Ukucingwa kweDiscotics yezinto ezingekho phantsi koMbane

Ukujonga ukuxilongwa Umqolo uquka ukusuka kwi-radiographies ukuya kwi-computed tomography scanning, okanye i-CT scans, apho i-CT isetyenziswa ngokubambisana ne-myelography kwaye kutshanje kunye ne-imaging resonance magnetic, okanye i-MRI. Olu xilongo lokuxilonga lusetyenziselwa ukujonga ubukho bezinto ezingaqhelekanga zomqolo, i-scoliosis, i-spondylolysis kunye ne-spondylolisthesis. Inqaku elilandelayo lichaza iindlela ezahlukeneyo zokucinga kunye nokusetyenziswa kwazo kuvavanyo lweengxaki eziqhelekileyo zomgogodla ezichazwe.

 

Achondroplasia

 

• I-Achondroplasia ngoyena nobangela uxhaphakileyo werhizomelic (ingcambu/esondele) imilenze emifutshane. Izigulana zikrelekrele njengesiqhelo.�
• Ibonisa izinto ezingafaniyo zemizila echaphazelekayo echaphazela amathambo ende, i-pelvis, i -kull kunye nezandla.
• Utshintsho kwikholamu ye-Vertebral lunokuthi lubonise ukungahambi kakuhle kweklinikhi kunye ne-neurological.�
• I-Achondroplasia yi-autosomal disorder disorder kunye ne-80% yamatyala avela kutshintsho olutsha. Ubudala bomntwana obusondeleyo buhlala budibene. I-Achondroplasia ibangelwa ukuguqulwa kwe-genetic growth gene (FGFR3) eyenza ukubunjwa kwe-cartilage engavamile.
• Wonke amathambo akhiwa yi-endochondral ossification achaphazelekayo.
• Amagqabumba ayenziwa nge-osrafication ye-intra-membranous are not normal.
• Ngaloo ndlela, i-crane yamagundane, amaphiko e-aliac aqhele ngokuqhelekileyo ngokubhekiselele kwisiseko skull, amanye amathambo ebuso, i-vertebral column, kunye namathambo amaninzi angamaqhekeza.

 

• UDx: ngokuqhelekileyo kwenziwa ngexesha lokuzalwa kunye nezinto ezininzi ezibonakalayo kwiminyaka embalwa yokuqala yobomi.
• Iidrafri idlala inxalenye ebalulekileyo yokuxilongwa kweklinikhi.
• Impawu eziqhelekileyo zibandakanya: ukufutshane kunye nokwandisa amathambo e-tubular, i-metaphyseal flaring, isandla se-Trident kunye nemida emfutshane, i-metacarpals ebanzi kunye ne-phalanges ephakathi. I-Longer Fibular, i-Tibial iyaqubuda, imfutshane i-humeri imfutshane ngokuphindaphindiweyo ikhutshwe i-Radial head and nebowbowxion deformity.

 

• Umqolo: uphawu olucuthekileyo lwe-L1-L5 umgama ophakathi kweembono ze-AP. Umbono osecaleni ubonisa ukucutheka kweepedicles kunye nemizimba ye-vertebral, �umqolo omile okwembumbulu unokuba luphawu olubonakalayo. Utshintsho oluguquguqukayo lwakwangoko kunye nokucutheka komjelo kwenzeka. I-horizontal sacral inclination yinkalo ebalulekileyo.
• I-Skull ibonisa i-bossing yangaphambili, i-middleface hypoplasia kunye ne-foramen magnum.
• I-Pelvis ibanzi kwaye imfutshane kwaye iphawulwe �iglasi yechampagne� inkangeleko yepelvis.
• Iintloko zentombi zine-hypoplastic, kodwa i-hip arthrosis ngokuqhelekileyo ayigcinwanga nakwizigulane ezindala ngenxa yokunciphisa umlinganiselo kunye nokulula (50kg) yezigulane.

 

Ulawulo lwe-Achondroplasia

 

• I-hormone yokukhula kwakhona yabantu (GH) ngoku isetyenziselwa ukunyusa ubude bezigulana ezine-achondroplasia.
• Uninzi lweengxaki zeAcondroplasia zihambelana nomgudu: umthamo we-verticalal canal, i-thoracolumbar kyphosis, i-foramen magnum encinci kunye nabanye.
• I-Laminectomy efikelela kwi-pedicles / i-lateral recess kunye ne-foraminotomies kunye ne-discectomi.
• Ukunyanzeliswa komlomo wesibeleko kunqatshelwe.

 

Ukuxilonga ukuxilongwa kudlala indima ebalulekileyo ekuxilongweni kwe-scoliosis, ukungaqhelekanga komqolo ekukholelwa ukuba kwenzeka ngenxa yomcimbi wezempilo, nangona iimeko ezininzi ze-scoliosis ziyi-idiopathic. Ngaphezulu, i-radiographies, i-CT scans, kunye ne-MRI, phakathi kwabanye, inokunceda ukubeka iliso utshintsho lwe-deformity yomqolo ehambelana noku kubonakaliswa komgogodla. I-Chiropractors inokubonelela nge-imaging diagnostics kwizigulane ezine-scoliosis ngaphambi kokuqhubeka nonyango.

UDkt Alex Jimenez DC, i-CCST

Scoliosis

 

• I-Scoliosis ichazwa njengento engaqhelekanga yokugoba komqolo> i-10-degree xa ihlolwe yi-Cobb's method of mensuration.
• I-Scoliosis ingachazwa njengezithuba zangasemva nezakhiwo.
• I-Postural scoliosis ayilungiswanga kwaye ingahlaziywa ngecala lokutsala kwinqanaba le-convexity.
• I-scoliosis yesakhiwo inezizathu ezininzi ukusuka:
  ? Idiopathic (>80%)
  ? I-Congenital (i-wedge okanye i-hemivertebra, i-vertebra evaliweyo, i-Marfan syndrome, i-skeletal dysplasias)
  ? I-neuropathic (i-neurofibromatosis, iimeko ze-neurological ezifana nentambo eboshiweyo, i-spinal dysraphism, njl.)
  ? I-Scoliosis d/t I-Spinal neoplasms
  ? I-post-traumatic etc.
• Idiopathic scoliosis yindlela eqhelekileyo (> 80%).
• Idiopathic scoliosis ingaba yi-3-iindidi (intsana, intsha, intsha).
• Idiopathic ye-teenage scoliosis ukuba izigulane> 10y.o.
• I-infoliyo scoliosis ukuba <3 yo M> F.
• Ulutsha lwe-scoliosis ukuba> 3 kodwa <10-yo
• Idiopathic I-teenage scoliosis yinto eqhelekileyo kwiF: M 7: I-1 (amantombazana aselula asetshentshile).
• I-Etiology: engacatshangwanga ukuba iyiphumo lokuphazamiseka kokulawulwa komnxeba kunye nomsi womzimba, ezinye iingcamango zikhona.
• Ininzi ibonwe kwingingqi ye-thoracic kwaye ininzi idluliselwa kwi-right.
• I-Dx: i-radiography epheleleyo yomgudu kunye ne-gonadal kunye nesifuba sesifuba (ngokukhethekileyo iimbono ze-PA ukukhusela izicubu zesifuba).

 

Rx: 3-Os: Ukuqwalasela, iOrthosis, ukungenelela kokusebenza

 

� Iigophe ezine-50-degrees okanye ngaphezulu kwaye ziqhubela phambili ngokukhawuleza ziya kufuna ungenelelo lonyango ukunqanda ukukhubazeka okumandundu kwethorax kunye neembambo ezikhokelela kwi-cardiopulmonary abnormalities.
� �? Ukuba i-curvature yi-<20-degree, akukho nyango lufunekayo (ukuqwalasela).
� �? Kwiigophe ezi>20-40-degrees bracing zingasetyenziswa (orthosis).

 

• I-Milwaukee (isinyithi) i-brace (ngasekhohlo).
• I-Boston brace polypropylene edibene ne-polyethylene (ngasekunene) kaninzi ikhethwa ngenxa yokuba inokugqithwa phantsi kweengubo.
• Ukubhinqa ukugqoka kuyadingeka kwii-24-iiyure ngexesha lonyango.

 

• Qaphela indlela ye-Cobb yokulinganisa ukurekhoda ukugoba komqolo. Inemida ethile: umfanekiso we-2D, awukwazi ukuqikelela ukujikeleza, njl.
• Indlela yeCobb iseluvandlakanyo olusemgangathweni olwenziwa kwizifundo zeScoliosis.
• Indlela yeNash-Moe: ikhetha ukujikeleza kwe-pedicle kwi-scoliosis.

 

• Isalathisi se-Risser sisetyenziselwa ukuqikelela ukukhula komzimba.
• Ukukhula kwe-Iliac i-apophysis ivela kwi-ASIS (i-F- 14, i-M-16) kwaye iqhubela phambili kwaye ikulindeleke ukuba ivaliwe kwi-2-3-iminyaka (i-Risser 5).
• Ukuqhubela phambili kwescoliosis kuphela kwiRisser 4 kwabasetyhini kunye neRisser 5 emadodeni.
• Ngethuba lokuhlaziywa kwe-radiographic ye-scoliosis, kubalulekile ukuchaza ukuba ukukhula kwe-Risser apophysis ihlala ivulekile okanye ivaliwe.

 

I-Spondylolysis kunye ne-spondylolisthe yimiba yempilo enokubangela intlungu emva. I-Spondylolysis ikholelwa ukuba ibangelwa yi-microtrauma ephindaphindiweyo ekhokelela ekutyaleni koxinzelelo kwi-pars interarticularis. Izigulane ezinokukhubazeka kwezibini zingahlakulela i-spondylolisthesis, apho isantya sokutshatyalaliswa kwe-vertebrae esondeleyo inokuqhubeka ngokuthe gqolo ngokuhamba kwesikhathi. Izigulane kunye ne-spondylolysis esityhalwayo kunye ne-spondylolisthesis zingaqale zihlolwe ngentlungu ye-radiography. Ukhathalelo lwe-Chiropractic lunokukunceda ukubonelela ngeengcamango zokujonga iziphumo zempilo.

UDkt Alex Jimenez DC, i-CCST

I-Spondylolysis kunye neSpondylolisthesis

 

• Isiphene se-Spondylolysis kwi-interarticularis okanye ibhuloho engaboniyo phakathi kweenkqubo eziphezulu kunye ezingaphantsi.
• Ukuphazamiseka kwengqondo ye-Pathology ye-pars, ekholelwa ukuba emva kwe-microtrauma ngokuphindaphindiweyo kwi-extensions Amadoda> Abafazi, ichaphazela i-5% yabemi ngokubanzi ikakhulukazi kwiintsholongwane zemidlalo.
• Ukunyanzeliswa kwezonyango ukuba loo matyala angaphantsi kwintlungu angaxhamla kule nkqubo.
• Ngokuqhelekileyo i-spondylolysis ihlala ingabonakali.
• I-Spondylolysis inokufumaneka kunye okanye i-spondylolisthesis.
• I-Spondylolysis ifumaneka kwi-90% kwi-L5 kunye ne-10% eseleyo kwi-L4.
• Unokubambisana kunye.
• Kwi-65% yeemeko, i-spondylolysis idibene ne-spondylolisthesis.
• Iimpawu ze-Radiographic: ukuphula i-collar yenja ye-Scotty entanyeni kwimibono ye-oblique lumbar.
• I-radiography ine-low-sensibility ukuthelekiswa ne-SPECT. I-SPECT idibene ne-radiation ionizing, kwaye i-MRI njengamanje iyindlela ekhethiweyo yokuxilonga.
• I-MRI inokukunceda ukubonisa umlenze osebenzayo u-edema emva kokuphambuka kwesiphene okanye i-w / o i-defect ebizwa ngokuba ilindele okanye iyakwazi ukuphuhlisa i-spondylolysis.

 

Iintlobo ze-Spondylolisthesis

 

• Uhlobo lwe-1 - I-Dysplastic, inqabile kwaye ifumaneka kwi-congenital dysplastic malformation ye-sacrum evumela ukufuduka kwangaphandle kwe-L5 kwi-S1. Ngokuqhelekanga akukho siphene.
• Uhlobo lwe-2 - Isthmic, oluqhelekileyo, ngokuqhelekileyo lube ngumphumo wokuphazamiseka kwengxaki.
• Uhlobo lwe-3 - I-Degenerative ukusuka ekulungiseni inkqubo ze-articular.
• Uhlobo lwe-4 - Inkathazo kwi-arch fake.
• Thayipha i-5 - Pathologic ngenxa yesifo seethambo kwindawo okanye kwilizwe jikelele.

 

Ukufakwa kwe-spondylolisthesis kusekelwe kwiSigaba seMyereding.
Olu luhlu lubhekisela kwingxenyana ebanzi yomzimba ophezulu ngokubhekiselele kwingxenye yangaphambili-engemva komzimba ongaphantsi.

 

• IBakala 1 - 0-25% isithuba sokuqala
• IBanga 2 - 26-50%
• IBakala 3 - 51% -75%
• IBanga 4 - 76-100%
• IBakala 5 -> 100% spondyloptosis

 

• Phawula i-spondylolisthesis ephazamisayo kwiL4 kunye ne-retrolisthesis kwi-L2, i-L3.
• Okungaqhelekanga kuvela ngenxa yokuguqulwa kwamacandelo kunye ne-disc kunye nokunciphisa ukuzinza kwendawo.
• Iqhubeka ngokuqhubekayo ngaphaya kweBakala 2.
• Kumele kuqatshelwe kwingxelo yomfanekiso.
• Igalelo kwi-stalosis ye-canal.
• I-stalosis ye-Canal iboniswe ngokugqithisileyo.

 

• Uphawu lomnqwazi weNapoleon olujikiweyo-ubonwa kumphambili we-lumbar/pelvic radiographs kwi-L5-S1.
• Ubonisa i-spondylolysis emibini kunye ne-anterolisthesis ephawulisiweyo ye-L5 kwi-S1 kaninzi nge-spondyloptosis kwaye igxininiswe ngokunyaniseka kwe-lordosis evamile.
• I-Spondylolysis eyenzeka kule nqanaba ye-spondylolisthesis idlalwa yintsholongwane kunye / okanye ibuhlungu ngokusuka kwimvelo kwaye ingaphantsi kwexesha elidlulayo.
• I "brim" yentsimbi ibunjwa ngokujikeleza kwezinto ezijikelezayo, kwaye "idome" yentsimbi yenziwe ngumzimba weL5.

 

Ukuqukumbela, uxilongo lokuxilonga lomqolo luyacetyiswa kwizigulana ezinezitenxo ezithile zomnqonqo, nangona kunjalo, ukusetyenziswa kwazo okwandisiweyo kunokunceda ukumisela "olona khetho lwabo lonyango lungcono. Ukuqonda ukungaqhelekanga komqolo ochazwe ngasentla kunokunceda abaqeqeshi bezempilo kunye nezigulane zenze inkqubo yonyango yokuphucula iimpawu zabo. Ububanzi bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

Imixholo eyongezelelweyo: I-Pain Back Pain

 

Umqolo obuhlunguSesinye sezona zizathu zixhaphakileyo zokukhubazeka kunye neentsuku eziphosiweyo emsebenzini kwihlabathi liphela. Iimpawu ezibuhlungu zangasemva kwisizathu sesibini esiqhelekileyo sokutyelelwa yi-ofisi kagqirha, ngaphezulu kwenani losulelo oluphezulu lokuphefumla. Phantse iipesenti ezingama-80 zabemi baya kufumana iintlungu zangasemva kube kanye ebomini babo. Umqolo sisakhiwo esintsonkothileyo esenziwe ngamathambo, amalungu, iigaments, kunye nezihlunu, phakathi kwezinye izicwili ezithambileyo. Ngenxa yoku, ukwenzakala kunye / okanye iimeko ezixineneyo, ezinje ngedisni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

 

I-EXTRA EXTRA | INGXELO EBALULEKILEYO: Ukwelashwa kweNeck Pain Pains