Umenzakalo owehle kwisiqu
IQela leChiropractic yeKliniki yangasemva. Ukulimala kwingozi akunakubangela kuphela ukulimala ngokomzimba kuwe okanye kumntu othandekayo, ukubandakanyeka kwimeko yokulimala komntu kaninzi kunokuba yimeko enzima kunye noxinzelelo lokusingatha. Ezi ntlobo zeemeko ngelishwa zixhaphake ngokufanelekileyo kwaye xa umntu ejongene nentlungu kunye nokungahambi kakuhle ngenxa yokulimala kwingozi okanye imeko ephantsi eye yaqina ngenxa yokulimala, ukufumana unyango olufanelekileyo kwimiba yabo ethile kunokuba ngomnye umngeni. ngokwayo.
Ukuhlanganiswa kukaDkt Alex Jimenez kwamanqaku okulimala komntu kubonisa iintlobo ezahlukeneyo zeemeko zokulimala komntu, kubandakanywa neengozi zemoto ezibangelwa yi-whiplash, ngelixa lishwankathela unyango olusebenzayo, olufana nokunyamekela kwe-chiropractic. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
by UGqr Alex Jimenez Ukunyamekela , Umenzakalo owehle kwisiqu
Umsebenzi wengalo kukuvumela ukuhamba kwesihlahla kunye nesandla. Izihlunu ezahlukahlukeneyo ziqalisa izenzo zengalo, izihlunu ezikhulu zigoba kwaye zandise, ziphindaphindeke kwaye ziphakame, kwaye izihlunu ezibuthathaka ngakumbi zivumela ukulawulwa kakuhle kwemoto. Ukuphakama kwamandla kunye namandla okubamba kuvela kwizihlunu zengalo, okwenza ukuba ziyimfuneko kuzo zonke iintlobo zemisebenzi. Ngenxa yemisebenzi emininzi kunye nemisebenzi eyenziwa zizandla neengalo, uxinezeleko olongezelelekileyo lubekwa kuzo. Iimpawu zokungakhululeki kwengalo, iintlungu ezikhuphayo, ubuthathaka, ukuba ndindisholo, kunye nokuntlithwa ziimeko eziqhelekileyo. Ukunyamekela kwe-Chiropractic kunokunciphisa iimpawu zokulimala kunye nokubuyisela ukuhamba kunye nomsebenzi.
Iimpawu zokungakhululeki kwengalo
Imisipha yengalo ephezulu, i-biceps, kunye ne-triceps, ilawula ukuhamba kunye nokuma kwe-elbow joint, kunye nezihlunu ze-forearm zilawula isihlahla kunye nesandla. Kukho amathambo angama-30 ukusuka phezulu kwengalo ukuya kwincam yomnwe aquka:
I-humerus kwingalo ephezulu.
Ulna kunye neradius kwi-forearm.
Amathambo eCarpal esihlahleni.
I-Metacarpals kunye ne-phalanges zenza isandla kunye neminwe.
Amalungu avumela ukunyakaza phakathi kwamathambo kwaye azinziswe yi-ligaments kunye ne-capsules edibeneyo.
iimpawu
Ukungakhululeki okanye ukusasazeka kwemitha
Iimpawu ziyahluka ngokusekelwe kubunzima bokulimala kodwa ngokuqhelekileyo ziquka.
Uluhlu lwentshukumo lwengalo lwehlile.
Ukuqina.
Ukuqina.
Ubuhlungu.
Ukuthantamisa.
Edema ngexesha lomsebenzi.Ubuthathaka bemisipha.
Ukuba ndindisholo kunye nokuntyiloza kwingqiniba, ingalo yangaphambili, okanye isandla sinokukhula.
Iintlungu zentlungu zihlala ziphuma kwezinye iindawo.
Izizathu
Abantu abasebenza ngezandla zabo ezinxulumene nomsebenzi, imisebenzi yasekhaya, imidlalo, okanye imisebenzi yokuzilibazisa, njengabasebenzi bokwakha, abalungisi beenwele, abagcini bevenkile, amagcisa emifanekiso, amagcisa eemoto, abachweli, abapeyinti, abacheba, kunye nokunye, banomngcipheko owongeziweyo ukulimala kunye nokuphuhlisa iimeko ezingapheliyo. Umsebenzi obandakanya ukusika ngesandla, ukubhala, ukuchwetheza, ukubamba, ukusebenzisa izixhobo zemoto, i-hair clippers, ukusebenza nezilwanyana, njl., Yenza iingalo zithintele ukulimala ngenxa yoxinzelelo oluqhubekayo kwiigaments. Ukulimala okuqhelekileyo okuchaphazela umphezulu ongaphezulu kubandakanya:
I-Carpal Tunnel Syndrome kunye neCubital Tunnel Syndrome
Le miqathango ibandakanya imithambo-luvo yomphambili .
Ukugoba ixesha elide okanye ukuphindaphinda okanye ukugoba kwesihlahla okanye ingqiniba kunokuvelisa uxinzelelo lokudumba olucinezela imithambo-luvo.
Iimpawu ziquka ukuba ndindisholo, ukubanda, ukuntyiloza, kunye/okanye ubuthathaka kwisandla neminwe.
Ithenisi, iGolf, kunye nePitcher Elbow
Ezi meko zibandakanya ukuvutha kwezakhiwo ze-tendon ezijikeleze i-elbow joint.
Ukuphindaphinda intshukumo efanayo ngokuphindaphindiweyo kubangela umonakalo.
Oku kukhokelela ekuthandeni kunye neentlungu ngaphakathi kunye nokujikeleza ingqiniba.
I-Tendinosis kaDe Quervain
I-Tendinosis ibhekisela ekudumbeni kwemisipha.I-De Quervain's syndrome ichaphazela isakhiwo se-tendon esihlahleni.
Ukudumba kufutshane nesiseko sobhontsi.
Umntu ngamnye unobunzima bokubamba izinto.
Oku kuqhelekile kubagadi bomhlaba, abalimi, kunye nezemidlalo apho ukubamba rhoqo kubandakanyeka.
Tendonitis
Iitendon zincamathela izihlunu kunye namathambo
Imeko ibangela ukuvuvukala kwe-tendon, kubonisa intlungu kwindawo ejikeleze amalunga omnye okanye amaninzi.
Iintlobo eziqhelekileyo zibandakanya i-tendonitis yesandla , igxalaba lomphanda, negxalaba lendadi.
Iindlebe zeTendon
Ukusetyenziswa ngokugqithiseleyo kunye nokuxinezeleka rhoqo ukusuka kwintshukumo eqhubekayo kunokugqoka i-tendon ukuya kwinqanaba lokukrazula inxalenye okanye epheleleyo.
Ii-rotator cuff iinyembezi egxalabeni zihlala zibangelwa kukusebenzisa kakhulu ukunxiba.
Unyango lweChiropractic
Chiropractic kunye nonyango lwe-massage lunokubuyisela ukulimala kwengalo, ukubuyisela ukusebenza kunye nokunciphisa iimpawu zokungakhululeki kwengalo.
Umkhenkce okanye unyango lobushushu.
Unyango lweManuwali-i-massage yezicubu ezithambileyo kunye nokuthomalalisa amanqaku.
Ukuhlanganiswa okuhlangeneyo.
Ukucofa okanye ukuqinisa inkxaso.
Imisetyenzana ekujoliswe kuyo yokubuyisela kwisimo sangaphambili.
Uqeqesho lokuguqulwa komsebenzi kunye nezemidlalo.
Uqeqesho ekusetyenzisweni ngokugqithiseleyo kwaphezulu, ukuziqhelanisa nokulumka, kunye nokwazi ixesha lokufuna uncedo lwezonyango oluchwepheshile.
Ukuvuselelwa kwaBuhlungu kuBuhlalu
VIDEO
Ucaphulo
Bass, Evelyn. "I-Tendinopathy: kutheni umahluko phakathi kwe-tendinitis kunye ne-tendinosis ibalulekile." Ijenali yaMazwe ngaMazwe ye-massage yonyango kunye nomsebenzi womzimba vol. 5,1 (2012): 14-7. doi:10.3822/ijtmb.v5i1.153
Cutts, S et al. "I-Tennis elbow: Inqaku lophononongo lweklinikhi." Ijenali ye-Orthopedics vol. 17 203-207. 10 Agasti 2019, doi:10.1016/j.jor.2019.08.005
Hoe, uVictor CW, kunye no-al. "Uyilo lwe-ergonomic kunye noqeqesho lokuthintela ukuphazamiseka kwe-musculoskeletal ezinxulumene nomsebenzi kwilungu eliphezulu kunye nentamo kubantu abadala." I-Database ye-Cochrane yophononongo olucwangcisiweyo vol. 2012,8 CD008570. 15 Agasti 2012, doi:10.1002/14651858.CD008570.pub2
Konijnenberg, HS et al. "Unyango olulondolozayo lokulimala okuphindaphindiweyo." Ijenali yaseScandinavia yoMsebenzi, iNdalo kunye neMpilo vol. 27,5 (2001): 299-310. doi:10.5271/sjweh.618
ULuger, uTessy, kunye nabanye. "Iishedyuli zokuphumla emsebenzini zokuthintela iimpawu ze-musculoskelet kunye nokuphazamiseka kubasebenzi abasempilweni." I-Database ye-Cochrane yophononongo olucwangcisiweyo vol. 7,7 CD012886. 23 Jul. 2019, doi:10.1002/14651858.CD012886.pub2
Pitzer, uMichael Et al. "I-elbow tendinopathy." Iiklinikhi zoNyango zaseMntla Melika vol. 98,4 (2014): 833-49, xiii. doi:10.1016/j.mcna.2014.04.002
Verhagen, uArianne P et al. "Ungenelelo lolondolozo lokunyanga izikhalazo ezinxulumene nomsebenzi wengalo, intamo okanye igxalaba kubantu abadala." I-Database ye-Cochrane yophononongo olucwangcisiweyo vol. 2013,12 CD008742. 12 Dec. 2013, doi:10.1002/14651858.CD008742.pub2
Zaremski, Jason L et al. "Ubuchwephesha bezemidlalo kunye nokuSebenzisa ngokuBanzi kwiimbaleki eziphosayo: Uphononongo olubalisayo." Ijenali yoqeqesho lweembaleki vol. 54,10 (2019): 1030-1039. doi: 10.4085/1062-6050-333-18
by UGqr Alex Jimenez Kokulimala Kwenzakalo , Kokulimala Kwenzakalo , Chiropractic , Ubuhlungu obungapheliyo , impilo , entanyeni Pain , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Abantu abaninzi bahlala bekwizithuthi zabo kwaye baqhuba ukusuka kwindawo ukuya kwenye ngelona xesha likhawulezayo. Nini izingozi zomoto kwenzeka, iziphumo ezininzi zinokuchaphazela abantu abaninzi, ngakumbi imizimba yabo kunye nengqondo. Iimpembelelo ezingokweemvakalelo zengozi yemoto zinokutshintsha umgangatho wobomi bomntu kwaye zichaphazele umntu njengoko esiba lusizi. Ke kukho icala lokwenyama, apho umzimba usiya phambili ngokukhawuleza, ubangela iintlungu ezingathethekiyo kwiindawo eziphezulu nezisezantsi. Izihlunu, i-ligaments, kunye nezicubu ziba nzima kakhulu ngaphaya kwamandla abo okubangela iimpawu ezifana neentlungu ukuphuhlisa kunye nokudibana kwezinye iiprofayili zomngcipheko. Inqaku lanamhlanje lixoxa ngeziphumo zengozi yemoto eyenzeka emzimbeni, iimpawu ezinxulumene neengozi zemoto, kunye nendlela unyango olufana nokhathalelo lwe-chiropractic lusebenzisa ubuchule obufana nobuchwephesha be-MET ukuvavanya umzimba. Sinikezela ngolwazi malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo ababonelela ngeendlela zonyango ezikhoyo ezifana ne-MET (ubuchule be-muscle energy) kubantu abajongene neentlungu zentlungu kunye nentamo ehambelana neengozi zemoto. Sikhuthaza isigulane ngasinye ngokufanelekileyo ngokubathumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo zokuxilongwa. Siyayamkela into yokuba imfundo yeyona ndlela imangalisayo xa ubuza ababoneleli bethu eyona mibuzo ibalulekileyo xa sivuma isigulana. UDkt Alex Jimenez, DC, uvavanya olu lwazi njengenkonzo yemfundo. isikhanyeli
Iziphumo Zengozi Yemoto Emzimbeni
Ngaba ukhe wajongana neentlungu ezibuhlungu entanyeni okanye ngasemva emva kokungqubana kwemoto? Ngaba ukhe waqaphela ukuba kukho izihlunu zakho eziziva ziqinile okanye zixinene? Okanye ngaba uye wajongana neempawu ezingafunekiyo ezinjengeentlungu ezichaphazela ubomi bakho bemihla ngemihla? Xa umntu eye wafumana ingozi yemoto, umqolo, intamo, kunye nomva kunye namaqela abo emisipha ehambelanayo, bachatshazelwa yintlungu. Xa kuziwa kwimiphumo yengozi yemoto emzimbeni, kufuneka sijonge indlela umzimba osabela ngayo xa izithuthi zingqubana. Izifundo zophando ziye zatyhila intlungu yentamo isikhalazo esiqhelekileyo kubantu abadala abaninzi ababandakanyeka kwingozi yemoto. Xa umntu engqubuzana nenye imoto, iintamo zabo zityhulwa phambili ngokukhawuleza, zibangele umphumo we-whiplash entanyeni nasehlombe. Akukhona nje intamo echaphazelekayo, kodwa kunye nomva. Izifundo ezongezelelweyo zikhankanyiwe ukuba iintlungu ezisezantsi ezihambelana nokungqubana kwezithuthi zinokubangela ukuba izihlunu ze-lumbar zigqithiswe kwaye ziphuhlise ukulimala komzimba okungenabungozi ngokuhamba kwexesha, mhlawumbi ngexesha okanye ngosuku emva kwengozi. Ukuza kuthi ga ngelo xesha, kunokukhokelela kwiimpawu ezingafunekiyo ezinxulumene neengozi zemoto kwaye zinxibelelane neeprofayili zomngcipheko.
Iimpawu ezinxulumene neeNgozi ezizenzekelayo
Iimpawu ezinxulumene neengozi zemoto ezichaphazela intamo kunye nezihlunu zangasemva ziyahluka ngokuxhomekeke kubunzima bokungqubana. Ngokutsho kwe "Clinical Application of Neuromuscular Techniques," uLeon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, bathi xa umntu ehlaselwa yingozi yemoto, amandla abuhlungu achaphazela kuphela imisipha yomlomo wesibeleko okanye ye-temporomandibular kodwa kunye nezihlunu ze-lumbar. . Oku kubangela ukuba imicu yezicubu ze-muscle ikrazuke kwaye yonakaliswe, nto leyo ebangela intlungu yemisipha. Le ncwadi iphinde yakhankanya ukuba umntu owenzakeleyo kwingozi unokuhlakulela i-nociceptive modulated intamo, amahlombe kunye nokungasebenzi kakuhle kwemisipha. Ukuza kuthi ga ngelo xesha, imisipha ye-flexor kunye ne-extensor i-hyperextended, ifutshane, kwaye igxininisekile, okuyisiphumo sokubangela ukuqina kwemisipha, intlungu, kunye noluhlu olulinganiselwe lokunyakaza entanyeni, ehlombe nasemva.
Ukuvula isiqabu seentlungu: Siyivavanya njani intshukumo yokuthomalalisa iintlungu-ividiyo
VIDEO
Ngaba uye wafumana uluhlu olulinganiselweyo lwentshukumo kumagxa akho, intamo, nasemva? Kuthekani ngokuva ukuqina kwezihlunu xa uzolula? Okanye ngaba uziva uthambile kwizihlunu kwiindawo ezithile zomzimba emva kwengozi yemoto? Uninzi lwezi mpawu ezifana neentlungu zihambelana neengozi zemoto ezichaphazela intamo, amahlombe kunye nomva. Oku kubangela intlungu yomzimba rhoqo, kwaye imiba emininzi ikhula ngokuhamba kwexesha kumaqela ahlukeneyo emisipha. Ngethamsanqa kukho iindlela zokunciphisa intlungu kunye nokunceda ukubuyisela umzimba ukuba usebenze. Ividiyo engentla ichaza indlela ukhathalelo lwe-chiropractic lusetyenziselwa ukuvavanya umzimba ngokusebenzisa ukuguqulwa komgogodla. Ukunyamekela kwe-Chiropractic isebenzisa iindlela ezahlukeneyo zokuncedisa ukunyanzeliswa komgogodla kunye nokukhulula imisipha eqinile, imisipha eqinile yokunceda ukuphumla nokubuyisela iqela ngalinye le-muscle ngelixa ukhulula intlungu engafunekiyo kwizicubu ze-muscle kunye nemigqaliselo.
Ukhathalelo lweChiropractic kunye ne-MET Technique yokuHlola uMzimba
Uphando lutyhila ukuba iingozi zemoto ziyimbangela enkulu yokulimala komgogodla kunye nemisipha ephathwa ngononophelo lwe-chiropractic. Xa umntu ebandezeleka emva kwengozi yemoto, uya kuba neentlungu emzimbeni wonke kwaye azame ukufumana iindlela zokukhulula intlungu echaphazela ubomi babo bemihla ngemihla ngonyango. Olunye unyango olunokunceda ukunciphisa intlungu kunye nokubuyisela umzimba kukunyamekela kwe-chiropractic. Xa ii-chiropractors zinyanga umzimba ukuze zinciphise iintlungu, zisebenzisa iindlela ezahlukeneyo ezifana ne-MET (i-muscle energy technique) ukolula kunye nokuqinisa izicubu ezithambileyo kunye nokusebenzisa ukuguqulwa kwezandla ukuze ulungelelanise umqolo, usebenze imisipha eqinile, imithambo-luvo, kunye nemigqa yokukhusela. umonakalo ongakumbi emzimbeni ngelixa ubuyisela abantu abachaphazelekayo kwimilo. Ukhathalelo lwe-Chiropractic lunobudlelwane obusondeleyo kunye nolunye unyango olufana nonyango lomzimba ukunceda ukuqinisa imisipha emzimbeni kunye nokunceda abantu abaninzi baqaphele indlela imizimba yabo esebenza ngayo.
isiphelo
Ngokubanzi, xa umntu enamava entlungu emqolo, intamo, kunye nezihlunu zamagxa ukusuka kwingozi yemoto, inokuchaphazela impilo yabo yeemvakalelo kunye nomzimba. Imiphumo yengozi yemoto ibangela ukuba iimpawu zentlungu ezingafunekiyo ziphuhlise kwaye zihambelane ne-nociceptive modulated dysfunction. Ukuza kuthi ga ngoku, kunokubangela imiba efana nokuqina kwemisipha kunye nokunyamezela kwiindawo ezichaphazelekayo. Ngethamsanqa, unyango olufana nokhathalelo lwe-chiropractic luvumela umzimba ukuba ubuyiselwe ngokuphathwa ngesandla kunye nobuchule be-MET ukolula ngobunono izicubu ezithambileyo kunye nezihlunu kunye nokulungelelanisa umzimba ukuba ubuyele ekusebenzeni. Ukubandakanya ukhathalelo lwe-chiropractic kunye nobuchule be-MET, umzimba uya kufumana ukukhululeka, kwaye umkhosi unokungabi nantlungu.
Ucaphulo
UChaitow, uLeon, kunye noJudith Walker uDeLany. Ukusetyenziswa kweklinikhi ye-Neuromuscular Techniques . UChurchill Livingstone, ngo-2002.
Ufa, uStephen, kunye noJ Walter Strapp. "Unyango lweChiropractic lwezigulane kwiiNgozi zeMoto: Uhlalutyo lweNkcazo." Ijenali yombutho waseCanada weChiropractic , ILayibrari yeSizwe yezeMithi yase-US, ngo-Septemba 1992, www.ncbi.nlm.nih.gov/pmc/articles/PMC2484939/ .
Abambalwa, uKayla M, et al. "IiMpawu zokuNgxunyana kweeMoto ezikwisantya esiphantsi eziNxulunyaniswe neBango leentlungu ezisezantsi." UThintelo loLwaphulo-mthetho lweTrafikhi , Ilayibrari yeSizwe yaseMelika yoNyango, 10 Meyi 2019, yentshutshiso.ncbi.nlm.nih.gov/31074647/ .
Vos, Cees J, et al. "Impembelelo yeeNgozi zeMoto kwiiNhlungu zeNtamo kunye noKhubazeko kwiNkqubo Jikelele." Ijenali yaseBritani yeZenzo Jikelele : Ijenali yeKholeji yaseRoyal yeeGcisa Jikelele , ILayibrari yeSizwe yezeMithi yase-US, ngo-Septemba 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2529200/ .
isikhanyeli
by UGqr Alex Jimenez Ukulimala koluhlu , Umenzakalo owehle kwisiqu
Ukungqubana kwemoto, umsebenzi, imidlalo, kunye neengozi zomntu kunokubangela ukulimala kwentamo enokuchaphazela ezinye iindawo, ezikhokelela kwiingxaki zempilo zexesha elide. . Ukulimala kwentamo okubandakanya umonakalo wezicubu ezithambileyo zihlala ziqhubeka emva kwesiganeko. Enye yokulimala ibandakanya umonakalo wentambo yezwi obangelwa yimpembelelo kwi-larynx. Ilarynx, okanye ibhokisi yelizwi, lilungu elisemva Iapile ka-Adam . Ukulimala kwentamo okuchaphazela i-larynx kunokuchaphazela ukukwazi ukuthetha nokuphefumla kwaye kubangele intambo yezwi ukukhubazeka. Unyango lunokubandakanya utyando, unyango lwelizwi, unyango lomzimba, kunye ne-chiropractic.
Ukwenzakala kweVocal Cord
Iintambo zezwi zimbini eziguquguqukayo zezicubu ze-muscle ekungeneni kwe-trachea. Iintambo zezwi zikholisa ukuba kwindawo evulekileyo ekhululekileyo ukuvumela ukuphefumla. Xa uthetha, iibhendi zidibanisa kwaye zingcangcazele ukwenza isandi. Utyando, usulelo lwentsholongwane, umhlaza othile, kunye nokwenzakala kwentamo kunokubangela ukukhubazeka kwelizwi. Kule meko, iibhloko zomonakalo we-nerve okanye zithintela iimpembelelo ekugqithiseni kwibhokisi yezwi. I Izihlunu, ezidla ngokuba ngomnye wazo, ziba ngumlwelwe, zithintele ukuginya kunye nokuginya amathe kuqhoqhoqho. . Kwiimeko ezinqabileyo, zombini izihlunu azikwazi ukuhamba.
iimpawu
Iimpawu kunye neempawu zingabandakanya:
Ukuphefumula okunzima Ukuqhawukelwa ngumphefumlo.
Ukuphefumla kakubi.
Ukuphefumla okungxolayo.
Ukuthetha iingxaki Isidingo sokuphefumla rhoqo ngelixa uthetha.
Ukulahleka kwesandi selizwi.
Ukungakwazi ukuthetha ngokuvakalayo.
Ingxaki Yokuginya Ukuminxa okanye ukukhohlela xa uginya.
Ukulahleka kwe-gag reflex. Ukukhohlela rhoqo kunye nokucocwa komqala.
Izizathu
Intamo okanye Ukwenzakala kwesifuba
Ukwenzakala entanyeni okanye esifubeni kunokwenzakalisa imithambo-luvo yebhokisi yelizwi.
Infections
Ukosuleleka njenge Isifo seLyme , i-virus ye-Epstein-Barr, kunye ne-herpes inokubangela ukuvuvukala kunye nomonakalo we-nerve.
Izidumbu
Amathumba, anomhlaza kwaye angenawo umhlaza, anokukhula ngaphakathi okanye ajikeleze izihlunu, intlala, kunye nemithambo-luvo.
Neurological
Iimeko ze-neurological ezifana ne-multiple sclerosis okanye isifo sika-Parkinson zinokukhokelela kwintambo yezwi.
Ukwenzakala Ngotyando
Iimpazamo zenkqubo yotyando okanye iingxaki okanye kufuphi nentamo okanye isifuba esiphezulu kunokubangela umonakalo kwiimbilini zebhokisi yezwi.
Utyando kwi-thyroid okanye i-parathyroid glands, i-esophagus, intamo, kunye nesifuba kunomngcipheko ophezulu.
Stroke
I-stroke iminxa ukuhamba kwegazi ukuya ebuchotsheni kwaye inokonakalisa indawo yobuchopho ehambisa imiyalezo kwibhokisi yelizwi.
impatho
Unyango lugqitywa ngugqirha ngokusekelwe kwimeko yonyango yomntu kunye neemvavanyo zokuxilonga. Unyango lunokubandakanya:
Unyango lweNtetho
Unyango lokuthetha lunconywa njengoko izihlunu ze-laryngeal zomelezwa ngeendlela ezahlukeneyo zokuzivocavoca, ukuphucula umsebenzi wokuphefumula. Ingcali yentetho iya kuqalisa ukusebenza nomntu ngamnye kwimithambo ejolise kwiifolthi zezwi ezibuthathaka ngokuphucula ukuhamba komoya kunye nokujikeleza kwegazi.
Unyango lomzimba kunye neChiropractic
Unyango lubandakanya ukwenza umthambo othambileyo osebenza kwiintambo zezwi ngokuthe ngcembe kwaye ngokuthe ngcembe kodwa ungazicinezeli. Iingcali ze-Chiropractors zisebenza kunye ne-physical therapist eyenza i-high-velocity, i-low-amplitude manipulation ejoliswe kwintamo ephantsi kunye nommandla ophezulu we-thoracic, i-vertebrae ye-C3 / T1. Isicwangciso sonyango siya kusebenzisa i-massage, i-decompression engeyiyo yokuhlinzwa, i-instrument / i-tool-assisted soft-tissue mobilization, i-laser ephantsi okanye i-ultrasound, kunye nokwelula kwasekhaya kunye nokuzivocavoca.
Ukuhlinzwa
Utyando lunokuba yimfuneko kubantu abangakhange baphucule nangona besenza intetho emiselweyo kunye nemithambo yonyango lomzimba. Iindidi ezahlukeneyo zeenkqubo zisekwe kwiqondo kunye nobungakanani bokukhubazeka:
Injections – I-Collagen kunye nezizalisi zijojowe kwiintambo zezwi ukuze zibuyisele imisipha echaphazelekayo kufuphi ne-larynx.Uvavanyo lwezandi – Iintambo zezwi zibekwe ngokutsha ngohlengahlengiso.Uluhlu lweTracheotomy – Ukuba i-vocal folds ivalwa, ugqirha unokwenza i-incision entanyeni kwindawo yokuvula i-windpipe kwaye afake ityhubhu yokuphefumla. Oku kudlula ukuvaleka komoya okubangelwa kukugoba kwezwi kwaye kukhuthaze ukujikeleza komoya okufanelekileyo.
Ukungazinzi kweCervical Spine
VIDEO
Ucaphulo
Chen, Ching-Chang, et al. "Isiphumo sexesha elide lokukhubazeka kwezwi emva kwe-discectomy yangaphambili yomlomo wesibeleko." Ijenali yaseYurophu yomgogodla: ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society vol. 23,3 (2014): 622-6. doi:10.1007/s00586-013-3084-y
Dankbaar JW, et al. Ukukhubazeka kwentambo yezwi: i-Anatomy, imaging, kunye ne-pathology. Imibono kuMfanekiso. 2014; doi:10.1007/s13244-014-0364-y.
Fitzpatrick, PC, kunye noRH Miller. "Ukukhubazeka kwentambo yezwi." IJenali ye-Louisiana State Medical Society: iqumrhu elisemthethweni le-Louisiana State Medical Society vol. 150,8 (1998): 340-3.
Kriskovich, MD et al. "I-Vocal fold paralysis emva kokuhlinzwa kwangaphambili komlomo wesibeleko: iziganeko, indlela, kunye nokuthintela ukulimala." ILaryngoscope vol. 110,9 (2000): 1467-73. doi:10.1097/00005537-200009000-00011
Ukukhubazeka kwelizwi. Iziko leSizwe lokungeva kunye nezinye iziphazamiso zoNxibelelwano. www.nidcd.nih.gov/health/vocal-fold-paralysis . Ifikeleleke ngoMeyi 18, 2022.
Ukukhubazeka kwelizwi. American Speech-Language-Hearing Association. www.asha.org/public/speech/disorders/Vocal-Fold-Paralysis . Ifikeleleke ngoMeyi 18, 2022.
Waddell, uRoger K. "Ukhathalelo lweChiropractic kwisigulane esine-spasmodic dysphonia ehambelana nokulimala komqolo wesibeleko." Ijenali yamayeza e-chiropractic vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6
by UGqr Alex Jimenez Umenzakalo owehle kwisiqu , Ukulimala okuMsebenzi
Iingozi zokutyibilika nokuwa ziphakathi kwezona zizathu zixhaphakileyo zokonzakala emsebenzini/zinokwenzeka naphi na. Iindawo ekusetyenzwa kuzo zinokuba nazo zonke iintlobo zokutyibilika okanye iingozi zokukhubeka, kubandakanywa imigangatho engalinganiyo okanye eqhekekileyo, izixhobo, ifenitshala, iintambo, imigangatho emanzi, kunye nobumdaka obuvela kwinkunkuma. Abantu ababandakanyeka kwingozi yokutyibilika nokuwa banokugcina ukwenzakala okwahluka ngokobuqatha. Isitshixo kukubona ugqirha okanye i-chiropractor ngokukhawuleza ukuba abhale ukulimala kunye nokuwa kunye nokuphuhlisa unyango lomntu kunye nesicwangciso sokubuyisela. Ukulimala kweChiropractic yezoNyango kunye neKliniki yeNyango eSebenzayo inokunceda.
Ukutyibilika kunye Nokulimala Okuwayo
Umntu unokufumana oku kulandelayo:
Ukulimala kwemisipha Umva kunye / okanye ukulimala kwentambo yomgogodla
Ukulimala kwe-Hip, idolo, kunye ne-ankle
Ukwenzakala kwemithambo-luvo
Amathambo aphukileyo okanye aphukile
Ukuqhekeka kobuso
Ukulimala kweBrain
ukukhubazeka
Ukukhubazeka okusisigxina
Izinto ezifaka isandla
Uhlobo lokulimala kunye neqondo lobunzima buxhomekeke kwizinto eziphathekayo kunye nebhayoloji ekhoyo ngexesha lokutyibilika kunye nokuwa. Ezi ziquka:
Imeko Yomzimba
Ubudala bomntu, ubungakanani, isini, kunye nempilo inokuchaphazela uhlobo lomonzakalo oluqhubekayo.
Ubude kunye nendawo yokuwa
Ukutyibilika, ukukhubeka, ukukhubeka, okanye ukukhubeka ukwenzakala kunokuba kuncinci ukuya kubunzima, kuxhomekeke kumandla, ukuphakama kunye nendawo.
Impembelelo yomphezulu
Ukukhawuleza ngexesha lokuwa kunye nendlela umzimba ochaphazela ngayo umphezulu udlala indima ebalulekileyo kubunzima bokulimala.
Indawo yokuma komzimba
I-reflexes ezikhuselayo, ezifana neengalo ezoluliweyo, ukuphula ukuwa okanye ukuba umzimba ubethe umhlaba ngokuthe ngqo unquma ukwenzakala kunye nokuba kungakanani na.
iimpawu
Iintlungu zemisipha kunye noxinzelelo zezona mpawu zixhaphakileyo emva kokutyibilika nokuwa.
I-fibers ye-muscle iyagqithisa, ibangela ukuvuvukala kunye nokudumba.
Intlungu inokuthi iqale ngokukhawuleza emva okanye emva kweentsuku ezimbalwa, eyaziwa ngokuba ziimpawu zokulimala okulibaziseka. Ukuba iimbilini zigcina ukulimala okanye ukucaphuka, ziqala ukuvuvukala, kwaye umzimba uphendule ukukhusela iindawo ezonakalisiweyo.
Ukuvutha koqhagamshelwano kunye nokucaphuka kunokubangela ukuqina kunye ne-spasms.
Ukuqhubeka nokungahambi kakuhle kunye neentlungu.
Ukukhathazeka kwesisu kunye neentlungu.
Ukugruzuka okubalulekileyo.
Ukulinganiselwa kwintshukumo.
Unyango lweChiropractic
I-Chiropractors ziingcali kwi ukutyibilika nokuwa ukonzakala kwaye uya kusebenzisa uhlengahlengiso kunye neeprothokholi ezahlukeneyo zonyango ukulungelelanisa umzimba kunye nokubuyisela umsebenzi. Injongo kukuthomalalisa iimpawu, ukubuyisela kwisimo sangaphambili indawo/indawo ezonzakeleyo, kunye nokubuyisela ukuhamba. Unyango lomzimba kunye nokuzivocavoca ukwakha amandla phantsi kolawulo lweengcali kunye nasekhaya kuphunyezwa ukubuyisela ukusetyenziswa kwenxalenye yomzimba owenzakeleyo.
Ukuvutha
VIDEO
Ucaphulo
Li, Jie, et al. "Izehlo zokutyibilika nokuwa emsebenzini: Uhlalutyo olubonakalayo lweNdawo yoPhando." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 16,24 4972. 6 Dec. 2019, doi:10.3390/ijerph16244972
Pant, Puspa Raj et al. "Ukwenzakala okunxulumene nekhaya kunye nomsebenzi kwisithili saseMakwanpur, eNepal: uvavanyo lwasekhaya." Ukuthintela ukwenzakala: ijenali ye-International Society for Child and Adolescent Injury Prevention vol. 27,5 (2021): 450-455. doi:10.1136/injuryprev-2020-043986
Shigemura, Tomonori, et al. "Iimpawu zokulimala kwe-stepladder kuwa: isifundo esibuyela emva." Ijenali yaseYurophu yokwenzakala kunye notyando olungxamisekileyo: upapasho olusemthethweni lweEuropean Trauma Society vol. 47,6 (2021): 1867-1871. doi:10.1007/s00068-020-01339-8
Smith, uCaroline K, kunye noJena Williams. "Ukonzakala okunxulumene nomsebenzi kwishishini lelori laseWashington State, ngokwecandelo leshishini kunye nomsebenzi." Ingozi; uhlalutyo kunye nothintelo vol. 65 (2014): 63-71. doi:10.1016/j.aap.2013.12.012
Unyana, uHyung Min, et al. "Ukulimala kokuwa emsebenzini okuzisa kwisebe likaxakeka." Iyeza likaxakeka iAustralasia: EMA vol. 26,2 (2014): 188-93. doi: 10.1111/1742-6723.12166
by UGqr Alex Jimenez Kokulimala Kwenzakalo , Umenzakalo owehle kwisiqu
The I-NHTSA Iirekhodi zibonisa ukuba ungquzulwano olungasemva zezona zixhaphakileyo kwaye zenza i-30% yazo zonke iingozi zendlela, iingozi, kunye nokungqubana. Ungquzulwano olungasemva lungaphuma ngokuzenzekelayo. Umzuzu omnye umqhubi ulinde kwindawo yokumisa okanye ekukhanyeni, ze ngequbuliso batsalelwe phambili ngamandla esinye isithuthi esikhokelela kumonzakalo omandundu nolulondolozayo olunokuthi lube nefuthe kubuchule bomzimba bomntu. Ukulimala kokuphela kwengozi ngokuqhelekileyo kuchaphazela intamo kunye nomva. Oku kungenxa yamandla agqithisileyo kunye nokuguquguquka okukhulu kunye nokubetha umzimba uhamba. Ukhathalelo lweChiropractic, i-massage, kunye nonyango lokuthomalalisa lunokulungelelanisa umzimba, luphumle imisipha, lukhulule imithambo-luvo ecinezelekileyo, lukhawuleze ukuchacha, kwaye lubuyisele ukuhamba kunye nomsebenzi.
Ngasemva-Ekupheleni Ukungqubana Ukwenzakala
Ukulimala kwangemva kokungqubuzana kungavela kumncinci ukuya kubunzima, kwaye oko kubonakala ngathi kukutsalwa okuncinci kunokubangela ukulimala kakhulu. Obona kwenzakala baxhaphakileyo baquka:
Ukudibanisa
Ukulimala kwentamo kunye nomqolo
Whiplash Ingqungquthela
Ingqondo ebuhlungu kunye nokunye ukwenzakala entloko. Ukwenzakala ebusweni
Ukwenzakala kwamazinyo
Ukwahlula
Amathambo ophukileyo
Iimbambo ezityumkileyo okanye ezaphukileyo
Imiphunga egqobhoziweyo
Ukuphuma kwamanzi
ukukhubazeka
Iimeko esele zikhona ngaphambili ezifana nesifo se-disc degenerative zingaba nzima.
Iintlobo zokungqubana
Ungquzulwano ngasemva lunokwenzeka ngeendlela ezininzi. Ezona ndidi zixhaphakileyo ziquka:
Ukudibanisa
Xa abaqhubi abangasemva belandela omnye umqhubi ngokusondeleyo kakhulu, aze umqhubi wenqwelo-mafutha ehlise isantya okanye kufuneka amise ngokukhawuleza, umqhubi ongasemva uyasibetha isithuthi kuba bekungekho xesha laneleyo nomgama owaneleyo wokumisa.
Ukungqubana kwesantya esicothayo
Isantya esicothayo/impembelelo ephantsi yongquzulwano okanye iifender benders kunokubangela ukulimala komnqonqo kunye ne-concussions.
Basenokukhokelela kumonzakalo ebusweni nasentloko ekuhanjisweni kwe-airbag ngokukhawuleza.
Iimfumba zeenqwelo-mafutha
Untlitheko olunye olungasemva kwisitalato esixakekileyo okanye uhola wendlela ophakathi kunokubangela ukungqubana kweemoto ezininzi.
Ezi ngozi zinokubangela ukwenzakala okumangalisayo.
Izizathu
Izizathu ezinokususa ingqalelo kwindlela ziquka:
Ukukhawuleza
Ukuqhuba okuphazamisekileyo – Ukuthetha okanye ukuthumela imiyalezo.
Ukudibanisa
Ukujonga into efana nengozi ngelixa uqhuba.
Iinguqu zendlela ezingakhuselekanga
Ukuqhuba ukozela okanye ukudinwa
Iingozi zesiza sokwakha
Imozulu embi
Iingozi kwiindawo zokupaka
Ukhathalelo lweChiropractic
Iimpawu zokonzakala ngasemva zisenokungabonakali ngokukhawuleza emva kwengozi. Kungathatha iiyure ezingama-24 ukuya kwezingama-48 ukuba iimpawu zokungakhululeki zivele kwaye ngamanye amaxesha ixesha elide. Ukungxama kweadrenaline kuvumela umntu ukuba angazifumani iimpawu zomzimba, yiyo loo nto abantu becinga ukuba baphilile xa bengekho. Ukungahoyi iimpawu kwandisa umngcipheko wokwenzakala ngokusisigxina. I-disc ye-herniated, umzekelo, eshiywe ingaphendulwanga, inokukhokelela kumonakalo osisigxina we-nerve. Unyango lwe-Chiropractic kwiingqungquthela zangasemva yenye yezona ndlela zisebenzayo ezikhoyo. I-chiropractor ilawula umgudu ukuze ilungelelanise intambo yomgogodla, ivumela umzimba ukuba unciphise ukuveliswa kwe-cytokine evuthayo, enciphisa impendulo yokuvuvukala. Ubuchwephesha obukhethekileyo kunye nezixhobo ezahlukeneyo zinokuhlengahlengisa i-vertebrae nganye, ukubuyisela ukuguquguquka okudibeneyo, kunye nokwaphula izicubu ezibomvu ukuze iindawo ziphole ngokukhawuleza.
Umqolo Kwingozi yemoto engasemva
VIDEO
Ucaphulo
Chen, Feng, et al. "Uphando malunga noBungqongqo bokulimala kwabaqhubi kwiiNgxwabangxwaba zangasemva phakathi kweemoto ezisebenzisa iParameters ye-Bivariate eyi-Order yeProbit." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 16,14 2632. 23 Jul. 2019, doi:10.3390/ijerph16142632
UDavis, C G. "Iimpembelelo zokugqibela: isithuthi kunye nempendulo yabahlali." Ijenali ye-manipulative and physiological therapeutics vol. 21,9 (1998): 629-39.
Ufa, uStephen, kunye noJ Walter Strapp. "Unyango lweChiropractic kwizigulana kwiingozi zemoto: uhlalutyo lwamanani." Ijenali yeCanadian Chiropractic Association vol. 36,3 (1992): 139–145.
Garmoe, W. “Ungquzulwano olungasemva.” Oovimba bezonyango bomzimba kunye nokubuyisela kwisimo sangaphambili vol. 79,8 (1998): 1024-5. doi:10.1016/s0003-9993(98)90106-x
by UGqr Alex Jimenez Ukunyamekela , Umenzakalo owehle kwisiqu
Ileli sesinye sezixhobo ezisetyenziswa kakhulu. Uninzi lwabantu luneleli okanye ezimbini emakhayeni abo okanye emsebenzini kwaye abaze bacinge ngeengozi. Ukuwa kwileli kunokukhokelela kukwenzakala okumandundu okunje ngeenyembezi zezihlunu, amathambo aphukileyo, umonakalo kumnqonqo, ukwaphuka kokakayi, okanye ukwenzakala kwengqondo. Injongo kukufundisa abaninimzi nabasebenzi ukuba balumke ngakumbi, bakhulise ulwazi lwabo, kwaye okomeleza. Imigaqo yokhuseleko .
ILadder Falls kunye nokwenzakala
Ngokutsho Centres for Disease Control and Prevention , ileli iwa yi-akhawunti yokwenzakala ngaphezu kwe-500,000 kunye nokufa kwe-300 ngonyaka. Kwaneengcali ezinamava kwezokhuseleko zinokwenza iimpazamo ezilula njengokuthwala umthwalo onzima okanye ukungaboni iimpawu zokunxiba okanye isiphene esikhokelela ekwenzakaleni.
Izizathu
Izizathu zinokuvela kwiziphene okanye iimpazamo zabasebenzisi. Ezi ziquka:
Ileli Enesiphene
Indala igugile
Yonakele okanye yophukile
Iintambo ezikhululekileyo okanye eziqhekekileyo
Iileli ezisongayo ngexesha lokusetyenziswa
Ukusebenzisa uhlobo olungafanelekanga lweleli kumsebenzi okanye umsebenzi
Ukusetyenziswa kweLeli ngokungafanelekanga
Ukuthwala izinto eziyingozi okanye imithwalo enzima
Ukuzolula okanye ukufikelela kude kakhulu
Ukungaphumeleli ukukhusela ileli ngokufanelekileyo
Ukungakhathali okanye ukudlala ihashe
Ukulimala
Ukuwa okuqhelekileyo kunokubangela ukulimala kakhulu ngokwaneleyo ukuba kufuneke ukhathalelo lwezonyango . Ngokumalunga nokuwa kweyodwa kwezihlanu, ngokomyinge, kubangela ukonzakala okubi okubandakanya.
Izihlunu kunye / okanye iinyembezi
Ukwenzakala entanyeni nasemva
Iidiski zeHerniated
Ukulimala kwe-Hip kunye nokwaphuka
Amathambo ophukileyo
Ukulimala kwentambo yomgca
Iingxabano zeSkull
Ukulimala kwengqondo ebuhlungu
Nakuphi na kolu konzakala kunokubangela ukukhubazeka okusisigxina okanye iimeko ezingapheliyo.
Ukhathalelo lweChiropractic
Ukuwa kungonakalisa amalunga, imisipha, amathambo, kunye nemigqa ngaphandle kokuqonda ukuba kukho ingxaki okanye ukulimala. Umqolo kunye nomnqonqo zidla ngokuchaphazeleka. Xa ufika phantsi emhlane wakho, amajoyina adibanisa ikholomu yomgogodla angatyibilika, abangele ukuvuvukala kunye nokuvuvukala kwamalungu. Ukuthintela intlungu engapheliyo kunye nokunciphisa intlungu ebuhlungu, ukufuna unyango kunye nokunakekelwa kwe-chiropractic ngokukhawuleza kuyacetyiswa. Emva kokuqinisekisa ukuba umqolo awuphuki okanye uphukile, i-chiropractor inokuzisa ukukhululeka kunye nokubuyisela ukuhamba kunye nokusebenza. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic zizinikele ekuncedeni abantu ukuba babuyisele kwisimo sangaphambili kwaye baphile nzakala . Siphuhlisa isicwangciso esenzelwe wena ukwandisa amandla okubuyisela kunye nokubuyela kwimisebenzi yemihla ngemihla ngokukhawuleza.
Ikhuselekile Ngemizuzwana
VIDEO
Ucaphulo
Cabilan, CJ et al. "Impembelelo yezinga elinxulumene neleli liwela kwisebe likaxakeka kunye neengcebiso zokhuseleko lweleli." Iyeza likaxakeka iAustralasia: EMA vol. 30,1 (2018): 95-102. doi: 10.1111/1742-6723.12854
Hicks, Cameron, et al. "Ukusetyenziswa kweLeli Kubantu abadala: Uhlobo, ukuphindaphinda, imisebenzi, kunye nezibikezelo zokuziphatha koMngcipheko." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 18,18 9799. 17 Septemba 2021, doi:10.3390/ijerph18189799
"Ileli iyawa." Iindaba zempilo (Waltham, Mass.) vol. 4,2 (1998): 7.
Muir, L, kunye noS Kanwar. "Ukulimala kweleli." Ukwenzakala vol. 24,7 (1993): 485-7. doi:10.1016/0020-1383(93)90156-z
Partridge, RA et al. "Izizathu kunye neepatheni zokulimala kwileli yokuwa." Iyeza lezemfundo likaxakeka: ijenali esemthethweni yoMbutho wezoNyango oluNgxamisekileyo lwezemfundo vol. 5,1 (1998): 31-4. doi:10.1111/j.1553-2712.1998.tb02571.x
by UGqr Alex Jimenez Chiropractic , Whiplash
I-Whiplash yokulimala kwentamo apho, ngenxa yokuba imithwalo kunye nokufuduka kuphuhliswa entanyeni, ibe yinto enomdla kakhulu ekufundeni iindlela zokulimala kwe-whiplash. Izifundo zezifundo zabantu, nangona kunjalo, zichaze kuphela isantya esiphezulu sentloko ngokumalunga nesakhelo esimiselweyo.
Ekubeni ukukhawuleza kwentloko kudla ngokuba ngumphumo wempembelelo yokuthintela intloko, ezi xabiso eziphezulu zinokuthi zilungele ukulimala kwe-whiplash kwaye azibonakalisi imithwalo ephuhliswe kwizicubu zentamo. I-kinematics yentloko iye yabalwa ngokumalunga ne-axis phakathi kwe-C7-T1 vertebra ukubonelela ngesibonakaliso esingcono se-dynamics. Incopho yokuqala kwiziphumo zomkhondo wokukhawulezisa ukusuka kwisantya somzimba xa kuthelekiswa nentloko emileyo.
Le peak yincopho enkulu kwaye kamva yokukhawuleza, ilawulwa yimpembelelo phakathi kokuthintela intloko kunye nentloko. Xa ukunyuswa kwentloko kulinganiswa, isiphumo esigxininisa ukubaluleka kokulinganisa isihlobo sentloko kunokuba i-dynamics epheleleyo, incopho yokuqala embi ayibonwa.
Isizathu sokulimala kweWiflash
Iimvavanyo zeCadaveric, izilwanyana kunye nabantu ziye zakhokelela abaphandi ukuba bacebise iindawo ezahlukeneyo ze-anatomical zokulimala kwe-whiplash, kuquka amalungu omlomo wesibeleko , i-facet capsular ligaments, i-vertebral arteries, i-dorsal root ganglia, i-craniovertebral junction, kunye nezihlunu zomlomo wesibeleko. Ukulimala kwemisipha kunokuba noxanduva lweempawu ezithile kwizigulane; nangona kunjalo, kwiindawo ze-anatomical ezidweliswe ngasentla, kuphela i-facet joints ziye zadibaniswa neentlungu ezingapheliyo ze-whiplash. Amalungu e-facet abe ingqwalasela yophando olujoliswe ekuqondeni isiseko somatshini wokulimala okungapheliyo kwe-whiplash.
Kuphononongo olwenziwa ngabaphandi kunye noogxa (i-1996), intlungu engapheliyo ye-whiplash yakhululwa malunga ne-60% yezigulane ze-whiplash ngamasebe e-anesthetizing medial ye-ramical dorsal rami. Amagatsha e-Articular avela kula ma-nerve ahamba ngee-capsular tissues kwaye mhlawumbi avela kwi-capsular tissue esuka kwi-mechanoreceptors kunye ne-nociceptors. Iziza ezinokwenzeka zokulimala ngaphakathi kwee-facet joints ziquka iifractures of the bony elements, bruising of the rectal folds (menisci), okanye ukuphuka okanye iinyembezi ze-capsular ligament. I-Skeletal fractures kunye ne-aspect hemarthroses ayibonakali ngokuqhelekileyo kwizigulane ze-whiplash kwaye ngoko zihambelana nokulayisha. Ukutshatyalaliswa kweefolthi kuqhelekile emva kokulimala kwesifuba okanye ukulimala kwentloko, kunye nokunyakaza kwe-vertebra yomlomo wesibeleko ehambelana nolu hlobo lokulimala kuye kwabhalwa ngexesha lomthwalo onzima ohambelana nokulimala kwe-whiplash kwizifundo zabantu.
I-Cineradiography esetyenziselwa ukuhlola ukunyakaza kwe-intervertebral yezifundo ezivezwe kwiimpembelelo ezifanisiweyo zibonise ukuba i-C5 vertebra ijikeleza malunga nesigaba kunokuba ngexesha lokwandiswa kokuzithandela. Lo mzekelo wokuhamba ubangele ukunyanzeliswa kwamalungu e-facet ngasemva ngokusebenzisa ukunyakaza okubangelwa yimpembelelo ngexesha lomsebenzi kunye nokunyuka kokuphazamiseka kwemizimba ye-vertebral ngaphambili. Aba baphandi bacebise ukuba i-posterior synovial fold inokuthi ixinzelelwe ngokunyanzeliswa ngasemva kwee-facet joints nangona le ntshukumo itshintshiweyo yafunyanwa kwizifundo ezine kuphela ezintandathu. Le ndlela ecetywayo yokulimala iyathembisa. Uphando lokulandelela olulinganisa imithwalo esetyenziswa kwi-meniscus ngexesha lokuvezwa kwe-whiplash kunye nemithwalo efunekayo ukulimaza i-meniscus iyadingeka ukuze kuqinisekiswe ukuba le ndlela yokulimala ecetywayo yenzeke kwimithwalo eyenziwa ngexesha lokungqubana okuvelisa ukulimala kwe-whiplash.
The ii-capsules ezidibeneyo ze-facet ziqulethe kakuhle, imithambo-luvo engafakwanga ekusenokwenzeka ukuba inomsebenzi we-nociceptive. Ukuphelisa le ligaments ngenaliti yemidiya eyahlukileyo kuvelise iipatheni zentlungu efana ne-whiplash kubantu abaqhelekileyo. Iinyembezi okanye ukuphuka kwi-facet facet joint capsular ligaments ziye zabonwa phantsi kweemeko ezinzima zokulayisha. Ukugqithiswa kwe-capsular ligament strain kwacetywayo njengendlela yokulimala kwe-whiplash phantsi kweemfuno ezincinci zokulayishwa okuphakathi. Ngokulayishwa okulandelayo kokungaphumeleli, ukunyanzeliswa kweteknoloji kwi-capsular ligaments phantsi kwee-whiplash-like heaps kunye namacandelo e-cadaveric motion asanda kubalwa. Ubuninzi beengxaki kwi-facet joint capsular ligaments phantsi kwemithwalo, ngokomyinge, isiqingatha. Kwimizekelo emibini ye-13, iingoma eziphezulu ezibonwe kwi-ligament phantsi kweemfumba ezinjenge-whiplash zazinkulu kunezo zifunyenwe ekungaphumeleli kwazo kokuqala.
Oku kufunyanisiweyo kucebise ukuba imithwalo yentamo ephuhliswe ngexesha lengozi yemoto inokwenzakalisa i-facet capsular ligaments. Umsebenzi oqhubekayo uyadingeka ukufumanisa ukuba ezi ziqhekeza zivelisa intlungu kunye nokuba ukungaphumeleli kwe-subcatastrophic echongiweyo kunye nekhefu ngaphakathi kwe-capsular ligaments ekuphenduleni izicubu ezihambelanayo.
Ukulimala kwe-Whiplash kuye kwabonakala kunzima ukuphanda kuba i-pathoanatomy yayo iye yahlala ingaqondwa kakuhle. Amalungu e-facet abekwe yedwa njengendawo yentlungu engapheliyo kubantu abaninzi.
Ukuqonda kangcono i-etiology yokulimala kwe-whiplash kuya kukhokelela ekuphuculeni ukunakekelwa kunye neendlela zokukhusela ukulimala. Uvavanyo lwesifundo somntu lunikeze ulwazi oluyimfuneko lwe-kinematic kunye ne-kinetic impendulo efunekayo ukuze kuqhutywe iimvavanyo zezo seli, kunye nokuhlolwa kwezicubu kuye kwakhokelela ekubeni kubekho inkcazo yomatshini wokulimala kwe-whiplash. Uphando olongezelelweyo luyafuneka ukugqiba ukudibanisa phakathi kweempawu ze-whiplash ezifunyanwa ngabantu abathile kunye nengozi yemoto.
Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngokukhetha kulo mbandela, nceda ubuze uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
NguDkt Alex Jimenez
Imixholo eyongezelelweyo: Ukulimala kweengozi zeMoto
I-Whiplash, phakathi kwezinye iingozi zengozi yemoto, isoloko ixelwa ngamaxhoba okungqubana kwemoto, kungakhathaliseki ukuba ubunzima kunye nebakala lengozi. I-Whiplash ngokuqhelekileyo isiphumo se-jolt ngokukhawuleza, emva nangaphandle kwentloko kunye nentamo kuyo nayiphi na indlela. Amandla amakhulu empembelelo angabangela umonakalo okanye ukulimala kumqolo wesibeleko kunye nomqolo wonke. Ngethamsanqa, iindlela ezahlukeneyo zonyango ziyafumaneka ukunyanga ukwenzakala kwingozi yemoto.
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