News Chiropractic
I-Back Clinic Chiropractic News. El Paso, TX. I-Chiropractor, uDkt Alex Jimenez uzisa amanqaku eendaba ezahlukahlukeneyo ze-chiropractic ezijongene neendlela zamva nje zokulungelelanisa, iteknoloji, kunye nokufunyanwa kwezonyango. Yindawo yesithathu ngobukhulu kwezamayeza namhlanje. Igama elithi chiropractic livela kwintsingiselo yesiGrike unyango ngesandla , Yiloo nto kanye i-chiropractors abazisebenzisayo izandla zabo ukuze baphathe umzimba kunye nokukhuthaza ukuphilisa kunye nokuphila kakuhle. Ugqirha we-chiropractic (DC), i-chiropractor okanye ugqirha we-chiropractic, ingcali yezempilo eqeqeshelwe ukuxilonga kunye nokunyanga ukuphazamiseka kweenkqubo ze-musculoskeletal kunye ne-nervous. I-Chiropractors iphatha izigulane zayo yonke iminyaka, iintsana, abantwana kunye nabantu abadala. Bakholelwa kwindlela yezandla (engezizo utyando) zokunyanga ezi ngxaki.
Ifilosofi ye-chiropractic ixhomekeke kule nkcazelo yeenkolelo ezilandelayo: Yonke imisebenzi yomzimba iqhagamshelene kwaye inkqubo yokuphilisa ifuna umzimba wonke. Inkqubo ye-nervous enempilo, ngakumbi umqolo, yinto ebalulekileyo kumzimba ophilileyo. Intambo yomgogodla ithwala iingcebiso kuwo wonke umzimba kwaye inoxanduva lwemisebenzi emininzi yomzimba kuquka ukunyakaza okuzithandela (njengokuhamba) kunye nemisebenzi engafunekiyo (njengokuphefumula). Xa iinkqubo zomzimba zilingana, kuthiwa homeostasis . Ukuphazamiseka kwamathambo, izihlunu kunye nemithambo-luvo kwandisa umngcipheko wokuphazamiseka kunye nezinye iingxaki zempilo kwaye kunokuphazamisa i-homeostasis. Xa iinkqubo zomzimba zihambelana, i-anatomy yomntu ifumana amandla amangalisayo okugcina impilo kwaye iziphilise. Ukuze ufumane iimpendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Alexander Jimenez 915-850-0900
by UGqr Alex Jimenez Chiropractic , Uvavanyo lweChiropractic , News Chiropractic , Ubuhlungu obungapheliyo , Ukujonga kunye nokuchonga , Unyango
Ngaba abaqeqeshi bezempilo kwiklinikhi ye-chiropractic babonelela njani ngendlela yeklinikhi yokuthintela iimpazamo zonyango kubantu abaneentlungu?
intshayelelo
Iimpazamo zonyango zibangele ukufa kwe-44,000-98,000 esibhedlele eMelika ngonyaka, kwaye ezininzi zibangele ukulimala okubi. ( Kohn et al., 2000 ) Eli nani lalingaphezu kwenani labantu abafa minyaka le ngenxa kaGawulayo, umhlaza wamabele neengozi zemoto ngelo xesha. Ngokophando lwamva, elona nani lokufa linokuba lisondele kwi-400,000, libeka iimpazamo zonyango njengeyesithathu eyona nto ixhaphakileyo yokufa e-US. Rhoqo, ezi mpazamo aziyomveliso yabasebenzi bezonyango ababi ngokwemvelo; kunoko, ziziphumo zemiba yenkqubo kunye nenkqubo yokunakekelwa kwempilo, njengeepatheni zokungahambelani komnikezeli, unxibelelwano lwe-inshurensi edibeneyo, ukusetyenziswa kakubi okanye ukungabikho kwemigaqo yokhuseleko, kunye nokunyamekela okungalungelelanisiweyo. Inqaku lanamhlanje lijonga indlela yeklinikhi yokuthintela impazamo yonyango kwimeko yeklinikhi. Sixoxa ngababoneleli bezonyango abanxulumeneyo abakhethekileyo kunyango olwahlukeneyo lokunceda abantu abaneengxaki ezingapheliyo. Sikwakhokela izigulana zethu ngokubavumela ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo ebaluleke kakhulu kwaye entsokothileyo. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli
Ukuchaza Iimpazamo zonyango
Ukumisela ukuba yeyiphi impazamo yonyango lelona nyathelo libalulekileyo kuyo nayiphi na incoko malunga nokuthintela iimpazamo zonyango. Unokucinga ukuba lo ngumsebenzi olula kakhulu, kodwa oko kuphela de ungene kuluhlu olukhulu lwesigama esisetyenzisiweyo. Amagama amaninzi asetyenziswa ngendlela efanayo (ngamanye amaxesha ngempazamo) kuba isigama sitshintshatshintsha, kwaye ngamanye amaxesha, intsingiselo yegama ixhomekeke kubuchule obuxutyushwayo.
Nangona icandelo lokhathalelo lwezempilo lithe ukhuseleko lwesigulane kunye nokuphelisa okanye ukunciphisa iimpazamo zonyango zizinto eziphambili, uGrober noBohnen baqaphele kutshanje nje ngo-2005 ukuba baye bawa phantsi kwindawo enye ebalulekileyo: ukugqiba inkcazo "mhlawumbi owona mbuzo ubalulekileyo ... Impazamo yezonyango? Impazamo yonyango kukungaphumeleli ukugqiba isenzo esicwangcisiweyo kwisimo sonyango. ( UGrober & Bohnen, ngo-2005 ) Noko ke, akukho nalinye kumagama adla ngokuchazwa ngokucacileyo xa ubani enengxaki yezonyango—izigulane, unyango, okanye nayiphi na enye into—ekhankanywe kule nkcazelo. Ngaphandle koku, inkcazo inika isakhelo esiluqilima sophuhliso olongezelelweyo. Njengoko ubona, loo ngcaciso ikhethekileyo inamacandelo amabini:
Impazamo yokwenza : Ukusilela ukugqiba inyathelo elicwangcisiweyo njengoko bekucetyiwe.Impazamo yokucwangcisa: bubuchule obuthi, nokuba kwenziwe ngokugqibeleleyo, akuvelisi iziphumo ezinqwenelekayo.
Iingcamango zeempazamo zokwenziwa kunye neempazamo zokucwangcisa azanelanga ukuba siza kuchaza impazamo yonyango ngokwaneleyo. Oku kunokwenzeka naphi na, hayi kwiziko lezonyango kuphela. Icandelo lolawulo lwezonyango kufuneka longezwe. Oku kuzisa ingcamango yeziganeko ezingathandekiyo, ezaziwa ngokuba ziziganeko ezimbi. Inkcazo eqhelekileyo yesiganeko esibi yingozi engalindelekanga kwizigulane eziziswa ngonyango lwezonyango kunokuba isifo sabo esisisiseko. Le nkcazo ifumene ukwamkelwa kwamanye amazwe ngendlela enye okanye enye. Umzekelo, eOstreliya, igama elithi izehlo lichazwa ngokuba yiyiphi ingozi ebangele ukuba umntu afumane unyango. Ezi ziquka usulelo, ukuwa okubangela ukwenzakala, kunye nemiba yamayeza kagqirha kunye nezixhobo zonyango. Izehlo ezithile ezingathandekiyo zinokuthintelwa.
Iindidi eziqhelekileyo zeempazamo zonyango
Ekuphela komcimbi ngalo mbono kukuba ayizizo zonke izinto ezimbi ezenzeka ngengozi okanye ngabom. Ngenxa yokuba isigulana sinokuzuza ekugqibeleni, isiganeko esibi esilindelekileyo kodwa esinyamezelekileyo singenzeka. Ngexesha le-chemotherapy, isicaphucaphu kunye nokulahleka kweenwele yimizekelo emibini. Kulo mzekelo, ukwala unyango olucetyiswayo kuya kuba kuphela kwendlela esengqiqweni yokuthintela iziphumo ezingathandekiyo. Ngaloo ndlela sifika kumbono wezinto ezinokuthi zithintelwe kwaye zingathinteleki njengoko siqhubeka siphucula inkcazo yethu. Akukho lula ukuhlela ukhetho lokunyamezela impembelelo enye xa kuqinisekiwe ukuba isiphumo esilungileyo siyakwenzeka ngaxeshanye. Kodwa injongo iyodwa ayisosizathu. ( Inethiwekhi yoKhuseleko lweSigulane, i-2016, isiqendu.3 ) Omnye umzekelo wempazamo ecwangcisiweyo iya kuba kukunqunyulwa kwenyawo lokunene ngenxa yethumba kwisandla sasekhohlo, esiya kwamkela isiganeko esibi esaziwayo nesixelwe kwangaphambili ngethemba lomphumo onenzuzo apho kungekho namnye owakha wavela ngaphambili. Akukho bungqina bokuxhasa ulindelo lwesiphumo esihle.
Iimpazamo zonyango ezenza umonakalo kwisigulana zidla ngokuba yeyona nto sigxile kuyo kuphando lwethu. Nangona kunjalo, iimpazamo zonyango zinokwenzeka kwaye ziyenzeka xa isigulane singonakaliswa. Ukwenzeka kokuphoswa kufutshane kunokubonelela ngedatha exabiseke kakhulu xa kucwangciswa indlela yokunciphisa iimpazamo zonyango kwiziko lokhathalelo lwempilo. Nangona kunjalo, ukuphindaphindwa kwezi ziganeko xa kuthelekiswa neekliniki ezizixela rhoqo kufuneka ziphandwe. Iziphoso ezikufutshane ziziphoso zonyango ezinokuthi zenze umonakalo kodwa azizange ziyenze kwisigulane, nokuba isigulane siqhuba kakuhle. ( UMartinez et al., 2017 ) Kutheni le nto unokuvuma into enokukhokelela ekubeni uthathwe amanyathelo asemthethweni? Cinga ngemeko apho umongikazi, nangasiphi na isizathu, ebesandula ukujonga iifoto zamayeza ahlukeneyo kwaye sele eza kunikela iyeza. Mhlawumbi kukho into esalibeleyo kwinkumbulo yakhe, yaye ugqiba kwelokuba asiyondlela amayeza athile akhangeleka ngayo. Wathi akujongisisa, wafumanisa ukuba amayeza angachanekanga esetyenziswe. Emva kokujonga onke amaphepha, ulungisa impazamo aze anike isigulane umyalelo ofanelekileyo. Ngaba kunokwenzeka ukuphepha impazamo kwixesha elizayo ukuba irekhodi yolawulo ibandakanya iifoto zamayeza afanelekileyo? Kulula ukulibala ukuba kukho impazamo kunye nethuba lokwenzakala. Loo nyaniso ihlala iyinyani nokuba sibe nethamsanqa ngokwaneleyo lokuyifumana kwangethuba okanye sibandezeleke zizo naziphi na iziphumo ezibi.
Iimpazamo zeZiphumo kunye neNkqubo
Sidinga idatha epheleleyo ukuphuhlisa izisombululo eziphucula ukhuseleko lwesigulane kunye nokunciphisa iimpazamo zonyango. Ubuncinci, xa isigulane sikwiziko lonyango, yonke into enokuyenza ukukhusela ingozi kwaye ibabeke engozini kufuneka ixelwe. Oogqirha abaninzi baye banquma ukuba ukusebenzisa amabinzana amaphutha kunye neziganeko ezibi kwakubanzi kwaye zifanelekile emva kokuphonononga iimpazamo kunye neziganeko ezimbi kukhathalelo lwempilo kunye nokuxoxa ngamandla abo kunye nobuthathaka babo kwi-2003. Le nkcazo edibeneyo iya kwandisa ukuqokelela idatha, kubandakanywa iimpazamo, iifowuni ezisondeleyo, kufuphi. uyakhumbula, kwaye iimpazamo ezisebenzayo nezifihlakeleyo. Ukongeza, igama elithi iziganeko ezibi libandakanya amagama adla ngokuthetha ukwenzakala kwesigulane, njengokwenzakala kwezonyango kunye nokwenzakala kwe-iatrogenic. Into eseleyo kukumisela ukuba ibhodi yokuphonononga ibhodi efanelekileyo yokusingatha ukuhlukana kwezinto ezinokuthi zithintelwe kwaye zingathintekiyo.
Isiganeko somlindi sisiganeko apho kufuneka ingxelo kwiKomishoni edibeneyo. IKomishoni eHlangeneyo ithi isiganeko somlindi sisehlo esingalindelekanga esibandakanya ukwenzakala okumandundu emzimbeni okanye ngokwasengqondweni. ( "Iziganeko zeSentinel," 2004, p.35 ) Akukho lukhetho, njengoko kufuneka lubhalwe. Uninzi lwezibonelelo zempilo, nangona kunjalo, ziyazigcina iirekhodi zazo ezichaza izehlo zabalindi kunye nokuba benze ntoni xa umntu eqinisekisa ukuba imigangatho yeKomishoni eHlangeneyo iyafezekiswa. Le yenye yeemeko xa kungcono ukuba ukhuseleke kunokuba uxolo. Ekubeni igama elithi “serious” lisisinxulumanisi, kusenokubakho ukungqubana okuthile xa ukhusela umntu osebenza naye okanye umqeshi. Kwelinye icala, ukunika ingxelo ngesiganeko somlindi ngempazamo kungcono kunokusilela ukuchaza isiganeko somlindi. Ukungaphumeleli ukuxela kunokuba nemiphumo emibi, kuquka ukupheliswa komsebenzi.
Xa kuqwalaselwa iimpazamo zonyango, abantu bahlala besenza impazamo yokugxila kwiimpazamo ezichazwe ngugqirha. Iimpazamo zamayeza ngokungathandabuzekiyo zixhaphakile kwaye zibandakanya iimpazamo ezininzi zenkqubo njengezinye iimpazamo zonyango. Ukuqhawuka konxibelelwano, iimpazamo ezenziweyo ngexesha lommiselo okanye ukuhanjiswa, kunye nezinye izinto ezininzi zinokwenzeka. Kodwa besiya kuba siwujonga kakubi umcimbi ukuba sicinga ukuba iimpazamo zeziyobisi kuphela konobangela wokwenzakala kwisigulana. Olunye ucelomngeni olukhulu ekuhleleni iimpazamo zonyango ezahlukeneyo kukugqiba ukuba ngaba impazamo ihlelwa ngokwenkqubo ebandakanyekayo okanye isiphumo. Kwamkelekile ukuphonononga olo kuhlelwa apha, xa kujongwe iinzame ezininzi ezenziweyo ukuphuhlisa iinkcazo zokusebenza ezibandakanya zombini inkqubo kunye nesiphumo, uninzi lwazo lusekwe kumsebenzi kaLucian Leape osuka kwiminyaka yoo-1990.
Phucula Indlela Yakho Yokuphila Namhlanje- Ividiyo
VIDEO
Ukuhlalutya kunye nokuThintelwa kweempazamo zezoNyango
I-Operative kunye ne-nonoperative yayizezona ndidi zimbini eziphambili zeziganeko ezimbi ezahlulwa nguLeape kunye noogxa bakhe kolu phononongo. ( Leape et al., 1991 ) Iingxaki zotyando zibandakanya ukosuleleka kwamanxeba, ukusilela kotyando, imiba engeyiyo eyobugcisa, iingxaki emva kwexesha, kunye nobunzima bobugcisa. I-nonoperative: izihloko ezifana neyeza-amayeza, ukuxilonga, ukuphathwa kakubi, inkqubo-enxulumene nenkqubo, ukuwa, i-fracture, i-postpartum, i-anesthesia-related, i-neonatal, kunye ne-catch-all-heading of the system yabandakanywa phantsi kolu luhlu lweziganeko ezimbi. ULeape uphinde wahlela iimpazamo ngokubonisa indawo yokwahlulwa kwenkqubo. Ukwahlule ezi zibe zizihloko ezintlanu, ezibandakanya:
isixokelelwano ukwenza Unyango lweziyobisi sokuxilonga Uthintelo
Iimpazamo ezininzi zenkqubo ziwela phantsi kwesihloko esingaphezulu kwesinye, kodwa zonke ziyanceda ukukhomba eyona nobangela womba. Ukuba ngaphezu kogqirha omnye wayebandakanyekile ekunqumeni iindawo ezichanekileyo ezifuna ukuphuculwa, ngoko ke imibuzo eyongezelelweyo ingafuneka.
Ngokobuchwephesha, impazamo yezonyango inokwenziwa nguye nawuphi na umsebenzi esibhedlele. Ayiphelelanga kwiingcali zonyango ezifana noogqirha kunye nabongikazi. Umlawuli usenokuvula ucango, okanye umntu ococayo unokushiya imichiza apho umntwana enokuyibamba. Eyona nto ibalulekileyo ngaphezu kokwaziwa umenzi wempazamo sisizathu esisemva kwayo. Yintoni phambi kwayo? Yaye sinokuqiniseka njani ukuba loo nto ayiphindi yenzeke? Emva kokuqokelela zonke iinkcukacha ezingentla kunye nokunye okuninzi, lixesha lokufumana indlela yokuthintela iimpazamo ezifanayo. Ngokubhekiselele kwiziganeko zabalindi, iKomishoni eHlangeneyo iye yagunyazisa ukususela ngo-1997 ukuba zonke ezi ziganeko zenzeke kwinkqubo ebizwa ngokuba yi-Root Cause Analysis (RCA). Nangona kunjalo, ukusebenzisa le nkqubo kwiziganeko ezifuna ukuxelwa kumaqela angaphandle kuya kufuneka zilungiswe.
Yintoni Uhlalutyo Lonobangela?
Ii-RCA "zibambe iinkcukacha kunye nembono yomfanekiso omkhulu." Benza iinkqubo zokuvavanya lula, ukuhlalutya ukuba isenzo solungiso siyimfuneko, kunye neendlela zokulandelela. ( Williams, ngo-2001 ) Yintoni kanye kanye i-RCA, nangona kunjalo? Ngokuphonononga iziganeko ezikhokelela kwimpazamo, i-RCA inokugxila kwiziganeko kunye neenkqubo kunokuba ihlolisise okanye ibeke ityala kubantu abathile. ( I-AHRQ, ngo-2017 ) Yiloo nto ibaluleke kangaka. I-RCA ihlala isebenzisa isixhobo esibizwa ngokuba zii-Five Whys. Le yinkqubo yokusoloko uzibuza ukuba “kutheni” emva kokuba ukholelwa ukuba umisele unobangela womcimbi.
Isizathu sokuba kubizwe ngokuba “zintlanu kutheni” kungenxa yokuba, ngelixa isihlanu sisisiqalo esihle, kufuneka usoloko uzibuza ukuba kutheni ude uchonge oyena nobangela wengxaki. Ukubuza ukuba kutheni ngokuphindaphindiweyo kunokutyhila iimpazamo ezininzi zenkqubo kumanqanaba ahlukeneyo, kodwa kufuneka uqhubeke ubuza ukuba kutheni malunga nomba ngamnye womba de uphelelwe ezinye izinto ezinokuhlengahlengiswa ukuze unike isiphumo esinqwenelekayo. Nangona kunjalo, izixhobo ezahlukeneyo ngaphandle kwesi zinokusetyenziswa kuphando lwesizathu. Baninzi abanye abakhoyo. Ii-RCA kufuneka zibe zizinto ezininzi kwaye zingaguquguquki kwaye zibandakanye onke amaqela abandakanyekayo kwimpazamo ukuphepha ukungaqondani okanye ukuxelwa okungachanekanga kwezehlo.
isiphelo
Iimpazamo zonyango kumaziko okhathalelo lwempilo ziyenzeka rhoqo kwaye uninzi lweziganeko ezingaxelwanga ezibeka esichengeni impilo yezigulana. Bafikelela kwikota yesigidi abantu ekucingelwa ukuba bayafa nyaka ngamnye ngenxa yeengxaki zempilo. Ezi nkcukacha-manani azamkelekanga kwixesha apho ukhuseleko lwesigulane lucingelwa ukuba lubaluleke kakhulu, kodwa akukho nto ingako eyenziwayo ukuguqula izenzo. Ukuba iimpazamo zonyango zichazwe ngokuchanekileyo kwaye unobangela wengxaki ufunyenwe ngaphandle kokubeka ityala kubasebenzi abathile, oku akuyomfuneko. Utshintsho olubalulekileyo lunokwenziwa xa oonobangela abasisiseko benkqubo okanye iziphene zenkqubo zichongwe ngokuchanekileyo. Indlela engaguqukiyo, yeendlela ezininzi zokuhlalutya unobangela osebenzisa izikhokelo ezifana nezintlanu zokuba kutheni ukuhlalutya de yonke imiba kunye neziphene zityhilwe sisixhobo esiluncedo. Nangona ngoku kuyimfuneko ngenxa yeziganeko zomlindi, uHlalutyo lweMbangela yeNgcambu lunokuthi kwaye lusetyenziswe kuzo zonke izizathu eziphosakeleyo, kubandakanywa nokuphosa okukufutshane.
Ucaphulo
I-Arhente yoPhando lwezeMpilo kunye noMgangatho. (2016). Uhlalutyo lweMbangela. Ibuyiswe ngoMatshi 20, 2017, ukusuka psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Ukuchaza impazamo yezonyango. Ngaba uJ Surg , 48 (1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). IKomiti yoMgangatho wezeMpilo eMelika. (2000). Ukwenza impazamo ngumntu : ukwakha inkqubo yezempilo ekhuselekileyo . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Ubume beziganeko ezimbi kwizigulane ezibhedlele. Iziphumo ze-Harvard Medical Practice Study II. N Engl J Med , 324 (6), 377-384. doi.org/10.1056/NEJM199102073240605
Lippincott ® NursingCenter ® . NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Iinkqubo zokuChonga kunye nokuPhonononga iZiganeko eziNgcono kunye neeNdlela eziNgcolileyo kwiZiko lezoNyango lezeMfundo. Jt Comm J Qual Isigulana Saf , 43 (1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Uthungelwano loKhuseleko lweSigulana. (2016). Iziganeko ezingathandekiyo, kufutshane neempazamo, kunye neempazamo. Ibuyiswe ngoMatshi 20, 2017, ukusuka psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Iindlela zokuhlalutya unobangela. Proc (Bayl Univ Med Cent) , 14 (2), 154-157. doi.org/10.1080/08998280.2001.11927753
isikhanyeli
by UGqr Alex Jimenez News Chiropractic , impilo
Kule mihla, abantu abazama ukunqanda utyando banokhetho oluninzi lonyango. Ngaba iyeza lokuhlaziya linokunceda ukunyanga ukwenzakala kwe-neuromusculoskeletal?
Uncedo lweMpilo
Iyeza lokubuyisela ngokutsha lisebenzisa iiseli ekrwada zomzimba kwaye lisetyenziswa kunyango lomhlaza kunye nokunciphisa umngcipheko wosulelo. (Umbutho womhlaza waseMelika. 2020 ) Abaphandi bafuna ezinye iindlela zokusebenzisa ezi seli kunyango lwezonyango.
Zithini Ezi Seli
Iiseli ze-Stem ziiseli ezingaziwayo ezinokuphuhla zibe kuyo nayiphi na iseli kwaye kwiimeko ezithile zihlaziye inani elingenamkhawulo lamaxesha. (Amaziko eSizwe ezeMpilo. 2016 )
Ezi seli zifumaneka kwiimbumba nakwiiseli zabantu abadala.
Kukho iintlobo ezimbini zeeseli - Pluripotent kunye somatic . (Amaziko eSizwe ezeMpilo. 2016 )
Ezi seli zinokuguquka zibe yiyo nayiphi na iseli emzimbeni.
Iiseli ze-Somatic okanye iiseli ze-stem zabantu abadala zinokwenza izicubu okanye ilungu elipheleleyo. (Amaziko eSizwe ezeMpilo. 2016 )
unyango
Unyango lweeseli ezivuselelayo zisebenzisa ezi seli njengonyango lwesifo okanye imeko.
Iiseli ezihlaziyayo zinikwa abantu ukuba bathathe indawo yeeseli ezitshatyalalisiwe okanye ezifileyo.
Kwimeko yomhlaza, zinokusetyenziswa ukunceda umzimba ukuba uphinde ube nako ukuvelisa iiseli ezihlaziyayo emva konyango. (Umbutho womhlaza waseMelika. 2020 )
Kubantu abane-myeloma ezininzi kunye neentlobo ezithile ze-leukemia, unyango lwe-cell regenerative lusetyenziselwa ukuphelisa iiseli zomhlaza.
Unyango lubizwa ngokuba i-graft-versus-tumor effect/GvT , apho iiseli zegazi ezimhlophe zomnikeli/ii-WBCs zisetyenziselwa ukuphelisa ithumba lomhlaza. (Umbutho womhlaza waseMelika. 2020 )
Into Abanokuyinyanga
Olu lunyango olutsha olusaqhutywa kuphando. ULawulo lokuTya kunye neDrugs luyivume kuphela i-cancer ethile kunye neemeko ezichaphazela igazi kunye ne-immune system. (Amaziko oLawulo noThintelo lweZifo. 2019 ) Unyango lweseli yokuhlaziya luvunyiwe yi-FDA ukunyanga: (Iziko lomhlaza leSizwe. 2015 )
Abaphandi bafunda ukuba ezi seli zinokunyanga njani ezinye iimeko. Ulingo lwezonyango luhlalutya indlela yokusebenzisa unyango lwezifo ze-neurodeergenerative ezifana:
Iintlobo zeeseli
Ngexesha lonyango lweseli yokuvuselela, iiseli zinikezelwa ngomgca we-intravenous. Iindawo ezintathu apho iiseli ezenza igazi zinokufumaneka ngumongo wethambo, intambo yombilical kunye negazi. Ufakelo lunokuquka: (Umbutho womhlaza waseMelika. 2020 )
I-autologous
Iiseli zithathwa kumntu oza kufumana unyango.
I-allogeneic
Iiseli zinikezelwa ngomnye umntu.
I-Syngeneic
Iiseli zivela kwiwele elifanayo, ukuba likhona.
Safety
Unyango lubonise ukunika izibonelelo kodwa kukho imingcipheko.
Umngcipheko omnye waziwa ngokuba isifo sokuxhunyelelwa-nxamnye nomkhosi – GVHD .
Kwenzeka kwisinye kwisithathu ukuya kwisiqingatha sabamkeli be-allogeneic.
Kulapho umzimba ungazazi iiseli zegazi ezimhlophe zomnikeli kwaye uzihlasele zibangele iingxaki kunye neempawu kuwo wonke umzimba.
Ukunyanga amayeza e-GVHD anikezelwa ukucinezela amajoni omzimba ukuba ayeke ukuhlasela iiseli zabanikelayo. (Umbutho womhlaza waseMelika. 2020 )
Eminye imingcipheko enokubakho inokuquka: (Umbutho womhlaza waseMelika. 2020 )
Ukuphinda umhlaza
Umhlaza omtsha
Isifo se-Hepatic veno-occlusive
I-post-transplant lymphoproliferative disorder - PTLD
Amathuba exesha elizayo
Ikamva lonyango lweseli yokuvuselela liyathembisa. Uphando luyaqhuba ukufumanisa ukuba ezi seli zinokunyanga njani iimeko kwaye zifumane iindlela ezintsha zokunyanga nokunyanga izifo.Amaziko eSizwe ezeMpilo. 2022 ) Olu nyango lunyango olutsha olunokuthi lusetyenziswe kunyango lwexesha elizayo njengenxalenye ye Inkqubo yeendlela ezininzi kukwenzakala kwe-neuromusculoskeletal kunye neemeko.
Inkqubo yokuQalisa isigulana esiKhawulezayo
VIDEO
Ucaphulo
Umbutho womhlaza waseMelika. (2020). Indlela i-stem cell kunye ne-bone marrow transplants ezisetyenziselwa ngayo ukunyanga umhlaza .
Amaziko eSizwe ezeMpilo. (2016). Iziseko zeeseli zestem .
Amaziko oLawulo noThintelo lweZifo. (2019). Iseli yesiqu kunye nemveliso exosome .
Iziko lomhlaza leSizwe. (2015). Ufakelo lwe-stem cell kunyango lomhlaza .
Ukutya kwe-US kunye noLawulo lweziyobisi. (2023). I-FDA ivuma unyango lweeseli kwizigulana ezinomhlaza wegazi ukunciphisa umngcipheko wokosuleleka emva kokutshintshwa kwe-stem cell .
U-Aly RM (2020). Imeko yangoku yonyango olusekwe kwi-stem cell: isishwankathelo. Uphando lweseli yesiqu, 7, 8. doi.org/10.21037/sci-2020-001
Umbutho womhlaza waseMelika. (2020). I-stem cell okanye umongo wethambo iziphumo ebezingalindelekanga .
Amaziko eSizwe ezeMpilo. (2022). Ukubeka i-stem cell-based therapies kumxholo .
by UGqr Alex Jimenez News Chiropractic , Ukuhamba kunye nokuguquguquka
Ukolula iNjongo : Umzimba kufuneka uguquguquke ukuze ugcine uluhlu olupheleleyo lokunyakaza. Ukuzolula kugcina izihlunu zithambile, zomelele kwaye zisempilweni; ngaphandle kwayo, izihlunu ziba mfutshane kwaye zibe lukhuni kwaye ziqine. Emva koko, xa kufuneka izihlunu, ziba buthathaka kwaye azikwazi ukunweba ngokupheleleyo. Oku kwandisa umngcipheko weentlungu ezidibeneyo, ubunzima, ukulimala, kunye nokulimala kwemisipha. Ngokomzekelo, ukuhlala esihlalweni ixesha elide kubangela imisipha eqinile ye-glute kunye ne-hamstrings, ekhokelela kwiimpawu zokungahambi kakuhle kunye nokuvimbela ukuhamba. Ukulimala kweChiropractic yezoNyango kunye neKlinikhi yezoNyango eSebenzayo inokunceda abantu ukuba baphuhlise inkqubo yokwelula eyenzelwe umntu ukugcina ukuhamba kakuhle, ukuguquguquka, kunye nokusebenza.
benefits
Umzimba kufuneka uguquguquke ukuze ugcine ukuhamba, ukulinganisela kunye nokuzimela. Iinzuzo zokuzolula rhoqo ziquka:
Izihlunu zisebenza kumanqanaba afanelekileyo.
Ugcina ubude bezihlunu.
Ugcina amandla emisipha.
Ukunyuka kokujikeleza kwegazi.
Ukukhutshwa kwe-Endorphin.
Ukusebenza kweParasympathetic .Kuphelisa uxinzelelo.
Ukususwa kwetyhefu yendalo.
Ukuphelisa iintlungu zomzimba kunye neentlungu.
Ukuphucula amandla kunye nokusebenza kwimisebenzi yomzimba.
Yehlisa umngcipheko wokonzakala.
Ukuphucula ukuma.
Iindawo ezibalulekileyo
Iindawo ezibalulekileyo ekushukumiseni ziquka:
Umqolo osezantsi / umjikelo esinqeni
Hip flexors hamstrings
Quadriceps phambi kwethanga.
Amathole
Neck
Amagxa
Yolula iReflex
Xa imisipha yoluliwe, kunjalo ke izihlunu zokusonta yolula i-reflex , ezama ukuxhathisa utshintsho ngokubangela ukuba i-muscle eyoluliweyo ivume. Umsebenzi we-muscle spindle unceda ukugcina ithoni ye-muscle kunye nokukhusela umzimba ekulimaleni. Esinye sezizathu zokubamba i-stretch ixesha elithile kukuba, njengoko i-muscle ihlala kwindawo eyoluliweyo, i-spindle ihambelana nemeko entsha kwaye iyanciphisa ukubonakaliswa kwayo. , ngokuthe ngcembe uqeqesha i-receptors elula ukuvumela ukwanda okukhulu kwemisipha.
Uqeqesho lweChiropractic lokuTlula
kunjalo, ukolula kanye ayiyi kuvelisa ukuguquguquka okukhulu. Izihlunu ezomeleleyo zisenokuthabatha iinyanga okanye iminyaka ukukhula; ke ngoko, kuya kuthatha ixesha ukufezekisa ukuguquguquka kwaye kufuneka kusetyenzwe ngokuqhubekayo ukuyigcina. I-Chiropractors kunye neengcali zonyango zihamba ngomzimba iingcali kwaye zinokuhlola amandla omzimba ngamnye kunye nokuphuhlisa inkqubo yokwelula ngokwezifiso.
I-Muscle Spindle Activation
VIDEO
Ucaphulo
Bhattacharyya, Kalyan B. "I-streflex reflex kunye negalelo likaC David Marsden." Annals of Indian Academy of Neurology vol. 20,1 (2017): 1-4. doi:10.4103/0972-2327.199906
Behm, uDavid G et al. "Iimpembelelo ezinzulu zokwelula kwemisipha ekusebenzeni komzimba, uluhlu lokunyakaza, kunye nesiganeko sokulimala kubantu abaphilileyo abaphilileyo: uphononongo olucwangcisiweyo." I-Applied physiology, isondlo, kunye nemetabolism = I-Physiologie applique, isondlo kunye nemetabolism vol. 41,1 (2016): 1-11. doi:10.1139/apnm-2015-0235
Berg, K. Ukolula iziseko. Kwi: Ukolula okumiselweyo. 2nd ed. Uhlelo lobubele. I-Kinetics yoLuntu; 2020.
da Costa, Bruno R, kunye Edgar Ramos Vieira. "Ukolula ukunciphisa iingxaki ezinxulumene nomsebenzi we-musculoskeletal: uphononongo olucwangcisiweyo." Ijenali yeyeza lokubuyisela kwimo yesiqhelo vol. 40,5 (2008): 321-8. doi: 10.2340/16501977-0204
Iphepha, Fil. "Iingcamango zangoku kwi-muscle yolulela umthambo kunye nokubuyisela kwimeko yesiqhelo." Ijenali yamazwe ngamazwe yonyango lomzimba vol. 7,1 (2012): 109-19.
Witvrouw, Erik, et al. "Ukuthintela kunye nokuthintela ukulimala: ubudlelwane obufihlakeleyo." Iyeza lezemidlalo (Auckland, NZ) vol. 34,7 (2004): 443-9. doi:10.2165/00007256-200434070-00003
by UGqr Alex Jimenez Kokulimala Kwenzakalo , Ingozi yeNgcali yeMoto , Chiropractic , News Chiropractic , I-El Paso Chiropractic News , Umenzakalo owehle kwisiqu , Whiplash
Izifundo malunga nokunyamekela kokunyamekela kwezilwanyana kwizigulane ezixinzelelekileyo kwintlungu yesibhash. Kwi-1996, i-Woodward ne-al. ushicilele isifundo malunga nokuphumelela kwonyango lwe-chiropractic ye-injured whiplash.
Kwi-1994, uGargan kunye noBannister bapapasha iphepha malunga nezinga lokubuyisela izigulane kwaye bafumanisa ukuba xa izigulane zisenempawu emva kweenyanga ezintathu, kwakukho phantse i-90% ithuba lokuba bahlale belimele. Ababhali bolu phando babevela kwiSebe lezoNyango lwamathambo eBristol, eNgilani. Akukho unyango oluqhelekileyo olubonakaliswe ukuba lusebenza kwezi zigulana zokulimala kwe-whiplash ezingapheliyo. Nangona kunjalo, amazinga okuphumelela aphezulu afunyenwe yizigulane zokulimala kwe-whiplash ngokunyamekela kwe-chiropractic ekubuyiseleni ezi ntlobo zezigulane.
Iziphumo zophando lweWhiplash
Kwisifundo se-Woodward, iipesenti ze-93 zezigulane ze-28 ezifundwe ngokuphindaphindiweyo zifunyenwe ziphuculwe ngokwezibalo emva kokunakekelwa kwe-chiropractic. Ukhathalelo lweChiropractic kolu phononongo luqulethwe yi-PNF, ukunyanzelwa komgogodla, kunye ne-cryotherapy. Uninzi lwezigulane ze-28 zazinonyango lwangaphambili kunye ne-NSAIDs collars kunye ne-physiotherapy. Umyinge wexesha elide ngaphambi kokuba izigulane ziqale ukunakekelwa kwe-chiropractic kwiinyanga ze-15.5 emva kwe-MVA (uluhlu lweenyanga ze-3-44).
Olu pho nonongo lubhale ukuba uninzi lwe-DCs lufumana ntoni kwiklinikhi: ukhathalelo lwe-chiropractic lusebenza kakuhle kubantu abalimele kwingozi yemoto. Iimpawu ezivela kwiintloko ukuya kwiintlungu zangasemva, iintlungu zentamo, intlungu ye-interscapular, kunye neentlungu ezibuhlungu ezinxulumene ne-paresthesias zonke ziphendule kukhathalelo lwe-chiropractic esemgangathweni.
Ngesiqhelo kunye neWhiplash X-Rays
Iziphumo ze-Whiplash MRI
Uncwadi luye lwacebisa ukuba ukulimala kwediski yomlomo wesibeleko akuqhelekanga emva kokulimala kwe-whiplash. Kuphononongo olupapashwe kwi-chiropractic ukunakekelwa kwe-disk herniations, kwaboniswa ukuba izigulane ziphucula ikliniki kwaye i-imaging ye-MRI ephindaphindiweyo ibonisa ukuncipha kobukhulu okanye isisombululo se-disk herniation. Kwizigulane ze-28 ezifundwe kwaye zilandelwa, abaninzi babene-disc herniations esabela kakuhle kukhathalelo lwe-chiropractic.
Kuphononongo olutshanje olwenziwa nguKhan et al., olupapashwe kwi-Journal ye-Orthopedic Medicine, kwizigulane ezenzakaliswe nge-whiplash malunga nentlungu yomlomo wesibeleko kunye nokungasebenzi kakuhle, izigulane zahlulwa zibe ngamaqela asekelwe kumanqanaba esiphumo esihle sokunakekelwa kwe-chiropractic:
Iqela I: Abaguli abaneentlungu zentamo kuphela kwaye banqanda intamo yeROM. Izigulane zineendlela zokusasazeka kweengubo ze-hangar ezingenayo i-neurologic deficits; Ipesenti ze-72 zineziphumo ezihle.
Iqela le-II: Izigulane ezineempawu ze-neurological okanye izibonakaliso kunye ne-ROM enqongopheleyo yomgogodla. Izigulana zaba ndindisholo, ukubetha, kunye ne-paresthesias emacaleni.
Iqela le-III: Izigulane zineentlungu ezibuhlungu zentamo kunye ne-ROM epheleleyo yentamo kunye nokuhanjiswa kweentlungu ezingaqhelekanga ezivela kwimida. Ezi zigulana zihlala zichaza intlungu yesifuba, isicaphucaphu, ukuhlanza, ukucima, kunye nokungasebenzi kakuhle.
Iziphumo zophononongo wabonisa ukuba udidi mna, izigulane 36 / 50 (72%) baye basabela kakuhle yinkathalelo kwamathambo: kwiqela II, 30 / 32 izigulane (94 pesenti) wasabela kakuhle kukhathalelo kwamathambo; kwaye kwiqela III, iimeko ze-3 / ze-11 kuphela (i-27%) ziphendule kakuhle ekunyamekelweni kwe-chiropractic. Kwakukho umahluko omkhulu kwiziphumo phakathi kwamaqela amathathu.
Olu pho nonongo lunika ubungqina obutsha bokuthi ukhathalelo lwe-chiropractic lusebenza kakuhle kwizigulane ze-whiplash. Nangona kunjalo, uphononongo aluzange luqwalasele izigulane ezinokulimala kwangemva, ukulimala kokugqibela, kunye nokulimala kwe-TMJ. Akuzange kuchonge ukuba zeziphi izigulane ezinokulimala kwe-disc, i-radiculopathy, kunye nokulimala kwengqondo ye-concussive (ininzi izigulane zeqela le-III). Ezi ntlobo zezigulane ziphendula bhetele kumzekelo wokunakekelwa kwe-chiropractic ngokudibanisa nababoneleli abaninzi.
Ezi zifundo zibonisa ukuba ininzi i-DCs sele ifumene, ukuba ugqirha we-chiropractic kufuneka abe ngumboneleli oyintloko wokunyamekela kule meko. Luluvo oluqhelekileyo ukuba kwiimeko ezifana neqela lezigulane ze-III, ukhathalelo kufuneka lube luninzi lwezinto ezininzi ukufezekisa esona siphumo sinokwenzeka kwiimeko ezinzima.
Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngokukhetha kulo mbandela, nceda ubuze uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Imixholo eyongezelelweyo: Ukulimala kweengozi zeMoto
I-Whiplash, phakathi kwezinye iingozi zengozi yemoto, isoloko ixelwa ngamaxhoba okungqubana kwemoto, kungakhathaliseki ukuba ubunzima kunye nebakala lengozi. I-Whiplash ngokuqhelekileyo isiphumo se-jolt ngokukhawuleza, emva nangaphandle kwentloko kunye nentamo kuyo nayiphi na indlela. Amandla amakhulu empembelelo angabangela umonakalo okanye ukulimala kumqolo wesibeleko kunye nomqolo wonke. Ngethamsanqa, iindlela ezahlukeneyo zonyango ziyafumaneka ukunyanga ukwenzakala kwingozi yemoto.
VIDEO
by UGqr Alex Jimenez I-Arthropathies , News Chiropractic
I-Ankylosing spondylitis yimeko yokuvuvukala ebangela intlungu kunye nokuqina kumalungu omqolo. . Ngokuhamba kwexesha, inokuqhubela phambili ekudibaniseni amathambo omqolo / i-vertebrae, ukunciphisa ukuhamba komgudu kunye nokukhokelela kwiimpawu ezingathandekiyo. Le meko ixhaphake kakhulu emadodeni kodwa ikwachaphazela nabasetyhini. Akukho sizathu saziwayo, esikwisinye, kodwa ngabantu abanesizathu esithile ufuzo, HLA-B27 iiDMARDs, or Izifo-Ukuguqula Amachiza eAntirheumatic
Biologics
Ngokungafaniyo namayeza aqhelekileyo, adibeneyo, ibhayoloji yenziwe kwimithombo ephilayo nangaphakathi.
Zikhuliswa kwiinkcubeko okanye zivunwa egazini.
Iibhayoloji zintsonkothile kwaye ziyabiza.
I-Biologics ibonelela ngonyango olunamandla kwiimeko ezininzi.
Iibhayoloji ezimbini eziqhelekileyo ezisetyenziselwa ukunyanga i-ankylosing spondylitis zezi:
I-TNF inhibitors .I-IL-17 inhibitors .
I-TNF Inhibitors
I-TNF - i-tumor necrosis factor , i-TNF inhibitors iyeza lebhayoloji elijolise kwaye licinezele i-TNF, ebandakanyeka kwiinkqubo ezivuthayo kuwo wonke umzimba.Ukuthintela okanye ukucinezela i-TNF kunciphisa ukuvuvukala kwaye kunokulibazisa ukuqhubela phambili kwe-ankylosing spondylitis.
Inokulawulwa ngenaliti okanye ngokutofelwa ukunika iyeza.
Imiphumela
Iziphumo ebezingalindelekanga ezinxulumene neli yeza, kunye nezinye iimeko, zibandakanya:
I-IL-17 Inhibitors
IL - interleukin - I-IL-17 yiprotheni echaphazelekayo kwiinkqubo ezivuthayo kunye neemeko.I-IL-17 inhibitors icinezela ukudumba okungamayeza amatsha abonakaliswe ukuba anceda abo bane-ankylosing spondylitis.
Oogqirha bahlala belawula i-IL-17 inhibitors ngenaliti.
Imiphumela
Iziphumo ebezingalindelekanga ezincinci ziquka:
Intloko
Impumlo enemifinya
Ukucaphuka kwindawo yokutofa.
Iziphumo ezibi kakhulu ziquka:
Eminye i cancer
Usulelo oluqatha
Igazi elonyukayo
Okunye ngonyango
Iinjongo zonyango lwe-ankylosing spondylitis ziquka:
Ukunciphisa ukuqhubela phambili kokuphazamiseka.
Ukunciphisa ukuvuvukala.
Ukunciphisa intlungu.
Ukuphucula okanye ukugcina uluhlu oludibeneyo kunye nomqolo wokuhamba.
I-Biologics ayilona unyango lokuqala lwe-spondylitis ye-ankylosing.
Ababoneleli badla ngokunyanga uxilongo lokuqala ngamayeza achasene nokudumba, njengee-NSAID, ukunciphisa ukudumba kunye nokucothisa ukuqhubeka kwemeko.
Ukunyamekela kwe-Chiropractic kunye nokunyangwa ngokomzimba kunconywa ukuba kugcinwe kunye / okanye ukuphucula ukuma, amandla omzimba kunye nokunyamezela.
Indlela yokuphila ecetyiswayo kunye nohlengahlengiso lwesondlo.
Uqeqesho lwesimo luzolula kunye nemithambo.
Izicwangciso ezifanelekileyo zentshukumo zokugqiba ngokukhuselekileyo nangokuzithemba imisebenzi yemihla ngemihla.
Amayeza ebhayoloji
I-Biologics ye-spondylitis ye-ankylosing inokuba okanye ingafaneleki. La mayeza enzelwe ukunceda ukudambisa ukudumba okunxulunyaniswa nemeko kunye nokucothisa ukuqhubela phambili kwesi sifo. Iqela lakho lokhathalelo lwempilo liza kusebenza nawe ukumisela unyango/unyango olululo kwaye lichaze uncedo, imingcipheko, kunye neentlobo zonyango. Baya kubeka iliso kwimeko, balandele inkqubela phambili, kwaye balungise isicwangciso ngokufanelekileyo.
Uvavanyo loNyango lweHormone
VIDEO
Ucaphulo
Ankylosing spondylitis. (nd) Iziko leSizwe leArthritis kunye neMusculoskeletal and Skin Diseases. ISebe lezeMpilo lase-US kunye neeNkonzo zoLuntu. Ifumaneka e: www.niams.nih.gov/health-topics/ankylosing-spondylitis#:~:text=Ankylosing%20spondylitis%20is%20a%20type,the%20spine%20can%20cause%20stiffness (Kufikelelwe kwi: Okthobha 12, 2022).
I-Chen C, i-Zhang X, i-Xiao L, i-Zhang X, i-Ma X. Ukusebenza okuFaniswayo kwe-Biologic Therapy Regimens ye-Ankylosing Spondylitis: Ukuphononongwa ngokuchanekileyo kunye ne-Network Meta-Analysis. Iyeza (Baltimore). 2016 Mar;95(11):e3060. doi: 10.1097/MD.0000000000003060. PMID: 26986130; I-PMCID: PMC4839911.
Gerriets V, Goyal A, Khaddour K. Tumor Necrosis Factor Inhibitors. [Ihlaziywe ngo-2022 kaJulayi 4]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK482425/
Lindström, U., Olofsson, T., Wedrén, S. et al. Unyango lwebhayoloji ye-ankylosing spondylitis: uphononongo lwelizwe lonke lweendlela zonyango kwinqanaba lesigulana ekusebenzeni kweklinikhi. I-Arthritis Res Ther 21, 128 (2019). doi.org/10.1186/s13075-019-1908-9
Yin, Y., Wang, M., Liu, M. et al. Ukusebenza kunye nokhuseleko lwe-IL-17 inhibitors kunyango lwe-ankylosing spondylitis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta. I-Arthritis Res Ther 22, 111 (2020). doi.org/10.1186/s13075-020-02208-w
by UGqr Alex Jimenez News Chiropractic , Udidi lweMithi
Ukhathalelo lwempilo akufuneki lube phantsi; ngokhetho oluninzi, iintengiso, uphononongo, amazwi omlomo, njl. njl., ukufumana ukhathalelo lwezempilo olusemgangathweni kunokuba ngumngeni. Oku kunokuba ngugqirha, wamazinyo, isondlo, okanye i-chiropractor. Indlela yokwazi xa iqela eliphezulu le-chiropractic likunyanga?
Xa Ukhathalelo lweChiropractic luyimfuneko
Abantu bayazibuza ukuba kufuneka babone nini i-chiropractor. Iimpawu kunye neempawu ezinokubonisa ukuba kufuneka ubone i-chiropractor ziquka:
Ingxaki yokuma, ukuhamba, ukugoba, okanye ukwenza imisebenzi yemihla ngemihla.
Ukungakhululeki okanye intlungu xa uhleli okanye ulele.
Intloko.
Intlungu yomqala.
Igxalaba, ingalo, okanye ukutshotshozela kwesandla okanye intlungu.
Umqolo obuhlungu.
Iintlungu ze-hip.
Iintlungu ezehla emlenzeni omnye okanye yomibini.
Iintlungu zamadolo.
Iingxaki zeenyawo ezifana nokuba ndindisholo, ukuntlitheka, okanye intlungu.
Iqela eliPhezulu leChiropractic
Iqela eliphezulu le-chiropractic liya kwenza imisebenzi yalo ngokuvumelanayo; nokuba kukho imiqobo, baya kuyenza. Baza kunxibelelana ngokufanelekileyo omnye nomnye kunye nezigulane, bachaze yonke inkqubo, babonelele ngonyango lomntu kwaye akukho bukhulu obufanayo obuhambelana nayo yonke indlela, kwaye baxabise ixesha lezigulana.
uqhagamshelwano
Unxibelelwano lubalulekile ukuba umntu ngamnye aqonde kwaye abe nokuzithemba kwisicwangciso sakhe sonyango.
I-chiropractor kunye nabasebenzi abaxhasayo baya kuqinisekisa ukuba isigulane siyaqonda oko kuya kwenzeka kunye nendlela eya kuchaphazela ngayo ukulimala / imeko yabo.
Ugqirha kunye nabasebenzi baya kuhlala bebuza ukuba uqhuba njani na.
Ezona njongo zeqela kukufumana inkqubo yokuphilisa isebenze kunye nokwaneliseka kwesigulana.
Unikelwe ngoKhetho loNyango oluNinzi
Uhlengahlengiso lomqolo ayikuphela kwento abantu abafanele bacinge ngayo xa becinga ngonyango. Iindlela ezininzi zonyango zifunyenwe ukufezekisa iziphumo ezilungileyo xa zijongene neemeko ze-musculoskelet kunye nokuphazamiseka . I-chiropractor iya kuxoxa kwaye ibonelele ngeendlela ezithile zonyango ezinokubandakanya:
ukuphulula umzimba womntu ngobunono
Ulungiso lweChiropractic
Ukubuyiswa komzimba Ukwazisa kunye nokuSebenza
Ukuwohloka koMnqonqo oNgekuko Utyando
Unyango lokutsala Ukuqeqeshwa Kwezempilo
Iingcebiso zesondlo
Ixesha lesigulana
Iklinikhi ephezulu ye-chiropractic ayiva ngathi iingcango zijikeleza nje kunye nezigulana ezikhawulezayo ngaphakathi nangaphandle njengevenkile yokutya.
Idinga lesigulane ngasinye lixesha laso kunye:
Uthethwano oluneenkcukacha
I-prep-massage yonyango ukukhulula izihlunu kunye namalungu phambi kohlengahlengiso.
Uhlengahlengiso olucokisekileyo lwe-chiropractic
Imibuzo yesigulana emva kokhathalelo -I-chiropractor okanye abasebenzi baya kuthatha ixesha lokuphendula yonke imibuzo yakho kwaye ungachithi ixesha lakho lokulinda.Kucetyiswa imithambo yokuzolula
Uhlalutyo lomzimba
Ingcebiso ngezempilo
Unyango luyasebenza
Ukunyamekela kwe-Chiropractic kunokuthatha ixesha lokunyanga, ukubuyisela, nokuphilisa ukulimala okanye imeko.
Unyango luyasebenza, kwaye uyayibona kwaye uyayiva inkqubela.
Uyakwazi ukuhambahamba ngaphandle koloyiko lokubangela iintlungu.
Ukuzithemba kwakho kuyakhula kuwe nakwiqela.
Ukuba unyango alusebenzi okanye luvelisa iziphumo ezingapheliyo, i-chiropractor iya kukuthumela kwenye ingcali yezonyango.
Iqela eliphezulu le-chiropractic lifuna unyango olungcono kakhulu kwisigulane ngasinye, nokuba abanako ukubonelela.
Ukwaneliseka komonde
Xa uphathwa liqela eliphezulu le-chiropractic ukusuka kwidesksi yangaphambili, umququzeleli wokunyamekela isigulane, i-massage therapists, i-nutritionist, kunye nomphathi wekliniki, amava apheleleyo alungile kwaye amnandi; ungawuva umahluko kwaye uhambe uchwayitile.
LweMpilo
VIDEO
Ucaphulo
Clijsters, Mattijs et al. "Unyango lweChiropractic lusondela kwiimeko ze-spinal musculoskelet: uphando olunqamlekileyo." Unyango lweChiropractic & manual vol. 22,1 33. 1 Okt. 2014, doi:10.1186/s12998-014-0033-8
U-Eriksen, K., Rochester, RP & Hurwitz, EL Ukusabela kweSimptomatic, iziphumo zekliniki kunye nokwaneliseka kwesigulane esihambelana nokunakekelwa kwe-chiropractic yomlomo wesibeleko: Umntu olindelekileyo, u-multicenter, isifundo seqela. I-BMC Musculoskelet Disord 12, 219 (2011). doi.org/10.1186/1471-2474-12-219
UGary Gaumer, Izinto eziNxibeleniswa noKwaneliseka kwesigulane kunye noLondolozo lweChiropractic: uPhando kunye noPhononongo loNcwadi,doi.org/10.1016/j.jmpt.2006.06.013 (www.sciencedirect.com/science/article/pii/S0161475406001588 )
I-Kerns, i-RD, i-Krebs, i-EE & ne-Atkins, i-D. Ukwenza i-Integrated Multimodal Pain Care ibe yinyani: Indlela ePhambili. J GEN INTERN MED 33, 1-3 (2018). doi.org/10.1007/s11606-018-4361-6
I-Pribicevic, M., Pollard, H. Indlela yonyango ye-multi-modal yegxalaba: I-4 ye-series series case. Chiropr Man Therap 13, 20 (2005). doi.org/10.1186/1746-1340-13-20
by UGqr Alex Jimenez News Chiropractic , Iimpawu
Ukuphucula indlela yokuma kunokuba lucelomngeni. Ukuma kakubi kuhlala kungumthombo wemiba eyahlukeneyo ye-musculoskeletal efana Ubuhlungu obungapheliyo wonke umzimba . Ukuma okungahambi kakuhle kunokumiliselwa kwingqondo kangangokuba ibe yindawo yokumisa engazi nto eziva ilungile kodwa inokuba mandundu iingxaki zomnqonqo, ihip, kunye nomlenze. I Alexander Technique
Alexander Technique
Indlela yokufundisa igxile ekufundiseni ukuqonda ngomzimba . Yinkqubo yemfundo ukufundisa abantu ukuba baqonde ukuma kwemizimba yabo kunye nokutshintsha indlela engafanelekanga yokuma / intshukumo ibe yesempilweni. Injongo kukufunda ukusebenzisa amanqanaba aneleyo okuxinezeleka kwezihlunu kwimisebenzi yemihla ngemihla, njengokuhlala, ukuma, kunye nokuhamba ngendlela esempilweni yokugcina impilo esemgangathweni yenkqubo ye-musculoskeletal system.
Ithiyori yeyokuba ukunyanzeliswa okuncinci kunciphisa ukuguga kunye nokukrazula kwimisipha kunye nezakhiwo zomqolo ezisengozini yoxinzelelo.
Eyona njongo iphambili ye-Alexander Technique kukuphelisa yonke imikhwa yoxinzelelo olungenampilo ukuthoba umqolo kunye nokuqeqesha ingqondo nomzimba ukuba usondele kwintshukumo kunye nokuma komzimba ngendlela entsha nesempilweni.
Iimfundiso
Ubuchule bungenziwa kwisethingi yeklasi okanye ekufundiseni komntu ngamnye kuba imikhwa yomntu wonke ye-postural neyentshukumo yodwa. Utitshala unceda ekuchongeni ubume obudala uxinezeleko aze afundise umntu ngendlela yokuzilungisa. Ukuchukunyiswa komntu yinxalenye ebalulekileyo ye-Alexander Technique. Esebenzisa izandla zakhe ngobunono ukuze alungelelanise umntu ukuze ame ngendlela efanelekileyo, utitshala unceda ukukhulula uxinzelelo olusuka entloko, entanyeni, emagxeni nangasentla. Umntu ufunda ukukhulula uxinzelelo kuwo wonke umzimba wakhe. I-Alexander Technique luhlobo lonyango lwezandla; asikokusebenzisa kakubi okanye ukuphululwa. Isebenzisa ukuthintela ukukhanya ngaphandle komngcipheko wokulimala kumqolo, ukuvumela nabani na ukuba athathe inxaxheba. Nangona kunjalo, abantu kufuneka bazimisele ukuthatha inxaxheba / ukubandakanyeka kwinkqubo yokufumana izibonelelo. Uninzi lwabantu lunokwazi ukuba lulungile na kubo ngexesha isifundo sokuqala. Inkqubo eqhelekileyo ifundisa:
Ukuhlala ngokukhululekileyo ngokuthe ngqo.
Ukunciphisa ukusetyenziswa ngokugqithisileyo kwe imisipha engaphezulu .
Ukwandisa ulwazi olufanelekileyo.
Ukuhlala uphaphile kwisilumkiso somzimba malunga noxinzelelo kunye noxinzelelo.
Ukuqina koxinzelelo
Abantu ngokuqhelekileyo abaqondi nokuba bahlala bebeka uxinzelelo kumqolo wabo kwimikhwa engafanelekanga yokuphila, ukwakha ukuqina kwemisipha abangazange bazi ukuba bakudala. Umzekelo, imikhwa engalunganga yentamo ibandakanya:
Ukutyhala intloko phambili
Ukulala ngaphezulu
Ukuqhobosha amagxa ngasemva
Ezi zimo zivelisa / zakha uxinzelelo kunye noxinzelelo oluphuma ngaphandle nangaphantsi kwimisipha emikhulu yomqolo. Uxinzelelo lwesiqhelo lokuhla lunokutsala kwaye lutshintshe ukumila komqolo, okukhokelela kwiindlela eziwohlokayo zokukhubazeka komqolo kwiimeko ezinzima.
Xa uxinezeleko lukhululwa, intamo nomzimba ziqala ukuma nkqo ngokukhululekileyo, ngaphandle kokutsalwa phantsi okanye ukuhlehla.
UFrederick Matthias Alexander
Waphuhlisa ubuchule ngeminyaka yoo-1890 ukunceda iingxaki zakhe zokuxinezeleka kwezihlunu ezichaphazela umsebenzi wakhe wokubambela . Xa edlala wayeyenza lukhuni intamo yakhe aze atsale intloko yakhe ngasemva nangaphezulu, nto leyo eyayibangela ukuba aqinise umqala aze angabi nalizwi. Wayengazi ukuba uyenza le nto de wadlala phambi kwesipili waza wabona indlela yakhe engafanelekanga. Wakuqaphela oku waza waziqeqesha kwakhona ukuba abeke ngokwemvelo, ahlale ekhululekile, kwaye uqaphele nayiphi na isakhiwo soxinzelelo kwimisipha ukuyikhulula ngokukhawuleza. Ootitshala/iingcali ze-Alexander Technique zisebenza kwihlabathi liphela. The Umbutho waseMelika weAlexander Technique okanye iwebhusayithi ye-AmSAT
UkuBumbiswa kweBhunga
VIDEO
Ukuziqhelanisa nengqondo
Ukuphuhlisa ukuziqhelanisa nengqiqo kunokunceda ukuchonga izinto ezibangela ukuziphatha okubi okanye iingcamango. Kanye njengokutya kunye nokuzilolonga, ukuziqhelanisa nokuqaphela kwahlukile kuye wonke umntu. Kucetyiswa ukuba uzame izinto ezahlukeneyo ezifana:
U kuhamba yenye indlela yokunxibelelana nawe. Bhala into ibe nye ekwenza wonwabe.
Inye into ofuna ukuyiphucula.
Olunye usukelo ofuna ukulufeza ngolo suku okanye loo veki.
Ukuphulaphula umculo onengqondo kunokuncedisa ukunciphisa uxinzelelo ngokuvumela umntu ukuba agxininise ingqalelo yakhe xa ingqondo yakhe ihamba kuzo zonke iinkalo.
Esikhundleni sokujika kwiindaba okanye i-imeyile xa uvuka, thatha ikomityi yekofu okanye iti kwaye umamele ipodcast owuthandayo okanye umculo.
Beka ifowuni kude kwaye umamele ingqondo yakho kunye nesiqu sakho.
Zama ukucamngca kusasa xa uvuka. Oku kunceda ukuseta iinjongo/izicwangciso zosuku. Injongo yokubeka ingqondo ibonakaliswe ukunciphisa amanqanaba oxinzelelo kunye nokuxhalaba. Nangona kunjalo, ukuba kusasa akunakwenzeka ngoko ebusuku ngaphambi kokulala kungasetyenziselwa ukucamngca ngemisebenzi yosuku, into ehamba kakuhle, into engazange, indlela yokuphucula into, nokuba yintoni na, ingongoma kukuba uzinike ixesha lokucinga, uzibekele usukelo, kwaye uphuhlise isicwangciso sokufikelela ezo njongo.
Ucaphulo
Becker, Jordan J et al. "Ubungqina bokuqala bokuba nokwenzeka, ukusebenza kakuhle, kunye neendlela zeeklasi zeqela le-Alexander kwiintlungu ezingapheliyo zentamo." Unyango olongezelelweyo kumayeza vol. 39 (2018): 80-86. doi:10.1016/j.ctim.2018.05.012
Cacciatore et al., Ukuphuculwa kokulungelelaniswa kwe-postural ngokuzenzekelayo emva kwezifundo ze-Alexander zobugcisa kumntu onentlungu ephantsi. Ijenali yePhysical Therapy, ngo-2005; 85:565-578. Ifikeleleke nge-5 kaJanuwari 2011
Chin, uBrian et al. "Iindlela zengqondo eziqhuba ukomelela koxinzelelo kuqeqesho lwengqondo: Ulingo olulawulwa ngokungahleliwe." Psychology yezempilo: ijenali esemthethweni yeCandelo leMpilo yePsychology, iAmerican Psychological Association vol. 38,8 (2019): 759-768. doi:10.1037/hea0000763
Little P, Lewith G, Webley F, et al. Ulingo olulawulwa ngokungakhethiyo lwezifundo zobuchwephesha be-Alexander, umthambo, kunye ne-massage (ATEAM) yeentlungu ezingapheliyo kunye neziphindaphindiweyo. I-BMJ. 2008;337:a884. doi: doi.org/10.1136/bmj.a884 .
UPaolucci, uTeresa et al. "Intlungu engapheliyo ye-back back kunye ne-postural rehabilitation exercise: ukuphononongwa kweencwadi." Ijenali yophando lwentlungu vol. 12 95-107. NgoDisemba 20 2018, doi:10.2147/JPR.S171729
Ukolula iNjongo
