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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.


Iiseli ezihlaziyiweyo ze-Arthritis: Yintoni omele Uyazi

Iiseli ezihlaziyiweyo ze-Arthritis: Yintoni omele Uyazi

Njengoko umzimba uguga, abantu bafuna ukuhlala bekhuthele kwaye bagcine impilo esempilweni engenazintlungu. Ngaba iiseli zokuvuselela i-arthritis kunye nomonakalo we-cartilage ibe likamva leyeza le-neuromusculoskeletal kunye nokuphilisa ngokubambisana?

Iiseli ezihlaziyiweyo ze-Arthritis: Yintoni omele Uyazi

Iiseli ezihlaziyiweyo ze-Arthritis kunye nomonakalo weCartilage

Abantu bafuna ukuqhubeka nokwenza imisebenzi yomzimba abayithandayo, efuna amalungu aphilileyo. Izazinzulu zifunda ukusebenzisa ubuchule beeseli ezihlaziyayo ukuze ziphinde zikhule intlala eyonakeleyo neyonakeleyo. Unyango lwangoku lwe-stem cell yeengxaki ze-cartilage aluzange luboniswe ukuguqula imiphumo ye-arthritis kwaye ngelixa izifundo zibonisa ukuphuculwa kwekliniki, uphando olongezelelweyo luyimfuneko. (UBryan M. Saltzman, et al., 2016)

ICartilage kunye nendlela eyonakaliswa ngayo

ICartilage luhlobo lwethishu edibeneyo. Kumalungu, kukho iindidi ezimbalwa ze-cartilage. Eyona nto ixhaphakileyo kubhekiselwa kuyo yintambo egudileyo eyaziwa ngokuba yi-articular okanye i-hyaline cartilage. Olu hlobo lwenza umaleko ogudileyo womqamelo ekupheleni kwethambo kwindawo edibeneyo. (Rocky S. Tuan, et al., 2013)

  • Ithishu yomelele kakhulu kwaye inamandla okucinezela nokufunxa amandla.
  • Igudile kakhulu ivumela ilungu ukuba lityibilike ngaphandle komgudu kuluhlu lwentshukumo yelungu.
  • Xa i-cartilage edibeneyo ibonakaliswe, i-cushioning ingaphelelwa.
  • Kwiinzakalo ezibuhlungu, amandla ngokukhawuleza anokubangela ukuba i-cartilage iphule kunye / okanye ihlupheke umonakalo, obonisa ithambo elingaphantsi.
  • Kwi-osteoarthritis - i-arthritis ephazamisayo okanye egugileyo, i-layer egudileyo inokuguga kwaye iyancipha kwaye ingalingani.
  • Ekugqibeleni, i-cushion iyaphela, amalungu avutha kwaye adumbe kwaye iintshukumo ziba nzima kwaye zibuhlungu.

Kukho unyango lwe-arthritis kunye nomonakalo we-cartilage, kodwa olu nyango luhlala lujolise ekupheliseni iimpawu ngokulungisa i-cartilage eyonakeleyo okanye ukubuyisela indawo edibeneyo kunye nokufakelwa okwenziweyo, njengokutshintshwa kwedolo okanye utyando lokutshintshwa kwe-hip. (Robert F. LaPrade, et al., 2016)

Iiseli ezivuselelayo

Iiseli ze-stem ezivuselelayo ziiseli ezikhethekileyo ezikwaziyo ukuphindaphinda kunye nokuphuhlisa kwiintlobo ezahlukeneyo zezicubu. Kwisetingi yotyando lwamathambo kwiingxaki ezidibeneyo, iiseli ze-stem zifumaneka kwimithombo ephambili yeseli ye-stem eyi-bone umongo kunye nezicubu ezinamafutha. Ezi seli zinamandla okuphuhlisa iiseli ze-cartilage, ezibizwa ngokuba yi-chondrocytes. (Rocky S. Tuan, et al., 2013)

  • Zikwanceda ngokuvuselela umzimba ukuba unciphise ukudumba, ukuvuselela ukulungiswa kweeseli, nokuphucula ukuhamba kwegazi.
  • Le nkqubo ibangelwa izibonakaliso zeselula kunye nezinto zokukhula ukukhuthaza umzimba ukuba usebenze iinkqubo zokuphilisa.
  • Emva kokuba iiseli ze-stem zifunyenwe, kufuneka zihanjiswe kwindawo yomonakalo we-cartilage.

I-Cartilage yi-tissue eyinkimbinkimbi echazwa njengesakhiwo se-scaffold esiqulunqwe yi-collagen, i-proteoglycans, amanzi kunye neeseli. (Rocky S. Tuan, et al., 2013)

  • Ukuvuselela i-cartilage, izicubu eziyinkimbinkimbi kufuneka kwakhona zakhiwe kwakhona.
  • Kukho izifundo kwiintlobo ze-scaffolds zezicubu ezenzelwe ukubuyisela uhlobo olufanayo lwesakhiwo se-cartilage.
  • Iiseli ze-stem zinokuthi zifakwe kwi-scaffold, ngethemba lokubuyisela uhlobo oluqhelekileyo lwe-cartilage.

Unyango lwe-Arthritis olungelulo Utyando

umgangatho unyango ezifana ne-cortisone shots okanye unyango lomzimba lusebenza ngokunjalo kwaye lubonelela ngeenzuzo ezinokuthi zisetyenziswe ngokudibanisa neeseli ezivuselelayo ze-arthritis kunye nomonakalo we-cartilage kwixesha elizayo elikufutshane. Idatha ithatha ixesha kwaye ngoko ke oku kuchaphazela njani impilo yexesha elide leemfuno ezidibeneyo eziqhubekayo uphando malunga nobunjineli bezicubu kunye nokuhanjiswa kweeseli ukumisela eyona ndlela yokunceda abantu.


Arthritis


Ucaphulo

LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). I-AAOS yoPhando lwe-Symposium Updates and Consensus: Unyango lwe-Biologic ye-Orthopedic Injuries. Umbhalo we-American Academy of Orthopedic Surgeons, 24 (7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086

Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Iiseli zeStem kwi-Orthopedics: IsiKhokelo esiBanzi seGqirha ye-Orthopedist. Ijenali yaseMelika yamathambo (Belle Mead, NJ), 45 (5), 280-326.

Tuan, RS, Chen, AF, & Klatt, BA (2013). Ukuhlaziywa kweCartilage. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-21 (5), i-303-311. doi.org/10.5435/JAAOS-21-05-303

I-Endometriosis yeSciatic

I-Endometriosis yeSciatic

Ngaba ukudibanisa unyango lwe-chiropractic kunye nonyango oluqhelekileyo lwamayeza, umthambo, kunye / okanye unyango lomzimba lunokunceda ukukhulula iimpawu zentlungu ye-sciatic endometriosis?

I-Endometriosis yeSciatic

I-Endometriosis yeSciatic

I-endometriosis ye-Sciatic yimeko apho iiseli ze-endometrial (izicubu ezifana ne-lining ye-uterus) zikhula ngaphandle kwe-uterine lining kwaye zicinezele i-nerve ye-sciatic. Oku kubeka uxinzelelo kunye noxinzelelo kwi-nerve ebangela umva, i-pelvic, i-hip, kunye nentlungu yomlenze, ngakumbi ngaphambi nangexesha lokuya esikhathini. Isenokubangela iintlungu, amaxesha angaqhelekanga, kunye nokungafumani bantwana. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)

  • Ezi ndawo zokukhula kwezicubu ze-endometrial zikwabizwa ngokuba yizilonda okanye ukufakelwa.
  • Abasetyhini abane-endometriosis ye-sciatic bahlala beva iintlungu zomlenze kunye nobuthathaka malunga nexesha lokuya kwabo exesheni. (ULena Marie Seegers, et al., 2023)
  • I-Sciatic endometriosis inokubangela iintlungu xa uchama, ngexesha lokuhamba kwamathumbu, ngexesha lokwabelana ngesondo, kunye nokudinwa, kunye nokopha okungaqhelekanga kwilungu lobufazi.

Inzululwazi yeNzululwazi

  • Ngokuqhelekileyo, izilonda ze-endometrial ziyakhula kwaye zincamathele kwii-ovari, iityhubhu ze-fallopian, isinyi, amathumbu, amathumbu, i-rectum, okanye i-peritoneum / i-abdominal cavity. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
  • Ukukhula okungaqhelekanga kunokubangelwa ngamanqanaba aphezulu e-estrogen kunesiqhelo.
  • Abaphandi bakholelwa ukuba i-endometriosis inxulumene nokubuyela emva kokuya esikhathini, okubangela ukuba igazi lokuya exesheni libuyele kwi-pelvis endaweni yokuphuma kwilungu lobufazi. (I-World Health Organization. 2023)
  • Ngamanye amaxesha, iiseli zikhula kwindawo ye-pelvis kanye ngaphezu kwe-nerve ye-sciatic. (UAdaya Yahaya, et al., 2021)
  • I-nerve ye-sciatic yeyona nerve inde kakhulu emzimbeni kwaye ihamba ihla ngasemva komlenze ngamnye. (Johns Hopkins Medicine. 2023)
  • Xa izilonda ze-endometrial zibeka uxinzelelo kwi-nerve ye-sciatic, zinokubangela ukucaphuka kunye nokuvuvukala okukhokelela kwiintlungu ezibuhlungu ze-pelvic, okwenza kube nzima ukukhulelwa. (U-Liang Yanchun, et al., 2019)

iimpawu

Abanye abafazi abane-endometriosis abafumani zimpawu okanye batolike ngendlela engeyiyo iimpawu njengeempawu ze-premenstrual / PMS. Iimpawu eziqhelekileyo kunye neempawu ze-sciatic endometriosis ziquka:

  • Ubunzima bokuhamba okanye ukuma.
  • Ukulahlekelwa yimvakalelo, ubuthathaka bemisipha, kunye nokuguqulwa kwe-reflex.
  • Ukuqhwalela.
  • Iingxaki zokulinganisela.
  • Ukuqunjelwa kunye nesicaphucaphu.
  • Ukuqunjelwa okanye urhudo ngaphambi okanye emva kwexesha.
  • Iintlungu, ubunzima, kunye / okanye amaxesha angaqhelekanga.
  • Ukopha phakathi kwexesha.
  • Iintlungu ngexesha lokwabelana ngesondo, ukuchama, kunye nokuhamba kwamathumbu.
  • Iintlungu esiswini, i-pelvis, i-back back, i-hips, kunye neempundu. (MedlinePlus. 2022)
  • Ubuthathaka, ukuba ndindisholo, ukuntyiloza, ukutshisa, okanye ukuva okubuhlungu okubuhlungu kumqolo womlenze omnye okanye yomibini.
  • Ukuwa kweenyawo okanye ingxaki yokuphakamisa umphambili wonyawo. (Iziko le-Endometriosis Care. 2023)
  • Ubudlolo.
  • Ukukhathala.
  • Uxinzelelo kunye nexhala.

Ukuqondwa

I-Endometriosis, kubandakanya i-sciatic endometriosis, ayinakufunyanwa ukuba inovavanyo lwe-pelvic okanye i-ultrasound ngokwayo. Umboneleli wezempilo unokufuna ukwenza i-biopsy esebenzisa i-laparoscopy kwaye axoxe ngemijikelo yokuya exesheni, iimpawu, kunye nembali yonyango.

  • Inkqubo ye-laparoscopy ibandakanya ukwenza amanxeba amancinane kunye nokuthatha isampulu yethishu ngezixhobo ezincanyathiselwe kumbhobho obhityileyo ngekhamera. (MedlinePlus. 2022)
  • Iimvavanyo zokucinga, ezifana ne-magnetic resonance imaging / MRI, kunye ne-computed tomography / i-CT scans, inokunceda ukunika ulwazi olubalulekileyo malunga nendawo kunye nobukhulu baso nasiphi na izilonda ze-endometrial. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)

impatho

Iimpawu ngamanye amaxesha zinokukhululeka okwexeshana nge-over-the-counter/OTC yokuthomalalisa iintlungu. Ngokuxhomekeke kwimeko kunye nobukhulu umboneleli wezempilo unokumisela unyango lwehomoni ukuthintela ukufakelwa kwe-endometrial entsha ekukhuleni. Oku kunokubandakanya:

  • Ukulawulwa kokuzalwa kweHormonal.
  • Iprogestin - ifom yokwenziwa kweprogesterone.
  • I-Gonadotropin-ikhulula ihomoni - iGnRH agonists.
  • Ukuba iintlungu ziyaqhubeka okanye ziba mandundu, abantu banokufuna utyando ukuze kususwe izicubu.
  • Kwiimeko ezinzima, i-hysterectomy okanye ukususwa ngotyando lwesibeleko kunokucetyiswa. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
  • Ulungiso lwenyama, imithambo ejoliswe kakuhle, kunye nokusebenzisa ubushushu okanye ingqele kwindawo echaphazelekayo nako kusenokunceda. (Johns Hopkins Medicine. 2023)

Sciatica Ubunzulu


Ucaphulo

IKholeji yaseMelika yeeObstetricians kunye neGynecologists. Endometriosis.

Ababoni, LM, DeFaria Yeh, D., Yonetsu, T., Sugiyama, T., Minami, Y., Soeda, T., Araki, M., Nakajima, A., Yuki, H., Kinoshita, D., Suzuki, K., Niida, T., Lee, H., McNulty, I., Nakamura, S., Kakuta, T., Fuster, V., & Jang, IK (2023). Umahluko ngesondo kwi-Coronary Atherosclerotic Phenotype kunye nePattern yokuPhilisa kwi-Optical Coherence Tomography Imaging. Ukujikeleza. Umfanekiso we-cardiovascular, 16 (8), e015227. doi.org/10.1161/CIRCIMAGING.123.015227

I-World Health Organization. Endometriosis.

Yahaya, A., Chauhan, G., Idowu, A., Sumathi, V., Botchu, R., & Evans, S. (2021). ICarcinoma evela ngaphakathi kwe-sciatic nerve endometriosis: ingxelo yetyala. Ijenali yeengxelo zetyala lotyando, 2021(12), rjab512. doi.org/10.1093/jscr/rjab512

Johns Hopkins Medicine. Sciatica.

Yanchun, L., Yunhe, Z., Meng, X., Shuqin, C., Qingtang, Z., & Shuzhong, Y. (2019). Ukususwa kwe-endometrioma edlula ngasekhohlo enkulu ye-sciatic foramen usebenzisa i-laparoscopic kunye ne-transgluteal approach: ingxelo yecala. BMC impilo yabasetyhini, 19(1), 95. doi.org/10.1186/s12905-019-0796-0

MedlinePlus. Endometriosis.

Iziko le-Endometriosis Care. I-endometriosis ye-sciatic.

Chen, S., Xie, W., Strong, JA, Jiang, J., & Zhang, JM (2016). I-endometriosis ye-Sciatic ibangela uvakalelo lwe-mechanical hypersensitivity, umonakalo we-nerve ye-segmental, kunye nokudumba okuqinileyo kwendawo kwiimpuku. Ijenali yaseYurophu yeentlungu (eLondon, eNgilani), i-20 (7), i-1044-1057. doi.org/10.1002/ejp.827

Siquara de Sousa, AC, Capek, S., Howe, BM, Jentoft, ME, Amrami, KK, & Spinner, RJ (2015). Ubungqina bomfanekiso wemagnethi wokusasazeka kwe-perineural ye-endometriosis ukuya kwi-lumbosacral plexus: ingxelo yeemeko ezi-2. Ugxininiso lwe-Neurosurgical, i-39 (3), i-E15. doi.org/10.3171/2015.6.FOCUS15208

I-Radial Nerve: I-Peripheral Upper Extremity

I-Radial Nerve: I-Peripheral Upper Extremity

I-plexus ye-brachial yinethiwekhi yemithambo-luvo eqala kumqolo wesibeleko/intamo kwaye ihambe ihla i-cervicoaxillary umjelo kwikhwapha. Ukwenziwa kwindawo yegxalaba ekudibaneni kwesebe le-brachial plexus, I-nerve ye-radial isuka ezantsi ingalo, ngokudibanisa i-elbow, ukuya kwi-forearm, ngaphesheya kwesihlahla, kunye neengcebiso zeminwe. Imithambo-luvo ichaphazeleka kukwenzakala okunokubangela ukusebenza okungaqhelekanga okukhokelela kwiimvakalelo ezingaqhelekanga kunye nokungasebenzi kakuhle kwezihlunu.

I-Radial Nerve: I-Peripheral Upper Extremity

Umtya wemithambo

Enye yemithambo-luvo enkulu yecala eliphezulu.

  • Kukho i-brachial plexus enye kwicala ngalinye lomzimba ethwala imithambo-luvo kwingalo nganye.
  • I-nerve ye-radial inemisebenzi emibini emikhulu.
  • Enye kukunika iimvakalelo ezandleni, kwiingalo, ezingalweni nakwiminwe.
  • Enye kukuhambisa imiyalezo kwizihlunu malunga nexesha lokudibana.

Umsebenzi weMoto

  • I-nerve ye-radial idlulisela imiqondiso kwizihlunu ezingasemva kwengalo kunye ne-forearm xa kufuneka ifinyeze.
  • Abantu abanomsebenzi ongaqhelekanga we-radial nerve banokufumana ubuthathaka bemisipha kunye neempawu ezinje ukuwa kwesihlahla.
  • Ukuwa kwesandla kwenzeka xa izihlunu ze-forearm zangasemva azikwazi ukuxhasa isandla, okubangela ukuba umntu abambe i-wrist kwi-posture eguquguqukayo.
  • Ukusebenza okungaqhelekanga kwe-nerve ye-radial kunokubangela iimpawu ze-numbness okanye ukubetha ngasemva kwesandla.

Conditions

Iimeko ezinxulumene ne-nerve ye-radial ziquka ukukrala, ukuqhawuka, ukuphuka, kunye nokukhubazeka.

Ukuphazamiseka kweNerve

  • Uqhankqalazo ludla ngokubakho ngenxa yomonzakalo wamandla angacacanga anokuthi atyumze kwaye atyumze indawo yemithambo-luvo.
  • Oku kubangela ukungaqhelekanga okanye ukungabikho komsebenzi.
  • I-nerve contusion ingenzeka kumntu, umsebenzi, okanye ukulimala kwezemidlalo okanye ezinye iimeko ezivelisa uxinzelelo olunamandla kwi-nerve / s.

IiNerve Lacerations

  • Inxeba lenzeka xa kukho ukwenzakala okugqobhozayo okusika kunye/okanye ukuqhawula umthambo.
  • Le nzakala inokuthi yenzeke kumanxeba ahlatywayo okanye inqunywe ngeglasi ephukileyo, isinyithi, njl.

Izahlulo

  • Amathambo aphukileyo angaphezulu angakhokelela kumonakalo owandisiweyo kwimithambo-luvo kufuphi nethambo elonakeleyo.
  • Olona hlobo luqhelekileyo lokuphuka olunxulumene nokungasebenzi kakuhle kwe-nerve ye-radial kukuphuka kwithambo le-humerus.
  • I-nerve igoqa ngokuqinileyo kwi-humerus kwaye inokulimala ngokuphuka.
  • Uninzi lwamanxeba anxulumene nokuqhekeka kwe-radial nerve aphilisa ngokwawo kwaye ayifuni utyando.
  • Nangona kunjalo, indlela yokulimala ephilisayo ingaba ngumahluko phakathi komsebenzi oqhelekileyo kunye neentlungu ezingapheliyo.

I-Crutch Palsy

  • I-crutch palsy luxinzelelo lwemithambo-luvo ekwikhwapha olubangelwa kukusebenzisa iintonga ngendlela engafanelekanga.
  • Ukuze asebenzise iintonga ngokufanelekileyo, umntu ngamnye kufuneka axhase ubunzima bomzimba wakhe ngezandla.
  • Nangona kunjalo, abaninzi bavame ukubeka uxinzelelo malunga ne-armpit phezulu kwi-crutch, kubangela ukucaphuka kwi-nerve kuloo ndawo.
  • Ukukhwela phezulu kweentonga kunye nokusebenzisa ifom efanelekileyo kunokuthintela imeko.

NgoMgqibelo Night Palsy

  • NgoMgqibelo ebusuku ndikhubazekile ngumsebenzi ongaqhelekanga we-nerve ye-radial emva kokulala kwindawo ebangela uxinzelelo oluthe ngqo kwi-nerve.
  • Oku kaninzi kwenzeka xa umntu elala ebeke ingalo yakhe phezu kwe-armrest esitulweni.
  • Igama livela xa abantu benxilile kwaye balala kwindawo engeyiyo ibhedi kunye neendawo ezingathandekiyo.

impatho

Ukulimala kwe-nerve kudla ngokubangela iimpawu kwiindawo ezahlukeneyo ngaphandle kwalapho umonakalo we-nerve ukhona, unzima ukuxilongwa. Ukumisela indawo ethile yomonakalo we-nerve yinyathelo lokuqala ekuphuhliseni isicwangciso sonyango esifanelekileyo. Emva kokuba indawo ichongiwe, amanyathelo anokuthathwa ukuze kuthintelwe umonakalo ombi kwi-nerve.

  • Injongo kukunciphisa uxinzelelo olusuka ekucaphukeni okanye ekucinezeleni.
  • Unyango lweChiropractic inokuphelisa iimpawu kwaye ibuyisele ukusebenza ngoku:
  • I-massage yokukhulula indawo kunye nokwandisa ukujikeleza kwegazi.
  • Ukunciphisa ukubuyisela ukulungelelaniswa komzimba.
  • Uhlengahlengiso lokubuyisela ukulinganisela komzimba.
  • Ukuzivocavoca kunye nokwelula ukugcina unyango, ukuqinisa imisipha, kunye nokukhusela ukulimala.
  • Kwiimeko apho kukho umonakalo wesakhiwo, utyando lunokufuneka ukususa uxinzelelo okanye ukulungisa umonakalo.

Kulumkele Utyando


Ucaphulo

Ansari FH, Jurgens AL. NgoMgqibelo ebusuku Palsy. [Ihlaziywe ngo-2023 ku-Epreli 24]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK557520/

Barton, N J. "Izilonda zemithambo-luvo." Isandla vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6

UDaly, uMichael, kunye noChris Langhammer. "I-Radial Nerve Injury kwi-Humeral Shaft Fracture." Iiklinikhi ze-Orthopedic zaseMntla Melika vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001

DeCastro A, Keefe P. Wrist Drop. [Ihlaziywe 2022 Jul 18]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK532993/

Eaton, CJ, kunye noGD Lister. "Uxinzelelo lwe-radial nerve." Iiklinikhi zezandla vol. 8,2 (1992): 345-57.

IGlover NM, uMurphy PB. I-Anatomy, iGxala kunye neLungu eliPhezulu, iNerve yeRadial. [Ihlaziywe ngo-2022 ngo-Agasti 29]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534840/

Ljungquist, Karin L et al. "Ukulimala kwemithambo yemitha." Ijenali yotyando lwesandla vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010

UWęgiel, uAndrzej, kunye nabanye. "Uxinzelelo lwe-nerve yeRadial: umbono we-anatomical kunye neziphumo zeklinikhi." Uphononongo lwe-Neurosurgical vol. 46,1 53. 13 Feb. 2023, doi:10.1007/s10143-023-01944-2

Indlela ye-MET yoNyango kwiiNgxaki zePain ezingapheliyo

Indlela ye-MET yoNyango kwiiNgxaki zePain ezingapheliyo

intshayelelo

The inkqubo yemisipha iqulethe imisipha, iigaments, kunye nezicubu ezijikeleze isakhiwo samathambo kunye nezitho ezibalulekileyo. Ezi zixhobo zinemisebenzi eyahlukeneyo, kuquka ukuthutha igazi kunye nezondlo kuwo wonke umzimba kunye nokuququzelela intshukumo. Nangona kunjalo, iimeko ezingapheliyo okanye ukuguga kunokubangela iimpawu ezifana neentlungu, ukuphazamisa ubomi bemihla ngemihla nokukhokelela kwisiphene. Maninzi amayeza akhoyo, otyando kunye nolungatyando, anokunceda ukunciphisa Ubuhlungu obungapheliyo. Eli nqaku liza kuphonononga indlela iintlungu ezingapheliyo ezichaphazela ngayo abantu kunye nendlela unyango olufana ne-Muscle Energy Technique (MET) unyango lunokunceda ngayo. Sisebenza kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulane zethu ukunyanga abantu abaneentlungu zemisipha ngelixa bebazisa malunga nonyango olungenalo utyando olufana nonyango lwe-MET olunokunceda ukunciphisa imiphumo yeentlungu ezingapheliyo ezinxulumene ne-musculoskeletal system. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli

 

Iintlungu ezingapheliyo zimchaphazela njani umntu ngamnye?

Ngaba ujongene neentlungu zokudubula kumalungu akho okanye izihlunu? Xa uvuka ekuseni, ngaba uziva ukuqina rhoqo kumalungu akho? Okanye ngaba ufumana iintlungu zemisipha kancinci yonke imini? Xa kuziwa kwiintlungu ezingapheliyo kwi-musculoskelet system, kunokuba nzima ukukhomba apho intlungu ikhoyo emzimbeni. Uphando lophando lutyhila ukuba intlungu engapheliyo ye-musculoskelet yingxaki kumntu kunye noogqirha babo kunye negalelo eliphambili lokukhubazeka kwihlabathi jikelele. Intlungu engapheliyo ye-musculoskeletal inokuba yinto engabonakaliyo kwaye ichanekileyo ngokuxhomekeke kubunzima kunye nezinto ezibangela ukuphuhliswa kwayo. Kubantu abaninzi abafumana intlungu engapheliyo ehambelana nenkqubo ye-musculoskelet, umsebenzi we-homeostatic kunye nokulungelelanisa kwimicu ye-muscle yabo yoluliwe ngaphaya kwemida yabo.

 

 

Izifundo zophando ezongezelelweyo zichaziwe ukuba izinto ezinje ngoomatshini, ischemia, kunye nokudumba zonke zizisusa eziphambili kwiintlungu ezingapheliyo zemisipha. Izinto ezinjengokuphakamisa / ukuthwala izinto ezinzima, ukuhlala ngokuzingisileyo, ukungasebenzi komzimba, kunye nemikhwa yokutya zonke zihambelana neentlungu ezingapheliyo kunye neentlungu ezidibeneyo, njengoko ukunyakaza okuphindaphindiweyo okanye ukungasebenzi ixesha elide kunokunciphisa okanye kunwebe ngokugqithiseleyo imicu yemisipha. Ngelo xesha, izifo ezingapheliyo ze-musculoskeletal ezifana ne-fibromyalgia kunye ne-myofascial pain syndrome zingabangela ukuba izihlunu ezichaphazelekayo zibe nzima, zivumelane, kwaye zithenda kwi-touch, ezibangela ukuba ezinye izihlunu ezijikelezayo zithathe kwaye zihlawule intlungu. Ukuza kuthi ga ngoku, iintlungu ezingapheliyo ze-musculoskeletal zinokubangela ukuba abantu abaninzi banciphise imveliso yabo, bayeke umsebenzi rhoqo, kwaye baphile ubomi bokukhubazeka.


Ukusuka kuBonwano ukuya kwiNguqu-Ividiyo

Ngaba ubusoloko ujongana nezihlunu kunye neentlungu ezidibeneyo ebomini bakho bonke? Ngaba intlungu ibinganyamezeleki kuba ichaphazela inkqubo yakho yesiqhelo? Okanye ngaba uziva ii-aches okanye ukuqina emacaleni akho okanye kwiindawo ezahlukeneyo zomzimba? Kulo lonke ihlabathi, abantu abaninzi babandezeleka ngenxa yentlungu engapheliyo ye-musculoskeletal ngexesha elithile ebomini babo, kwaye ibe ngumthwalo wentlalo / wezoqoqosho. Uphando lophando lutyhila ukuba intlungu engapheliyo ehambelana nokuphazamiseka kwe-musculoskeletal inokuchaphazela ezinye iinkalo ezininzi zobomi bomntu. Xa iintlungu ezingapheliyo ziqala ukuchaphazela amandla omntu okusebenza, zinokuba nefuthe elibi kwimpilo yengqondo yomntu. Xa intlungu engapheliyo inxulunyaniswa nokuphazamiseka kwe-musculoskeletal disorders, iphinda ihambelane nomsebenzi, njengoko abantu abaninzi abaneentlungu ezingapheliyo baye banciphisa imveliso yomsebenzi, umvuzo olahlekileyo, kunye neeyure ezilahlekileyo ezinokuthatha umvuzo wabo. Nangona kunjalo, kukho ithemba, njengoko unyango oluninzi olufikelelekayo lunokunciphisa imiphumo yeentlungu ezingapheliyo ze-musculoskeletal kunye neempawu ezinxulumene nazo. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic kunye nonyango lwe-MET lunokunceda abantu abaninzi abaneentlungu ezingapheliyo ze-musculoskeletal bafumane isiqabu esibafaneleyo. Ividiyo engentla ichaza indlela unyango olungenalo utyando olusondela ngayo intlungu engapheliyo ye-musculoskeletal, ukusuka ekuhloleni izigulane ngokubonisana nokuguqula impilo kunye nokuphila kakuhle. Ngokubuyisela impilo yabo, abantu abaninzi banokufumana isiqabu kwiintlungu zabo kwaye babuyele kwiindlela zabo.


I-MET yoNyango lweNdlela yokuNxibelela kwiintlungu ezingapheliyo

 

Unyango olungenalo utyando njenge-MET (ubuchule be-muscle energy) unyango lunendlela ekhethekileyo yokunciphisa intlungu engapheliyo kwi-musculoskeletal system. Kwincwadi ethi, "IiClinical Applications of Neuromuscular Techniques," uDkt. Leon Chaitow, ND, DO, kunye noDkt Judith Walker DeLany, LMT, bachaza ukuba i-fascia kunye neempawu zezicubu ezidibeneyo zifanelekile kwi-MET ngokuqalisa ukunweba abachaphazelekayo. izihlunu ezinentlungu engapheliyo kwaye zisebenzise amandla e-biomechanical ukuqalisa amandla aphantsi aphantsi ukuze andise izicubu kunye nokwandisa ukuguquguquka kwazo. Unyango lwe-MET lunceda abantu abaninzi abaneentlungu ezingapheliyo ezinxulumene nokuphazamiseka kwe-musculoskelet, njengoko uphando lubonisa ukuba unyango lwe-MET lunokunceda ukwandisa amandla emisipha ebuthakathaka kunye nokunceda ukwandisa i-ROM yomgogodla. Unyango lwe-MET alukho utyando, luyindleko, kwaye lukhuselekile ukunciphisa intlungu engapheliyo ehambelana nokuphazamiseka kwe-musculoskeletal disorders. 

 

Ukuchonga iiPatheni

Iingcali ezininzi zeentlungu ezibandakanya i-MET ziya kuqala ngokuvavanya umntu onentlungu engapheliyo ehambelana nokuphazamiseka kwe-musculoskeletal disorders. Baza kuvavanywa ngokuvavanya uluhlu lwabo lokushukuma, ukushukuma komgogodla kunye nokuhamba ngokudibeneyo, kunye nazo naziphi na izinto ezongezelelweyo ukuphuhlisa isicwangciso somntu esijongene nomntu. Emva kokuba umcimbi wentlungu ufunyenwe, umntu ngamnye uya kusebenza kunye nabanye abaqeqeshi bezonyango ukuze bancede ukuqinisa imisipha yabo kunye nokunceda ukunciphisa iimpawu ezinjengeentlungu ezibangela kubo. Ukuza kuthi ga ngoku, unyango lwe-MET oludityaniswe nolunye unyango luluncedo kwabo banezigulo ezingapheliyo kwaye bafuna ukukhululeka kwiintlungu.

 

isiphelo

Abantu abaninzi abaneentlungu ezingapheliyo ze-musculoskeletal bahlala befumana ukushukuma okuncinci, izihlunu ezimfutshane, kunye neentlungu ezigqithisiweyo kwiindawo ezahlukeneyo zemizimba yabo. Intlungu engapheliyo ye-musculoskeletal yingxaki yentlalo / yezoqoqosho eye yachaphazela abantu abaninzi kwaye yabashiya bephoswa kwiziganeko ezibalulekileyo zobomi. Unyango olufana ne-MET (ubuchule be-muscle energy) unyango lunokunceda ukunciphisa intlungu ngokolula imicu ye-muscle ukunciphisa intlungu kunye nokubuyisela ukuhamba ngokubambisana emzimbeni. Xa abantu abaninzi beqala ukusebenzisa unyango lwe-MET, kunokunciphisa intlungu engapheliyo kwaye ibavumele ukuba babuyisele impilo yabo kunye nokuphila kakuhle.

 

Ucaphulo

Bains, D., Chahal, A., Shaphe, MA, Kashoo, FZ, Ali, T., Alghadir, AH, & Khan, M. (2022). Iimpembelelo zeTekhnoloji yaMandla e-Muscle kunye nokuPhathwa ngokuManyeneyo kwiMisebenzi yePulmonary, ukuHamba, ukuNyuswa kweZifo, kunye noBulunga obuNxulumene neMpilo boBomi kwiZigulana eziNgqongileyo zePulmonary Disease: i-Quasiexperimental Study. IBioMed yoPhando yeHlabathi, 2022, 1–9. doi.org/10.1155/2022/5528724

Bonanni, R., Cariati, I., Tancredi, V., Indusi, R., Gasbarra, E., & Tarantino, U. (2022). Iintlungu ezingapheliyo kwiZifo ze-Musculoskeletal: Ngaba uyalwazi utshaba lwakho? Ijenali yamayeza onyango, 11(9), 2609. doi.org/10.3390/jcm11092609

Chaitow, L., & Delany, J. (2002). Ukusetyenziswa kweklinikhi yobuchule be-neuromuscular. Umqulu. 2, Umzimba ongezantsi. Churchill Livingstone.

El-Tallawy, SN, Nalamasu, R., Salem, GI, LeQuang, JAK, Pergolizzi, JV, & Christo, PJ (2021). Ulawulo lweentlungu ze-Musculoskeletal: Uhlaziyo oluGxinisiweyo kwiNzululwazi engapheliyo ye-Musculoskeletal Pain. Intlungu kunye nonyango, 10(1). doi.org/10.1007/s40122-021-00235-2

Gregory, NS, & Sluka, KA (2014). Imiba ye-Anatomical kunye nePhysiological Factory to Chronic Muscle Pain. Imixholo yangoku kwiiNeuroscience zokuziphatha, 20, 327–348. doi.org/10.1007/7854_2014_294

isikhanyeli

I-MET Therapy Protocol ye-Muscle Pain

I-MET Therapy Protocol ye-Muscle Pain

intshayelelo

Ngokuphathelele inkqubo ye-musculoskeletal, imisipha eyahlukeneyo, izicubu kunye nemigqaliselo inceda ukukhusela umqolo kunye nezitho ezibalulekileyo ezenza umzimba usebenze. Ezi zihlunu zihlulwe ngokwamaqela ahlukeneyo anceda ukubonelela intshukumo kunye nentshukumo kundwendwe ngaphandle kokuziva zintlungu. Nangona kunjalo, xa izinto eziqhelekileyo okanye amandla okwenzakala aqala ukuchaphazela inkqubo ye-musculoskeletal system, kunokubangela uxinzelelo olungeyomfuneko kwimicu yemisipha. Ezi zinto zokusingqongileyo zingakhokelela kwiintlungu ze-muscle kunye neempawu ezihambelanayo ezichaphazela iindawo eziphezulu kunye nezantsi zomzimba. Nini iintlungu ichaphazela umzimba, inokufihla ezinye iimeko esele zikho ezinokwenza umntu azive engonwabanga. Ngethamsanqa, abantu abaninzi baya kunyango lokunciphisa iziphumo zeentlungu zemisipha kwaye babe nesicwangciso somntu abanokuthi basilandele ukukhusela iintlungu zemisipha ukuba zibuyele kwixesha elizayo. Inqaku lanamhlanje lijolise kolunye lwezonyango ezingezizo utyando ezaziwa ngokuba yi-MET (ubuchule be-muscle energy) unyango olunokunceda ukunciphisa imiphumo yeentlungu zemisipha kwaye yintoni isicwangciso sonyango lweprotocol yokunciphisa intlungu yemisipha emzimbeni. Sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulane zethu ukunyanga abantu abaphethwe yintlungu ye-musculoskeletal ngelixa bebazisa malunga nonyango olungenalo utyando olufana nonyango lwe-MET olunokunceda ukunciphisa imiphumo yeentlungu ze-musculoskeletal. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli

 

Iintlungu zemisipha ziwuchaphazela njani umzimba?

Ngaba ufumana iintlungu zemisipha, ukuqina, okanye intlungu kwindawo enye okanye ngaphezulu komzimba wakho? Ezi mpawu zifana neentlungu zihlala zibangelwa ziintlungu zemisipha. Izifundo zophando zityhiliwe ukuba iziphelo ze-nerve zamahhala kwiintambo ze-muscle zingathumela iimpawu zentlungu kwingqondo, ekhokelela ekunciphiseni imveliso kunye nomthwalo wezoqoqosho. Ukugqithisa izihlunu ngexesha lemihla ngemihla kunokubangela amanqaku okubangela, ama-nodules amancinci kwimicu ye-muscle ebangela ukuqina kunye nokunciphisa. Oku kunokukhokelela ekungalungelelaniseni kakuhle kunye neengxaki ezongezelelweyo ekuhambeni kwexesha.

 

 

Ubuhlungu be-muscle bunokuba luphawu lweemeko ezahlukeneyo, ngobunzima obuvela kwi-acute ukuya kwi-chronic. Izifundo zophando zichaziwe ukuba xa intlungu ye-musculoskeletal ichaphazela ngaphezu kwe-30% yehlabathi, inokuchaphazela kakhulu ubomi bomntu. Olu hlobo lweentlungu lunokuhambelana nokugcinwa kweengqondo zamathambo, amalunga, kunye nezihlunu kwaye kunokuchaphazela kakubi inkqubo yomntu yemihla ngemihla. Nangona kunjalo, kukho iindlela ezahlukeneyo zokunciphisa intlungu ye-muscle, apho abantu banokubandakanya ukukhulula intlungu yemisipha kunye nokunciphisa amathuba okubuya.


Intshukumo Njengeyeza-Ividiyo

Xa kuziwa kwintlungu ye-musculoskeletal, inokuba nefuthe elibonakalayo kumzimba womntu. Inokuchaphazela inkqubo yabo yemihla ngemihla, ibangele ukuba bangakwazi ukuhamba kwaye bazive bebuhlungu. Iintlungu ze-musculoskeletal zibangela ukuba imicu yemisipha echaphazelekayo iqine kwaye inkontileka. Oku kubangela ukuba izihlunu ezijikelezileyo zihlawule intlungu ye-muscle echaphazelekayo kwaye ibangele ukungahambi kakuhle komzimba. Nangona kunjalo, yonke into ayilahlekanga, njengoko unyango olukhoyo lunokunceda ukunciphisa imiphumo yeentlungu zemisipha kwaye kunokubuyisela ukuhamba komntu. Olunye lolu nyango lunyango lwe-MET (ubuchule be-muscle energy). Uphando lophando lutyhila ukuba i-MET yinkqubo ye-osteopathic ukuba iingcali ezininzi zeentlungu ezifana ne-chiropractors kunye ne-massage therapists zisebenzisa ukuphucula umsebenzi we-musculoskeletal ngokuhlanganisa amalunga, ukunweba imisipha eqinile kunye ne-facia ukunciphisa intlungu, kunye nokuphucula ukujikeleza kunye nokuhamba kwe-lymphatic. Kuba abantu abaninzi abayoluli imizimba yabo rhoqo njengoko kufuneka, izihlunu zabo zinokuqina kwaye ziqine, nto leyo ebangela ukukhula kweentlungu zemisipha. Ngoko ngokusebenzisa unyango lwe-MET, umntu ojongene neentlungu zemisipha unokubuyisela ukuhamba. Unyango lwe-MET lunokudibaniswa nolunye unyango olufana nokhathalelo lwe-chiropractic ukunceda ukulungelelanisa umzimba ngaphandle kwe-subluxation kunye nokuqinisa / ukwandisa imisipha eqinile. Ividiyo engentla ichaza indlela ukunyakaza kusetyenziswa ngayo njengeyeza lokunciphisa imiphumo yeentlungu zemisipha.


INkqubo yoNyango ye-MET

 

Ngokutsho kwe-"Clinical Application of Neuromuscular Techniques," ebhalwe nguLeon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, xa umzimba ufumana amajoyina athintelweyo, ukubandakanya unyango lwe-MET lunokubonisa apho ingxaki ikhona kwi-soft musculoskeletal tissues. Xa kuziwa kubantu abaninzi abaya kunyango lwe-MET ngenxa yeentlungu zemisipha, oogqirha abaninzi banendlela yabo yokuziphatha xa bevavanya izigulana zonyango lweentlungu zemisipha.

 

Ukujonga kuLwimi loMzimba

Xa uvavanya izigulane ezineentlungu zemisipha, ukujonga ulwimi lomzimba wabo kunye nendlela abaziphatha ngayo kubalulekile. Oogqirha abaninzi kunye neengcali zeentlungu kufuneka ziqaphele indlela umntu aphefumla ngayo, ukuma kwakhe, kwaye ukuba kukho ukubila esikhumbeni. Ngokuqwalasela indlela umntu akhangeleka ngayo ngokwasemzimbeni, oogqirha abaninzi baya kuqala ukwenza isicwangciso sonyango ngelixa benxibelelana nesigulana ukuqokelela ulwazi oluthe kratya kunye nokudala ubudlelwane bokuthembana. Emva koko, ugqirha unokuqalisa uvavanyo lomzimba ukuze abone apho iintlungu zikhoyo emzimbeni.

 

Uvavanyo lweMvelo

Inxalenye ye-MET yonyango lwe-protocol yokuhlolwa komzimba ivumela ugqirha ukuba ahambe ngovavanyo olulandelelanayo olubandakanya ukuqwalaselwa, ukuvavanywa ngokubambisana kunye nemisipha, i-palpations, ukuvavanya ukunyakaza kwe-accessory, njl., Ukudala ifomula eyisiseko yokwenza isicwangciso sonyango lomntu. Uvavanyo lomzimba lwe-MET luvumela izihlunu ukuba ziphembelele ukunyanzeliswa kwemisipha kwi-fascia ejikelezileyo kwaye iguqule i-physiology ye-muscle ngeendlela ze-reflex. Ezi zoluleko zinceda amalungu athintelweyo ukuba aphinde ahlanganiswe, kwaye ancede ukolula izihlunu eziqinisiweyo ukuva ukukhululeka kwinkunkuma ye-metabolic.

 

Isicwangciso soNyango

Isicwangciso sonyango sonyango lwe-MET senziwa ngumntu kwaye senziwa ngokwezifiso ukuba umntu alandele ukunciphisa intlungu ye-muscle ekubuyeni kwakhona emzimbeni. Oogqirha abaninzi abaziingcali kunyango lwe-MET basebenza nabanye ababoneleli bezonyango abanxulumeneyo ukuqinisekisa ukuba umntu onentlungu unoncedo alufunayo. Unyango lomzimba, isondlo sokutya, unyango olungelulo utyando, kunye nabaqeqeshi bezempilo bonke basebenza kunye ukwenza isicwangciso somntu wezempilo kunye nokuphila kakuhle ukuze kuqinisekiswe ukuba iintlungu zemisipha kunye nezinto ezinxulumene nazo ziyaphathwa. Oku kuvumela abantu ukuba baqaphele ngakumbi imizimba yabo kwaye baphinde bafumane impilo kunye nempilo yabo.

 

isiphelo

Ubuhlungu be-muscle bunokuchaphazela ukukwazi komntu ukuhamba kwaye kunokuchaphazela iindawo ezininzi kwiindawo eziphezulu kunye nezantsi zomzimba. Iintlungu ze-muscle zihambelana ne-tight muscle fibers eziba nzima kwaye zinokuhlakulela amanqaku okubangela kwi-fascia kwaye kubangele ukunyakaza okuthintelweyo. Xa oku kusenzeka, kunokubangela ukuba umntu aphoswe yimisebenzi yemihla ngemihla kwaye imthintele ekusebenzeni. Ngethamsanqa unyango olukhoyo lunokunceda ukunciphisa intlungu ye-muscle ngokuhlanganisa kwakhona amalunga kunye nokwelula umsipha oqinileyo. I-MET, okanye unyango lobuchule bemisipha yemisipha, inceda ukolula i-muscle fascia kunye nokudibanisa amalungu ukuze aphinde afumane intshukumo yomzimba kwaye ancede ukunciphisa iintlungu zemisipha. Abantu abaninzi ababandakanya i-MET kwimisebenzi yabo yemihla ngemihla banokubuyisela ukuhamba kwaye baqhubeke nohambo lwabo lwezempilo kunye nokuphila kakuhle.

 

Ucaphulo

isikhanyeli

Ukudibana ne-El Paso's Gender-Affirming Care needs For LGBT +

Ukudibana ne-El Paso's Gender-Affirming Care needs For LGBT +

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.


Izibonelelo zokutya okunempilo kunye nokunakekelwa kweChiropractic-Ividiyo


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

Ukuqhuba iPiriformis Syndrome: El Paso Back Clinic

Ukuqhuba iPiriformis Syndrome: El Paso Back Clinic

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.

Ukuqhuba iPiriformis Syndrome: IQela leNgcali yeChiropractic yeEP

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


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