)
  • Minofu ya multifidus imagwira ntchito ndi magulu ena awiri a minofu yakuya kuti akhazikike ndikusuntha msana. (Jeffrey J Hebert et al., 2015)
  • Minofu ya rotatores imathandizira kusinthasintha kwapakati, kutembenuka kuchokera mbali kupita mbali, ndikukulitsa mbali ziwiri kapena kupinda kumbuyo ndi kutsogolo.
  • Minofu ya semispinalis pamwamba pa multifidus imalola kufalikira ndi kuzungulira kwa mutu, khosi, ndi kumtunda kumbuyo.
  • Minofu ya multifidus imatsimikizira mphamvu ya msana chifukwa imakhala ndi mfundo zowonjezera ku msana kusiyana ndi zigawo zina, zomwe zimachepetsa kusinthasintha kwa msana ndi kuzungulira koma kumawonjezera mphamvu ndi kukhazikika. (Anouk Agten et al., 2020)

Ululu Wakumananso

Minofu yofooka ya multifidus imasokoneza msana ndipo imapereka chithandizo chochepa ku vertebra. Izi zimawonjezera kupanikizika kwa minofu ndi minyewa yolumikizana pakati ndi moyandikana ndi msana wa msana, kuonjezera chiopsezo cha zizindikiro za ululu wammbuyo. (Paul W. Hodges, Lieven Danneels 2019) Kutaya mphamvu ya minofu ndi kukhazikika kungayambitse atrophy kapena kuwonongeka. Izi zingayambitse kupsinjika ndi mavuto ena amsana. (Paul W. Hodges et al., 2015) Mavuto am'mbuyo okhudzana ndi kuwonongeka kwa minofu ya multifidus akuphatikizapo (Paul W. Hodges, Lieven Danneels 2019)

  • Ma disc a Herniated - komanso ma disc otupa kapena otsika.
  • Mitsempha kutsekeka kapena kukanikiza pinched mitsempha.
  • Sciatica
  • Ululu wotchulidwa - kupweteka kwa mitsempha yochokera ku msana kumamveka kumadera ena.
  • Osteoarthritis - matenda a nyamakazi
  • Mafupa a msana - osteophytes
  • Minofu yofooka ya m'mimba kapena m'chiuno imatha kusokoneza pachimake, kuonjezera chiopsezo cha kupweteka kwa msana ndi kuvulala kosatha.

Anthu amalangizidwa kuti afunsane ndi katswiri wamankhwala ndi chiropractor yemwe angathandize kupanga zoyenera mankhwala, kukonzanso, ndi kulimbikitsa ndondomeko yotengera zaka, kuvulala, mikhalidwe, ndi mphamvu zakuthupi.

Kodi Zochita Zolimbitsa Thupi Zingathandize Ndi Kupweteka Kwamsana?

Zothandizira

Fortin, M., & Macedo, LG (2013). Multifidus ndi gulu la minofu ya paraspinal yodutsa magawo a odwala omwe ali ndi ululu wochepa wammbuyo ndi odwala olamulira: kuwunikira mwadongosolo ndikuyang'ana pa khungu. Thandizo la thupi, 93 (7), 873-888. doi.org/10.2522/ptj.20120457

Hodges, PW, & Danneels, L. (2019). Kusintha kwa Kapangidwe ndi Kachitidwe ka Minofu Yam'mbuyo mu Ululu Wam'mbuyo: Nthawi Zosiyanasiyana, Kuwona, ndi Njira. Journal of mafupa ndi masewera olimbitsa thupi, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Lumbar multifidus imadziwika ndi ulusi waukulu wamtundu wa I minofu poyerekeza ndi erector spinae. Anatomy & cell biology, 53 (2), 143-150. doi.org/10.5115/acb.20.009

Lynders C. (2019). Udindo Wofunika Kwambiri Wachitukuko cha Transversus Abdominis mu Kupewa ndi Kuchiza Kupweteka Kwambiri. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery, 15 (3), 214-220. doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Kusiyana kwachigawo pakati pa zachiphamaso ndi zakuya lumbar multifidus mwa odwala omwe ali ndi matenda aakulu a lumbar spine pathology. BMC musculoskeletal disorders, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4

Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuwunika kwa lumbar multifidus minofu ntchito kudzera palpation: kudalirika ndi kutsimikizika kwa mayeso atsopano azachipatala. Magazini ya msana: magazini yovomerezeka ya North American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056

Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Kusintha kwa Minofu ya Multifidus Pambuyo pa Kuvulala Kwambuyo Kumadziwika ndi Kukonzanso Kwamapangidwe a Minofu, Adipose ndi Connective Tissue, koma Osati Muscle Atrophy: Umboni wa Molecular ndi Morphological. Msana, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972

Chithandizo cha FOOSH Kuvulala: Zomwe Muyenera Kudziwa

Chithandizo cha FOOSH Kuvulala: Zomwe Muyenera Kudziwa

by | Ngozi Personal, Zovulala Zokhudzana ndi Ntchito

Nthawi yakugwa anthu amakonda kutambasula manja awo kuti agwe, zomwe zimatha kugwa pansi ndikugwera padzanja lotambasulidwa kapena kuvulala kwa FOOSH. Kodi anthu ayenera kuyang'aniridwa ndi wothandizira zaumoyo ngati akukhulupirira kuti palibe chovulala?

Chithandizo cha FOOSH Kuvulala: Zomwe Muyenera Kudziwa

FOOSH Kuvulala

Kugwa pansi nthawi zambiri kumabweretsa kuvulala pang'ono. Kuvulala kwa FOOSH kumachitika mukagwa pansi ndikuyesa kuthyola kugwa pofikira ndi dzanja. Izi zingayambitse kuvulala kumtunda monga sprain kapena fracture. Koma nthawi zina, kugwa pamanja kumatha kubweretsa kuvulala koopsa komanso/kapena kuyambitsa zovuta zamtsogolo za minofu ndi mafupa. Anthu omwe agwa kapena kuvulala kwa FOOSH ayenera kufunsa wothandizira zaumoyo wawo kenako ndi katswiri wamankhwala kapena chiropractor kuti apange dongosolo lachithandizo lokonzanso, kulimbikitsa, ndi kufulumizitsa kuchira.

Pambuyo pa Kuvulala

Kwa anthu omwe agwa pansi ndikugwera padzanja, dzanja, kapena mkono, apa pali zinthu zingapo zomwe zimatsimikizira chisamaliro choyenera cha chovulalacho, kuphatikiza:

  • Tsatirani ndondomeko ya RICE ya kuvulala koopsa
  • Pitani ku chipatala kapena chipatala chapafupi chapafupi
  • Lumikizanani ndi a physiotherapy

Kuvulala kwa FOOSH kungakhale koopsa, kotero kuti musalole kuti nkhani zing'onozing'ono zikhale zovuta, fufuzani ndi katswiri wa minofu ndi mafupa. Wothandizira zaumoyo adzalandira chithunzithunzi chazithunzi za ovulala ndi madera ozungulira. Adzachita kafukufuku wakuthupi kuti adziwe mtundu wa kuvulala, monga sprain kapena minofu. Kusalandira chithandizo choyenera chamankhwala pambuyo pa kugwa kungayambitse kupweteka kosalekeza ndi kutaya ntchito. (J. Chiu, SN Robinovitch. 1998)

Kuvulala Wamba

KUvulala kwa FOOSH kungathe kuvulaza madera osiyanasiyana. Izi nthawi zambiri zimaphatikizapo dzanja ndi dzanja, koma chigongono kapena phewa likhozanso kuvulala. Kuvulala kofala ndi:

Kuphulika kwa Colles

  • Kuthyoka pamkono komwe kumapeto kwa fupa la mkono kumasunthidwa cham'mbuyo.

Kuphulika kwa Smith

  • Kuphulika kwa dzanja, kofanana ndi kuphulika kwa Colles, ndi pamene mapeto a fupa la mkono amachoka kutsogolo kwa dzanja.

Kuphulika kwa Boxer

  • Kuthyoka kwa mafupa ang'onoang'ono m'manja.
  • Nthawi zambiri, zimachitika munthu akakhomerera chinthu, koma amatha kugwa pankhonya yotambasula.

Kusokonezeka kwa chigongono kapena kupasuka

  • Chigongono chimatha kutuluka m'mphako kapena kuthyola fupa m'chigongono.

Kuphulika kwa collarbone

  • Mphamvu yochokera kugwa ndi manja ndi mikono yotambasulidwa imatha kupita ku kolala, ndikupangitsa kusweka.

Proximal humeral fracture

  • Kugwera pachivulazo chotambasulidwa m'manja kumatha kupangitsa kuti fupa la mkono lilowe m'mapewa, zomwe zimapangitsa kuti pakhale kusweka kwa humeral.

Kusunthika paphewa

  • Phewa likhoza kutuluka kuchokera ku mgwirizano.
  • Izi zingayambitse misozi ya rotator kapena kuvulala kwa labrum.

Mosasamala kanthu za kuvulala, anthu ayenera kupita kwa dokotala kuti awone zomwe zawonongeka. Ngati kuvulala kuli koopsa, dokotala akhoza kupanga chidziwitso cholondola kapena chosiyana ndikupanga ndondomeko ya chithandizo. (William R. VanWye et al., 2016)

Thandizo la Thupi

Anthu amatha kupindula ndi chithandizo chamankhwala kuti athandizire kuchira ndikubwereranso kuntchito yawo yakale. Thandizo la thupi limasiyanasiyana malinga ndi kuvulala kwapadera, koma kawirikawiri, wothandizira thupi angathandize anthu kubwerera kuntchito atagwa pa dzanja lotambasula. (William R. VanWye et al., 2016) Chithandizo chodziwika bwino chingakhale:

  • Mankhwala ndi njira zochepetsera ululu, kutupa, ndi kutupa.
  • Malangizo amomwe mungavalire legeni bwino pamkono.
  • Zochita zolimbitsa thupi ndi kutambasula kuti muwonjezere kusuntha, mphamvu, komanso kuyenda bwino.
  • Zochita zolimbitsa thupi.
  • Kusamalira minofu yamabala ngati opaleshoni inali yofunikira.

The therapy timu adzaonetsetsa chithandizo choyenera amagwiritsidwa ntchito kuti abwerere mwachangu komanso mosatekeseka kuzinthu zanthawi zonse.

Chiropractic Care for Machiritso Pambuyo Pakuvulala

Zothandizira

Chiu, J., & Robinovitch, SN (1998). Kuneneratu za mphamvu zakumtunda zakumtunda pakugwa padzanja lotambasulidwa. Journal of biomechanics, 31 (12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7

VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Kuwunika kwa Physical Therapist ndikuzindikiritsa kusiyana kwa ululu wowawa wa chigoba: lipoti lamilandu. Physiotherapy chiphunzitso ndi machitidwe, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798

Nthiti Yosweka: Kalozera Wathunthu pa Zomwe Zimayambitsa ndi Momwe Mungathandizire

Nthiti Yosweka: Kalozera Wathunthu pa Zomwe Zimayambitsa ndi Momwe Mungathandizire

by | Kuvulala Kwangozi Yagalimoto, Ngozi Personal, Zovulala Zokhudzana ndi Ntchito

Anthu sangazindikire kuti ali ndi nthiti yosweka mpaka zizindikiro monga kupweteka pamene akupuma kwambiri amayamba kusonyeza. Kodi kudziwa zizindikiro ndi zomwe zimayambitsa nthiti zosweka kapena zothyoka zingathandize kuzindikira ndi kuchiza?

Nthiti Yosweka: Kalozera Wathunthu pa Zomwe Zimayambitsa ndi Momwe Mungathandizire

Nthiti Yosweka

Nthiti yothyoka/yosweka imasonyeza kusweka kulikonse kwa fupa. Nthiti yothyoka ndi mtundu wina wa kuthyoka kwa nthiti ndipo ndi kufotokoza zambiri kuposa matenda achipatala a nthiti yomwe yathyoka pang'ono. Kukhudza kulikonse pachifuwa kapena kumbuyo kungayambitse nthiti yosweka, kuphatikizapo:

  • Kugwa
  • Kugundana kwagalimoto
  • Kuvulala kwa masewera
  • Kutsokomola koopsa
  1. Chizindikiro chachikulu ndi kupweteka pokoka mpweya.
  2. Kuvulalako kumachira pakadutsa milungu isanu ndi umodzi.

zizindikiro

Nthiti zothyoka nthawi zambiri zimayamba chifukwa cha kugwa, kuvulala pachifuwa, kapena kutsokomola koopsa. Zizindikiro zake ndi izi:

  • Kutupa kapena kufewa kuzungulira malo ovulala.
  • Kupweteka pachifuwa popuma/kukoka mpweya, kuyetsemula, kuseka, kapena kutsokomola.
  • Kupweteka pachifuwa ndi kuyenda kapena kugona m'malo ena.
  • Zotheka kuvulaza.
  • Ngakhale ndizosowa, nthiti yosweka imatha kuyambitsa zovuta monga chibayo.
  • Onanina ndi dokotala mwamsanga ngati mukuvutika kupuma, kupweteka pachifuwa kwambiri, kapena chifuwa chosalekeza chokhala ndi mamina, kutentha thupi kwambiri, ndi/kapena kuzizira.

mitundu

Nthawi zambiri, nthiti nthawi zambiri imathyoledwa m'dera limodzi, zomwe zimayambitsa kuthyoka kosakwanira, kutanthauza kusweka kapena kusweka komwe sikudutsa fupa. Mitundu ina ya kuthyoka kwa nthiti ndi:

Ma Fractures Osamuka ndi Osakhazikika

  • Nthiti zothyoka kwathunthu zimatha kapena sizingachoke pamalo ake.
  • Ngati nthiti isuntha, izi zimadziwika kuti a kusamuka kwa nthiti ndipo imatha kuboola mapapu kapena kuwononga minyewa ndi ziwalo zina. (Yale Medicine. 2024)
  • Nthiti imene imakhala pamalo nthawi zambiri imatanthauza kuti nthitiyo siinathyoledwe pakati ndipo imadziwika kuti a kuthyoka kwa nthiti kopanda malo.

Chifuwa cha Flail

  • Chigawo cha nthiti chikhoza kuchoka ku fupa ndi minofu yozungulira, ngakhale kuti izi ndizosowa.
  • Izi zikachitika, nthitiyo imataya kukhazikika, ndipo fupa lidzayenda momasuka pamene munthuyo akupuma kapena kutuluka.
  • Gawo losweka la nthitizi limatchedwa gawo la flail.
  • Izi ndizowopsa chifukwa zimatha kuboola mapapu ndikuyambitsa zovuta zina, monga chibayo.

Zimayambitsa

Zomwe zimayambitsa nthiti zosweka ndi izi:

  • Kugundana kwamagalimoto
  • Ngozi za oyenda pansi
  • Falls
  • Kuvulala kwamasewera
  • Kugwiritsa ntchito mopambanitsa/kubwerezabwereza kupsinjika kobwera chifukwa cha ntchito kapena masewera
  • Kutsokomola kwambiri
  • Anthu okalamba amatha kuthyoka chifukwa chovulala pang'ono chifukwa cha kuchepa kwa mchere wa m'mafupa. (Christian Liebsch et al., 2019)

Kufanana kwa Nthiti Zothyoka

  • Kuthyoka kwa nthiti ndi mtundu wofala kwambiri wa kusweka kwa fupa.
  • Amawerengera 10% mpaka 20% ya zovulala zonse zowopsa zomwe zimawonedwa muzipinda zadzidzidzi.
  • Ngati munthu akufuna chithandizo kuti avulale pachifuwa, 60% mpaka 80% amakhudza nthiti yothyoka. (Christian Liebsch et al., 2019)

Matendawa

Nthiti yothyoka imapezedwa ndi kuyezetsa thupi ndi kuyesa kujambula. Pakupimidwa, dokotala amamvetsera m'mapapo, kukanikiza pang'onopang'ono nthiti, ndikuwona momwe nthiti ikusuntha. Zosankha zoyeserera zikuphatikizapo: (Sarah Majercik, Fredric M. Pieracci 2017)

  • X-ray - Izi ndi zozindikira nthiti zosweka kapena zothyoka posachedwa.
  • CT Scan - Mayeso oyerekezawa amakhala ndi ma X-ray angapo ndipo amatha kuzindikira ming'alu yaying'ono.
  • MRI - Mayeso ojambulirawa ndi a minofu yofewa ndipo nthawi zambiri amatha kuzindikira kuphulika kwazing'ono kapena kuwonongeka kwa cartilage.
  • Bone Scan - Mayeso oyerekezawa amagwiritsa ntchito chowunikira chowunikira kuti awonetse momwe mafupa amapangidwira ndipo amatha kuwonetsa kusweka kwapang'onopang'ono.

chithandizo

Kale, mankhwala ankaphatikizapo kukulunga pachifuwa ndi bande lotchedwa lamba wa nthiti. Izi sizigwiritsidwa ntchito kawirikawiri masiku ano chifukwa zimatha kuchepetsa kupuma, kuonjezera chiopsezo cha chibayo kapena kugwa pang'ono kwa mapapu. (L. May, C. Hillermann, S. Patil 2016). Nthiti yosweka ndi kuthyoka kosavuta komwe kumafuna zotsatirazi:

  • Kupumula
  • Mankhwala opezeka m'sitolo kapena mankhwala angathandize kuchepetsa zizindikiro za ululu.
  • Nonsteroidal anti-inflammatory drugs - NSAIDs monga ibuprofen kapena naproxen amalimbikitsidwa.
  • Ngati kupuma kuli kwakukulu, anthu akhoza kupatsidwa mankhwala opweteka kwambiri malinga ndi kuopsa kwake komanso momwe zinthu zilili.
  • Thandizo la thupi likhoza kufulumizitsa machiritso ndikuthandizira kusunga kayendetsedwe kake ka khoma la chifuwa.
  • Kwa odwala omwe ali ofooka komanso okalamba, chithandizo chamankhwala chingathandize wodwalayo kuyenda ndikusinthiratu ntchito zina.
  • Wothandizira thupi amatha kuphunzitsa munthuyo kuti asamuke pakati pa bedi ndi mipando mosatekeseka ndikuzindikira kusuntha kulikonse kapena malo omwe amawonjezera ululu.
  • Wothandizira thupi adzapereka zochitika kuti thupi likhale lamphamvu komanso lamphamvu momwe zingathere.
  • Mwachitsanzo, ma lateral twists angathandize kupititsa patsogolo kayendetsedwe kake ka msana wa thoracic.
  1. Kumayambiriro kwa kuchira, tikulimbikitsidwa kugona mowongoka.
  2. Kugona pansi kungawonjezere kupanikizika, kumayambitsa ululu ndipo mwinamwake kuvulaza chovulalacho.
  3. Gwiritsani ntchito mapilo ndi ma bolsters kuti muthandizire kukhala pabedi.
  4. Njira ina ndiyo kugona pampando wotsamira.
  5. Kuchiritsa kumatenga osachepera masabata asanu ndi limodzi. (L. May, C. Hillermann, S. Patil 2016)

Zochitika Zina

Zomwe zimamveka ngati nthiti yosweka zimatha kukhala zofanana, chifukwa chake ndikofunikira kuti mufufuze. Zizindikilo zina zotheka zingaphatikizepo:

  • Nthiti zosweka - Izi zimachitika pamene nthiti sizikusweka, koma mitsempha yaing'ono yamagazi kuzungulira dera imaphulika ndikutuluka m'magulu ozungulira. (Sarah Majercik, Fredric M. Pieracci 2017)
  • Nthiti zapopedwa - Apa ndipamene nthiti chichereŵenga chimang'ambika ndikusweka, zomwe zimapangitsa kuti chichoke pamalo ake. (Sarah Majercik, Fredric M. Pieracci 2017)
  • Kukoka minofu - Kupsyinjika kwa minofu, kapena kukoka minofu, kumachitika pamene minofu ikupitirira, zomwe zingayambitse kung'ambika. Nthiti sizimakhudzidwa, koma zimatha kumva ngati zili choncho. (Sarah Majercik, Fredric M. Pieracci 2017)

Emergency

Chovuta chofala kwambiri ndikulephera kupuma mozama chifukwa cha ululu. Pamene mapapo sangathe kupuma mokwanira, mucous ndi chinyezi zimatha kuchulukana ndikuyambitsa matenda monga chibayo. (L. May, C. Hillermann, S. Patil 2016). Kusweka kwa nthiti kungathenso kuwononga minofu kapena ziwalo zina, kuonjezera chiopsezo cha kugwa kwa mapapu / pneumothorax kapena kutuluka magazi mkati. Ndikoyenera kupempha thandizo lachipatala mwamsanga ngati zizindikiro zikuwonekera motere:

  • Kupuma pang'ono
  • Kuvuta kupuma
  • Khungu lotuwa chifukwa chosowa mpweya
  • Kutsokomola kosalekeza ndi ntchofu
  • Kupweteka pachifuwa popuma ndi kutuluka
  • Kutentha thupi, thukuta, ndi kuzizira
  • Kuthamanga kwa mtima mwamsanga

Mphamvu ya Chiropractic Care Pakukonzanso Kuvulala

Zothandizira

Yale Medicine. (2024). Kuthyoka kwa nthiti (kuthyoka nthiti).

Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Zitsanzo za kusweka kwa nthiti pambuyo povulala pachifuwa: kuwunika kwa milandu 380. PloS imodzi, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105

May L, Hillermann C, Patil S. (2016). Kusamalira kuthyoka kwa nthiti. Maphunziro a BJA. Voliyumu 16, Nkhani 1. Masamba 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccc/mkv011

Majercik, S., & Pieracci, F. M. (2017). Chifuwa Wall Trauma. Zipatala za opaleshoni ya thoracic, 27 (2), 113-121. doi.org/10.1016/j.thorsurg.2017.01.004

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa Musculoskeletal

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa Musculoskeletal

by | Ngozi Personal, Kuvulala kwa masewera

Kwa anthu omwe amachita masewera olimbitsa thupi, okonda masewera olimbitsa thupi, komanso omwe amachita masewera olimbitsa thupi, kuvulala kwaminyewa kumakhala kofala. Kodi kugwiritsa ntchito tepi ya ayezi kungathandize panthawi yoyamba kapena yopweteka kwambiri kuchepetsa kutupa ndi kutupa kuti mufulumire kuchira ndikubwereranso kuntchito mwamsanga?

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa MusculoskeletalIce Tape

Pambuyo povulala musculoskeletal, anthu akulimbikitsidwa kutsatira R.I.C.E. njira yothandizira kuchepetsa kutupa ndi kutupa. R.I.C.E. ndi chidule cha Rest, Ice, Compression, and Elevation. (Michigan Medicine. Yunivesite ya Michigan. 2023) Kuzizira kumathandiza kuchepetsa ululu, kuchepetsa kutentha kwa minofu, ndi kuchepetsa kutupa pafupi ndi malo ovulalawo. Polamulira kutupa ndi ayezi ndi kuponderezedwa mwamsanga pambuyo povulala, anthu amatha kukhala ndi kayendedwe koyenera ndi kuyenda mozungulira gawo lovulala la thupi. (Jon E. Block. 2010) Pali njira zosiyanasiyana zogwiritsira ntchito ayezi pakavulala.

  • Zikwama zogulira ayezi ndi mapaketi ozizira.
  • Kuviika mbali yovulalayo mu kamvuluvulu ozizira kapena mphika.
  • Kupanga mapaketi a ayezi ogwiritsidwanso ntchito.
  • Bandeji yoponderezedwa imatha kugwiritsidwa ntchito limodzi ndi ayezi.

Ice Tape ndi bandeji yopanikizana yomwe imapereka machiritso ozizira nthawi imodzi. Pambuyo pa kuvulala, kugwiritsa ntchito kungathandize kuchepetsa ululu ndi kutupa panthawi yotupa kwambiri. (Matthew J. Kraeutler et al., 2015)

Momwe Tepi Imagwirira Ntchito

Tepiyo ndi bandeji yosinthika yomwe imalowetsedwa ndi gel ozizirira ochizira. Akagwiritsidwa ntchito ku gawo lovulala la thupi ndikukhala ndi mpweya, gel osakaniza amatsegula, kutulutsa kuzizira kuzungulira dera lonselo. The achire mankhwala amatha maola asanu kapena sikisi. Kuphatikizidwa ndi bandeji yosinthika, imapereka chithandizo cha ayezi ndi kuponderezana. Tepi ya ayezi ingagwiritsidwe ntchito molunjika kunja kwa phukusi koma ikhoza kusungidwa mufiriji kuti iwonjezere kuzizira. Malinga ndi malangizo a wopanga, tepiyo siyenera kusungidwa mufiriji chifukwa izi zingapangitse kuti zikhale zovuta kukulunga mozungulira malo ovulalawo.

ubwino

Ubwino wake ndi awa:

Zosavuta Kuzigwiritsa Ntchito

  • Mankhwalawa ndi osavuta kugwiritsa ntchito.
  • Tulutsani tepiyo, ndikuyamba kuikulunga mozungulira mbali yovulalayo.

Zomangira Zosafunikira

  • Chokulungacho chimadzimangirira chokha, kotero tepiyo imakhalabe m'malo mwake popanda kugwiritsa ntchito timapepala kapena zomangira.

Zosavuta Kudula

  • Mpukutu wokhazikika ndi mainchesi 48 m'litali ndi mainchesi 2 m'lifupi.
  • Zovulala zambiri zimafuna zokwanira kuti zitseke malo ovulalawo.
  • Malumo amadula ndalama zenizeni zomwe zimafunikira, ndikusunga zina zonse m'thumba lotha kutsekedwa.

Zingatheke

  • Pambuyo pa mphindi 15 mpaka 20 zogwiritsira ntchito, mankhwalawa amatha kuchotsedwa mosavuta, kukulungidwa, kusungidwa m'thumba, ndikugwiritsidwanso ntchito.
  • Tepi itha kugwiritsidwa ntchito kangapo.
  • Tepiyo imayamba kutaya khalidwe lake lozizira pambuyo pa ntchito zingapo.

zam'manja

  • Tepiyo sifunikira kuikidwa mu chozizirirapo poyenda.
  • Ndiwosavuta kunyamula komanso yabwino kuti mugwiritse ntchito ayezi mwachangu komanso kuponderezana mukangovulala.
  • Ikhoza kuchepetsa ululu ndi kutupa ndikusungidwa kuntchito.

kuipa

Zoyipa zingapo ndi izi:

Chemical Odor

  • Gel yomwe ili pamakulunga osinthasintha imatha kukhala ndi fungo lamankhwala.
  • Siwonunkhira kwambiri ngati mafuta opweteka, koma fungo lamankhwala limatha kuvutitsa anthu ena.

Sangakhale Wozizira Mokwanira

  • Tepiyo imagwira ntchito yochepetsera ululu komanso kutupa, koma ikhoza kusazizira mokwanira kwa wogwiritsa ntchito ikagwiritsidwa ntchito kuchokera pa phukusi kutentha kutentha.
  • Komabe, ikhoza kuikidwa mufiriji kuti iwonjezere kuzizira ndipo ingapereke zotsatira zoziziritsa zochiritsira, makamaka kwa omwe akudwala tendinitis kapena bursitis.

Kukhazikika Kungakhale Kusokoneza

  • Tepiyo ikhoza kukhala yomata kwa ena.
  • Chomata ichi chikhoza kukhala chokhumudwitsa chaching'ono.
  • Komabe, zimangomva ngati zomata zikagwiritsidwa ntchito.
  • Magulu angapo a gel osakaniza amatha kutsalira akachotsedwa.
  • Tepi ya ayezi imathanso kumamatira ku zovala.

Kwa anthu omwe akufunafuna chithandizo chachangu chozizirirapo paziwalo zathupi zovulala kapena zopweteka, ayezi tepi ikhoza kukhala njira. Zingakhale zabwino kukhalapo kuti mupereke kuponderezedwa koziziritsa ngati mutavulala pang'ono mukuchita nawo masewera othamanga kapena masewera olimbitsa thupi komanso mpumulo wogwiritsa ntchito mopitirira muyeso kapena kuvulala mobwerezabwereza.

Kuchiza Ankle Sprains

Zothandizira

Michigan Medicine. Yunivesite ya Michigan. Mpumulo, Ice, Kupanikizika, ndi Kukwera (RICE).

Block J. E. (2010). Kuzizira ndi kupsinjika mu kasamalidwe ka kuvulala kwa minofu ndi mafupa ndi njira zogwirira ntchito za mafupa: ndemanga yofotokozera. Open access magazine ya sports medicine, 1, 105-113. doi.org/10.2147/oajsm.s11102

Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy motsutsana ndi ayezi-woyembekezereka, kafukufuku wosasinthika pa ululu wa postoperative kwa odwala omwe akukonzedwa ndi arthroscopic rotator cuff kapena subacromial decompression. Journal ya opaleshoni yamapewa ndi chigongono, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004

Chigongono Chosokonekera: Zomwe Zimayambitsa ndi Njira Zochizira

Chigongono Chosokonekera: Zomwe Zimayambitsa ndi Njira Zochizira

by | Ngozi Personal, Zovulala Zokhudzana ndi Ntchito

Chigongono chosasunthika ndi chovulala chofala kwa akulu ndi ana ndipo nthawi zambiri chimachitika limodzi ndi kuthyoka kwa mafupa ndi kuwonongeka kwa mitsempha ndi minofu. Kodi chithandizo chamankhwala chingathandize kuthandizira kuchira ndikuwonetsetsa kuyenda?

Chigongono Chosokonekera: Zomwe Zimayambitsa ndi Njira Zochizira

Kuvulala kwa Chigongono Chosunthika

Kusuntha kwa chigongono nthawi zambiri kumachitika chifukwa cha kuvulala pamene mafupa a chigongono sakulumikizananso. Anthu omwe amagwera padzanja lotambasulidwa ndiyemwe amavulazidwa kwambiri. (James Layson, Ben J. Best 2023) Othandizira zaumoyo adzayesa kusuntha chigongono pogwiritsa ntchito kuchepetsa kutsekedwa. Anthu angafunike opaleshoni ngati sangathe kusuntha chigongono pogwiritsa ntchito kuchepetsa kutsekedwa.

Kukhazikitsanso The Elbow

Chigongonocho chimapangidwa ndi hinge ndi mpira-ndi-socket, zomwe zimapangitsa kuyenda kwapadera: (American Society for Surgery of the Hand. 2021)

Mgwirizano wa hinge

  • Ntchito ya hinge imalola kupindika ndi kuwongola kwa mkono.

Mpira-ndi-socket mgwirizano

  • Ntchito ya mpira-ndi-socket imakupatsani mwayi wotembenuza chikhatho cha dzanja lanu kuyang'ana mmwamba kapena kuyang'ana pansi.

Kuvulala kwa chigongono kumene kungathe kuwononga mafupa, minofu, ligaments, ndi minofu. (American Academy of Orthopedic Surgeons. 2021) Pamene chigongonocho chikhalabe chotalikirapo, m'pamenenso chigongonocho chimawonongeka kwambiri. Kusokonezeka kwa zigongono sikumabwereranso m'magulu awo okha ndipo akulimbikitsidwa kuti awunikenso ndi wothandizira zaumoyo kuti ateteze kuwonongeka kosatha kwa mitsempha kapena ntchito.

  • Sitikulimbikitsidwa kuyesa kukonzanso chigongono nokha.
  • Wothandizira zaumoyo adzagwira ntchito kuti abwezeretse mgwirizanowo ndikuonetsetsa kuti akugwirizana bwino.
  • Asanakhazikitsenso, adzayesa thupi kuti awone momwe magazi amayendera komanso kuwonongeka kwa mitsempha.
  • Othandizira adzayitanitsa chithunzithunzi chojambula kuti awone kusunthako ndikuzindikira mafupa osweka. (American Academy of Orthopedic Surgeons. 2021)

Mtundu wa Dislocation

Mitundu iwiri ya dislocations chigongono ndi: (James Layson, Ben J. Best 2023)

Kuthamangitsidwa Kwadongosolo

  • Zimachitika pamene pali mphamvu yaikulu padzanja yomwe imafalikira ku chigongono.
  • Kugwa ndi manja atatambasula kuti mugwire nokha, ndipo mfundo ya chigongono imakankhira kumbuyo / kumbuyo.

Anterior Dislocation

  • Izi sizichitika kawirikawiri ndipo zimabwera chifukwa chogwiritsa ntchito mphamvu pa chigongono chopindika.
  • Kugwa pansi dzanja lili mmwamba pafupi ndi phewa.
  • Pamenepa, mgwirizano wa chigongono umakankhira kutsogolo / kutsogolo.
  • X-ray amagwiritsidwa ntchito kudziwa mtundu wa kusuntha ndi kuzindikira mafupa aliwonse othyoka. (American Society for Surgery of the Hand. 2021)
  • Malingana ndi kuvulala, wothandizira akhoza kuitanitsa CT scan kapena MRI kuti atsimikizire kuti palibe kuwonongeka kwa mitsempha kapena mitsempha. (Radiopaedia. 2023)

Zizindikiro ndi Zizindikiro

Kuvulala kwachigongono komwe kumachitika nthawi zambiri kumachitika chifukwa cha zoopsa. (American Academy of Orthopedic Surgeons. 2021) Zizindikiro ndi zizindikiro monga: (American Society for Surgery of the Hand. 2021)

  • Kulephera kusuntha chigongono.
  • Kuvulala ndi kutupa kuzungulira dera.
  • Kupweteka kwakukulu kwa chigongono ndi malo ozungulira.
  • Kupunduka mozungulira chigongono.
  • Dzanzi, kumva kulasalasa, kapena kufooka kwa dzanja kapena dzanja kungasonyeze kuwonongeka kwa mitsempha.

Chithandizo Popanda Opaleshoni

  • Othandizira azaumoyo poyambirira amayesa kuchiza chigongono chosokonekera pogwiritsa ntchito njira yotseka yochepetsera. (American Society for Surgery of the Hand. 2021)
  • Kuchepetsa kutsekedwa kumatanthauza kuti chigongono chikhoza kusamutsidwa popanda opaleshoni.
  • Asanachepetse kutsekedwa, wothandizira zaumoyo adzapereka mankhwala kuti athetsere munthuyo ndi kuthetsa ululu. (Medline Plus. 2022)
  • Akasamutsidwa pamalo oyenera, wothandizira zaumoyo amagwiritsira ntchito chingwe (kawirikawiri pamtunda wa 90-degree of flexion) kuti chigongono chikhalepo. (James Layson, Ben J. Best 2023)
  • Cholinga chake ndikuletsa kukula kwa chigongono, zomwe zingayambitsenso kusuntha.
  • Chipolopolocho chimakhalapo kwa sabata imodzi kapena itatu. (American Academy of Orthopedic Surgeons. 2021)
  • Wothandizira thupi adzayesa kuyenda ndikulemba masewera olimbitsa thupi kuti apewe kutayika kwa chigongono.

Chithandizo ndi Opaleshoni

  1. Chigongono chimakhala chosakhazikika ndikuwonjezera pang'ono.
  2. Mafupa sagwirizana bwino.
  3. Mitsempha imafunikira kukonzanso kwina pambuyo pochepetsa kutsekedwa.
  • Kusuntha kwa chigongono chovuta kungapangitse kuti zikhale zovuta kuti zigwirizane.
  • Chipangizo chothandizira, monga hinji yakunja, chikhoza kulangizidwa kuti chiteteze kusunthanso chigongono.
  • Dokotalayo adzalangiza chithandizo chamankhwala pambuyo pa opaleshoni kuti athandize masewero olimbitsa thupi kuti athe kupititsa patsogolo ndikufulumizitsa kuchira.

kuchira

  • Nthawi zochira zimatha kusiyana chifukwa chovulala chilichonse chimakhala chosiyana. (American Society for Surgery of the Hand. 2021)
  • Nthawi yochira imadalira kukhazikika kwa chigongono pambuyo pochepetsa kutsekedwa kapena opaleshoni.
  • Othandizira azaumoyo adzayambitsa masewera olimbitsa thupi. (American Society for Surgery of the Hand. 2021)
  • Kuchepetsa utali wolumikizana ndi kusasunthika kudzateteza kuuma, mabala, ndi kuyenda koletsedwa.
  • Othandizira zaumoyo samalimbikitsa kusasunthika kwa milungu ingapo.

Kuyambiranso Zochita Zachizolowezi

Kuyambiranso kuchita masewera olimbitsa thupi nthawi zambiri kumadalira mtundu wa chithandizo cha kusuntha kwa chigongono: (Ortho Bullets. 2023)

Kuchepetsa Kotsekedwa

  • Chigongono chimagawanika kwa masiku asanu mpaka khumi.
  • Anthu amatha kuchita nawo masewera olimbitsa thupi koyambirira kuti ateteze kutayika kosiyanasiyana.
  • Anthu amalimbikitsidwa kuti azichita masewera olimbitsa thupi mkati mwa masabata awiri pambuyo povulala.

Kuchepetsa Opaleshoni

  • Chigongonocho chikhoza kuikidwa muzitsulo zomwe zimalola kuwonjezereka kwapang'onopang'ono.
  • Ndikofunika kusunga kayendetsedwe koyendetsedwa kuti tipewe kuyenda.
  • Chigongono chikhoza kukulirakulira mkati mwa masabata asanu ndi limodzi mpaka asanu ndi atatu, ngakhale zingatenge miyezi isanu kuti abwezeretsedwe.
  • Wothandizira zaumoyo adzazindikira ngati kuli kotetezeka kuyambiranso ntchito zanthawi zonse.

Njira Yochiritsira Kuvulala Kwamunthu

Zothandizira

Layson J, Best BJ. Kusuntha kwa Chigongono. [Yosinthidwa 2023 Jul 4]. Mu: StatPearls [Intaneti]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Zikupezeka kuchokera: www.ncbi.nlm.nih.gov/books/NBK549817/

American Society for Surgery of the Hand. (2021). Kusuntha kwa chigongono.

American Academy of Orthopedic Surgeons. (2023). Kusuntha kwa chigongono.

Jones J, Carroll D, El-Feky M, et al. (2023). Kusuntha kwa chigongono. Nkhani yolozera, Radiopaedia.org  doi.org/10.53347/rID-10501

Medline Plus. (2022). Kuchepetsa kutsekedwa kwa fupa losweka.

Ortho Bullets. (2023). Kusuntha kwa chigongono.

Kuchiza Kwathupi Pambuyo pa Opaleshoni Yosinthira Ankle Yathunthu

Kuchiza Kwathupi Pambuyo pa Opaleshoni Yosinthira Ankle Yathunthu

by | Kusamalira Ovulala, Ngozi Personal

Kupita patsogolo kungakhale kovuta kwa anthu omwe ali ndi opaleshoni ya post total ankle. Kodi chithandizo chamankhwala chingathandize bwanji kuchira ndikubwezeretsanso ntchito ya mwendo?

Kuchiza Kwathupi Pambuyo pa Opaleshoni Yosinthira Ankle Yathunthu

Total Ankle Replacement Post Surgery Physical Therapy

Opaleshoni yonse ya m'malo mwa akakolo ndi njira yayikulu yomwe imatenga nthawi kuti achire. Opaleshoni yonse ya ankle m'malo kapena arthroplasty imatha kupindulitsa anthu omwe ali nawo kupweteka kosalekeza kwa akakolo kapena kulumala. Njira iyi imatha kusintha kwambiri ululu wonse wamunthu ndikugwira ntchito pakapita nthawi. Thandizo la thupi ndilofunika kuti muyambenso kuyenda mu bondo ndikubwezeretsanso kuyenda. Wothandizira thupi adzagwira ntchito limodzi ndi munthuyo kuti athetse ululu ndi kutupa, kubwezeretsanso kayendetsedwe ka bondo, kuphunzitsa kuyenda ndi kuyenda bwino, ndikumanganso mphamvu pa mwendo. Izi zidzathandiza kukulitsa mwayi wa zotsatira zabwino pambuyo pa opaleshoni.

Kusintha Kwa Ankle Kwathunthu

Chigawo cha m'bondo ndi gawo la m'munsi mwa mwendo kumene shinbone / tibia imakumana ndi fupa la talus pamwamba pa phazi. Chomwe chingachitike ndi chiwombankhanga choterera chomwe chimakwirira kumapeto kwa mafupawa chimayamba kuonda kapena kuwonongeka. Pamene kuwonongeka kukupitirira, kungayambitse kupweteka kwakukulu, kulemala, ndi kuyenda movutikira. (Cleveland Clinic. 2021) Apa ndipamene katswiri angakulimbikitseni kuti mulowe m'malo mwa akakolo kuti mupeze zotsatira zabwino. Zosiyanasiyana zingathe kuthandizidwa ndi njirayi, kuphatikizapo:

  • Kuwonongeka kwa mafupa chifukwa cha gout
  • Nyamakazi ya Post-traumatic
  • nyamakazi
  • Advanced osteoarthritis
  • Osteonecrosis
  • Matenda a nyamakazi (Cort D. Lawton et al., 2017)

Panthawi yokonzanso akakolo, dokotala wa opaleshoni wa mafupa amachotsa nsonga zowonongeka za tibia ndi mafupa a talus ndikuyikapo chophimba chochita kupanga. Chigawo cha polyethylene chimatetezedwanso pakati pa zigawo ziwirizi kuti zithandizire kuyenda bwino kwa mapeto atsopano olowa. (Massachusetts General Hospital. ND) Potsatira ndondomekoyi, anthu nthawi zambiri amaikidwa mu nsapato zoteteza kapena splint. Wothandizira zaumoyo amalangiza kuti asachoke pa mwendo kwa masabata 4 mpaka 8 kuti muchiritse.

Thandizo la Thupi

Thandizo lothandizira odwala kunja nthawi zambiri limayambika pakatha masabata angapo pambuyo pa opaleshoni. (UW Health Orthopedics ndi Rehabilitation. 2018) Chithandizo chamankhwala chikhoza kukhala kwa miyezi isanu kapena kuposerapo, malingana ndi kuopsa kwa matenda ndi kuvulala. Wothandizira thupi adzayang'ana mbali zosiyanasiyana kuti apeze zotsatira zabwino. (Cort D. Lawton et al., 2017)

Kuwongolera Ululu ndi Kutupa

Kupweteka kwapambuyo pa opaleshoni ndi kutupa ndi zachilendo pambuyo pa kusintha konse kwa bondo. Si zachilendo kuti bondo litupe kwa miyezi isanu ndi umodzi kapena 12 pambuyo pa opaleshoniyo. (UW Health Orthopedics ndi Rehabilitation. 2018) Dokotala wa opaleshoni nthawi zambiri amapereka mankhwala kuti athetse vutoli mwamsanga, ndipo chithandizo chamankhwala chimathandizanso kwambiri kuthetsa zizindikirozo. Mankhwala omwe amagwiritsidwa ntchito angaphatikizepo:

  • Kukondoweza kwamagetsi - mphamvu zochepa zamagetsi zomwe zimagwiritsidwa ntchito ku minofu.
  • Ice
  • Kuponderezedwa kwa vasopneumatic, komwe mkono wopumira umagwiritsidwa ntchito popanga kupanikizika kuzungulira dera, nthawi zambiri amagwiritsidwa ntchito kumayambiriro kwa chithandizo chamankhwala kuti achepetse ululu kapena kutupa.
  • Njira zina, monga kutambasula ndi kuchita masewera olimbitsa thupi, zimaphatikizidwa ndi mankhwala ena.

Mitundu Yoyenda

  • Kumayambiriro kwa ndondomekoyi, bondo lidzakhala lolimba kwambiri komanso lolimba. Izi zimachitika chifukwa cha zinthu zingapo, kuphatikizapo kutupa ndi kutupa pambuyo pa opaleshoni komanso nthawi yomwe simukuyenda mu boot.
  • Wothandizira thupi adzagwiritsa ntchito njira zosiyanasiyana kuti apititse patsogolo kayendedwe ka minofu ya akakolo kuti azungulire ndi kusinthasintha.
  • Wothandizira thupi angagwiritse ntchito kutambasula mosasunthika chifukwa cha mphamvu yakunja monga wothandizira kapena gulu lotsutsa) kuti athandize kuyenda bwino.
  • Njira zamapamanja monga kutikita minofu yofewa komanso kugwirizanitsa pamodzi zimagwiritsidwanso ntchito. (Massachusetts General Hospital. ND)
  • Wothandizirayo apanga pulogalamu yokonzanso nyumba yokhala ndi njira zodzitambasulira komanso kuyenda mofatsa.

Maphunziro a Gait ndi Balance

  • Pambuyo pa milungu ingapo atakhala kutali ndi bondo lomwe lakhudzidwa, dokotalayo amachotsa wodwalayo kuti ayambe kuyenda.
  • Wothandizira thupi adzagwira ntchito kuti apititse patsogolo njira yonse yoyendamo ndikuchepetsa kudumpha.
  • Adzathandizanso kusintha kuchoka ku ndodo kapena kuyenda pakuyenda pawokha. (UW Health Orthopedics ndi Rehabilitation. 2018)
  • Pambuyo pa masabata angapo akuyenda pang'onopang'ono komanso kusowa kwa kulemera kulikonse pa bondo, minofu yomwe imazungulira bondo nthawi zambiri imakhala ndi atrophied / atrophied, zomwe zingakhudze bwino.
  • Pamene munthuyo atha kuyamba kuyika zolemera pa mwendo, wothandizira adzagwiritsa ntchito chidziwitso / chidziwitso cha maphunziro a thupi kuti athe kukhazikika. (UW Health Orthopedics ndi Rehabilitation. 2018)
  • Zochita zolimbitsa thupi zidzawonjezedwa ku pulogalamu yapanyumba ndipo zidzapitilira sabata ndi sabata.

mphamvu

Minofu ya m'mwendo, akakolo, ndi phazi imakhala yofooka chifukwa cha opaleshoniyo komanso nthawi yomwe imakhala muzitsulo kapena nsapato. Zomangamangazi zimakhala ndi gawo lalikulu pakukhazikika, kutha kuyimirira, kuyenda, ndikukwera kapena kutsika masitepe.

  • Kubwezeretsanso mphamvu ndi mphamvu za minofu iyi ndi cholinga chofunikira kwambiri cha kukonzanso.
  • M'masabata oyambirira, wothandizira thupi adzayang'ana pa zolimbitsa thupi mofatsa.
  • Ma Isometrics amayendetsa minofu pang'onopang'ono koma pewani kukwiyitsa malo opangira opaleshoni.
  • Pamene nthawi ikupita ndipo kunyamula zolemera kumaloledwa, kusuntha kodekha kumeneku kumasinthidwa ndi zovuta, monga magulu otsutsa ndi masewera olimbitsa thupi, kuti apititse patsogolo kupindula kwa mphamvu.

Kuchiza Ankle Sprains ndi Chiropractic Care

Zothandizira

Cleveland Clinic. (2021). Kusintha konse kwa akakolo.

Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Ankle arthroplasty motsutsana ndi ankle arthrodesis-kuyerekeza kwa zotsatira zazaka khumi zapitazi. Journal ya opaleshoni ya mafupa ndi kafukufuku, 12 (1), 76. doi.org/10.1186/s13018-017-0576-1

Massachusetts General Hospital. (ND). Malangizo a Physical therapy pa ankle arthroplasty yonse.

UW Health Orthopedics ndi Rehabilitation. (2018). Malangizo obwezeretsa pambuyo pa ankle arthroplasty yonse.