Ukulimala koluhlu
Iqela le-Chiropractic yasemva kokulimala kweKliniki. Ukwenzakala okuntsonkothileyo kwenzeka xa abantu befumana umonzakalo omandundu okanye oyintlekele, okanye iimeko zabo zintsonkothe ngakumbi ngenxa yokwenzakala okuphindaphindiweyo, iziphumo zengqondo, kunye neembali zonyango esele zikhona. Ukulimala okuyinkimbinkimbi kunokulimala kwe-serial yecala eliphezulu, ukuxhwaleka okukhulu kwezicubu ezithambileyo, kunye ne-concomitant (ehamba ngokwemvelo okanye ehambelanayo), ukulimala kwiinqanawa okanye kwi-nerve. Ezi nzakala zihamba ngaphaya kwe-sprain eqhelekileyo kunye noxinzelelo kwaye zifuna inqanaba elinzulu lovavanyo olunokuthi lungabonakali lula.
El Paso, i-TX's Injury specialist, i-chiropractor, uDkt Alexander Jimenez uxoxa ngeendlela zonyango, kunye nokuvuselelwa, ukuqeqeshwa kwemisipha / amandla, ukondla, kunye nokubuyela kwimisebenzi eqhelekileyo yomzimba. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezithile ezilinganisiweyo, kunokwazisa imichiza eyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Sifuna ukuba uphile ubomi obusebenzayo obuzalisekiswa ngamandla amaninzi, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. Injongo yethu kukuxhobisa izigulana zethu ekugqibeleni ukuba zigcine eyona ndlela isempilweni yokuphila.
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ukulimala koluhlu , impilo , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Kunokuba ngumceli mngeni ukufumana unyango olufanelekileyo lweentlungu kunye neentlungu emzimbeni ngenxa yeentlobo ezahlukeneyo izinto zendalo . Ezi zinto, ezifana nobomi basekhaya, umsebenzi womzimba, kunye neemeko zokusebenza, kunokukhokelela kwiimpawu ezihambelanayo ezichaphazela kakubi impilo yengqondo kunye neemvakalelo zomntu. Ukuba ayiphathwanga kwaye kuxhomekeke kubunzima, ezi mpawu zinokukhula zibe imeko ezingapheliyo . Nangona kunjalo, umntu ngamnye unokufumana izisombululo zobuqu ukunciphisa intlungu kunye nokungakhululeki ngokuthatha uxanduva lwempilo kunye nokuphila kakuhle. Eli nqaku liza kuphonononga ukhathalelo lokuqinisekisa ngokwesini, unyango olunokuthi luxhamle uluntu lwe-LGBT +, kunye neendlela ezingezizo utyando ezifana nokuthotywa komgudu kunye nokhathalelo lwe-chiropractic. Sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulana zethu ukunika unyango olufana nokhathalelo lwesini kubantu abaneentlungu zomzimba jikelele. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni uKhathalelo oluQinisekisa isini?
Xa befuna unyango, abantu basoloko bephanda baze bafumane olona nyango luzifaneleyo iimfuno zabo. Olunye unyango olubonise ukuba luchaphazela abantu abaninzi ngokufanelekileyo lukhathalelo oluqinisekisa isini. Izifundo zophando zityhiliwe ukuba le nkqubo inokujongana nokuqinisekiswa kwesini ngeendlela ezahlukeneyo, kubandakanywa iimpahla, iinwele, ilizwi kunye nezimelabizo, utshintsho lwamagama, ukhathalelo lwezonyango kunye noqhaqho, kunye nokutshintsha kwentlalo. Abantu banokusebenzisa ukhathalelo oluqinisekisa isini ngokukodwa ukufumana unyango olubafaneleyo. Uphando lukwacebisa ukuba ukhathalelo lokuqinisekisa ngokwesini kufuneka lube luninzi lwezifundo, lubandakanya uvavanyo lokuxilonga, unyango lwengqondo/ingcebiso, kunye nonyango. Abantu abaninzi kuluntu lwe-LGBT+ bafuna ukhathalelo oluqinisekisa isini ukuze baphucule impilo yabo ngokwasengqondweni nasemzimbeni, enokusindisa ubomi.
Ngaba i-Gender-Affirming Care iyinceda njani i-LGBT+?
Ukhathalelo oluqinisekisa isini ngumba obalulekileyo wokuxhasa uluntu lweLGBT+. Kubandakanya ukuvuma nokwamkela ubuni bomntu nokwenza iinguqulelo eziyimfuneko ukuze umncede akuveze oko. Ukudala indawo ekhuselekileyo nelungileyo yokhathalelo lwesini kunokuphucula kakhulu amava, iziphumo zempilo, kunye nomgangatho wobomi babantu abaninzi kuluntu lwe-LGBT +, ngakumbi abo bachonga njenge-transgender. Kubalulekile ukuqonda intsingiselo “yesini” kunye “nokuqinisekisa” ukunika ukhathalelo olusebenzayo. Isini sibhekisa kwindlela uluntu olubona ngayo isini somntu njengendoda/indoda okanye ibhinqa/ibhinqa, ngelixa ukuqinisekiswa kubandakanya ukwamkela kunye nokuqinisekisa ubuni bomntu. Izifundo zophando ziye zatyhila ukuba ukhathalelo oluqinisekisa isini lunempembelelo entle kuluntu lwe-LGBT+, luyenza ibe yinxalenye ebalulekileyo yokhathalelo lwempilo kwaba bantu.
Kuluntu lwe-LGBT+, i-"T" imele abantu abatshintshe isini kunye nesazisi sesini esingahambelani nesondo ababelwe bona ekuzalweni. Oku kunokubandakanya:
Umfazi otshintshe isini : Indoda ukuya kwibhinqa, yabelwe indoda ekuzalweni kwayo, ihlala ibhinqa / ibhinqa eliqinisekisiweyo, i-spectrum ye-transfeminine Umntu otshintshe isini : Ibhinqa ukuya kwindoda, ibhinqa elabelwe ekuzalweni, lihlala indoda / indoda eqinisekisiweyo, i-transmasculine spectrum Transsexual : abantu abakwindawo yabesini esahlukileyo abatshintshele kwisini esahlukileyo, rhoqo kubandakanya utyando lokuphinda babelwe ngokwesondo
Abantu abaninzi be-transgender bafuna ukhathalelo oluqinisekisa isini ukuphucula impilo yabo yonke kunye nokuphila kakuhle ngokwenza utshintsho ukulungelelanisa imizimba nengqondo yabo. Ngelishwa, kukho imiqobo eyayanyaniswa nokufikelela kukhathalelo lokuqinisekisa ngokwesini.
Imiqobo eyayanyaniswa noNonophelo lweSini
Ukufikelela kukhathalelo lokuqinisekisa ngokwesini kunokuba ngumqobo kwabaninzi kuluntu lwe-LGBT +, okukhokelela kwimpilo enkenenkene yengqondo, ukuncipha kwenkxaso yoluntu, kunye nocalucalulo. Izifundo zophando zityhiliwe ukuba le mithwalo ingaba negalelo ekuphuhliseni i-dysmorphia yomzimba kunye neempawu ezinxulumene nazo. Uphando lu bonise ukuba abantu abane-dysmorphia yomzimba banokuhlakulela ukuphazamiseka kwe-comorbid ngexesha lovavanyo ngokubanzi, kubandakanywa isini dysmorphia , nto leyo enokukhokelela ekubandezelekeni komguli. Nangona kunjalo, ukudala indawo ekhuselekileyo nehloniphekileyo kuluntu lwe-LGBT + kunokwenzeka ngokubonelela ngononophelo oluqinisekisa ngokwesini. I-Injury Medical Chiropractic kunye neQela leMithi eliSebenzayo lizibophelele ekwakheni indawo efanelekileyo kubantu abachonga njenge-transgender kunye nokunciphisa iimpawu ezinjengeentlungu ngokusebenzisa izicwangciso zonyango lomntu ngamnye.
VIDEO
Unyango oluluNcedo lusetyenziswa kuKhathalelo oluQinisekisa isini
Kukho ithemba kubantu abafuna ukukhathalelwa ngokwesini, njengoko uninzi lonyango oluluncedo lukhoyo. Izinketho ezingezona utyando ezifana nokuchithwa komgogodla kunye nokunyamekela kwe-chiropractic kunokunciphisa imiba ye-musculoskeletal kunye nokufundisa izigulane kwizinto ezisingqongileyo ezichaphazela impilo yabo. IHormone, ngokomzimba, kunye nonyango lwengqondo zibalulekile kwizicwangciso zokhathalelo lomntu, zizenza zifikeleleke kwaye ziqinisekise ukhuseleko. Abantu kuluntu lwe-LGBT + bajongana nemiceli mngeni ekhethekileyo yezempilo, kwaye ukuba nendawo ekhuselekileyo nelungileyo kunokwenza uhambo lwabo lwempilo kunye nokuba sempilweni lulawuleke ngakumbi.
Ucaphulo
Bhatt, N., Cannella, J., & Gentile, JP (2022). Ukhathalelo oluQinisekisa isini kwizigulane ezitshintshe isini. Ukulungiswa kweeNzululwazi zeCliniki , 19 (4-6), 23-32. www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/
Carroll, R., & Bisshop, F. (2022). Yintoni ekufuneka uyazi malunga nokhathalelo lwempilo oluqinisekisa isini. Emergency Medicine Australasia , 34 (3). doi.org/10.1111/1742-6723.13990
Grant, JE, Lust, K., & Chamberlain, SR (2019). Ukuphazamiseka komzimba kwi-dysmorphic disorder kunye nobudlelwane bayo kwisini, ukungxama, kunye nokulutha. Uphando loPhando , 273 , 260-265. doi.org/10.1016/j.psychres.2019.01.036
Hashemi, L., Weinreb, J., Weimer, AK, & Weiss, RL (2018). Ukunyamekela kwe-Transgender kwi-Primary Care Setting: Ukuphononongwa kweziKhokelo kunye noNcwadi. Federal Practitioner , 35 (7), 30-37. www.ncbi.nlm.nih.gov/pmc/articles/PMC6368014/
Kaplan, E., & Bard, P. (2023). Ukuthotywa koMnqongo okuGqibeleleyo . JETLAUNCH.
Tordoff, DM, Wanta, JW, Collin, A., Stepney, C., Inwards-Breland, DJ, & Ahrens, K. (2022). IziPhumo zeMpilo yengqondo kwiTransgender kunye noLutsha oluNgazalwanga oluFumana uKhathalelo oluQinisekisa isini. JAMA Network Open , 5 (2). doi.org/10.1001/jamanetworkopen.2022.0978
isikhanyeli
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica
I-piriformis yimisipha enkulu kwaye inamandla phantsi kwemisipha ye-gluteal / buttocks. Ihamba ukusuka ezantsi kwe-sacrum, apho isiseko somqolo kunye ne-pelvis sidibanisa phezulu kwi-femur. Esi sihlunu sidlala indima ebalulekileyo ekusebenzeni kwentshukumo; inceda ukujikeleza ngaphandle kwe-hip kunye nomlenze ophezulu ngaphandle, inika ukuguquguquka kwe-hip kunye nokuzinza, kunye nokuzinzisa i-pelvis. I-nerve ye-sciatic idlula ecaleni, ngaphezulu, ngaphantsi, okanye nge-piriformis muscle. Xa i-piriformis ikhontrakthi okanye i-spasms, inokucaphukisa, ibanjwe kwaye icinezele i-nerve, ibangele iimpawu ezibuhlungu. Oku kunokukhokelela kwiingxaki ezahlukeneyo kwaye njani piriformis syndrome kwenzeka.
Ukubaleka iPiriformis Syndrome
Umsebenzi ofanelekileyo we-piriformis muscle uyimfuneko kubadlali abathatha inxaxheba ekuqhubeni imidlalo. Imisebenzi ephindaphindwayo, njengokubaleka, inokudinwa isihlunu kwaye icaphukise kwaye ivuse i-nerve.
iimpawu
I-Piriformis syndrome ingaba ngumngeni wokuxilonga ngenxa yokuba inokudideka kwi-disc ye-herniated, i-sciatica, i-proximal hamstring strain / high hamstring tendinitis, okanye iingxaki ezisezantsi. Iimpawu ezimbalwa ezinokukunceda ukugqiba ukuba i-piriformis yimbangela ibandakanya:
Ukuhlala, Izitebhisi, Ukungahlali kakuhle okanye iintlungu
Abantu abasoloko bephatheka kakubi xa bebaleka.
Endaweni yoko, ihleli, ikhwela izinyuko, kwaye i-squatting apho iimpawu zentlungu zikhoyo.
Ubuhlungu ngelixa uqhuba, ngokukodwa ukuvakalelwa ngokugqithiseleyo xa unyuka intaba okanye ukunyuka kwesantya, kuhambelana ngakumbi noxinzelelo lwe-hamstring olusondeleyo.
ukuthantamisa
Indawo ejikeleze i-piriformis ithenda.
Ukufaka uxinzelelo kunokubangela ukungahambi kakuhle okanye intlungu ejikeleze indawo kwaye ikhuphe emlenzeni.
Iintlungu Eziphakathi
I-Piriformis syndrome idla ngokuvakala phakathi kwe-glutes.
Uxinzelelo olusondeleyo lwe-hamstring ngokuqhelekileyo lubangela intlungu engabonakaliyo emazantsi e-glutes, apho i-hamstrings idibanisa kwi-pelvis.
Izizathu
Ukungahambi kakuhle kwe-pelvic.
Ukungahambi kakuhle kwe-pelvic okudalwe ngezinye iimeko, njenge-pelvis edibeneyo, ukungafani kobude bomlenze osebenzayo, okanye ukwenza i-posture engafanelekanga, yenza ukuba i-piriformis isebenze nzima ukuhlawulela, okukhokelela ekuqineni kunye / okanye i-spasms.
Ukunyuka ngokukhawuleza kumgama okanye ukunyanzeliswa kokuzivocavoca kunokunyusa naluphi na ubuthathaka kwi-piriformis kunye nezinye izihlunu ze-gluteal.
Ukuqhubeka nokuqhuba, okunokwenzeka, kunokonyusa kwaye kwandise imeko.
Xa uqhuba, ukuhanjiswa komqondiso we-muscle kuphazanyiswa kukuvuvukala kunye / okanye ukunyanzeliswa kwaye akukwazi ukuvumelanisa omnye nomnye.
Isiphumo kukungakwazi ukumelana noxinzelelo oluphindaphindiweyo lokubaleka.
Hayi ukufudumala kunye imithambo yokuvula iglute kwandisa umngcipheko wokuqhuba i-piriformis syndrome.
Unyango lweChiropractic
Ukuphumla kusenokunganeli ukuthomalalisa piriformis syndrome . Oku kuyinyani ngakumbi ukuba ingxaki ibandakanya ukungahambi kakuhle komqolo kunye ne-pelvic. I-Chiropractic inokubonelela ngokukhululeka okukhulu ekusebenziseni i-piriformis syndrome. Ukudityaniswa komqolo, i-pelvic, kunye nohlengahlengiso lwesiphelo, i-massage yonyango, i-MET, i-decompression, izolula, kunye nesondlo esichasayo siya kuthatha uxinzelelo kwiindawo ezixinene kakhulu, zilungelelanise umzimba, kwaye zigcine umsebenzi we-nervous system. .
Ifomu yokubaleka inokuhlolwa kwaye ihlolwe ukungafani kobude bomlenze kunye nokungalingani kwamandla emisipha.
Ukubaleka kunokuqhubeka ukuba umntu unokukwenza oko ngaphandle kweentlungu okanye iimpawu.
Kodwa kucetyiswa ukuba ugweme iindawo ezinqamlekileyo, ezinyusa umngcipheko wokungahambi kakuhle kwe-pelvic.
Gwema ukubaleka ixesha elide, okwandisa ithuba lokugcwala kunye nokudinwa.
Injongo kukuphumla nokukhulula i-piriformis.
Ukuba ichaphazela i-nerve ye-sciatic, ukukhulula kunye nokukhulula isihlunu kuya kunciphisa kakhulu intlungu ephumayo.
I-Orthotics inokucetyiswa ngokugqithisileyo okanye intshukumo yangaphakathi yonyawo xa ifika.
Olunye unyango lokumisa i-piriformis spasms.
Umkhenkce kwaye uthathe amayeza achasene nokuvuvukala angasetyenziswa ngexesha lezigaba ezinzima xa indawo ithenda.
Sebenza iindawo eziqinileyo usebenzisa i-roller yogwebu okanye i-percussive massager.
Ukolula kunye nokukhulula umsipha ngaphambi nangemva kokubaleka kunokunceda ukuphumla kunye nokunyusa ukuhamba kwegazi.
Izolula ngathi ukuma kwehobe kwaye ume umfanekiso wesine kunye nemithambo efana iiplanga zecala ngokuphakamisa umlenze zicetyiswa.
Ukwakha Umzimba Owomeleleyo
VIDEO
Ucaphulo
U-Ahmad Siraj, uSidra, kunye noRagini Dadgal. "I-Physiotherapy ye-Piriformis Syndrome Ukusebenzisa i-Sciatic Nerve Mobilization kunye ne-Piriformis Release." Cureus vol. 14,12 e32952. 26 Dec. 2022, doi:10.7759/cureus.32952
Chang A, Ly N, Varacallo M. Piriformis Injection. [Ihlaziywe ngo-2022 ngoSeptemba 4]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.
Heiderscheit, uBryan, kunye noShane McClinton. "Uvavanyo kunye noLawulo lwe-Hip kunye ne-Pelvis Injuries." Amayeza oNyango kunye neekliniki zokubuyisela kwisimo sangaphambili zaseMntla Melika vol. 27,1 (2016): 1-29. doi:10.1016/j.pmr.2015.08.003
Julsrud, M E. “Piriformis syndrome.” Ijenali yeAmerican Podiatric Medical Association vol. 79,3 (1989): 128-31. doi:10.7547/87507315-79-3-128
UKraus, uEmily, et al. "I-Piriformis Syndrome ene-Avant Sciatic Nerve Anatomy: Ingxelo yeNgxelo." PM & R: Journal of Injury, Function, and Rehabilitation vol. 8,2 (2016): 176-9. doi:10.1016/j.pmrj.2015.09.005
ULenhart, uRakeli, et al. "Imithwalo yemisipha ye-Hip ngexesha lokuqhuba ngamanqanaba ahlukeneyo." Ijenali ye-Orthopedic kunye nemidlalo yonyango lomzimba vol. 44,10 (2014): 766-74, A1-4. doi:10.2519/jospt.2014.5575
Sulowska-Daszyk, Iwona, kunye no-Agnieszka Skiba. "Impembelelo ye-Self-Myofascial Release kwi-Muscle Flexibility kubagijimi abade." Ijenali yeHlabathi yoPhando lokusingqongileyo kunye nempilo yoluntu vol. 19,1 457. Jan 1, 2022, doi:10.3390/ijerph19010457
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , impilo , Ubuhlungu obuya emva , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Umqolo obuhlungu ngumba oxhaphakileyo ofunyanwa ngabantu kulo lonke ihlabathi. Isakhiwo esiphambili somzimba womntu ngumqolo, owahlulwe ngamacandelo amathathu: umlomo wesibeleko, i-thoracic, kunye ne-lumbar. La macandelo anceda ekushukumeni komzimba, kubandakanywa ukujika nokujika, ukuhambisa iziphelo, kunye nobudlelwane kunye lungile kwaye kwinkqubo yomnatha . Izihlunu ezijikelezayo ngasemva nazo zibonelela ngenkxaso kunye nokukhusela umqolo. Nangona kunjalo, imisebenzi eqhelekileyo efana nokuguqa phantsi ukuze uthabathe into enzima, ukuhlala phantsi ixesha elide, okanye ukuwa kunokubangela utshintsho olukhokelela kwiintlungu zangasemva, ukungahambi kakuhle, kunye neeprofayili ezinobungozi kwiindawo eziphezulu kunye nezisezantsi. Inqaku lanamhlanje ligxile kwizizathu zentlungu yomqolo kunye nonyango olukhoyo ukukhulula iziphumo zayo. Sisebenzisa kwaye sifaka ulwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango olungenalo utyando ukunciphisa impembelelo yeentlungu zangasemva. Sikhuthaza kwaye sithumele izigulana kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo nemangalisayo yokubuza ababoneleli bethu imibuzo ebalulekileyo xa isigulana sivuma. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli
Isishwankathelo Sentlungu Yomqolo
Ngaba unentlungu kumqolo wakho ongentla, ophakathi, okanye osezantsi? Ngaba ufumana iintlungu kunye neentlungu kusasa? Ngaba ukuphakamisa into enzima kukubangele intlungu? Ezi zimpawu zingaba yimpawu zentlungu emva, isizathu esiqhelekileyo kunye neendleko zokutyelela kwigumbi likaxakeka. Uphando lophando lutyhila ukuba iintlungu zangasemva zinokuba nezizathu ezahlukahlukeneyo kwaye zichaphazele umzimba wonke, nokuba ngoomatshini okanye ngokungekho ngqo. Amacandelo amathathu angasemva - umlomo wesibeleko, i-thoracic, kunye ne-lumbar - zonke zinokuchaphazeleka, zibangele intlungu echazwe kwiindawo ezahlukeneyo zomzimba. Ngokomzekelo, intlungu yomlomo wesibeleko (phezulu) ingabangela ukuqina entanyeni, ngelixa intlungu ye-thoracic (ephakathi) ingakhokelela kwimiba yehlombe kunye nokuma. I-Lumbar (ephantsi) i-back pain, uhlobo oluqhelekileyo, lunokubangela iingxaki ze-hip kunye ne-sciatic. Izifundo zophando ezongezelelweyo zityhila ukuba intlungu yomqolo ngumcimbi onzima onokuchaphazela kakhulu umsebenzi womzimba, kunye nezinto ezisingqongileyo nazo zinokuchaphazela.
Izinto ezibangela iintlungu zomqolo
Izinto ezahlukahlukeneyo zinokuba yimbangela yentlungu emva, ngaloo ndlela kubangele ukungahambi kakuhle komqolo. Kwincwadi yabo ethi, "I-Ultimate Spinal Decompression," uDkt. Eric Kaplan, DC, FIAMA, kunye noDkt Perry Bard, DC, bachaza ukuba imisipha yangasemva idlala indima ebalulekileyo ekukhuseleni umqolo. Izinto ezisingqongileyo zinokuchaphazela umqolo, ezikhokelela kwiintlungu ezinokuthi zibe khona. Le ncwadi iphinda iphawule ukuba ukugqoka kunye nokukrazula kunye ne-disc protrusion kumqolo kunokubangela ukuba i-disc herniation kunye ne-degeneration, nayo idibaniswe neentlungu zangasemva. Ezinye izizathu eziqhelekileyo zentlungu yomqolo ziquka:
Ukudideka Izihlunu kunye noxinzelelo I-spinal disc etyibilikayo Iintsholongwane Ukuphazamiseka kwe-Musculoskeletal (i-arthritis, i-osteoporosis, i-sciatica, kunye ne-fibromyalgia) Intlungu ye-Visceral-somatic/Somato-visceral (Ilungu elichaphazelekayo okanye izihlunu zibangela intlungu ethunyelwe kwiindawo ezahlukeneyo zomzimba) Ukukhulelwa
Uphando olongezelelweyo lubonisa ukuba izinto ezahlukeneyo zokusingqongileyo, ezifana nokusebenza ngokomzimba, indlela yokuphila, uxinzelelo, kunye neemeko zomsebenzi, zidibene neentlungu zentlungu kwaye zinokugqithisela njengezinto ezinobungozi. Ukuba ayiphathwa, le miba yokusingqongileyo inokukhokelela kwiimeko ezingapheliyo kwaye ibe nempembelelo enkulu kumgangatho wobomi bomntu.
Iimfihlo zeChiropractic zityhiliwe-Ividiyo
VIDEO
Ngaba ukhe waziva ukuba ndindisholo okanye ukuntyiloza ezingalweni okanye emilenzeni yakho? Ngaba ufumana intlungu yomqolo xa usolula? Okanye ngaba uziva iintlungu kumqolo wakho ophantsi okanye kwezinye iindawo zomzimba wakho? Le miba ihlala ihambelana neentlungu zentlungu kwaye, ukuba ishiywe ingaphendulwanga, inokukhokelela ekukhubazekeni nasekulahlekelweni komsebenzi. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa intlungu emva kunye neempawu ezihambelanayo kunye nokukhuthaza ukuphilisa kwendalo. Ividiyo engentla ichaza indlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokunceda ukunciphisa iintlungu zangasemva ngokuphathwa ngesandla. Olu nyango lunokuthi lulungelelanise umqolo, lunwebe izihlunu eziqinileyo, kwaye lubuyisele uluhlu lokushukuma komzimba.
Unyango Ngentlungu Engasemva
Ukuba ufumana intlungu emva, unyango oluhlukeneyo lunokunceda ukunciphisa iimpawu zakho kunye nokuphucula ukuhamba kwakho. Uneendlela ezimbini zokunyanga iintlungu zangasemva: utyando kunye nokungabikho kotyando. Unyango lotyando lunokuba yimfuneko ukuba ufumana ukunyanzeliswa kwe-nerve okanye ugcine ukwenzakala okudinga ukuxubana komgudu. Unyango olungasebenzisi utyando lunokunceda ukunciphisa uxinzelelo kumqolo wakho, ukunciphisa iintlungu zangasemva, kunye nokunciphisa iintlungu kwezinye iindawo zomzimba wakho. Olunye unyango olungelulo utyando lweentlungu zangasemva lubandakanya:
Ulungiso lwenyama Lolonga Ukhathalelo lweChiropractic Ukwenza i-Acupuncture Ukunciphisa Umzimba
Ngoku ka uphando , unyango olungenalo utyando lunokunciphisa uxinzelelo kwiidiski zomgogodla, ukukhulula imisipha eqinile, ukuphucula ukuhamba ngokubambisana, kunye nokukhuthaza ukuphilisa kwendalo. Abantu abaninzi bongeza olu nyango ngokukhetha indlela yokuphila esempilweni, benze uhlengahlengiso oluncinci kwindlela yabo yesiqhelo kwaye benikela ingqalelo engakumbi kwimpilo yabo yomzimba.
isiphelo
Ekubeni intlungu ye-back back yingxaki exhaphakileyo echaphazela abantu emhlabeni jikelele, inokubangelwa yizinto ezahlukeneyo zokusingqongileyo ezichaphazela i-cervical, thoracic, kunye ne-lumbar back section, ekhokelela kwiiprofayili ezinobungozi ezigqithisiweyo kunye nokuchaphazela amalungu omzimba ahlukeneyo. Izihlunu eziqinileyo kunye noxinzelelo kunye nomqolo ocinezelweyo ziimpawu eziqhelekileyo zalo mbandela. Nangona kunjalo, unyango olukhoyo lunokunciphisa ngokufanelekileyo intlungu, ukunweba imisipha eqinile, kunye nokunciphisa uxinzelelo kwi-spinal disc. Ngokubandakanya olu nyango, abantu ngabanye banokunciphisa intlungu emva kwaye bavumele imizimba yabo ukuba iphile ngokwemvelo.
Ucaphulo
Allegri, Massimo, et al. "IiNdlela zeNzululwazi eNgenaPhantsi: Isikhokelo sokuFumana kunye noNyango." F1000 Uphando , 28 Juni 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.
UCasiano, uVincent E, et al. "Umqolo obuhlungu." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.
Choi, Jioun, et al. "Iimpembelelo ze-Spinal Decompression Therapy kunye ne-General Traction Therapy kwiintlungu, ukukhubazeka, kunye nokuPhakamisa umlenze oLungileyo wezigulane ezine-Intervertebral Disc Herniation." Ijenali yoNyango lwezeMpilo , Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
UKaplan, uEric, kunye noPerry Bard. Ukuthotywa koMnqongo okuGqibeleleyo . IJETLAUNCH, ngo-2023.
Yabona, uQin Yong, et al. "Iintlungu eziPhambili eziNgenaPhantsi: Ukuxilongwa kunye noLawulo." Ijenali yezoNyango yaseSingapore , Juni 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.
isikhanyeli
by UGqr Alex Jimenez Ukulimala koluhlu , Ukunyamekela
Izihlunu ze-Intercostal zizihlunu ezingaphakathi kweembambo, ezibizwa ngokuba zii-intercostals, ezidibanisa iimbambo kwaye zenze udonga lwesifuba. I-intercostal muscle strain ibhekisela kumonzakalo phakathi kweembambo ezimbini okanye ngaphezulu. Ukuba ezi zihlunu ziba nzima, zithintelwe, okanye zonakaliswe, kunokubangela ukudumba kunye neentlungu ezinkulu kumbindi nangaphezulu. Uxinzelelo lwe-intercostal lwemisipha kukwenzakala okuxhaphakileyo kwiimbaleki nakwimisebenzi enzima ngokwasemzimbeni. Ukunyamekela kwe-Chiropractic kunye nokunyangwa kwe-massage kunokulungelelanisa i-vertebrae ngeembambo kwaye ikhulule kwaye ikhulule imisipha yokwandisa ukujikeleza kunye nokubuyisela ukuhamba kunye nomsebenzi.
Uxinzelelo lwe-Intercostal Muscle
Izihlunu ze-intercostal zinemigangatho eyahlukeneyo edityaniswe kwiimbambo ukunceda ukwakha udonga lwesifuba kunye nokunceda ekuphefumleni. Nazi 11 izihlunu intercostal kwicala ngalinye leembambo zekheji. Iseti nganye ibekwe phakathi kweembambo ezidityanisiweyo kumqolo ongasentla naphakathi kwaye iqulathe oku kulandelayo:
Ngaphandle
Ezi zi-intercostals zangaphandle, ezijongene nokwandisa isifuba ngexesha lokuphefumla ukunceda ukuphefumla umoya kunye nokuvumela ukuphefumla okupheleleyo.
I-intercostals yangaphandle iqala kwincam engezantsi yembambo kwaye iqhube ngediagonally ukuze incamathele kumda ongaphezulu wembambo engezantsi.
Zifumaneka kumqolo wembambo, emacaleni nangaphambili.
Lwangaphakathi
Ezi zihlala ngokuthe ngqo ngaphantsi kwezinto zangaphandle kwaye zinceda ukuwela isifuba ngexesha lokuphefumla ukukhupha.
Iintsinga zemisipha zihamba ngokuthe tye ukuya kwi-intercostals yangaphandle, zihamba nge-diagonally ukusuka ngaphambili ukuya ngasemva kunye neembambo, kwaye zikwindawo yonke yeembambo.
Ngaphakathi
Ezi zihleli ngqo ngaphantsi, zibaleka ngokunxuseneyo kwii-intercostals zangaphakathi, kwaye zibaleka ukusuka ngasemva kweembambo ukuya kwicala ngalinye.
Imithambo, imithambo, kunye nemithambo-luvo ilele phakathi kwe-intercostals yangaphakathi nengaphakathi.
Xa isihlunu se-intercostal sijijeka, sisetyenziswa kakhulu, okanye solulelwe kude kakhulu, sinokukrazuka, kubangele ukuxinezeleka kwezihlunu. Iintlungu eziphuma rhoqo kwimbambo zekheji ziye zidlulele ngasemva.
Izizathu
Ukuxhatshazwa kwemisipha ye-intercostal kaninzi kwenzeka ngenxa yokulimala okanye ukugqithisa kwemisipha. Oonobangela abaxhaphakileyo baquka:
Ukwenzakala kwimbambo, njengokuwa okanye ukungqubana kwemoto.
Ukwenzakala kwempembelelo kwimidlalo okanye kwimisebenzi yomzimba.
Ukujija i-torso ngaphaya koluhlu lwayo oluqhelekileyo lokushukuma ukusuka ekuphakamiseni iintsimbi, ezemidlalo, kwi-yoga postures, okanye kwiindawo zokudanisa.
Ukufikelela ngokuphindaphindiweyo ngaphezulu komsebenzi okanye imisebenzi efana nokucoca okanye ukupeyinta.
Ukuphakamisa izinto ezinzima ngaphezu kobude bamagxa.
Iintshukumo eziphindaphindiweyo ze-torso.
Ukunyuka ngokukhawuleza komsebenzi womzimba ongasetyenziswanga ngumzimba kunokukhokelela kuxinzelelo lwe-intercostal muscle.
Oku kunokwenzeka xa ukungabikho kwemeko okanye ukuma okungahambi kakuhle kunciphisa imisipha.
iimpawu
Iimpawu kunye neempawu zinokwahluka, kuxhomekeke kubukhulu kunye nonobangela. Iimpawu zinokubandakanya:
I-Intercostal muscle spasms.
Ubunzima bokuhamba.
Ukuvuvukala, ukuvuvukala, kunye novelwano kwindawo echaphazelekayo.
Ukuqina kunye noxinzelelo, kubangela intlungu engaphezulu.
Umqolo ongentla kunye neentlungu zembambo.
Ukuthamba kwindawo ephakathi kweembambo.
Ukuqina kwemisipha xa ugoba okanye ujija umzimba ongaphezulu.
Iintlungu ezibuhlungu ngokuthe ngcembe emva kweentshukumo eziphindaphindiweyo.
Iintlungu ezibuhlungu xa ukhohlela, uthimla, okanye uphefumlela phezulu.
Iintlungu ezibuhlungu kunye nezequbuliso, ngakumbi ukuba zibangelwa kukwenzakala ngokuthe ngqo esifubeni okanye ngasemva.
Chiropractic
Ukuxilongwa kubandakanya imbali yonyango lomntu kunye novavanyo lomzimba ukujonga ukulinganiselwa kwentshukumo kunye nokuvavanya iindawo ezichaphazelekayo kunye nezibucayi. Xa ukudumba kunciphile, chiropractic kunye nonyango lomzimba luya kugxila koku kulandelayo:
Unyango lokuphelisa iintlungu.
Ukuzilolonga ngokuphefumla.
Uqeqesho lokuma.
Ukuzolula phantsi kweliso.
Imithambo yokomeleza.
Uninzi lweemeko ziphilise ngokupheleleyo kwiiveki ezi-6 ukuya kwezi-8.
I-Rib Muscle Ukwenzakala
VIDEO
Ucaphulo
De Troyer, A et al. "Ubuchwephesha bendawo ye-intercostal kunye nezenzo zemisipha yangaphandle kunye nengaphakathi." Ijenali yophando lwezonyango vol. 75,3 (1985): 850-7. doi:10.1172/JCI111782
Nkosi, uMichael J, kunye noWilliam G Carson Omnci. UGqirha kunye namayeza ezemidlalo vol. 21,5 (1993): 80-91. doi:10.1080/00913847.1993.11947575
Morrison W. Yintoni i-intercostal muscle strain? Iindaba zonyango Namhlanje. NgoJanuwari 2020
Iphepha P. Iingcamango zangoku kwi-Muscle Ukwelula i-Exercise kunye noBuyiselo. Ijenali yeHlabathi yezeMidlalo yoNyango loMzimba. 2012;7(1):109-119.
Park, Kyung-hee, et al. "Umahluko kwimisebenzi yemisipha ekhethiweyo ye-thoracic erector spinae ngexesha lokwandiswa kwe-trunk kwizifundo ezine-thoracic posture." PM & R: Journal of Injury, Function, and Rehabilitation vol. 7,5 (2015): 479-84. doi:10.1016/j.pmrj.2014.10.004
Tran H. Iimbangela ze-Intercostal Muscle Strain. Impilo yomqolo. Okthobha 2017
Ewe, Won-Gyu. "Umphumo we-thoracic edibeneyo kunye ne-backward lifting exercise kwi-thoracic kyphosis angle kunye neentlungu ze-intercostal muscle." Ijenali yenzululwazi yonyango lomzimba vol. 29,8 (2017): 1481-1482. doi:10.1589/jpts.29.1481
Ewe, Won-Gyu. "Impembelelo ye-thoracic stretching, i-thoracic extension exercise kunye nokuzivocavoca kwi-posture yomlomo wesibeleko kunye ne-scapular kwi-angle ye-thoracic kyphosis kunye neentlungu eziphezulu ze-thoracic." Ijenali yenzululwazi yonyango lomzimba vol. 25,11 (2013): 1509-10. doi:10.1589/jpts.25.1509
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica
Imisipha ye-hamstring inamathele, ngokusebenzisa i-tendon ebizwa ngokuba yi-tendon ye-hamstring ehamba phambili, kwi-tuberosity ye-ischial, amathambo asetyenziselwa ukuhlala nzulu kwimisipha ye-buttock. Xa i-tendon ixhomekeke ekusebenziseni ngokugqithiseleyo / ukuphindaphinda uxinzelelo kunye noxinzelelo, isakhiwo sangaphakathi sinokuphazamiseka, okukhokelela kubuthathaka kunye neempawu zentlungu. Oku kwaziwa ngokuba proximal hamstring tendinopathy . I-Tendinopathy yokulimala ngokugqithisileyo apho i-tendon igxininiswe ngokuphindaphindiweyo kude kube yi-microscopic iinyembezi. Iqhelekile kwiimbaleki ezenza ixesha elininzi lokubaleka kodwa nakubantu abahlala ixesha elide. Ukuba ishiywe ingaphendulwanga, i-hamstring tendinopathy ephezulu ingakhokelela ekuhlaziyweni okuqhubekayo kwezicubu, ezikhokelela kubuthathaka obungapheliyo, intlungu kunye nokungasebenzi.
I-Hamstring Tendinopathy ephezulu
I-hamstrings liqela elinamandla le-muscle elinweba i-hip kwaye liguquguquke emadolweni. Bafumana uxinzelelo kunye noxinzelelo ngexesha lomsebenzi kunye nokungasebenzi / ukuhlala kwaye basengozini yokulimala. Iitendon zincamathelisa isihlunu kwithambo kwaye zenzelwe ukuba zithathe ezicinezelayo kunye nobunzima / imithwalo eyolulayo okanye ethambileyo. I-tendon yenziwe ngamathambo e-fibrous aqulethwe ngokuhlelekile uhlobo lwe-1 collagen . Imisipha ifumana igazi; nangona kunjalo, ukunikezelwa kuncinci apho i-tendon inamathele kwithambo kwaye iqhelekile apho i-tendinopathy yenzeke khona.
ukwenzakala
Ukulimala kwe-hamstring kubandakanya ukubetha, ukucaphuka, okanye ukukrazula i-tendon ye-hamstring okanye izicubu zomzimba. Ubunzima bunokususela kwi:
IiMicrotears ezibangela ukuqina kunye neempawu zentlungu kodwa ziphilise ngokukhawuleza ngokwazo.
Ukuqhekeka okukhulu okubangela intlungu ephazamisayo, ukungasebenzi kwaye kufuna ukungenelela kwonyango.
Ithenda incamathela kwi ischial tuberosity Ngamanye amaxesha i-nerve ye-sciatic inokucaphuka okanye ibanjwe yi-tendon echaphazelekayo yezicubu ezibomvu, ezibangela iimpawu ezifana ne-sciatica.
Amanqanaba e-Tendon Pathology
Isigaba esisebenzayo
Okubangelwa kukugcwala okugqithisileyo kokusebenza komzimba okanye ukungasebenzi.
Ithenda iya kutyeba okwethutyana ukunciphisa uxinzelelo; nangona kunjalo, akunakubakho ukudumba.
I-tendon inokubuyela ngokuqhelekileyo ukuba umthwalo uyancitshiswa okanye ixesha elaneleyo lokubuyisela kunye nokulungiswa kuvunyelwe.
Ukonakala
Ukugcwala ngokugqithisileyo.
Ukuphiliswa okungaphumelelanga.
Utshintsho lwe-tendon olubi ngakumbi lwenzeka.
Ukubuyisela ukuguqulwa kunokwenzeka ngolawulo lomthwalo kunye nokuzivocavoca okujoliswe kuyo ukuvuselela i-tendon kunye nezicubu ezijikelezayo.
Isiduko
Ukuqhubela phambili okuqhubekayo kweenguqu ze-tendon ezimbi.
Ixhaphake ngakumbi kubantu abadala.
Qhubeka nolawulo lomthwalo kunye noqeqesho lwamandla ukwandisa ukunyamezela kwe-tendon.
Unyango lweChiropractic
Iqela lonyango lwe-chiropractic liya kuphuhlisa inkqubo yonyango lomntu ngamnye ukuze kuphuculwe isakhiwo se-tendon kunye nokuqinisa i-hamstrings, i-gluteal, kunye nezihlunu zesisu. Baza kuqala nge-tendon-relieving massage massage ukukhulula izihlunu kwaye igazi lijikeleze, I-MET-targeted stretches ukwandisa imisipha, kunye nohlengahlengiso lomqolo kunye ne-pelvic ukulungelelanisa umzimba.
Sciatica Ichazwe
VIDEO
Ucaphulo
Buckley, uMark R et al. "Ukusasazwa kweentlobo ze-I, II kunye ne-III collagen ngommandla kwi-tendon ye-supraspinatus." Uphando lwethishu edibanisayo vol. 54,6 (2013): 374-9. doi:10.3109/03008207.2013.847096
Lempainen, Lasse, et al. "Uluvo lwengcaphephe: ukuxilongwa kunye nokunyangwa kwe-proximal hamstring tendinopathy." Izihlunu, imigqa, kunye nejenali yemisipha vol. 5,1 23-8. 27 Matshi 2015
Mattiussi, uGabriele, kunye noCarlos Moreno. "Unyango lwe-hamstring ehambelana ne-tendinopathy enxulumene ne-sciatic nerve entrapment: umboniso we-ultrasound ekhokelwa yi-"Intratissue Percutaneous Electrolysis" isicelo. Izihlunu, imigqa, kunye nejenali yemisipha vol. 6,2 248-252. 17 Septemba 2016, doi:10.11138/mltj/2016.6.2.248
Ono, T et al. "Uqikelelo lwamandla okuqina kwizihlunu ze-hamstring ngexesha lokubaleka komhlaba." Ijenali yeHlabathi yezamayeza ezemidlalo vol. 36,2 (2015): 163-8. doi:10.1055/s-0034-1385865
White, uKristin E. Ijenali yamayeza e-chiropractic vol. 3 (10,2): 2011-93. doi:9/j.jcm.10.1016
UWilson, uThomas J et al. "I-Sciatic Nerve Injury Emva kwe-Proximal Hamstring Avulsion kunye nokulungiswa." Ijenali yamathambo ezemidlalo vol. 5,7 2325967117713685. 3 Jul. 2017, doi:10.1177/2325967117713685
by UGqr Alex Jimenez Ukulimala koluhlu , Umenzakalo owehle kwisiqu
Ukungqubana kwemoto, umsebenzi, imidlalo, kunye neengozi zomntu kunokubangela ukulimala kwentamo enokuchaphazela ezinye iindawo, ezikhokelela kwiingxaki zempilo zexesha elide. . Ukulimala kwentamo okubandakanya umonakalo wezicubu ezithambileyo zihlala ziqhubeka emva kwesiganeko. Enye yokulimala ibandakanya umonakalo wentambo yezwi obangelwa yimpembelelo kwi-larynx. Ilarynx, okanye ibhokisi yelizwi, lilungu elisemva Iapile ka-Adam . Ukulimala kwentamo okuchaphazela i-larynx kunokuchaphazela ukukwazi ukuthetha nokuphefumla kwaye kubangele intambo yezwi ukukhubazeka. Unyango lunokubandakanya utyando, unyango lwelizwi, unyango lomzimba, kunye ne-chiropractic.
Ukwenzakala kweVocal Cord
Iintambo zezwi zimbini eziguquguqukayo zezicubu ze-muscle ekungeneni kwe-trachea. Iintambo zezwi zikholisa ukuba kwindawo evulekileyo ekhululekileyo ukuvumela ukuphefumla. Xa uthetha, iibhendi zidibanisa kwaye zingcangcazele ukwenza isandi. Utyando, usulelo lwentsholongwane, umhlaza othile, kunye nokwenzakala kwentamo kunokubangela ukukhubazeka kwelizwi. Kule meko, iibhloko zomonakalo we-nerve okanye zithintela iimpembelelo ekugqithiseni kwibhokisi yezwi. I Izihlunu, ezidla ngokuba ngomnye wazo, ziba ngumlwelwe, zithintele ukuginya kunye nokuginya amathe kuqhoqhoqho. . Kwiimeko ezinqabileyo, zombini izihlunu azikwazi ukuhamba.
iimpawu
Iimpawu kunye neempawu zingabandakanya:
Ukuphefumula okunzima Ukuqhawukelwa ngumphefumlo.
Ukuphefumla kakubi.
Ukuphefumla okungxolayo.
Ukuthetha iingxaki Isidingo sokuphefumla rhoqo ngelixa uthetha.
Ukulahleka kwesandi selizwi.
Ukungakwazi ukuthetha ngokuvakalayo.
Ingxaki Yokuginya Ukuminxa okanye ukukhohlela xa uginya.
Ukulahleka kwe-gag reflex. Ukukhohlela rhoqo kunye nokucocwa komqala.
Izizathu
Intamo okanye Ukwenzakala kwesifuba
Ukwenzakala entanyeni okanye esifubeni kunokwenzakalisa imithambo-luvo yebhokisi yelizwi.
Infections
Ukosuleleka njenge Isifo seLyme , i-virus ye-Epstein-Barr, kunye ne-herpes inokubangela ukuvuvukala kunye nomonakalo we-nerve.
Izidumbu
Amathumba, anomhlaza kwaye angenawo umhlaza, anokukhula ngaphakathi okanye ajikeleze izihlunu, intlala, kunye nemithambo-luvo.
Neurological
Iimeko ze-neurological ezifana ne-multiple sclerosis okanye isifo sika-Parkinson zinokukhokelela kwintambo yezwi.
Ukwenzakala Ngotyando
Iimpazamo zenkqubo yotyando okanye iingxaki okanye kufuphi nentamo okanye isifuba esiphezulu kunokubangela umonakalo kwiimbilini zebhokisi yezwi.
Utyando kwi-thyroid okanye i-parathyroid glands, i-esophagus, intamo, kunye nesifuba kunomngcipheko ophezulu.
Stroke
I-stroke iminxa ukuhamba kwegazi ukuya ebuchotsheni kwaye inokonakalisa indawo yobuchopho ehambisa imiyalezo kwibhokisi yelizwi.
impatho
Unyango lugqitywa ngugqirha ngokusekelwe kwimeko yonyango yomntu kunye neemvavanyo zokuxilonga. Unyango lunokubandakanya:
Unyango lweNtetho
Unyango lokuthetha lunconywa njengoko izihlunu ze-laryngeal zomelezwa ngeendlela ezahlukeneyo zokuzivocavoca, ukuphucula umsebenzi wokuphefumula. Ingcali yentetho iya kuqalisa ukusebenza nomntu ngamnye kwimithambo ejolise kwiifolthi zezwi ezibuthathaka ngokuphucula ukuhamba komoya kunye nokujikeleza kwegazi.
Unyango lomzimba kunye neChiropractic
Unyango lubandakanya ukwenza umthambo othambileyo osebenza kwiintambo zezwi ngokuthe ngcembe kwaye ngokuthe ngcembe kodwa ungazicinezeli. Iingcali ze-Chiropractors zisebenza kunye ne-physical therapist eyenza i-high-velocity, i-low-amplitude manipulation ejoliswe kwintamo ephantsi kunye nommandla ophezulu we-thoracic, i-vertebrae ye-C3 / T1. Isicwangciso sonyango siya kusebenzisa i-massage, i-decompression engeyiyo yokuhlinzwa, i-instrument / i-tool-assisted soft-tissue mobilization, i-laser ephantsi okanye i-ultrasound, kunye nokwelula kwasekhaya kunye nokuzivocavoca.
Ukuhlinzwa
Utyando lunokuba yimfuneko kubantu abangakhange baphucule nangona besenza intetho emiselweyo kunye nemithambo yonyango lomzimba. Iindidi ezahlukeneyo zeenkqubo zisekwe kwiqondo kunye nobungakanani bokukhubazeka:
Injections – I-Collagen kunye nezizalisi zijojowe kwiintambo zezwi ukuze zibuyisele imisipha echaphazelekayo kufuphi ne-larynx.Uvavanyo lwezandi – Iintambo zezwi zibekwe ngokutsha ngohlengahlengiso.Uluhlu lweTracheotomy – Ukuba i-vocal folds ivalwa, ugqirha unokwenza i-incision entanyeni kwindawo yokuvula i-windpipe kwaye afake ityhubhu yokuphefumla. Oku kudlula ukuvaleka komoya okubangelwa kukugoba kwezwi kwaye kukhuthaze ukujikeleza komoya okufanelekileyo.
Ukungazinzi kweCervical Spine
VIDEO
Ucaphulo
Chen, Ching-Chang, et al. "Isiphumo sexesha elide lokukhubazeka kwezwi emva kwe-discectomy yangaphambili yomlomo wesibeleko." Ijenali yaseYurophu yomgogodla: ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society vol. 23,3 (2014): 622-6. doi:10.1007/s00586-013-3084-y
Dankbaar JW, et al. Ukukhubazeka kwentambo yezwi: i-Anatomy, imaging, kunye ne-pathology. Imibono kuMfanekiso. 2014; doi:10.1007/s13244-014-0364-y.
Fitzpatrick, PC, kunye noRH Miller. "Ukukhubazeka kwentambo yezwi." IJenali ye-Louisiana State Medical Society: iqumrhu elisemthethweni le-Louisiana State Medical Society vol. 150,8 (1998): 340-3.
Kriskovich, MD et al. "I-Vocal fold paralysis emva kokuhlinzwa kwangaphambili komlomo wesibeleko: iziganeko, indlela, kunye nokuthintela ukulimala." ILaryngoscope vol. 110,9 (2000): 1467-73. doi:10.1097/00005537-200009000-00011
Ukukhubazeka kwelizwi. Iziko leSizwe lokungeva kunye nezinye iziphazamiso zoNxibelelwano. www.nidcd.nih.gov/health/vocal-fold-paralysis . Ifikeleleke ngoMeyi 18, 2022.
Ukukhubazeka kwelizwi. American Speech-Language-Hearing Association. www.asha.org/public/speech/disorders/Vocal-Fold-Paralysis . Ifikeleleke ngoMeyi 18, 2022.
Waddell, uRoger K. "Ukhathalelo lweChiropractic kwisigulane esine-spasmodic dysphonia ehambelana nokulimala komqolo wesibeleko." Ijenali yamayeza e-chiropractic vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6
by UGqr Alex Jimenez Ukulimala koluhlu , Ukunyamekela
Umzimba unamalunga ne-1,000 ligaments edibanisa amathambo kunye namalungu. I-Ligaments ziindibaniselwano eziqinileyo zezicubu ezixhasa ukuhamba ngokubambisana kunye nokuzinzisa imisipha kunye namathambo. Ukulimala kwi-ligaments enye okanye ngaphezulu kunokubangela ukuvuvukala, ukuvuvukala, ukungahambi kakuhle kunye nokungazinzi. I-PCL ibhekisa kwi-posterior cruciate ligament ebaleka ngasemva kwedolo elihlangeneyo. Le ligament idibanisa i-femur / ithambo lethanga kwi-tibia / shinbone. Nabani na unokubandezeleka ngenxa yokulimala kwi-posterior cruciate ligament. Inokubangelwa ukuba idolo libethe ideshibhodi kwingozi yemoto, umsebenzi ojijayo okanye awe phantsi ngedolo eligobileyo okanye ukulimala koqhagamshelwano lwezemidlalo. I-Chiropractic yezoNyango zeChiropractic kunye neQela leKliniki yeMithi eSebenzayo ibonelela ngomsebenzi wezicubu ezithambileyo, i-trigger point therapy, kunye nonyango olujoliswe kuyo olungenalo utyando ngokusebenzisa iindlela zonyango oluphezulu kunye nobuchwepheshe.
I-posterior cruciate ligament - i-PCL ifumaneka ngaphakathi kwedolo, emva nje kwe-anterior cruciate ligament - ACL. Ngomnye wemigqaliselo emininzi edibanisa i-femur / thighbone kwi-tibia / shinbone. I-posterior cruciate ligament igcina i-tibia ukuba ihambe ngasemva.
ukwenzakala
Ukulimala kwe-posterior cruciate ligament kunqabile kakhulu kune-ACL - iinyembezi zangaphambili. Ukulimala kwe-PCL kwenza ngaphantsi kwe-20% yazo zonke ukulimala kwamadolo. Kuqhelekile ukuba iinyembezi ze-PCL zenzeke kunye nokulimala kwe-ligament. Ukulimala kwe-PCL kunokubangela umonakalo omncinci, ophakathi, okanye onzima kwaye ulinganiswe kwiindidi ezine ezahlukeneyo:
IBakala I
Ukukrazula inxalenye ikhona kwiligament.
IBakala II
Kukho ukukrazula inxalenye.
Umsipha unokuziva ukhululekile.
IBakala III
Umsipha uqhawuke ngokupheleleyo.
Idolo alizinzanga.
IBanga lesi-IV
I-PCL yenzakele.
Amanye amadolo awonakele.
Abantu abanokulimala kwe-posterior cruciate ligament banokuba neempawu ezimfutshane okanye ezide. Ngokuqhelekileyo, iimpawu zexesha elide zenzeke xa ukwenzakala ngokukhawuleza kukhula ngokuhamba kwexesha. Kwiimeko ezincinci, abantu basenokukwazi ukuhamba, kwaye iimpawu zabo zisenokungabonakali. Iimpawu eziqhelekileyo ezinxulumene nokulimala kwe-PCL ziquka:
Ubunzima bokubeka ubunzima kwidolo elenzakeleyo.
Ukuqina.
Ubunzima bokuhamba.
Ubunzima bokuhla kwizinyuko.
Imvakalelo eshukumayo ngaphakathi kwedolo.
Ukudumba kunye nokudumba kunokuba mnene ukuya kubukhali.
Iintlungu zamadolo.
Iintlungu ezibuhlungu ngokuhamba kwexesha.
Ngokuhamba kwexesha, iinyembezi zingakhokelela ekuphuhliseni osteoarthritis .
Kukho ingozi eyongeziweyo yomonakalo omkhulu kunye neemeko ezibuhlungu ezingapheliyo ukuba zishiywe zingaphathwanga.
Ukhathalelo lweChiropractic
Ukuqhubeka nokuthatha inxaxheba emsebenzini okanye kumsebenzi emva kokulimala kancinci sesona sizathu siphambili sokuba abantu bafumane unyango, inaliti, okanye ukulungiswa kotyando. . Ukulimala emadolweni kufuna ingqwalasela ekhawulezileyo ukuthintela ukonakala okanye umonakalo ongakumbi. I-chiropractor iya kuhlola idolo, khangela uluhlu lwentshukumo kwaye ubuze malunga neempawu. Basenokucela iimvavanyo zemifanekiso ukujonga ubungakanani bomonakalo. Olu vavanyo lungabandakanya oku kulandelayo:
X-ray.
Imagnetic resonance imaging.
CT scan.
Ngethuba lokuhlolwa komzimba, baya kujonga zonke izakhiwo zedolo elimele kwaye baqhathanise nedolo elingenakulimala. Idolo elenzakeleyo lisenokubonakala lihlehla ngasemva xa ligobile okanye linokutyibilika umva kakhulu, ngakumbi xa lingaphaya kwe-engile ye-90-degree. Unyango luxhomekeke kubunzima bokulimala. Unyango oluqhelekileyo luquka:
Iinduku
Iinduku zinokucetyiswa ukunciphisa ubunzima obubekwe emadolweni.
Idolo Brace
I-brace ekhethekileyo inokujongana nokungazinzi kwaye incede ukukhusela ithambo le-tibia ukuba lihlehle ngasemva.
Umxhuzulane uthande ukutsala ithambo ngasemva xa lilele.
I-Chiropractic kunye noNyango loMzimba
Njengoko ukudumba kwehla, inkqubo yokubuyisela kwimeko yesiqhelo ngononophelo inokuqalisa.
A irejimeni ye-chiropractic iya kusetha kwakhona kwaye iphinde iqeqeshe i-ligament.
Ukunyangwa kwe-massage kuya kunciphisa izicubu ezibomvu kunye nokwandisa ukujikeleza.
Ukuzivocavoca okuthe ngqo kuya kuzinzisa idolo, ukubuyisela umsebenzi, kunye nokuqinisa imisipha yomlenze oyixhasayo.
Ukomeleza imisipha phambi kwethanga / i-quadriceps yinto ephambili ekubuyiseleni ngempumelelo.
Ukuhlinzwa
Kwiimeko ezinzima, utyando lunokufuneka ukuze ubuyiselwe ngokupheleleyo.
Idolo le-arthroscopy kwenziwa ukwakhiwa kwakhona kwe-ligament.Le nkqubo ayihlaseli kangako xa ithelekiswa neendlela zotyando lwesintu.
Ixesha lokuchacha liyahluka kumntu nomntu. Ukuba umonzakalo uphakathi, kunokuthatha malunga neentsuku ezilishumi kuphela ukuphola. Ukuba kufuneka utyando, ukuchacha kwakunokuthabatha malunga neenyanga ezintandathu ukuya kwezisithoba. Ukuchacha ngokupheleleyo kufuna iinyanga ezi-6 ukuya kwezili-12.
I-Chiropractor engcono kakhulu yeKnee Injury
VIDEO
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. Ukwenzakala kwiLigament yangasemva kweCruciate. (orthoinfo.aaos.org/en/diseases-conditions/posterior-cruciate-ligament-injuries ) Ifikeleleke nge-7/26/21.
Bedi A, Musahl V, Cowan JB. Ulawulo lwe-Posterior Cruciate Ligament Injuries: Ukuphononongwa okusekelwe kubungqina. Ijenali yeAmerican Academy of Orthopedic Surgery. 2016 May;24(5):277-89. Ifikeleleke ngo-7/26/21.
Lu, Cheng-Chang, et al. "Iiveki ezilishumi elinesibini zeNkqubo yoQeqesho oluQhelekileyo kunye noQeqesho lwamandla luphucula amandla e-Muscle, iProprioception, kunye noMsebenzi weKlinikhi kwizigulane ezinokulimala kwe-Isolated Posterior Cruciate Ligament." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 18,23 12849. 6 Dec. 2021, doi:10.3390/ijerph182312849
Pierce, uCasey M et al. "Iinyembezi ze-Posterior cruciate ligament: ukulungiswa okusebenzayo kunye nokubuyisela emva kokusebenza." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 21,5 (2013): 1071-84. doi:10.1007/s00167-012-1970-1
Schüttler, KF et al. "I-Verletzungen des hinteren Kreuzbands" [Ukulimala kwe-Posterior cruciate ligament]. Der Unfallchirurg vol. 120,1 (2017): 55-68. doi:10.1007/s00113-016-0292-z
UZsidai, uBálint, et al. "Iindlela ezahlukeneyo zokulimala zikhona phakathi kwezigulane ezifumana unyango olusebenzayo lwe-PCL eyedwa, i-PCL / ACL edibeneyo, kunye nokulimala kwe-ACL okukodwa: isifundo esivela kwi-Swedish National Knee Ligament Registry." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 30,10 (2022): 3451-3460. doi:10.1007/s00167-022-06948-x
I-Ligament yangasemva yeCruciate
