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UkuCatshulwa koLawulo lweSifo:

  • Umlomo wesibeleko kunye ne-radiographic variances isifo esifana
  • Umlomo wesibeletho
  • Arthritis
  • Neoplasms
  • Sulelo
  • I-Post-Surgical cervical spine

 

umgudu wokugulisa umthambo el paso tx.

 

  • Ukuzinza kwe-Cranio-kervical and upper colervus kuxhomekeke kumagqabantshintshi aphezulu, aphezulu kunye angaphantsi kweLiLIMUMX-C1 ligament, iiglaments e-alarm, kunye nezinye iimbambano ezimbalwa

 

umgudu wokugulisa umthambo el paso tx.

 

umgudu wokugulisa umthambo el paso tx.

 

Ingxaki yomlomo wesibeleko

  • I-C / S isengozini yokulimala. Ngoba?
  • Uzinzo luye lwabanjelwa ukuhamba okukhulu
  • I-vertebrae yesibeleko incinci kwaye iphazamisekile ngama-foraminae amaninzi
  • Intloko ayixhomekekanga kwaye isebenza njengeqhenqa elingavumelekanga ngokukodwa xa imikhosi isebenzela isantya esinzima
  • Ukongezelela, iC / S ifanelekile ekuhlaleni okwenza kube yingozi kakhulu kwintlungu
  • Kubantwana abancinci, iigamente zithandeka ngokubhekiselele kumlinganiselo omkhulu wenhloko
  • Kubantwana, i-fulcrum yentembeko i-C2 / 3 ngaloo ndlela yenza ukulimala okuqhelekileyo kwi-C / S ephezulu kunye kunye ne-craniocervical junction. Kubantwana, i-SCIWORA iyakwenzeka xa kungekho ubungqina bokuphuka
  • Kubantu abadala, i-fulcrum yentembeko i-C5 / 6 ngaloo ndlela yenza i-C / S engaphantsi kweyona nto ingasetyenziselwa ukuxhatshazwa ngokugqithiseleyo ngexesha lokugqithisa
  • Umlomo wesibeleko uhlelwe ngokweendlela zokulimala (ulwahlulo lweHarris kunye neMirvis)

 

Ukutshatyalaliswa kwe-Hyperflexion Ukulimala: Uzinzile kunye nokungaqiniseki

  • I-Flexion teardrop Fx (inqabileyo eninzi, engazinzi)
  • Ukutshatyalaliswa kwezinto ezinobungozi (ukulimala kanzima w / o ukuphazamiseka, okungaqinisekiyo)
  • Ukuhlukunyezwa kwangaphambili (okungenakho ukuzinza) kunokuba yingozi kakhulu
  • I-Clay Shoveller Fx (ukunyuswa kwe-C / S engezantsi, ukuzinza)
  • Ukunciphisa okulula okulula (ubuninzi be-Fx, bomelele)
  • Ukutshintshisiswa kwe-Hyperflexion nge-unilateral facet dislocation
  • Fumana imbali epheleleyo
  • Ukuqhuba uvavanyo lomzimba kubandakanya ukuhlolwa kwegazi
  • Qwalasela iinqobo ze-NEXUS (kuZwelonke Emergency X-radiography Isifundo sokusetyenziswa)

 

Iindlela zokucinga:

  • Uqala nge x-radiography ngokukodwa kwiziganeko ezingenayo ingxaki enkulu ye-neurological compromise
  • Ukujonga okungekho mbambano kwiphondo yokuqala
  • Ukuba x-radiografi ingaphenduli kodwa ubukhulu obuphezulu beentlungu ezibuhlungu kunye nokulahleka kweengqondo, i-CT scanning w / o iyafuneka
  • Cinga ukutshekisha kwe-CT kwizigulane ezineentshintsho zangaphambili: i-spondylosis yangaphambili, i-DISH, AS, i-RA, umgudu osemva kokuvuthwa, ukungavumelekanga kokuzalwa (i-Klippel-Feil syndrome, njl.

 

Ukunyanzeliswa okuqhelekileyo:

  • IJefferson yaqhambuka iAlaslas Fx (engaqinisekiyo xa i-ligament Transverse iqhekekile, intambo yokukhubazeka kwi-20-30% kuphela)
  • Ngoba? Ngenxa yokuqhekeka kweengcezu kunye nelayali
  • Ukugqithiswa kweFx kwiTraracic okanye iLumbar umgudu (ongaqinisekanga, intambo yokukhubazeka ingenzeka)

 

umgudu wokugulisa umthambo el paso tx.

 

Indlela yokuvavanya ama-Radiographs kwiziganeko ze-Trauma:

  • Yakha i-5-imigca kwi-viewal view
  • Qaphela ukuba iinkalo zihambelana kakuhle kwaye zihambelana
  • Qinisekisa ukulinganisa kwe-disk height
  • Phawula naluphi na ukwandisa okanye ukutshisa umgama ophakathi
  • Ukuqwalasela ngokucophelela izicubu ezithambileyo ze-prevertebral
  • Hlola i-atlanto-yamazinyo ekhefu (ADI)

 

umgudu wokugulisa umthambo el paso tx.

 

  • Kwiimeko zexinzelelo, hlalutya kwaye kucace engathathi hlangothi kuqala
  • Musa ukwenza imibono eguquguqukayo kunye nokwandiswa kwamacala kwiimeko ezinzima ngaphambi kokuba i-ray-ray okanye i-CT scanning ingabandakanyi ukungazinzi okukhulu
  • Nika ingqalelo kwii-tissue ezithambileyo zangaphambili
  • Ukuba kunomda ogqithiseleyo kunomda oqhelekileyo, qwalasela i-post-traumatic bleed
  • I-asymmetry efihlakeleyo kunye nokwandisa ukuphakama kwe-disk posterior kunye neenkalo kunye nokukhwaza kwangaphakathi kwintsikelelo kungaba yinto ebalulekileyo yokwehliswa okukhulu kwegigamente

 

umgudu wokugulisa umthambo el paso tx.

 

Ukulimala kwe-Hyperflexion (M / C Mechanism)

  • Okuqhelekileyo rhoqo kwi-C-S C-3-C7 kwi-axial
  • Ukulimala okungaqinisekiyo:
  • Ukuqhekeka kwethontsi (I-M / C C5 kunye ne-C6) v. Ayizinzanga
  • Iinkalo ezibalulekileyo:
  • I-"tardrop" enkulu ebunxantathu yomzimba
  • Ukutshitshiswa kwe-SPs, i-disc yangemva kwendawo kunye nobubanzi bebakala obubonisa ukutyunjwa kwamagqabantshintshi amakhulu kunye nokungazinzi
  • Ukutshintshwa kwendawo engaphezulu komzimba we-vertebral fracture kuphakamisa intambo yangaphambili yomgca / izitya zokunciphisa
  • Ukuqhaqhazela izicubu ezinotsholongwane ze-prevertebral> 20-mm kwi-C6-7
  • I-80% yamatyala inokukhubazeka kwindawo okanye ivelise ukukhubazeka okufutshane emva kwangoko

 

umgudu wokugulisa umthambo el paso tx.

 

I-Acute Neck Trauma. Ziziphi iimpawu ezibalulekileyo ze-radiographic? Yintoni ukuxilongwa?

 

umgudu wokugulisa umthambo el paso tx.

 

  • I-CT scanning w / o ihluke ngokutsha kwakhona. Qaphela iC7 Flexion teardrop Fx.
  • I-CT inokunceda ngokucwangcisa phambili kunye nokucwangcisa kwangaphambili
  • Ngamana ungalandela noM MR ukucinga kunye nokuvavanya ukulimala kwegazi

 

umgudu wokugulisa umthambo el paso tx.

 

  • Isalathisi se-Fluid (T2) se-sagittal sRI ye-Flexion ye-Flexion evulekile kwiC4 kwaye mhlawumbi i-C5
  • Qaphela isilonda esiphezulu sesiginci sekhondlo kwintambo kunye nemigqa ejikelezayo ebonisa i-edema yentambo kunye ne-ischemia
  • Ulawulo: i-neurosurgical ne-fusion fusion
  • Iingxaki:
  • Quadriplegia / paraplegia
  • Iingxaki zokuphefumula
  • Ukukhubazeka, utshintsho kwimgangatho wobomi
  • Ukunciphisa ixesha lokuphila

 

umgudu wokugulisa umthambo el paso tx.

 

  • I-facetary facet dislocation (engazinzi)
  • Indlela: Ukulimala-ukuphazamiseka kokuphazamiseka
  • Idrafrikhi ebalulekileyo: umzi womntu ophumayo ngaphandle kwe50% okanye ngaphezulu
  • Iimpawu zigqithise kwaye zivalelwe (zinokuthi zifakwe kumfanekiso osekhohlo)
  • Ukugqithwa okukhulu kwegamente
  • Amathuba okuncinci kwentambo kunye nokukhubazeka
  • Izigulane ezinegigamentsxakeli kunye neenguqu ezitshintshayo zisesifo esiphezulu
  • Ukuqala x-radiography isinyathelo sokuqala

 

umgudu wokugulisa umthambo el paso tx.

 

I-CT scanning w / o Ukwahlula kubalulekile:

 

umgudu wokugulisa umthambo el paso tx.

 

  • Ukucaciswa okuqhubekayo kwesi sikalo
  • I-facet fractures, i-pedicle fracture
  • Ucwangciso loLawulo

I-Sagittal fluid i-MRI enovelwano ye-bilateral C5 facet dislocation, i-ischemic cord ye-ischemic ukwenzakala, kunye nokulimala kwezicubu ezithambileyo zangasemva.

 

umgudu wokugulisa umthambo el paso tx.

 

  • Ulawulo:
  • I-X-radiography, ngoko-CT ukuhlaziya ngokukhawuleza ukuvalwa (umzekelo ukuba isiguli siyazi)
  • Ilandelwa kwezinye iimeko ezilukhuni nge-MRI kwaye unyango lokunyangwa
  • Ukuba isigulane siphaphekile kwaye sizinzile ngokwemvelo, i-CT kunye nokunciphisa ukuvalwa kuyanele
  • Amathambo anzima kwaye ayiphumelelanga ukunciphisa ukuvalwa kungadinga ukuzinzisa ukuzinzisa
  • Iingxaki: umqolo ukulimala nokukhubazeka
  • Ukulahla ukuxilwa kunye nokungazinzi

 

umgudu wokugulisa umthambo el paso tx.

 

    • Unilateral facet dislocation (inzakalo yokujikeleza kwesikhumba) kunzima kakhulu kunokuba ukuxhatshazwa kwamanye amazwe
    • Ubuninzi obunokukhubazeka komlomo wesibeleko kwi-x-rayography
    • Iinkalo ezibalulekileyo: umzimba uphendulelwe kwangaphambili i-25% iifom yefayile ibonakala ingacatshangwanga kwaye iphazamisekile, i-SP ijikelele kwimibono yangaphambili
    • Iikliniki inokuthi iboniswe njenge-radiculopathy eyodwa-side esp. C6 okanye iC7
    • I-scan scan iyadingeka ukuvavanya ezinye iifetric facet / fractures
    • Ukuphononongwa kwangaphambili kokunciphisa nokunyamekela
    • Ulawulo: Ukunciphisa ukuvalwa. kwisigulane esaziwayo
    • Iingxaki: ukukhutshwa kwe-acute disney / retropulsion, i-laxity ligament, ukulimala kwegazi

Indlela yokuTyela yokuTywala

Izibonelelo:

 

Umgangatho wobuchule wokuSebenza *

Ulwazi olulapha ku "Indlela yokuCatshulwa kweNtsalane yokuTyekiswa kweNtsholongwane yokuThengisa iNgxenye I"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.

Ulwazi lweBlog kunye neengxoxo zoMda

Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.

Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.

Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.

I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.

Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.

Silapha ukunceda wena kunye nosapho lwakho.

Iintsikelelo

UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*

email: qeqeshi@elpasofunctionalmedicine.com

Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182

Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*

UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Ikhadi lam loShishino lweDijithali