Name: El Paso Back Clinic | Spine Specialists - El Paso, TX
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Ubuhlungu obuya emva

IQela leKlinikhi yaseBack Back Pain Treatment Emandundu. Iintlungu ezibuhlungu ezibuhlungu zihamba ngaphaya kweentlungu ezingaphezulu kwe-sprain eqhelekileyo kunye noxinzelelo. Iintlungu ezibuhlungu ezibuhlungu zifuna uvavanyo olunzulu ngenxa yesizathu / iingcamango okanye iingcamango ezingabonakaliyo okanye ezicacileyo. Oku kufuna iinkqubo zokuxilonga ezongezelelweyo ukuze kuqondwe unobangela weenkcazo-ntetho ezinobuzaza. Intlungu ye-nociceptive kunye ne-neuropathic ingaphinda iphulwe ibe yintlungu ebuhlungu kwaye engapheliyo, eyahluke kwifom kunye nomsebenzi.

Ngentlungu ebuhlungu, ubunzima beentlungu buxhomekeke kwinqanaba lomonakalo wezicubu. Abantu ngabanye bane-reflex yokukhusela ekuphepheni olu hlobo lweentlungu. Ngolu hlobo lweentlungu, kukho i-reflex yokukhupha ngokukhawuleza emva kokuhamba okanye ukuba kwindawo ethile. Iintlungu ezibuhlungu zinokuba ngumqondiso wokulimala okanye izicubu ezigulayo. Xa ingxaki iphelile intlungu iyanyangeka. Intlungu ebuhlungu luhlobo lwentlungu ye-nociceptive. Ngeentlungu ezingapheliyo, imithambo-luvo iyaqhubeka ukuthumela imiyalezo yeentlungu emva kokuba umonakalo wangaphambili wezicubu upholile. I-neuropathy iwela kolu hlobo.

Ukuvavanywa koMonde kunye ne-Hip Pain

by iicrosoft | Umqolo obuhlungu, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, Ubuhlungu obungapheliyo, impilo, Ubuhlungu Bokubuyisela, Izifundo zoPhando, Uvavanyo lweSkrini, Ubuhlungu obuya emva, Uncedo Lwezityalo, Unyango, Ukuphila

intlungu Hip yimiba eyaziwayo yempilo enokubangelwa ziintlobo ezininzi zeengxaki, nangona kunjalo, indawo yesifo somlenze wesiguli ingaba nolwazi oluxabisekileyo malunga neyona nto ebangela ukuba le nkalo yempilo eqhelekileyo. Ubuhlungu ngaphakathi ngaphakathi kwintambo okanye i-groin kungenziwa ngenxa yeengxaki ngaphakathi kwendibano yokuzibandakanya ngokwayo xa intlungu engaphandle kwenyakatho, intambo ephezulu kunye neentsimbi zangaphandle zingabangelwa iingxaki ngeemigaments, i-tendon kunye nezihlunu, phakathi kwezinye iifom , ejikeleze umxube we-hip. Ngaphezu koko, intlungu ye-hip ingabangelwa ngenxa yezinye ukulimala kunye nemeko, kuquka intlungu.

Abstract

Intlungu ye-Hip yimeko eqhelekileyo kunye ekhubazayo echaphazela izigulane zonyaka. Ukuxilongwa ngokungafaniyo kweentlungu ze-hip kubanzi, kubonisa umngeni wokuxilonga. Izigulane zivame ukubonisa ukuba iintlungu zabo zindawo zendawo zihlala kwindawo enye ye-anatomic: i-hip yangaphambili kunye ne-groin, i-hip yangemva kunye ne-hip, okanye i-hip lateral. I-hip anterior kunye nentlungu ye-groin ixhomekeke kwi-intra-articular pathology, efana ne-osteoarthritis kunye neenyembezi ezinqabileyo. Ubunzima be-hip buhlungu buhambelana ne-piriformis syndrome, ukungasebenzi kwe-sacroiliac ngokubambisana, i-radiologypathy, kunye nokunyanzeliswa kwe-ischiofemoral ne-split-claudication. Intlungu yesikhumba se-lateral iyenzeka nge-syndrome enkulu yesifo se-trochanteric. Uvavanyo lweemvavanyo lwezonyango, nangona lu luncedo, aluxhomekekanga kakhulu okanye lucacise ngakumbi ukuxilonga; nangona kunjalo, indlela yokuqhelanisa ukuhlolwa kwe-hip ingasetyenziswa. Imifanekiso yezobugcisa kufuneka iqhutywe xa kukhankanywa ukukhubeka, ukuchithwa, okanye ukuphazamiseka kwengcinezelo. I-radiografi yokuqala ye-hip kufuneka ibandakanye indlela yokujonga i-pelvis kunye ne-frog-leg legal viewal of the hip. Ukucatshulwa kwemifanekiso yamagnetic kufuneka kuyenziwe ukuba imbali kunye neziphumo ze-radiograph ezicacileyo ayifumaneki. Ukucatshulwa kwe-magnontic resonance kubaluleke kakhulu ekufumaneni ukuphuka kwemimoya, ukuphazamiseka kwengqondo kunye ne-osteonecrosis yentloko yesifazane. I-arthrography ye-magnetic arthrography yiyo vavanyo lokuxilonga olukhethiweyo.

intshayelelo

Intlungu ye-Hip iyindlela eqhelekileyo yokunyamekela kwaye inokuchaphazela izigulane zonyaka. Kwisifundo esinye, i-14.3% yabantu abadala abadala be-60 iminyaka kunye nabadala babika ubuhlungu obukhulu be-hip kwiintsuku ezininzi kwiiveki ezithandathu ezedlulileyo. Ubuhlungu be-HipNUMX buvame ukubonisa umngeni wokuxilonga kunye neengxaki. Ukuxilongwa ngokuhlukileyo kwentlungu ye-hip (iTable A) ebanzi, kubandakanywa kokubili isifo se-intra-articular and extra-articular pathology, kwaye ihlukahluka ngobudala. Imbali kunye nokuhlolwa komzimba kubalulekile ukuze uhlolisise ngokuchanekileyo imbangela yentlungu ye-hip.

Anatomy

Umxube we-hip ngumxube we-synovial ibhola kunye ne-socket eyenzelwe ukuvumela ukunyakaza kwe-multiaxial ngelixa uhambisa umthwalo phakathi komzimba ophezulu nangaphantsi. I-acetabular rim ihlanganiswe yi-fibrocartilage (i-labrum), eyongeza ubunzulu nozinzo kwidilesi ye-femoroacetabular. Iindawo ezichaziweyo zixutywe yi-hyaline cartilage ezichitha i-shear kunye nokunyanzela umthwalo ngexesha lokuthwala kunye nokunyakaza. Iimvalo ezinkulu ezingabikhoyo ezivela kwingingqi ye-lumbosacral, ezinokukwenza kube nzima ukuhlula phakathi kwentlungu ye-hip kunye neentlungu ezinzima.

Uluhlu olubanzi lwe-hip ye-motion ye-motion lukwinto yesibini kuphela yoluhlu lwe-glenohumeral kwaye luvunyelwe liqela elikhulu lamaqela omsila ojikeleze umlenze. Izihlunu ze-flexor ziquka i-linoopsoas, i-rectus femoris, i-pectineus, ne-sartorius imisipha. I-gluteus maximus kunye namaqela angama-muscle avumela ukunyuselwa kwe-hip. Imisipha encinci, njenge-gluteus medius kunye ne-minimus, i-piriformis, i-obturator ngaphandle kunye ne-internus, kunye ne-quadratus femoris muscle, faka malunga ne-trochanter enkulu, evumela ukuthathwa, ukukhutshwa, kunye nokujikeleza kwangaphakathi nangaphandle.

Kubantu abanobuhlungu besifo, kunamaziko okukhula amaninzi eplavis kunye ne-femur apho kunokulimala khona. Iziza ezenzekayo zokulimala kwe-apophyseal kwingingqi ye-hip ziquka i-ischium, i-anicior ephezulu ye-iliac umgudu, umgudu ongaphantsi kwe-iliac umqolo, i-aliac crest, i-trochanter encinane kunye ne-trochanter enkulu. I-apophysis yesigxina esiphezulu sesigxina sesigxina siphelile kwaye iyakwazi ukulimala ukuya kwi-25 yeminyaka ubudala.2

Umxube we-hip ungomnye wamalungu amaninzi amakhulu atholakala emzimbeni womntu kwaye isebenza ekukhutsheni njengoko ithanga liqhubela phambili kwaye libuya. Umxube we-hip uphinde ujikeleze xa uhleli kunye neenguqu zenkqubela xa uhamba. Izakhiwo ezahlukeneyo ezinqamlekileyo zijikeleze ukudibanisa kwe-hip. Xa ukulimala okanye imeko ichaphazela ezi zinto, ekugqibeleni zikhokelela ekugqibeleni ubuhlungu.

UDkt Alex Jimenez DC, i-CCST

Ukuphononongwa kwe-Hip Pain

imbali

Ubudala bodwa bunokunciphisa ukuxilongwa ngokungafaniyo kweentlungu zentambo. Izigulana zangaphambili kunye nezigulane eziselula, ukungazalwanga kwesifo se-femoroacetabular joint, i-fultures evulsion, kunye nokulimala kwe-apophyseal okanye epiphyseal kufuneka kuqwalaselwe. Kulabo bavuthiweyo, ubuhlungu be-hip bubangelwa ngumxube we-musculotendin, i-ligamentous sprain, i-contusion, okanye i-bursitis. Abantu asebekhulile, i-osteoarthritis ephulukisayo kunye neziqhekeza kufuneka ziqwalaselwe kuqala.

Izigulane ezinomlenze we-hip kufuneka zibuzwe malunga noxinzelelo olubi okanye ukukhuthaza abantu, izinto ezinyukisayo okanye zinciphise intlungu, indlela yokulimala kunye nexesha lokuqala. Imibuzo enxulumene nomsebenzi wokuqhawula, njengokungenwa kokungena kunye nokuphuma emotweni, ukufaka izicathulo, ukuhamba, ukuhamba, nokunyuka nokuhla kwezitebhisi, kunokunceda.3 Indawo yentlungu ikwazisa kuba ubuhlungu be-hip buhlala kwindawo kwenye yezinto ezintathu ezisisiseko ze-anatomic: i-hip anterior kunye ne-groin, i-hip yangemuva kunye ne-buttock, ne-lateral hip (eFigure A).

Uvavanyo lweMvelo

Ukuhlolwa kwe-hip kufuneka kuhlolisise i-hip, back, isisu, kunye neenkqubo ze-neurologic. Kufuneka uqale ngokuhlalutya umgangatho kunye nokuhlolwa komgangatho (Umfanekiso we-1), olandelwa ukuvavanywa kwesigulane ehleli phantsi, ephakamileyo, esesikweni, nasesikweni esiphathekayo (izibalo ze-2 nge-6, kunye ne-EFigure B). Imivavanyo yokuhlola imvelo yokuphonononga ubuhlungu be-hip isishwankathelwe kwiTable 1.

Ukucinga

Imifanekiso. Imifanekiso yeengcingo kufuneka iqhutywe ukuba kukho nayiphi na insolo yokuphuka, ukuchithwa, okanye ukuphazamiseka kwengcinezelo. I-radiografi yokuqala ye-hip kufuneka ibandakanye umbono we-pelvic kunye ne-frog-leg legal viewal of the hip.4

UkuTyekiswa kweMagnetic Resonance kunye neArthrography. EziQhelekileyo intlokoma Imagnethi umfanekiso (MRI) kasikrobana bangabhaqa ezininzi zomzimba ethambileyo, kwaye mishini kutshintshwe ekhethwayo ukuba ray plain akuthethi ukuchonga leengxaki ezithile isigulane kunye ezingisayo pain.5 yesiqhelo MRI lunobuntununtunu bama 30% kunye nokuchaneka I-36% yokuxilonga iinyembezi ze-hip labral, kanti i-arthrography yamagnetic i-arthrography inikezela ubuzwe obuninzi be-90% kunye nokuchaneka kwe-91% ekufumaneni iinyembezi ezinqabileyo.6,7

Ultrasonography. I-Ultrasonography iyindlela yokunceda ukuhlola iintlobo zee-tendons, ukuqinisekisa ukukhankanya i-bursitis, kunye nokuchonga ama-effusions kunye kunye nezizathu ezisebenzayo zokubandezeleka kwe-hip.8 Ultrasonography iyona incedo ngokukhethekileyo ngokukhuselekileyo nangokuchanekileyo ukuqhuba ii-injections ezikhokelwa yi-imaging kunye neenqweno ezikujikelezayo .9 Kulungile umntu onamava e-ultrasonographer ukwenza isifundo sokuxilonga; Nangona kunjalo, ubungqina obusakhulayo bubonisa ukuba oogqirha abanamava abanokuqeqeshwa okufanelekileyo banokwenza ukuxilongwa ngokuthembekileyo kufana ne-experienced musculoskeal ultrasonographer.10,11

Ezi zimbangela ezininzi zeentlungu zentambo. Nangona ezinye iintlungu zengqumbo zingaphelelanga nje, ezinye iintlobo zeentlungu ze-hip zingaba zihlala zingapheliyo xa zishiywa zingaphendulwanga ixesha elide. Izizathu ezininzi eziqhelekileyo zokubandezeleka kwe-hip zibandakanya, isifo samathambo, i-fracture, sprain, i-avascular necrosis, isifo se-Gaucher, i-sciatica, i-muscle strain, i-uliotibial band syndrome okanye i-IT band syndrome kunye ne-hematoma, phakathi kwezinye ezichazwe ngezantsi.

UDkt Alex Jimenez DC, i-CCST

Ukuxilongwa okungafaniyo kwe-Hip-Hop yangaphakathi

I-hip yangaphambili okanye intlungu ye-groin iphakamisa ukubandakanyeka kwendibaniselwano ye-hip uqobo. Izigulana zihlala zenza indawo yokuhlala iintlungu ngokusika i-anterolateral hip ngesithupha kunye nomnwe wesikhombiso esimile kwi- C. Oku kwaziwa ngokuba luphawu C (Umzobo 1A).

Osteoarthritis

I-Osteoarthritis yinkxalabo ebonakalayo kubantu abadala asebekhulile kunye nokuqala kokuqala kweempawu. Izigulane zinentlungu ehlala ihlala, enzulu, ebuhlungu kunye nobunzima obunzima ngokuhlala ixesha elide kunye nesisindo. Uvavanyo lubonakalisa ukunciphisa intlobo yeendululo, kwaye ukugqithisa ukunyuka kwexesha kudla ngokubangela ukuba buhlungu. I-radiographs e-Plain ibonisa ubukho be-joint-space-joint space, osteophytosis, kunye ne-subchondral sclerosis kunye ne-cyst form.12

Ukubanjwa kwe-Femoroacetabular

Izigulane nge-femoroacetabular impingement zihlala ziselula kwaye zisebenza ngokusemthethweni. Bachaza ukuqala kweentlungu ezibi kakhulu ngokuhlala, ukunyuka esihlalweni, ukungena okanye ukuphuma emotweni, okanye ukuxhoma phambili.13 Intlungu ikhona ngokuyinhloko kwi-groin kunye neyomlilo ngokuthe rhoqo kwi-hip latal kunye nomlenze wangaphakathi.14 Uvavanyo lwe-FABER (ukuhamba, ukutshatyalaliswa, ukujikelezwa kwangaphandle; Umzobo 3) unomdla we-96% ukuya ku-99%. Uvavanyo lwe-FADIR (i-flor, ukutshintshwa, ukujikelezwa kwangaphakathi; Umzobo 4), uvavanyo lwemiqulu (umfanekiso we-5), kunye nokuphakanyiswa komlenze ochanekileyo ekuchaseni uvavanyo (umzobo 6) nawo uphumelele, kunye no-88%, 56%, kunye ne-30% , ngokulandelanayo.14,15 Ukongezelela kwimbono ye-radiograph yangaphambili kunye neyasemva, kufuneka kubonwe imbono ye-Dunn ukuze incede ibone izilonda ezintle.16

Iqhwa le-Labral Tear

Iinyembezi ze-Hip labral zibangela ubuhlungu obuhlungu okanye obubukhali obuhlungu, kunye nesiqingatha sezigulane ezineentlungu ezinqabileyo. Intlungu idla ngokuqala, kodwa ngokukhawuleza iqala ngokukhawuleza emva kwesiganeko esibuhlungu. Phantse isiqingatha sezigulane ezi nxakile zinezibonakaliso zogqirha, ezifana nokubamba okanye ukuchofoza ngokukrakra nomsebenzi.17 Uvavanyo lwe-FADIR ne-FABER lusebenza kakuhle ekufumaneni i-intra-articular pathology (uvakalelo yi-96% ukuya kwi-75% yovavanyo lwe-FADIR kwaye i-88% yovavanyo lwe-FABER), nangona akukho vavanyo luneenkcukacha eziphezulu.I-arthrography ye-14,15,18 i-arthrography ithathwa njengolu vavanyo lokuxilonga olukhethiweyo lwezinyembezi ezinqabileyo. njenge-radiography ecacileyo kunye ne-MRI eqhelekileyo, kufuneka isetyenziswe kuqala ukulawula ezinye izimbande ze-hip kunye ne-groin intlungu.

Iliopsoas Bursitis (I-Internal Snapping Hip)

Izigulane ezile meko zineentlungu zengqumbo zangaphakathi xa ziphakamisa umlenze kwisimo esiphezulu, ngokuqhelekileyo zidibaniswa nokubamba, ukukhahlela, okanye ukuphuma kwe-hip.XXMUMX Dynamic-real-time ultrasonography iyona incedo ekuhloleni iindlela ezahlukeneyo ze-hip.20

Ukusasazeka okanye ukuPhulwa koxinzelelo

Kufuneka kuthathelwe ingqondo okanye ukuphazamiseka kwengcinezelo xa kuqukunjelwa umonakalo okanye ukuphindaphinda umzimba, nangona ukuba iziphumo ze-radiograph ezibonakalayo zibi .21 Kliniki, le nzakalo yenze i-hip yangaphakathi okanye ubuhlungu be-groin obubi kakhulu nangomsebenzi. ikhona ngokunyuka okukodwa, ukuphakanyiswa komlenze ochanekileyo, ukuhlolwa kwelogi, okanye ukuxhoma .21 MRI iyakunceda ukufumanisa ukuphuka kwamathambo kunye neengxaki zengcinezelo ezingabonakali kwi-radiograph ecacileyo.22

I-Synovitis emfutshane kunye neSeptic Arthritis

Ukuqala ngokugqithiseleyo kwintlungu ye-hip yangaphambili ye-hip hop eyenza ukungathinteki kwesisindo kufuneka kuphakame ukusola kwi-synovitis yangasemva kunye ne-septic arthritis. Imiba yomngcipheko samathambo yokubolisa abadala ziquka ubudala nangaphezulu kweminyaka 80, iswekile sinwenwa, isifo samathambo, utyando kutshanje edibeneyo, wancothuka usikrobana womlenze okanye idolo prostheses.24 Fever, gcwalisa igazi count, umyinge neentlenge erythrocyte, yaye inqanaba iiproteins C-izidubuli kufuneka zisetyenziswe ukuvandlakanya umngcipheko yokubolisa arthritis.25,26 MRI kuluncedo ukuba umehluko samathambo yokubolisa ukusuka synovitis.27,28 zezomzuzwana Nangona kunjalo, ngeminqweno emihle hip usebenzisa umfanekiso ekhokelwa ezifana fluoroscopy, Itomography ngekhompyutha, okanye ultrasonography kuyacetyiswa ukuba sentlanganisela yokubolisa na suspected.29

Osteonecrosis

Isifo seLegg-Calv -Perthes yi-idiopathic osteonecrosis yentloko yabasetyhini kubantwana abaneminyaka emibini ukuya kweli-12 ubudala, benomlinganiso oyindoda ukuya kowasetyhini we-4: 1.4 Kubantu abadala, iimeko zomngcipheko we-osteonecrosis zibandakanya i-systemic lupus erythematosus, isele yesele isifo, usulelo lwentsholongwane kwintsholongwane, ukutshaya, ukunxila, kunye nokusetyenziswa kwe-corticosteroid. 30,31 Ubuhlungu luphawu olubonakalisayo kwaye luhlala lukhohlakele. Uluhlu lwesindululo ekuqaleni luyagcinwa kodwa lunokuthintelwa kwaye lube buhlungu njengoko isifo siqhubeka.32 I-MRI ibalulekile ekuchongeni nasekuchazeni i-osteonecrosis yentloko yesetyhini.30,33

Ukuxilongwa ngokungafaniyo kwe-Hip-Post ne-Buttock Pain

I-Piriformis Syndrome kunye ne-Ischiofemoral Impingement

I-Piriformis syndrome ibangela ubuhlungu beentlungu ezixhaswa ngokuhlala okanye ukuhamba, kunye nokungahambi ngaphandle kwemitha emisezantsi phantsi kwethanga elingaphandle kwindlela yokunyanzelisa iimbulunga. nokuxilongwa.34,35

Ukuphoswa kwe-Ischiofemoral yimeko engacaciswanga kakuhle engakhokelela ekubandezelweni kwamathambo angenasiphelo kunye nomswakama kwi-thigh post .36,37 Le mqathango kucatshangelwa ukuba yiphumo lokumiswa kwe-quadratus femoris muscle phakathi kwe-trochanter encinane kunye ne-ischium.

Ngokungafani ne-sciatica kwi-disc ye-disc, i-piriformis syndrome kunye nokutshintshwa kwe-ischiofemoral kuyenziwa ngokujikeleza kwe-hip yangaphandle. I-MRI iluncedo ekufumaneni le miqathango.38

omnye

Ezinye izinto ezibangela intlungu ngomva hip ziquka sacroiliac kwekhono joint, 39 empontshwa radiculopathy, 40 kunye nemithambo claudication.41 Ubukho a zanomkhinkqi, iintlungu nasemiphakathweni, yaye umda ujikelezo lwangaphakathi kasikrobana yi axelwe ngakumbi ukuphazamiseka kasikrobana ngaphezu ukuphazamiseka ezivela ukusuka low emva .42

Ukuxilongwa ngokungafaniyo kwe-Hipal Pain Pain

Isifo Sobunzima beTrochanteric

Intlungu ye-hip yangasemva ichaphazela iipesenti ezili-10 ukuya kuma-25% yabantu ngokubanzi.43 Isifo seentlungu ezikhulu kakhulu sibhekisa kwintlungu engaphezulu kwe-trochanter enkulu. Ukuphazamiseka okuninzi kwethambo elisecaleni kunokukhokelela kolu hlobo lwentlungu, kubandakanya ukuqina kwebhendi ye-iliotibial, i-bursitis, kunye neenyembezi ze-gluteus medius kunye ne-minimus attachment attachment. icala. I-Gluteus minimus kunye nokulimala kwe-medius okukhoyo kubangelwa ziimpawu zangasemva zangasemva kwesiphumo sokukrazuka okukhethekileyo okanye okugcweleyo ekufakweni kobukhazikhazi. Uninzi lwezigulana zineempawu ezibi zokuphindaphinda.43

Ukuqukumbela, iintlungu zenyonga sisikhalazo esiqhelekileyo esinokubakho ngenxa yemicimbi eyahlukeneyo yezempilo. Ngapha koko, indawo echanekileyo yesigulana sentlungu inokubonelela ngolwazi oluxabisekileyo kubaqeqeshi bezempilo ngokubhekisele kwesona sizathu sengxaki. Injongo yenqaku elingentla yayikukubonisa kunye nokuxoxa ngokuvavanywa kwesigulana ngentlungu ye-hip. Ubungakanani bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imithombo yolwazi: Siphakamise amanqaku e-hip pathology kwi-American Family Physician, kunye neengxelo zabo. Saphinda sisesa i-Arhente yeeNgxelo zoPhando lwezeMpilo kunye noBungqina boBungqina beeNgqungquthela, ubungqina bezonyango, iZiko loKuphuculwa kweeNkcubeko, i-US Guidelines Clearinghouse, kunye ne-UpToDate. Sasidlala ukhangelo PubMed usebenzisa amagama ezinkulu syndrome intlungu trochanteric, hip iimviwo iingqaqambo, yamophula umfanekiso femoral hip ntshikilelo, umfanekiso hip labral iinyembezi, umfanekiso osteomyelitis, ischiofemoral impingement syndrome, meralgia ngokutsha paresthetica, MRI arthrogram hip labrum, yokubolisa samathambo Ukujongwa kwakhona okwenziwe ngendlela, kunye nentlungu ye-hip. Usuku lokukhangela: Matshi no-Ephreli 2011, kunye no-Agasti 15, 2013.

Ulwazi Lombhali: Aafp.org

Imixholo eyongezelelweyo: I-Pain Back Pain

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

INGXELO EBALULEKILEYO: Uphulo lwe-Hip Pain Chiropractic Treatment

Ngenanto

Ucaphulo

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2. URossi F, uDragoni S.Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqho kwesinqe kwiimbaleki ezikhuphisanayoSkeletal Radiol. 2001;30(3):127�131.

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8. I-Deslandes M, uGuillin R, uKhadinali E, et al. Ukuqhawula i-iliopsoas tendon: iindlela ezintsha zisebenzisa i-sonography enamandlaAJR Am J Roentgenol. 2008;190(3):576�581.

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15. Ito K, Leunig M, Ganz R.Iimpawu zembali ye-acetabular labrum kwi-femoroacetabular impingement.Clin Orthop Relat Res. Ngo-2004; (429): 262-271.

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17. UBurnett RS, uDella Rocca GJ, uPrather H, et al. Inkcazo yeklinikhi yezigulana ezineenyembezi ze-acetabular labrumI-Bone Joint Surg Am. 2006;88(7):1448�1457.

18. ULeunig M, Werlen S, Ungersb ck A, et al. Ukuxhamla Uvavanyo lwe-acetabular labrum yi-MR arthrography [ukulungiswa okupapashiweyo kuvela kwi- I-Bone Joint Surg Br. Ngo-1997; 79 (4): 693]I-Bone Joint Surg Br. 1997;79(2):230�234.

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20. IBlankenbaker DG, iDe Smet AA, uKeene JS. I-Sonography ye-iliopsoas tendon kunye nenaliti ye-iliopsoas bursa yokufumanisa isifo kunye nolawulo lwe-hip snap ebuhlungu.Skeletal Radiol. 2006;35(8):565�571.

21. I-Egol KA, uKoval KJ, uKummer F, et al. Ubunzima Uxinzelelo lokophuka kwentamo yobufaziClin Orthop Relat Res. Ngo-1998; (348): 72-78.

22. UFullerton LR Jr, uSnowdy HA. Intamo yesetyhini ixinzelela ukwaphukaAm J Sports Med. 1988;16(4):365�377.

23. INewberg AH, iNewman JS. Ukulinganisa inyonga ebuhlunguClin Orthop Relat Res. Ngo-2003; (406): 19-28.

24. UMargaretten ME, uKohlwes J, Moore D, et al. Ngaba lo mntu ugulayo une-septic arthritis?JAMA. 2007;297(13):1478�1488.

25. I-Eich GF, Superti-Furga A, Umbricht FS, okqhubekayo. I-hip ebuhlungu: kuvavanyo lweekhrayitheriya zokwenza izigqibo ngeklinikhiEur J Pediatr. 1999;158(11):923�928.

26. IKocher MS, iZurakowski D, uKasser JR. Umahluko phakathi kwe-septic arthritis kunye ne-synovitis edlulayo yomlenze ebantwaneniI-Bone Joint Surg Am. 1999;81(12):1662�1670.

27. UMphathiswa TJ, uFarooki S. Imagnetic resonance imaging ye-septic arthritisKwiKlinikhi yokuCamngca. 2000;24(4):236�242.

28. U-Lee SK, uSuh KJ, uKim YW, okqhubekayo. I-Septic arthritis xa ithelekiswa ne-synovitis yexeshana kwi-MR imagingRadiology. 1999;211(2):459�465.

29. I-Leopold SS, iBattista V, u-Oliverio JA. Ukhuseleko kunye nokusebenza ngokuchanekileyo kwenaliti yangaphakathi ye-hip usebenzisa amanqaku e-anatomicClin Orthop Relat Res. 2001; (391): 192-197.

30. UMitchell DG, uRao VM, uDalinka MK, et al. Intloko yesifazana i-avascular necrosis: unxibelelwano lwe-MR imaging, i-radiographic staging, imaging ye-radionuclide, kunye nokufunyanwa kweklinikhi.Radiology. 1987;162(3):709�715.

31. IMont MA, iZywiel MG, iMarker DR, et al. Imbali yendalo ye-asymptomatic osteonecrosis yentloko yabasetyhiniI-Bone Joint Surg Am. 2010;92(12):2165�2170.

32. UAsouline-Dayan Y, uCh Chang C, uGreenspan A, et al. I-Pathogenesis kunye nembali yendalo ye-osteonecrosisI-Semin Arthritis Rheum. 2002;32(2):94�124.

33. Amanqaku WG, Murphy WA, Ganz WI, et al. Imagnetic resonance imaging yentloko yesiqhelo kunye neschemic yentloko yabasetyhiniAJR Am J Roentgenol. 1984;143(6):1273�1280.

34. I-Kirschner JS, i-Foye PM, uCole JL. Isifo sePiriformis, isifo kunye nonyangoUmzimba weMisipha. 2009;40(1):10�18.

35. IHopayian K, Ingoma F, uRiera R, et al. Iimpawu zeklinikhi zesifo sepiriformisEur Spine J. 2010;19(12):2095�2109.

36. UTorriani M, uSouto SC, uThomas BJ, et al. Ischiofemoral impingement syndrome. AJR Am J Roentgenol. 2009;193(1):186�190.

37. UAli AM, uWhitwell D, uOstlere SJ. Ingxelo yetyala: imaging kunye nonyango lotyando lwe-hip snap ngenxa ye-ischiofemoral impingementSkeletal Radiol. 2011;40(5):653�656.

38. U-Lee EY, uMargherita AJ, uGierada DS, et al. I-MRI yesifo sepiriformisAJR Am J Roentgenol. 2004;183(1):63�64.

39. USlipman CW, uJackson HB, uLetetz JS, et al. Imimandla yokudlulisa iintlungu ngokudibeneyoIArch Phys Med Rehabil. 2000;81(3):334�338.

40. Moore KL, Dalley AF, kunye neAgur AMI-Anatomy eViweyo. Umhla wesi-6. IPhiladelphia, Pa.: Lippincott Williams kunye noWilkins; Ngo-2010.

41. I-Adlakha S, iBurket M, Cooper C. Ungenelelo ngoncedo olunokubakho okungagungqiyo kwimithambo yangaphakathi ye-iliac yokugungxula i-buttock claudication.Catheter Cardiovasc Interv. 2009;74(2):257�259.

42. UBrown MD, uGomez-Marin O, uBrookfield KF, et al. Ukwahluka okwahlukileyo kwesifo se-hip xa kuthelekiswa nesifo somqoloClin Orthop Relat Res. 2004; (419): 280-284.

43. Segal NA, Felson DT, Torner JC, et al .; Iqela leMfundo yeOsteoarthritis yeMulticenter. Isifo seentlungu ezinkulu se-trochantericIArch Phys Med Rehabil. 2007;88(8):988�992.

44. I-Strauss EJ, uNho SJ, uKelly BT. Isifo seentlungu ezinkulu se-trochantericI-Med Med Arthrosc. 2010;18(2):113�119.

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Vala i-Accordion

Izinzuzo zezeMpilo zokuSebenza kakuhle

by UGqr Alex Jimenez | Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, I-El Paso Chiropractic News, Ubuhlungu obuya emva, Ukulimala okuMsebenzi

Ukuhlala kwidesksi ixesha elongezelelweyo liphilile kwaye lingakhokelela kwiinkalo zempilo. Njengoko uphando oluninzi lubonisa iingozi zokuhlala ixesha elide, ezinye iinkampani zithatha amanyathelo ukukhusela impilo zabasebenzi bazo ngokufaka izitishi eziqhelekileyo zokusebenza. Ezi desikethi zithatha umntu kwindawo ehleliyo kwaye ziwahambisa endaweni enye apho baxhomekeke kuyo. Ngenxa yoko, ininzi yabasebenzi banandipha inzuzo yezempilo ezininzi.

Izinzuzo zezeMpilo

Iququzelela ukuguquguquka kwezithuba zentlalo

Ukubeka nje, ukutshintshwa kweso sithuba ngumzimba ohambayo xa ushintsha izikhundla. Kukho ukunyuka okukhulu okufana nokuhamba ngokuhlala kwindawo yokuma, ukuma ukuxhomeka, nokuma ukuhlala, kodwa kunye nokuhamba okuncinci njengokuguqula ukufakwa kweengalo okanye ukuhambisa unyawo.

I-Ergonomists icetyisa ukuba umntu kufuneka enze ukutshintsha kwezithuba emva kweeyure eziliqela. Bakhuthaza ukuba abantu bagweme nayiphi na imeko efana nokuma, ukuhlala, okanye ukuxhoma ixesha elide, endaweni yokukhuthaza ukutshintsha okanye ukunyakaza imizuzu yonke ye-20 xa kunokwenzeka.

Ukumiswa kwesimo se-static kuye kwaxhunyaniswa nokukhuluphala, isifo senhliziyo kunye nezinye izimo zempilo. Xa umzimba ugxininiswe ngendlela eququzelela ukunyakaza okunempilo, umzimba uhamba ngokuphindaphindiweyo kwaye ngendlela engokwemvelo. Oku akunakwenzeka ukuba kwenzeke ngokuma ngokukodwa, ngakumbi ukuhlala ixesha elide.

Iphucula iMpilo yeSipilini

Ukuhlala okanye ukuma ixesha elide ixesha alilungele umgudu. Xa umntu emela okanye ehleli ngaphandle kokuguquguquka kwesimo sempembelo, umgudu ungaqala ukudibana kunye neediski zibe nzima. Oku kunciphisa ukukwazi ukuxhasa umzimba ngokufanelekileyo, okukhokelela ekulahlekeni kokuhamba, kunciphise ukuguquguquka, kunye nentlungu.

Umlenze wenziwe ngamathambo amancinci, ama-vertebrae, athatyathwa yi-spongy, i-discs egcweleyo. Kwi-spine ephilileyo, iidiski zizaliswe ngogesi zibonelela umtya omhle kwi-vertebrae njengoko zihamba kwaye zixhasa umzimba. Nangona kunjalo, iidiski zidinga ukunyakaza ukukhuthaza ukuhamba kwegazi ukuze ziqhubeke zisebenza njengoko zifanele. Working ezithe tye ziququzelela ezo ntshukumo, ngaloo ndlela zinciphisa ubunzima bomngcingo.

Iphazamisa ukunyamezela

Ukuma kunye nokuhlala ixesha elide ixesha kunokubangela iintlungu kunye neengxaki ezithile zokuhamba. Ngelixa babelana ngeengongoma zentlungu, nganye izisa iingxaki zayo. Intamo eminyeneyo kunye neqinileyo, amahlombe ahlambayo ahlala ehlanganiswa nokuhlala kunye nokuma, ngokuqhelekileyo ngenxa yokubeka iliso kwikhompyutheni engafanelekanga. Ukusabalalisa komlenze ombi, ukuqhaqhaqhaqha, kunye nentlungu engaphantsi kwezona zinto ziqhelekileyo iingxaki zabantu ababaninzi ukuma okanye bahleli kwimisebenzi yabo.

Sebenzisa indawo yokusebenzela ethe tye ehambisa umzimba kwindalo esempilweni ngakumbi, ekhuthaza impilo, okhuthaza ukuhamba kwendalo rhoqo. Umqolo ulungelelaniswe ngokufanelekileyo ngaphezulu kwesinqe, ihips zivulekile, kwaye iinyawo zixhaswe ngokwaneleyo. Ikhuthaza ukuma okuchasene ngokupheleleyo nokuzingelwa phezu kwedesika-indlela eqhelekileyo yokuhlala emsebenzini.

Igcina Imisipha Engundoqo

Xa uhlala kwindawo ehleli, iintloko zentloko zidla kakhulu kwaye zingabonakali. Emva kwexesha, ezi zihlunu ziyakwazi ukuqeqeshwa ukuba zibuthathaka, okanye zivila kwaye zingabandakanyeki njengoko zifanele. Oku kuthetha ukuba bayeka ukuncedisa umva kunye nomzimba okhokelela ekusikeni kwimeko embi, ukulahlekelwa kwemilinganiselo, ukungabikho kokuhamba, ukunciphisa ukuguquguquka, kunye nentlungu.

Ukusebenza nkqo kukhuthaza iintshukumo ezincinci ezibandakanya eyona nto iphambili kuyo. Ayithandi ii-crunches kwindawo yokuzivocavoca, kodwa ngakumbi njengokuqhubekeka kokusebenza kancinci okugcina izihlunu ezingundoqo zenziwe iitoni kwaye zixhasa. Iziphumo zinempilo yomqolo, iingxaki zesisu ezimbalwa, ukuposa, kunye nokuphucula ukuhamba.

Ezinye izibonelelo zempilo yokusebenza nkqo zibandakanya ukwehla komngcipheko othile womhlaza njengomhlaza wekolon kunye nomhlaza wamabele, ukuphuculwa kokujikeleza, ukusebenza kwengqondo okungcono, kunye nokwehla komngcipheko weemeko zempilo ezinje ngeswekile, isifo sentliziyo, kunye noxinzelelo lwegazi. Ukusebenza nkqo yeyona ndawo indalo yokusebenza komzimba kunye nempilo.

Izinzuzo zezeMpilo: UkuThuthukiswa koKhuselo lweCroropractic Care Crossfit

I-Back Pain Back Pain Chiropractic Treatment

by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Umqolo obuhlungu, Iingxelo zeNtsholongwane yezonyango, Ubuhlungu obuya emva, Ubungqina, yokuzonwabisa

UGale Grijalva wabandezeleka kakhulu ngenxa yokulimala kwengozi yemoto. Xa kwakunzima ukuhamba ngemisebenzi yakhe yemihla ngemihla, uGale Grijalva ngoku uyakwazi ukuthatha inxaxheba kwimisebenzi engokwenyama ayengakwazi ukuyenza phambi kokubonga kuDkt. Alex Jimenez, ugqirha kwi-El Paso, TX. UGale Grijalva uchaza indlela isigulane uDkt. Jimenez kwaye uxoxisa ngayo indlela enokukwazi ukumnceda ngayo, kuquka ukuphendula nayiphi na inkathazo enokuba nayo. UGale Grijalva wafumana iziphumo ngokubuyiselwa.

I-Chiropractic I-Back Back Pain Treatment

Isiqhelo esingapheliyo umqolo obuhlungu yimeko embi, ephindaphindiweyo echaphazela ubomi bomntu bemihla ngemihla. Intlungu ehlala emva kweenyanga ezintathu ithathwa njengengapheliyo. Umgudu uyimfuneko ebalulekileyo yomzimba. Ubuhlungu obungapheliyo bubuhlungu buya kuba yindlela yokubuyela emzimbeni wokuxelela umzimba ukuba kukho umba. Umlenze uququzelelwe i-bony vertebrae, i-disc spin, i-joint joints, i-tendon, i-ligaments kunye ne-tendon. Kwi-bony umthambo we-vertebral yintambo yomgogodla, indlela enobunzima kodwa ephumelelayo yinkqubo ye-nervous system.

Sisikelelekile ukunikela kuwe INkulumbuso yeNkulumbuso ye-El Paso kunye neKlinikhi yokuNyango yokuThintela.

Iinkonzo zethu zikhethekileyo kwaye zijolise ekonzakaleni kunye nenkqubo yokubuyisela kwimeko yesiqheloIindawo zethu zokusebenza ziquka: Impilo entle kunye nesondlo, Ubuhlungu obungapheliyo, Umenzakalo owehle kwisiqu, Ukunakekelwa Kwengozi Yesiza, Ukulimala Kwezisebenzi, Ukwenzakala emva, uLow Umqolo obuhlungu, Ubuhlungu beNeck, Intloko ye-Migraine, Ukulimala kweMidlalo, Sciatica, Scoliosis, IiDiski zeHerniated ezintsonkothileyo, Fibromyalgia, Ubuhlungu obungapheliyo, ukuphathwa koxinzelelo, kunye nokulimala koluhlu.

Njenge-El Paso's Chiropractic Rehabilitation Clinic kunye neZiko eliHlanganisiweyo leMicrosoft, we sijolise ekunyangeni abaguli emva kokulimala okukhathazayo kunye neempawu zentlungu engapheliyo. Sijolise ekuphuculeni amandla akho ngokuguquguquka, ukushukumiseka kunye neenkqubo zokuhamba ngobuchule ezilungiselelwe onke amaqela ubudala kunye nokukhubazeka.

Ukuba unandipha le vidiyo kunye / okanye sincede nganoma iyiphi indlela sicela ukhululeke rhuma kwaye Ndicebisa us.

Cebisa: UGqirha Alex Jimenez-Ugqirha wezonyango

Amabanga eBanga: www.healthgrades.com/review/3SDJ4

Facebook Clinic Page: www.facebook.com/dralexjimene...

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Yelp: goo.gl/pwY2n2

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Ulwazi: UGqirha Alex Jimenez Ugqirha wezonyango

Site Clinic: www.dralexjimenez.com

Indawo yokulimala: personalinjurydoctorgroup.com

Indawo yokulimala kwezemidlalo: i-chiropracticscientist.com

Indawo yokuKhusela ngokutsha: elpasobackclinic.com

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Ukuqonda i-Back Pain ne-Sciatica

by UGqr Alex Jimenez | Umqolo obuhlungu, Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu Bokubuyisela, Sciatica, Sciatica Nerve Pain, Ubuhlungu obuya emva, Uncedo Lwezityalo, Unyango

Omnye wabahlobo bam wandicebisa, ngaphezulu nangaphezulu, kwaye wandula nje ukuba ulungile (UGqr. Alex Jimenez, DC) wayelungile. Ke ndiyibethile. Ndine-sciatica embi kakhulu kwaye ibindibulala, andikwazi ukuhamba, kodwa ebendincedisa ukuphuma, ndiyakwazi ukuhamba ngoku… andikwazi ukuhamba ngaphezulu kweeyadi ezingama-25, yona (i-sciatica) yayindichaphazela ngokwenene. Kwafuneka ndifumane uncedo. Andinakuthetha ngokwaneleyo ngoGqirha Jimenez, ebendincedisa, ndiyakwazi ukuhamba.

UEdgar M. Reyes

Ngokwe-American Association of Neurological Surgeons, malunga ne-75 ukuya kwi-85 ekhulwini labantu abathile baseUnited States kuphela baya kuba neentlobo zentlungu emva kokuphila kwabo, apho i-50 ekhulwini iya kubandezeleka ngaphezu kwesinye isiqhelo phakathi konyaka. Umqolo obuhlungu sesinye sezona zikhalazo zixhaphakileyo ezixelwa rhoqo kuluntu ngokubanzi kwaye ihlala iluphawu olunokubonisa ubukho besinye isimo esisisiseko. Umqolo obuhlungu unokubangelwa zizinto ezahlukeneyo, ezinye zibangelwa yimikhwa emibi, njengokuma okungafanelekanga, kunye nabanye ngenxa yokwenzakala kwiingozi. Eminye imiba yezempilo, enje ngesifo sediserative disc, okanye i-DDD, kunye nesifo samathambo nako kunokubangela iintlungu ezisemqolo .. Nangona izizathu zinokwahluka, zabelana ngeempawu ezifanayo.

Iintlungu ze-Bak zingabandakanywa intlungu ephezulu, ubuhlungu obuphakathi obuphakathi kunye nentlungu ephantsi, edla rhoqo i-sciatica, okanye intlungu ye-nciatic, imeko ebonakaliswe yinkcenkceshelo okanye ukufakwa kweentsimbi zesayensi ezisezantsi. Intlungu ebuhlungu kunye ne-sciatica ziye zadibana ngokubambisana nemibandela emininzi yempilo eqhelekileyo. Amaxesha amaninzi, i-sciatica, okanye i-sciatic nerve pain, kubangelwa yinkqubo yempilo engaphantsi kwesigxina se-lumbar. I-nerve ye-sciatic yindoda ende kunazo zonke emzimbeni womntu, odibanisa kwiingcambu zentliziyo kwimimandla engaphantsi kwaye igijimela emacaleni, ihla kunye namagqabi kunye nasemva komlenze ngamnye. Amacandelo alandelayo alo mgca aze athabathele ithole ukuya enyaweni nasezinzwaneni. I-Sciatica iyakwazi ukuchongwa ngamanqaku alandelayo.

Iintlungu ezisezantsi ezisezantsi enye okanye imilenze yomibini
Intlungu kunye / okanye inyawo zentlungu kunye neengcamango zokutshisa nokutshisa
Ubungqina emlenzeni, inyawo kunye / okanye iinzwane
Intlungu engapheliyo kunye neentlungu kumnye okanye kumabini omabini
Iimpawu ezibuhlungu ezinzulu kwimida ephantsi
Ukuba nobunzima xa uhleli kwaye uvuka

Kubalulekile ukuqonda ukuba intlungu emva kunye ne-sciatica ayithathwa njengento ethile yempilo ngokwayo kodwa kunoko, ngokuqhelekileyo ibhekwa nje ukuba iqoqo leempawu ezininzi ezihambelana nokulimala kunye / okanye imeko. Ukuxilongwa ngokufanelekileyo kwengcinezelo yezibonakaliso zakho kubaluleke ngakumbi ukwenzela ukuba uphathe kakuhle intlungu kunye ne-sciatica. Njengoko kuchazwe ngasentla, izinto ezininzi zinokubangela ubuhlungu beemva kunye neempawu ze-sciatica. Ngezantsi, siza kuxubusha ezinye zezinto eziqhelekileyo zempilo yengqondo yomnxeba ezingabangela intlungu yesifo kunye ne-sciatica, kubandakanywa nezifo ezikhubazayo, i-lumbar spinal stenosis, i-lumbar disc kunye ne-spondylolisthesis. Phantse i-90 iipesenti zeemeko ze-sciatica zibangelwa ukudibanisa i-disc.

Izifo zeDis Degenerative

Ukuguqulwa kweediski ze-intervertebral, ezifunyenweyo phakathi kwe-vertebrae nganye yomgudu, yinkqubo yendalo eyenzeka ngokudala, ngelixa abanye abantu, kodwa ke, bangaqala ukuhlakulela ngaphambi kwexesha eliqhelekileyo. Ngomqolo ophilileyo, i-disvertebral discs isebenza njengendlela yokuxhalabisa phakathi kwamathambo omgudu, ekugqibeleni ukubonelela ukuphakama nokuvumela ukuba umqolo uhlale uguquguquka xa ulwa namandla. Njengoko siqala ukukhula, iidiski ze-rubbery ziqala ukunciphisa nokulahlekelwa ingqibelelo. Phantse wonke umntu uya kubonisa iimpawu zokugqoka kunye nokugqabhuka kunye neengcongolo zomgulane ngokuhamba kwexesha, kodwa kungekhona wonke umntu oza kuhlangabezana nesifo se-diserative degenerative, okanye iDDD. Nangona kungekhona isifo, i-DDD ibhekisela kwimeko apho intlungu kunye nokuguqulwa kweediski ze-intervertebral.

Enye okanye ngaphezulu kweediski ezihlaziyiweyo kunye nobude bomgudu zingasichukumisa ingcambu yesondlo kwaye zenze i-sciatica. Le meko ibonakala ngokugqithiseleyo xa idiski encinci ibonakala. I-Bone spurs inokuhlakulela kunye ne-disc degeneration kwaye ingakhokelela kwi-sciatica. Izibonakaliso zesifo se-disenerative disad, okanye i-DDD, iqhubela rhoqo kwi-back back, nangona kunjalo, inokuthi iphinde ikhule entanyeni, kuxhomekeke kwendawo yokuchitha iidiski. Iimpawu eziqhelekileyo zeDDD zibandakanya, intlungu kunye nokuphazamiseka, ngokukodwa xa uhleli, uguqa, uphakamisa okanye uphazamisa, uvakalelo lweengxube kunye / okanye uguqulwa kwimida, kwaye unciphisa iimpawu xa uhamba kwaye uhamba, njengokuba uhlala kunye nezikhundla zokutshintsha okanye ulala. Ubuthathaka kwimisipha yomlenze okanye ukunyuka kweenyawo kungabonakalisa ukuba kukho umonakalo kwingcambu yesondlo.

I-Lumbar Spinal Stenosis

Esinye isizathu esiqhelekileyo sobuhlungu be-back and sciatica yi-lumbar spinal stenosis. Ukutshatyalaliswa kwemvelo komgudu obangelwa ngumdala kungabangela iinguqu ezahlukeneyo emthonjeni. I-Lumbar stenosis yomgca ikhutshwa ngokunciphisa kancane komgudu womgogodla oqhelekileyo kwinkqubo yokuguga kwaye ichaphazela abantu ngaphezu kweminyaka eyi-50. Xa indawo ejikeleze umthambo womnquba uyanciphisa, ingafaka ubuninzi obungabalulekanga kwintambo yomgudu kunye neengcambu zentliziyo. Ukongezelela, ingaba ngumphumo we-disk ekhuphayo, amajoyina afanelekileyo, okanye i-tissue. Kuphela inani elincinci labantu abazalelwe ngempilo yengxaki yomnxeba engakhula ibe yi-lumbar spinal stenosis. Oku kwaziwa ngokuba yi-congenital spinal stenosis kwaye ihlala ixilongwa kumadoda.

I-arthritis, okanye ukuguqulwa kweyiphi na intlangano emzimbeni, kuye kwathiwa yinto ebangela kakhulu isifo somgulane. Njengoko i-intervertebral diss iqalisa ukugqoka-kunye-ukudiliza ngokwemvelo kuqala, iyakwazi ukulahlekelwa ngumxholo wamanzi kwaye ekugqibeleni iyomile, ekugqibeleni ilahlekelwe ubude kwaye idibanise. Oku kunokubeka uxinzelelo kumalungu e-facet, amajoyina anika ukulungelelanisa nokunyakaza emgodini, okubangelwa isifo se-arthritis. Ngenxa yoko, iigaments ezijikeleze izakhiwo zomgudu zingakhula ngobungakanani, ukunciphisa isikhala semisipha. Kwakhona, umzimba womntu ungaphendula ngethambo elitsha elinyukayo, ukongezelela ukuciphisa isikhala sokuba ama-nervo adlule. Iimpawu ze-lumbar spinal stenosis zingabandakanya, intlungu, ukubetha okanye ukutshisa, ukuxubha kunye nobuthathaka, kunye neempawu ezinzima xa uhlala phambili okanye uhleli.

I-Disc Lumbar Herniated

I-disni ye-herniated yimeko ekwazi ukuvela naphi na ubude bomgudu, nangona kunjalo, ngokuqhelekileyo ichaphazela i-back back or lumbar spine. Inokuthi iphinde ihanjiswe njenge-bulging, i-discruding or disctured disc. I-disc ye-lniar herniated ibhekwa njengenye yezona zinto ziqhelekileyo ezibangelwa intlungu emva kwe-back back, kunye ne-sciatica. I-disc intervertebral iqalisa ukunyanzelisa xa i-nucleus edibeneyo, efana ne-jelly, eyaziwa njenge-nucleus pulposus, iqhubelela kumtya wayo wangaphandle, obizwa ngokuba yi-annulus fibrosus, ngenxa yokugqoka kunye nokukhawuleza okanye ukulimala ngokukhawuleza. Ngomxinzelelo oqhubekayo, i-nucleus enjenge-jelly ingashenxisa kwi-ring yangaphandle yediski okanye inokubangela ukuba i-ring ishawule, ibeke uxinzelelo olongezelelweyo kumxholongwane wesigulane kunye neengcambu zentsimbi ezungezile.

Ukongezelela, iincwadi zokudibanisa ii-intervertebral ziyakwazi ukukhupha iikhemikhali kunye / okanye izinto ezinokuthi zitshitshise izakhiwo ezijikelezileyo zomgudu, zenze i-nervition inflammation. Xa ingcambu yomnyoba ithukuthele, iyakwazi ukukhokelela kwiimpawu zentlungu kunye nokuphazamiseka, ukuphazamiseka kunye nobuthathaka kumnye okanye kwimilenze yomibini, ngaphandle kokuthiwa yi-sciatica, okanye intlungu ye-nervetic serve. Umntu unokuhlakulela intambo ye-herniated ngaphandle kokufumana nayiphina impawu. I-disc ye-herniated disc ngokuqhelekileyo ibangelwa ukuguqulwa kwemvelo kwintlambo kunye neediski, nangona kunjalo, ukuxhwaleka kunye / okanye ukulimala kungakhokelela ekuhambeni kwee-disc. Iimpawu ze-disc lumbar i-herniated disc ziquka i-sciatica, ukuva, ukunyanzelisa, ubuthathaka, kunye nokulahleka kwe-bladder okanye ukulawulwa kwezilwanyana kwiimeko ezinzima. Ezi zimpawu zokugqibela ziza kufuna unyango lwangonyango.

Spondylolisthesis

I-Spondylolisthesis yenye yeyona nto ibangelwa yintlungu yokubuhlungu kunye ne-sciatica, ingakumbi kwiimbaleki ezincinane. Ukuxinezeleka okuphindaphindiweyo kumqolo ongaphantsi, okanye umlenze wesibhakabhaka, kunokudala ukuphazamiseka okanye ukuphazamiseka kwengcinezelo kwelinye leentlobo. Kule meko, nangona kunjalo, ukuphazamiseka kwengcinezelo kunokusenza buthathaka kakhulu ithambo, kuze kube yilapho lingakwazi ukugcina indawo efanelekileyo emgodini, ekugqibeleni kubangele ukuba i-vertebra iqalise ukutshintsha okanye ukuphuma endaweni. Le meko yinto eyaziwa ngokuba yi-spondylolisthesis. Kubantwana nakwishumi elivisayo, i-spondylolisthesis inokuvela ngexesha lokukhula ngokukhawuleza, ngokomzekelo, ngexesha lokukhula kwentsha. Le meko ihlala ivela ngenxa yokusetyenziswa kakubi, ukugqithisa, okanye ukunyanzeliswa, kunye nangenxa yemfuza.

Abaninzi bezonyango bezonyango balubonakalisa i-spondylolisthesis njengebanga eliphantsi okanye ibakala eliphezulu, kuxhomekeke ekubeni zininzi ezithintekayo okanye zishiye endaweni. Isaphulelo esiphezulu sebakala ngokuqhelekileyo sichongiwe xa ngaphezulu kweepesenti ze-50 zobubanzi be-vertebra ephulekileyo iqhubela phambili kwi-vertebra phantsi kwayo. Abantu abaneengxaki eziphezulu ze-spondylolisthesis baya kubonisa ngokuqhelekileyo ukuba bafumana amanqanaba amaninzi entlungu kunye nokuphazamiseka kunye nokulimala kwenzwa. Kwiimeko ezininzi, ke, abantu abane-spondylolisthesis abayi kubona nayiphi na impawu ebonakalayo, njengokuba kunjalo, baninzi abakwaziyo loo mqathango kwaze kwathathwa i-x-ray ngenxa yokulimala kunye / okanye imeko. Abantu abathile abane-spondylolisthesis banokubuhlungu ubuhlungu buhlungu kunye ne-sciatica, kuquka i-spasms ye-muscle, ukuqina kobuhlungu kunye ne-hamstrings.

Insight of Dr. Alex Jimenez

Intlungu ebuyayo yinto yezizathu eziqhelekileyo zokuba abantu bahlala bephosakele iintsuku ukusuka emsebenzini okanye baye kudokotela, njengoko kuye kwaba yinto ebangela ukukhubazeka emhlabeni jikelele. Njengokuba kunjalo, kuye kwacaciselwa ukuba inani elingu-80 labantu liza kubakho ubuhlungu obubuhlungu ubuncinane kanye ngexesha lobomi babo. Ngethamsanqa, iintlobo ezahlukeneyo zonyango zifumanekayo ezinokukunceda ukuphucula iimpawu zentlungu. Kubalulekile ukuqonda intlungu emva kunye ne-sciatica, iqoqo leempawu eziqhelekileyo ezihambelana nemiba yempilo yomnxeba ngasemva kwe-back, ukwenzela ukuba ufuna ukuxilongwa ngokufanelekileyo kwaye uqhubeke nesicwangciso sochanelo esifanelekileyo ukuze ukhulule iimpawu zakho zeentlungu zentlungu kunye ne-sciatica.

Unyango lwe-Back Pain ne-Sciatica

Ukunyamekela kwe-Chiropractic yindlela eyaziwayo, eyona ndlela yonyango esetyenziswa ngokubanzi ukukunceda ukuxilonga, ukunyanga nokukhusela intlungu kunye ne-sciatica. Ekubeni kuninzi izinto ezinokubangela ukuba zivelise iintlungu zentlungu kunye nentlungu ye-ncitic nerve, ugqirha we-chiropractic, okanye isifo se-chiropractor, isinyathelo sokuqala siza kubona imbangela yesigulane sesigulane. Ukuchonga ukuxilongwa kukubandakanya ukuphononongwa ngokugqithisileyo kwimbali yempilo yesigulane, kunye nokuhlolwa komzimba kunye neengqondo. Uvavanyo lokuxilonga lunokubandakanya i-x-ray, i-MRI, i-CT scan kunye / okanye i-electrodiagnostic tests, ezifana nokuhlolwa kwejubane yokuqhutyelwa kwe-nerve okanye i-electromyography. Ezi mvavanyo kunye neemvavanyo zinceda ukucacisa ukunyanzeliswa kwonyango.

Injongo yokunyamekela kwe-chiropractic kukukunceda ukuphucula umzimba womntu ukuziphilisa. Isekelwe kumgaqo wesayensi onqamle ukunyakaza kwempembelelo kubangela intlungu kunye nokusebenza okuncitshisiweyo nokusebenza. Ukunyamekela kwe-Chiropractic akusiyo intsha, okanye ayiyiyo inqanda, kwaye ayikho iyeza. Uhlobo lwe-chiropractic unyango olunikezelwe luxhomekeke kwisizathu sentlungu yomntu kunye ne-sciatica. Inkqubo yokwenza unyango ingabandakanya unyango oluninzi kunye neendlela zokwelapha, njengemigudu ye-ice / frost, i-ultrasound, i-TENS, kunye nokulungiswa kwemigudu okanye ukusetyenziswa kwamanqaku. Ukuba ugqirha we-chiropractic wenza isigqibo sokuba isigulane sempilo yengqondo yomgudu sidinga unyango ngohlobo oluthile logqirha, ngoko ke umntu angathunyelwa kwelinye ilungu lonyango.

Imithi yokwenza imimiselo yale miqathango iphinde isebenze kwaye ngokubanzi inamacandelo amabini: esebenzayo kunye neengcali. Iimpawu zokwelapha ezingapheli ziquka i-ultrasound, ukuvuselela ugesi, ukufudumala kunye ne-ice pack kunye ne-iontophoresis. Indlela yokwenza imithwalo ephathekayo yomzimba iquka ukuzilolonga, ukusetyenziswa kwembuyiselo kunye nesimo se-aerobic. Iimpawu zonyango zomzimba, ezifana nokulungiswa komgogodla kunye / okanye ukusetyenziswa kwamanqaku, kungabandakanywa kwinxalenye yonyango. Iingcali zempilo zivame ukuphakamisa imizuzu ye-20 yokuzinza okuzinzileyo kwimihla ngemihla. Ukomelezwa kwemizimba enkulu kubalulekile ekuphatheni intlungu. I-aerobics ephantsi-mpe mbelelo ibalulekile kwaye iquka unyango lwamanzi, ukuhamba ngebhayisikili kunye nokuhamba.

Unyango lomzimba luyinto ebalulekileyo yokunyanga imiba yezempilo yomqolo. Ukuba udibana nonyango lomzimba, kuya kubakho uvavanyo olupheleleyo. Kuya kwenziwa uvavanyo kwaye isicwangciso sonyango esenzelwe umntu ngamnye siza kuphuhliswa ngokusekwe kwiinjongo zesigulana. Ukuba ufumana iintlungu zangasemva okanye i-sciatica, musa ukulinda ixesha elide ukuze ufumane isiqabu. Nxibelelana noochwephesha wezempilo ukuseka uthethwano lomntu ngamnye kunye novavanyo olupheleleyo. Uninzi lwee-chiropractors kunye nabanyangi bomzimba baqinisekisiwe, banamava kwaye bazinikele ukukunceda uzive ungcono. Bancede abanye abaninzi ukuba bachache kwimicimbi yezempilo yomqolo kwaye banokukunceda nawe. Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

Umqolo obuhlungu enye yezona zizathu ezibangeleko zokukhubazeka kunye neentsuku eziphosakeleyo emhlabeni wonke. Njengokuba kunjalo, iintlungu zenziwa emva kweyona sibini isizathu esivakalayo sokutyelela iofisi yee-dkt. Ngokumalunga neepesenti ze-80 zabemi ziya kuba nolunye uhlobo lweentlungu zentlungu ubuncinane kanye kanye ebomini babo. Umgudu uyisakhiwo esiyinkimbinkimbi esakhiwa ngamathambo, amajoyina, iigaments kunye nezihlunu, phakathi kwezinye iifomthi ezithambileyo. Ngenxa yoko, ukulimala kunye / okanye iimeko ezihlaziyiweyo, ezifana disni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

INGXELO EBALULEKILEYO: Ukwelashwa kweSciatica

Ukunyamekela kwe-Chiropractic ye-General Back Pain

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obuya emva, Ucoceko loMgcini, Uncedo Lwezityalo

Intlungu ebuhlungu yinto eqhelekileyo echaphazela uninzi lwabantu, nangona kuninzi kubantu, ukungazinzi okuqhelekileyo kudla ngokukhawuleza kwaye kwesikhashana. Ngelishwa, iintlungu zentlungu zingaba ngumcimbi wokuhlala kwabanye abantu. Kwimizekelo emininzi, ezi zimpawu zingadinga ukunikwa ngonyango.

Ukuba uye wafumana iintlungu zomqolo ngaxesha lithile ebomini bakho, ngakumbi ukuba yinto entsha, ukungonwabi okuphindaphindiweyo, okubangela ukuba umntu aphulukane nokulawula izibilini okanye isinyi, ukufuna ukuxilongwa ngokufanelekileyo ngokukhawuleza kubaluleke kakhulu ukufumanisa umthombo wesifo. iimpawu kwaye uqale unyango. Mamela umzimba wakho.

Ukufuna Uncedo kwi-Healthcare Professional

Intlungu ebuyayo, ukuxhatshazwa kunye nokuqina ngokuqhelekileyo kwaye kunokusombulula ngokwabo ngaphandle kwesidingo sovavanyo lwezonyango. Kodwa, ezinye iimpawu zinokubonisa ukukhula kwengxaki enkulu kakhulu. Ezi mpawu zilandelayo zingadinga ukuxilongwa ngakumbi njengoko oku kungabonakalisa imeko yomgogodla: intlungu ehlala ixesha elide kuneeveki ezintandathu; intlungu, ubuthathaka okanye ukuphazamiseka kwemilenze; ubunzima bokulala ngenxa yeentlungu zangasemva okanye zentamo; kunye / okanye ukuqala ngokukhawuleza kweentlungu zangasemva ngaphandle kwesizathu esicacileyo. Ukuba ukhe wahlangabezana nazo naziphi na iimpawu ezikhankanywe ngasentla, kubalulekile ukuba ufune uxilongo olululo olululo kugcino lwezempilo oluqeqeshiweyo.

Ukunyamekela kwe-Chiropractic yindlela eqhelekileyo yokonyango engasetyenziswayo yokulungisa amaninzi amaninzi. I-Chiropractic igxininisa kwinkqubo ye-musculoskelet kunye ne-system ye-nervous. Xa u tyelela ugqirha we-chiropractic, okanye i-chiropractor, umqeqeshi wezezempilo uza kuqala uhlolo lwe-spine ukuze afumanise ukuba ukungahambisani nokugqithiswa kwempompo, okubhekiselwe kuye njenge-subluxation, okanye nayiphi na uhlobo lokulimala okanye imeko yimbangela yeempawu.

Kunye nophononongo lwembali yonyango yomntu ngamnye, kubandakanywa naziphi na iziphumo zovavanyo lwangaphambili olusuka kwidinga langaphambili nabanye oogqirha, ukuba zikhona. Ukugqiba uvavanyo lomgogodla, ngaphandle kovavanyo lomzimba, i-chiropractor ingaphinda ifune izifundo ezongezelelweyo, ezifana ne-X-ray okanye i-MRI scan. Oku kuya kunceda ukukhomba umthombo weempawu. Ingaba umntu ufunyaniswa ukuba unokulimala okuqhelekileyo okanye imeko, njenge-sciatica, okanye ingxaki enzima kwaye enzima, ugqirha we-chiropractic uya kulandela inkcazo ehlaziyiweyo yesizathu somntu weempawu zabo ngaphambi kokuphuhlisa isicwangciso sonyango.

Uchwepheshe wezempilo kufuneka abonelele ngokhetho lonyango, kubandakanywa nengxoxo ecacileyo yeenzuzo kunye nobungozi obunokwenzeka nganye. Ezona ndlela ziqhelekileyo zokhathalelo lwe-chiropractic kunye neenkqubo zonyango ziquka uhlengahlengiso lomqolo kunye nokunyangwa ngesandla. Ngokusebenzisa uhlengahlengiso lwe-chiropractic kunye nokuguqulwa, i-chiropractor iya kulungelelanisa ngokucophelela umqolo, inceda ukunciphisa uxinzelelo kunye noxinzelelo olubekwe kwizakhiwo ezijikeleze umgudu ukuze kuphuculwe umsebenzi. Ngokubuyisela ukulungelelaniswa kwemvelo yomntu, nayiphi na intlungu, ukuvuvukala kunye nokuqhaqha, kunye nezinye iimpawu zentlungu kunye nokungahambi kakuhle, kuya kuncipha, ukubonelela umntu ngamandla akhe okuqala, ukuhamba kunye nokuguquguquka, ukukhuthaza impilo yabo yonke kunye nokuphila kakuhle. .

Ngapha koko, i-chiropractor inokuphinda ikhuthaze uluhlu lwezolula kunye nokuzivocavoca, kunye neenguqu ezininzi zendlela yokuphila, ukuphucula ngakumbi ukwenzakala komntu okanye imeko kunye nokukhuthaza ixesha lokubuyisela ngokukhawuleza. Unyango lomzimba kunye noqhaqho lomnqonqo lukwanokukhethwa unyango olunokwenzeka kwiindidi ezahlukeneyo zeengxaki zomqolo, Nangona kunjalo, utyando lomqolo lunconywa kuphela ukuba ukhetho lonyango olulondolozayo aluphumelelanga ngaphambili. Nangona iintlungu zangasemva ziyingxaki eqhelekileyo phakathi kwabemi, ukufuna ukuxilongwa kunye nokulandela unyango kubalulekile ukuqinisekisa ukuba umntu uhlala enempilo efanelekileyo kunye nokuphila kakuhle.

Uxhaswe nge Scoop.it ukusuka: www.elpasochiropractorblog.com

Iimpawu zentlungu ebuyela emva ziyakuchukumisa inani elininzi labantu kwaye, ngelixa uninzi lweziganeko zizinyamezela, kubalulekile ukufuna unyango ngokukhawuleza kunokwenzeka ukufumanisa imbangela yeempawu, ingakumbi ngentlungu engapheliyo. Ukwelashwa kwe-Chiropractic kunokunceda ukubuyisela impilo yangaphambili yomgudu.

I-Topic Topic: Iigciwane zivezwe kwisiqendu 6

UDkt. Gentempo nabanye bazisa ulwazi olubanzi kuluntu ngokumalunga nokugonywa kunye neengozi zabo.

Iiglofu zivezwe kwaye ziboniswe kwiNgxenye # 6

Njengomboneleli wezempilo, uGqr.Patrick Gentempo ebefuna inyani emva kweziphumo zokugonya kubemi ngokubanzi. Xa usenza izigqibo ezibalulekileyo malunga nempilo yabantwana bakho, kubalulekile ukuba ube nolwazi oluchanekileyo lwazo zonke iinkqubo zonyango obandakanyeka kuzo, kubandakanya nolawulo lwezitofu zokugonya, phakathi kwabanye.

Ngolunye ulwazi, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

NguDkt Alex Jimenez

Ulungelelaniso lwe-Neuropathy kunye nobuhlungu obungapheliyo

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obuya emva

I-Neuropathy ibonakaliswa ngokwezonyango njengohlobo lwentlungu engapheliyo enokuthi ibangelwe ngumonakalo okanye utshintsho lwe-pathological of the central or peripheral system. Intlungu yeparipheral ye-neuropathic ibikhe yabhekiswa ngaphambili njenge-neuropathy ebuhlungu, iintlungu zemithambo-luvo, i-peripheral neuropathy okanye ipheripheral neuritis. Abantu abathile abachaphazeleke yimithambo-luvo bachaza iimpawu zayo ukuba azifani nakanye. Xa kuziwa kwi-neuropathy, nangona kunjalo, kubalulekile ukuqonda ukuba iintlungu ezingapheliyo azilophawu lokulimala kodwa, iintlungu ziyinkqubo yesifo. I-Neuropathy ayinxulunyaniswa nenkqubo yokuphilisa nokuba, endaweni yokwenzakala okuthile emzimbeni, iimithambo-luvo ngokwazo azisebenzi kakuhle kwaye zingumthombo wentlungu.

Iimpawu ze-Neuropathy

Intlungu ebuyela emva okanye olunye uhlobo lweempawu ezibuhlungu uphawu lwe-neuropathy zihlala zichazwa ngeendlela ezininzi. Ezi zinokuchazwa njengoku: okomeleleyo, okubukhali, okothusayo ngombane, ukudubula, ukubaneka kombane, okanye ukuncipha; inzulu, ukutshisa okanye ukubanda; ukuba ndindisholo okungapheliyo, ukurhawuzelela okanye ubuthathaka; kunye / okanye ukulandela umva wendlela yeengalo, iingalo, imilenze okanye iinyawo. Ngapha koko, iimpawu zentsholongwane ye-neuropathy zinokubonakaliswa ziintlungu kunye nokungonwabi xa usichukumisa ukukhanya okanye esinye isishukumisi esingafanele sibangele iintlungu, kunye ne-hypersensitivity to a stimulus a stimulus.

Iimpawu ze-neuropathy zinokubonakalisa ngenxa yalo naluphi na uhlobo lwentlungu olunyanzelisa okanye lucinezele imithambo-luvo. Imizekelo yentlungu ye-neuropathic eveliswa kwingingqi yomqolo ibandakanya: iintlungu ezingapheliyo ezihamba ubude bomlenze, ekwabizwa ngokuba yi-radiculopathy okanye i-sciatica; iintlungu ezingapheliyo ezikhanyisa ecaleni kwengalo, ekwabizwa ngokuba yi-radiculopathy yomlomo wesibeleko; kunye neentlungu ezihamba ngokuthe ngcembe okanye eziqhubekayo kulandela inkqubo yoqhaqho ebuyela umva, exhomekeke kwisifo sokungasebenzi kwakhona. Abanye oonobangela abaziwayo be-neuropathy zezi: isifo seswekile; Intlungu yelungu lomzimba okanye isifo sentlungu yommandla, ekwabizwa ngokuba yi-RPS. Ukuba i-neuropathy yomntu ayinyangwa ngokufanelekileyo, iingxaki ezininzi ezinje ngokudakumba, ukungalali, uloyiko kunye noxinzelelo, unxibelelwano olulinganiselweyo ekuhlaleni kunye nokungakwazi ukwenza imisebenzi yesiqhelo yemihla ngemihla okanye umsebenzi zichazwe njengemiba rhoqo echaphazela abo banesifo esinganyangekiyo. iintlungu ezinxulunyaniswa neuropathy kunye nezinye iimpawu zayo.

Iintlobo zoBuhlungu Bokubuyela

Xa kuziwa kwiimpawu ze-neuropathic, kubalulekile ukuba ube nokuqonda ngokubanzi kweentlobo ezahlukeneyo zentlungu ebuyela emva, okona kubaluleke kakhulu kuba ukumisela ngempumelelo ezi ntlobo zeempawu kunokukhokelela abantu ukuba bafumane esona sicwangciso sonyango silungileyo.

I-Nociceptive Pain kunye neuropathy

Abanikezeli bezempilo kunye neengcali kwizonyango zonyango zibeka ubuhlungu kwisinye sezigaba ezibini eziqhelekileyo: ubuhlungu be-neuropathic kunye nociceptive, okanye somatic, intlungu.

Iintlungu ze-nociceptive ziviwa yimicu ye-nociceptor sensory emva kokuba kukho umonakalo okanye ukwenzakala komzimba emzimbeni, njengezihlunu, iigaments, imisipha, amathambo, amalungu okanye amanye amalungu. Intlungu ye-nociceptive ichongwa njengokuqaqanjelwa okunzulu, ukubetha, ukubamba okanye ukuziva kabuhlungu. Iziganeko ezixhaphakileyo zentlungu ye-nociceptive enxulunyaniswa neempawu zangasemva zentlungu kunye nokungonwabi kubandakanya: iintlungu emva koxinzelelo ngqo kwingozi yemoto okanye elinye ityala lokulimala; iintlungu emva kwenkqubo yotyando yangasemva; kunye neentlungu zesifo samathambo. Intlungu ye-nociceptive ihlala ibekwe kwindawo kwaye inokuphucula unyango. Intlungu ye-Neuropathic, okanye i-neuropathy, iziphumo xa kukho umonakalo okanye ukwenzakala kwinyama yomzimba. I-Neuropathy ihlala ichongwa njengokutsha, iintlungu zokudubula eziqatha kunye / okanye nokuba ndindisholo okungapheliyo okanye ukubetha kovalo. Iziganeko ezixhaphakileyo zentlungu ye-neuropathic enxulunyaniswa neempawu zangasemva zentlungu kunye nokungonwabi kubandakanya: i-sciatica, iintlungu ezihamba ukusuka emqolo phantsi kwengalo, iintlungu eziqhubekayo emva kotyando lwasemva.

Kukholelwa ukuba kwiimeko ezininzi, iintlungu ezandisiweyo zingakhokelela kwi-neuropathy kwaye umntu ngamnye unokufumana iintlungu zombini kunye nentlungu yokuziva kwangaxeshanye.

Ubuhlungu obuhle kunye nobuhlungu obungapheliyo

Kukwasisiseko sokuqonda umohluko phakathi kwentlungu ebuhlungu kunye nentlungu engapheliyo njengoko ezi ntlobo zimbini zentlungu zinokwahluka kakhulu kulwakhiwo kunye nokusebenza.

Ngentlungu ebukhali umzekelo, inqanaba lobukhali linokuhambelana ngqo nenqanaba lokonzakala kwethishu okanye ukonzakala. Oku kunika abantu i-reflex ekhuselayo, enjenge-reflex yokuhambisa ilungu ngokukhawuleza emva kokuchukumisa into ebukhali. Intlungu ebuhlungu inokuchongwa njengophawu lwezicubu ezonakalisiweyo okanye ezinesifo, apho ukuba imeko enganyangekiyo iyanyangeka, iintlungu ziya kuncipha ngokunjalo. Intlungu ebuhlungu yindlela yokuqaqanjelwa ziintlungu. Ngentlungu engapheliyo, umzekelo, iintlungu azinaso isakhiwo kunye nokusebenza kwazo njengoko zisenza ngentlungu ebukhali. Ngamanye amagama, ayisebenzi njengokukhusela okanye enye inyathelo lebhayoloji. Endaweni yoko, imithambo-luvo iyaqhubeka nokuthumela imiqondiso yeentlungu kwingqondo nokuba akukho monakalo uqhubekayo wezicubu. I-Neuropathy luhlobo lweentlungu ezingapheliyo.

I-Anatomy yeNerve Pain

Intambo yomqolo isebenza njengenxalenye ephambili yenkqubo yomzimba ehambisa imiyalezo ngokuthe ngqo ukusuka kwingqondo kwaye isasaze le mithambo-luvo emzimbeni wonke. Imithambo inokufumaneka kuwo onke amalungu omzimba, ingena kwaye iphuma kwintambo yomqolo ecaleni kobude bayo bonke.

I-Nerve Pain isebenza njani

Kukho ii-31 zimbini zamagulane omgogodla onokufunyanwa ekuphumeni kwentambo yomgudu phakathi kwezivulo ezahlula i-vertebrae nganye. Ingcambu yomgca, okanye ingongoma apho umbhobho uphuma khona umthambo womlenze, amagatsha angene kwiininzi ezincinci ezilawula iziqendu ezihlukeneyo zomzimba, ezibhekiselele ngokubhekiselele kwiimbilini zomhlaba. Ngokomzekelo, iimbilini eziphuma kumqolo ongaphantsi ziya kuba namasebe angasese ahamba yonke indlela eya ezandleni. Iimbulunga zepheripher zenza inkqubo ye-nervous system. Iimbilini ze-peripheral ziqulethwe zombini izibilini kunye neentsholongwane zengqondo. Iimvumi ezinomdla zifumana i-stimuli enomdla, njengendlela into eyenziwa ngokwenyama nokuba ingaba bubuhlungu okanye cha. Ezi zinto ziqukethe iimbilini ze-nerve ezibizwa ngokuba yi-fibers sensory. Ukongezelela, iimfomandla zomnxeba zihamba ngokunyakaza komzimba kunye noxinzelelo olubekwe emzimbeni kanti i-nociceptor fibers inokulimala kwisisu. Iimoto zamathambo zihamba kwiimisipha kwaye zikhuthaza ukuhamba kwazo. Ezi zinto ziqukethe iimbilini zomnyazi ezibizwa ngokuba yi-motor fibers.

Injury Injury and Neuropathy Pain

Nangona kungekho uphando olwaneleyo okanye ubungqina bokuxhasa le ngcamango elandelayo, kukholelwa ukuba umonakalo okanye ukulimala kunoma yiphi na ilapha ngentlobo zeethambo ezinokubangela ukuba kubekho isizathu esinokukhokelela ekuphuhliseni ubuhlungu be-neuropathic okanye i-neuropathy. Ngokuqhelekileyo, indawo yentsholongwane yentsholongwane eyonakaliswe yi-neuropathy ichazwa ngokuchanekileyo njenge-axon, eyona yinkcazo yenkcazo yangaphakathi yeselingo yesigulane, kunye / okanye isembatho sayo se-myelin, esichazwa njengengxuma yangaphandle ekhuni ekhusela umlomo iseli kwaye unceda ukutshintsha ulwazi kwiinkqubo zeentlanzi. Xa intlungu ye-neuropathy yenzeka ngenxa yomonakalo okanye ukulimala kwizakhiwo ezikhankanyiweyo ngasentla, i-neuropathy igcinwe ngokucwangciswa okungavumelekanga kwenkqubo yentsholongwane kunye nenkqubo ye-nervous system.

Umxholo oThandwayo: Vaxxed Kusuka ekufihleni ukuya kwintlekele

Uluhlu lweziphumo ezinobungozi ezivela kwiimpawu zokufumana iwebhusayithi ye-CDC www.cdc.gov/vaccines/vac-gen/…

Ngo-2013, ugqirha webhayoloji uGqirha Brian Hooker wafumana umnxeba osuka kwiNzululwazi ePhakamileyo e-US Centers for Disease Control and Prevention (CDC) owayekhokele uphando lwe-arhente malunga nogonyo lwe-Measles-Mumps-Rubella (MMR) kunye nekhonkco Autism.

Inzululwazi, uDkt. William Thompson, yavuma ukuba i-CDC yashiye idatha ebalulekileyo kwingxelo yabo yokugqibela ebonise ubudlelwane obuncwane phakathi kokugonya kwe-MMR kunye ne-autism. Kwiinyanga eziliqela, uDkt. Hooker urekhoda iifowuni ezenziwe kuye nguDkt. Thompson onika ulwazi oluyimfihlo oludityaniswe ngabalingani bakhe kwiCDC.

Ugqirha Hooker ucela uncedo lukaGqirha Andrew Wakefield, ugqirha wamazinyo waseBritane otyholwa ngobuxoki ngokuqala intshukumo yokuchasana ne-vax xa wayeqala ukunika ingxelo ngo-1998 ukuba isitofu sokugonya se-MMR sinokubangela i-autism. Kumzamo wakhe oqhubekayo wokukhuthaza impilo yabantwana, uWakefield uyalela eli xwebhu ukuvavanya ubungqina obusemva kwesigubungelo esothusayo esenziwe yiarhente yaseburhulumenteni enetyala lokukhusela impilo yabemi baseMelika.

Udliwano-ndlebe kunye nabaxhasi bezobisi, oogqirha, abapolitiki kunye nabazali be-vaccine-abantwana abalimeleyo babonakalisa inkohliso ekhohlakeleyo eye yabangela ukunyuka kwe-autism kunye neyona nto ingabhubhisa kakhulu ingozi yokuphila kwethu.

Abantu baseMerika bafanelwe izicombululo zonyani kwiinkxwaleko zezoqoqosho, ezentlalo kunye nezendalo. Kodwa inkqubo ephukileyo yezopolitiko yenza izinto zibe zibi nakakhulu.

Lixesha lokwakha umbutho wabantu ukuphelisa intswela ngqesho nendlala; ukuthintela intlekele yemozulu; ukwakha uqoqosho oluzinzileyo, olunobulungisa; nokuqonda isidima namalungelo oluntu lomntu wonke. Amandla okudala eli hlabathi litsha akakho kumathemba ethu; akukho emaphupheni ethu - kusezandleni zethu.