Kokulimala Kwenzakalo
I-Back Clinic Auto Accident Injuries Chiropractic kunye nePhysical Therapy Team. Iingozi ezininzi zeemoto zenzeka kwihlabathi lonke minyaka le, zichaphazela inani elibanzi labantu, ngokwasemzimbeni nasengqondweni. Ukususela kwintamo kunye neentlungu zangasemva ukuya kwiifractures zamathambo kunye ne-whiplash, ukulimala kwengozi yemoto kunye neempawu zabo ezihambelanayo zinokucela umngeni kwimpilo yemihla ngemihla yalabo bafumana iimeko ezingalindelekanga.
Iqoqo likaDkt Alex Jimenez lamanqaku lixoxa ngokulimala kwemoto okubangelwa yintlungu, kubandakanywa neempawu ezithile ezichaphazela umzimba kunye neendlela ezithile zonyango ezikhoyo kwingozi nganye okanye imeko ebangelwa yingozi yemoto. Ukubandakanyeka kwingozi yemoto akukwazi nje ukukhokelela ekulimazeni kodwa banokuzala ukudideka kunye nokuphazamiseka.
Kubaluleke kakhulu ukuba ube nomboneleli oqeqeshiweyo okhethekileyo kule mibandela ukuvavanya ngokupheleleyo iimeko ezijikeleze nayiphi na ingozi. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Umenzakalo owehle kwisiqu, Ukulimala okuMsebenzi
Abantu banokungaqondi ukuba unobambo oluqhekekileyo de iimpawu ezinjengeentlungu xa uphefumlela phezulu ziqala ukubonakala. Ngaba ukwazi iimpawu kunye noonobangela bokuqhekeka kweimbambo okanye okwaphukileyo kunokunceda ekuxilongeni nasekunyangweni?
Ubambo oluqhekekileyo
Imbambo eyaphukileyo / eyaphukileyo ichaza nakuphi na ukuphuka kwethambo. Ubambo oluqhekekileyo luhlobo lokwaphuka kwembambo kwaye luyinkcazelo engaphezulu kunoxilongo lwezonyango lwembambo ethe yaphuka inxenye. Nayiphi na impembelelo engacacanga esifubeni okanye ngasemva inokubangela ubambo oluqhekekileyo, kuquka:
- Ukuwa
- Ukungqubana kwemoto
- Ukulimala kwezemidlalo
- Ukukhohlela okunobundlobongela
- Uphawu oluphambili lubuhlungu xa uphefumla.
- Umonzakalo uphola kwiiveki ezintandathu.
iimpawu
Iimbambo eziqhekekileyo zidla ngokubangelwa kukuwa, ukwenzakala esifubeni, okanye ukukhohlela okunobundlobongela. Iimpawu ziquka:
- Ukudumba okanye ukuthamba kwindawo eyonzakeleyo.
- Intlungu yesifuba xa uphefumla/uphefumla, uthimla, uhleka, okanye ukhohlela.
- Intlungu yesifuba ngokunyakaza okanye xa ulele phantsi kwiindawo ezithile.
- Ukugruzuka okunokwenzeka.
- Nangona kunqabile, ubambo oluqhekekileyo lunokubangela iingxaki ezifana nenyumoniya.
- Bonana nomboneleli wezempilo ngokukhawuleza ukuba ufumana ubunzima bokuphefumla, iintlungu ezibuhlungu zesifuba, okanye ukhohlokhohlo oluzingileyo olunemifinya, umkhuhlane ophezulu, kunye/okanye nengqele.
iintlobo
Kwiimeko ezininzi, ubambo ludla ngokuphuka kwindawo enye, lubangele ukwaphuka okungaphelelanga, okuthetha ukuqhekeka okanye ukuqhekeka okungahambi ngethambo. Ezinye iintlobo zokwaphuka kwembambo ziquka:
Abagxothiweyo kunye nokwaphuka kweNondisplaced
- Iimbambo ezaphuke ngokupheleleyo zinokushenxiswa okanye zingasuki endaweni.
- Ukuba ubambo luyashukuma, oku kwaziwa njenge a ukwaphuka kweembambo kwaye kunokwenzeka ukuba agqobhoze imiphunga okanye wonakalise ezinye izihlunu kunye namalungu. (Yale Medicine. 2024)
- Ubambo oluhlala endaweni luthetha ukuba ubambo alwaphuki ngokupheleleyo phakathi kwaye lwaziwa ngokuba yi-a Ukwaphuka kwembambo ngaphandle kwendawo.
Isifuba seFlail
- Inxalenye ye-ribcage inokwaphuka kwithambo elijikelezileyo kunye nesihlunu, nangona oku kunqabile.
- Ukuba oku kwenzeka, i-ribcage iya kulahlekelwa ukuzinza, kwaye ithambo liya kuhamba ngokukhululekile njengoko umntu ekhupha okanye ekhupha.
- Eli candelo leembambo ezaphukileyo libizwa ngokuba yi-flail segment.
- Oku kuyingozi njengoko kunokugqobhoza imiphunga kwaye kubangele ezinye iingxaki ezimandundu, njengenyumoniya.
Izizathu
Izizathu eziqhelekileyo zokuqhekeka kweimbambo ziquka:
- Ukungqubana kwemoto
- Iingozi zabahambi ngeenyawo
- Falls
- Ukwenzakala kwempembelelo kwimidlalo
- Ukusetyenziswa ngokugqithiseleyo / ukuphindaphinda uxinzelelo oluziswa ngumsebenzi okanye imidlalo
- Ukukhohlela kakhulu
- Abantu abadala banokufumana ukuphuka ngenxa yokulimala okuncinci ngenxa yokulahleka okuqhubekayo kweeminerali zethambo. (UChristian Liebsch et al., 2019)
Ukuqheleka Kokwaphuka Iimbambo
- Ukuqhekeka kweembambo lolona hlobo luqhelekileyo lokuqhekeka kwamathambo.
- Zibalelwa kwi-10% ukuya kwi-20% yazo zonke iingozi ezibuhlungu ezibonwa kumagumbi angxamisekileyo.
- Kwiimeko apho umntu efuna ukunyamekelwa ngokwenzakala okungafihlisiyo esifubeni, i-60% ukuya kwi-80% ibandakanya ubambo olwaphukileyo. (UChristian Liebsch et al., 2019)
Ukuqondwa
Ubambo oluqhekekileyo lufunyaniswa ngovavanyo lomzimba kunye novavanyo lwemifanekiso. Ngexesha lovavanyo, umboneleli wezempilo uya kumamela imiphunga, acinezele ngobunono ezimbanjeni, kwaye abukele njengoko iimbambo zihamba. Iinketho zovavanyo lomfanekiso ziquka: (USarah Majercik, uFredric M. Pieracci ngo-2017)
- X-ray – Ezi zezokubona iimbambo ezisandul’ ukuqhekeka okanye ezaphukileyo.
- CT Scan – Olu vavanyo lomfanekiso lubandakanya ii-X-reyi ezininzi kwaye luyakwazi ukubona iintanda ezincinci.
- MRI – Olu vavanyo lomfanekiso lwenzelwe izicubu ezithambileyo kwaye ziyakwazi ukubona ikhefu elincinci okanye umonakalo we-cartilage.
- IBone Scan - Olu vavanyo lokucinga lusebenzisa i-tracer ye-radioactive ukuze ibone isakhiwo samathambo kwaye ingabonisa ukuphulwa koxinzelelo oluncinci.
impatho
Ngaphambili, unyango lwalubandakanya ukusonga isifuba ngebhanti eyaziwa ngokuba yibhanti yembambo. Ezi azifane zisetyenziswe namhlanje njengoko zinokunqanda ukuphefumla, zinyusa umngcipheko wenyumoniya okanye ukuwohloka kwenxalenye yemiphunga. (L. May, C. Hillermann, S. Patil 2016). Imbambo eqhekekileyo kukuqhekeka okulula okudinga oku kulandelayo:
- Ukuphumla
- I-over-the-counter okanye amayeza amiselweyo anokunceda ukulawula iimpawu zentlungu.
- Amachiza achasene nokudumba kwe-nonsteroidal - ii-NSAID ezifana ne-ibuprofen okanye i-naproxen ziyacetyiswa.
- Ukuba ikhefu libanzi, abantu banokumiselwa amayeza eentlungu ezinamandla ngokuxhomekeke kubunzima kunye neemeko eziphantsi.
- Unyango lomzimba lunokukhawuleza inkqubo yokuphulukisa kunye nokunceda ukugcina uluhlu lwentshukumo yodonga lwesifuba.
- Kwizigulana ezibuthathaka kunye nabantu abadala, unyango lomzimba lunokunceda isigulana sihambe kwaye senze imisebenzi ethile ibe yesiqhelo.
- Umgulana womzimba unokuqeqesha umntu ukuba atshintshe phakathi kwebhedi kunye nezihlalo ngokukhuselekileyo ngelixa egcina ulwazi lwazo naziphi na iintshukumo okanye indawo eyenza intlungu ibe nzima.
- I-physical therapist iya kumisela ukuzivocavoca ukugcina umzimba womelele kwaye ube lilungu kangangoko kunokwenzeka.
- Ngokomzekelo, i-lateral twists inokunceda ukuphucula uluhlu lwentshukumo kwi-thoracic spine.
- Ngexesha lokuqala lokubuyisela, kucetyiswa ukuba ulale kwindawo ethe tye.
- Ukulala phantsi kunokongeza uxinzelelo, kubangele intlungu kwaye mhlawumbi kubangele ukulimala.
- Sebenzisa imiqamelo kunye neebolsters ukunceda ukuxhasa ukuhlala ebhedini.
- Enye indlela kukulala kwisitulo sokulala.
- Ukuphilisa kuthatha ubuncinane iiveki ezintandathu. (L. May, C. Hillermann, S. Patil 2016)
Ezinye iimeko
Oko kunokuvakala ngathi ubambo oluqhekekileyo lunokuba yimeko efanayo, yiyo loo nto kubalulekile ukuba uhlolwe. Ezinye iimpawu ezinokuba ngunobangela zinokubandakanya:
Emergency
Eyona ngxaki ixhaphakileyo kukungakwazi ukuphefumla kakhulu ngenxa yeentlungu. Xa imiphunga ingakwazi ukuphefumla nzulu ngokwaneleyo, imifinya kunye nokufuma kunokwakhelana kwaye kukhokelela kusulelo olufana nenyumoniya. (L. May, C. Hillermann, S. Patil 2016). Ukuqhekeka kweembambo ezifudukayo kunokonakalisa ezinye izicubu okanye amalungu, kwandisa umngcipheko wokuwa kwe-lung / pneumothorax okanye ukopha kwangaphakathi. Kuyacetyiswa ukuba ufune unyango olukhawulezileyo ukuba iimpawu zivela ngolu hlobo:
- Ukuqhawukelwa ngumphefumlo
- Ukuphefumula okunzima
- Umbala oluhlaza wolusu obangelwa kukungabikho kweoksijini
- Ukhohlokhohlo oluzingileyo olunemifinya
- Intlungu yesifuba xa uphefumla ngaphakathi nangaphandle
- Umkhuhlane, ukubila, kunye nokugodola
- Iqondo lentliziyo ekhawulezayo
Amandla oNyango lweChiropractic ekuBuyiselweni kokulimala
Ucaphulo
Yale Medicine. (2024). Ukwaphuka kwembambo (ubambo olwaphukileyo).
Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Iipateni ze-serial rib fractures emva kokwenzakala kwesifuba: Uhlalutyo lwamatyala angama-380. PloS enye, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Ulawulo lokwaphuka kwembambo. Imfundo ye-BJA. Umqulu 16, ushicilelo 1. Amaphepha 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). I-Chest Wall Trauma. Iiklinikhi zotyando lweThoracic, i-27 (2), i-113-121. doi.org/10.1016/j.thorsurg.2017.01.004
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, I-Hip Pain kunye nokuphazamiseka
Njengenye yezona ndawo zithwele umthwalo emzimbeni, izinqe ziphantse zichaphazele yonke intshukumo. Ukuba umdibaniso we-hip ubandakanyeka kwingozi yemoto, indawo kwi-joint / hip capsule inokuzalisa ngamanzi, okubangela ukuxutywa kwe-joint effusion okanye ukuvuvukala, ukuvuvukala, intlungu ebuhlungu, kunye nokuqina. Intlungu ye-Hip yimpawu eziqhelekileyo zokulimala ezichazwe emva kokuphazamiseka kwesithuthi. Le ntlungu inokusuka kwi-mild to serious kwaye ingaba yethutyana okanye iqhubeke iinyanga. Kungakhathaliseki ukuba inqanaba lentlungu ekhoyo, kufuneka kuthathwe isenzo ngokukhawuleza ukuphepha umonakalo wexesha elide. Abantu ngabanye bafuna ukhathalelo olukumgangatho ophezulu, olujolise kwisigulane kwiingcali ezinamava ngokukhawuleza ukuze bangene endleleni eya ekuchacheni.
Ukwenzakala kwiNgxaki yeSithuthi
Amalungu e-hip kufuneka abe nempilo kwaye asebenze ngokufanelekileyo ukuze ahlale esebenza. I-arthritis, i-hip fractures, i-bursitis, i-tendonitis, ukulimala ngenxa yokuwa, kunye nokungqubana kweemoto zezona zizathu eziqhelekileyo zentlungu engapheliyo ye-hip. Ngokuxhomekeke kuhlobo lokulimala, abantu ngabanye banokufumana iimpawu zentlungu ethangeni, kwi-groin, ngaphakathi kwe-joint hip, okanye kwii-buttocks.
Ukulimala okuManyeneyo
Ukulimala okuqhelekileyo okubangela intlungu kwi-hip emva kokungqubana kubandakanya:
I-Hip Ligament Sprains okanye i-Strains
- I-hip ligament sprain okanye i-strain ibangelwa ukugqithiswa okanye ukukrazuka kwemigqa.
- Ezi zicubu zidibanisa amathambo kwamanye amathambo kwaye zibonelela ngokuzinza kumalungu.
- Ezi nzakala zinokufuna kuphela ukuphumla kunye nomkhenkce ukuze uphilise, kuxhomekeke kubunzima.
- I-Chiropractic, i-decompression, kunye nonyango lwe-massage ye-massage lunokuba luyimfuneko ukuze ulungelelaniso kunye nokugcina izihlunu ziguquguquke kwaye zikhululekile.
Bursitis
- I-Bursitis kukudumba kwe-bursa, okanye ingxowa ezaliswe lulwelo ebonelela nge-cushioning/impahla phakathi kwamathambo nezihlunu.
- Ngenye yezona zinto zibangela iintlungu ze-hip emva kokungqubana kwemoto kwaye ifuna unyango olukhawulezileyo.
Tendonitis
- I-Tendonitis luhlobo lokulimala oluchaphazela izicubu ezithambileyo njengee-tendon kunye ne-ligaments, ngokuchasene nethambo kunye nemisipha.
- I-Tendonitis inokubangela intlungu engapheliyo kunye neempawu ezahlukahlukeneyo ezingathandekiyo kunye nommandla we-hip ukuba awuzange uphathwe.
Iqhwa le-Labral Tear
- Ukukrazuka kwe-hip labral luhlobo lomonakalo odibeneyo apho i-tissue ethambileyo / i-labrum egqume i-socket ye-hip ikrazuka.
- I-tissue iqinisekisa ukuba intloko yethanga lihamba kakuhle ngaphakathi kwendawo edibeneyo.
- Ukulimala kwi-labrum kunokukhokelela kwiimpawu ezibuhlungu ezibuhlungu kunye nokuchaphazela ukuhamba.
Ukuchithwa kweHip
- Ukukhutshwa kwe-hip kuthetha ukuba ibhola ye-femur iye yaphuma kwi-socket, ibangela ukuba ithambo lomlenze ongaphezulu likhuphe ngaphandle kwendawo.
- Ukuchithwa kwe-Hip kunokubangela i-avascular necrosis, okukukufa kwethambo lethambo ngenxa yokuvaleka kwegazi.
I-Hip Fractures
- Amathambo e-hip anokwahlulwa abe ngamacandelo amathathu:
- Unyawo
- Umzi
- Ischium
- Ukuqhekeka kwe-hip, okanye i-hip ephukile, kwenzeka nanini na xa ikhefu, i-crack, okanye i-crush yenzeke kuyo nayiphi na enye yale nxalenye ye-hip.
I-Acetabular Fracture
- Ukuqhekeka kwe-acetabular kukuphuka okanye ukuqhekeka ngaphandle kwe-socket ye-hip ebambe amathambo e-hip kunye nethanga kunye.
- Ukuqhekeka kweli lungu lomzimba akuqhelekanga ngenxa yendawo.
- Amandla abalulekileyo kunye neempembelelo zihlala ziyimfuneko ukubangela olu hlobo lokuphuka.
iimpawu
Ukuba kukho naziphi na iimpawu ezilandelayo emva kokuphazamiseka kwesithuthi, kunokuba yingozi ye-hip kwaye kufuneka ihlolwe ngugqirha wezonyango. Ezi ziquka:
- Ubuhlungu okanye ububele kwindawo yokwenzakala.
- Ukuthuthuzela.
- Ukudumba.
- Ubunzima bokuhambisa i-hip / s.
- Ubuhlungu obukhulu xa uhamba.
- Ukuqhwalela.
- Ukuphelelwa ngamandla kwezihlunu.
- Intlungu zesisu.
- Iintlungu zamadolo.
- Iintlungu zegroin.
Unyango kunye nokuBuyiselwa kwisimo sesiqhelo
Ugqirha okanye ingcali kufuneka ihlale ivavanya iingxaki ze-hip kunye neempawu zentlungu. Ngoncedo lovavanyo lomzimba kunye nokuxilongwa njenge-X-reyi, i-CT Scans, okanye i-MRI, ugqirha unokuxilonga kwaye acebise iindlela zonyango. Unyango emva kwengozi yemoto ixhomekeke kubukhulu bomonakalo. Umzekelo, Ukuqhekeka kwe-hip ngokuqhelekileyo kufuna utyando olukhawulezileyo, ngelixa ezinye iingozi zifuna kuphela amayeza, ukuphumla kunye nokuvuselelwa. Izicwangciso zonyango ezinokwenzeka ziquka:
- Ukuphumla
- Iintlungu, iziphumlisi zemisipha, kunye neyeza lokuchasa ukudumba.
- Ulungiso lwenyama
- Ukunyanga kwamayeza
- Uhlengahlengiso lweChiropractic
- Ukunyibilika komgogodla
- Ukusebenzisa unyango
- Iinaliti zesteroid
- Utyando - emva kokuhlinzwa, umgulana womzimba unokunceda ukwelula kunye nokusebenza kwiimisipha ezijikeleze i-hip ukuze ufumane ukuhamba kunye nokuguquguquka kokubuyisela ngokupheleleyo.
- Ukutshintshwa kwe-hip ngokupheleleyo
Iqela lethu lisebenzisana neengcali eziyimfuneko ukubonelela ngononophelo olupheleleyo olufunekayo ukuze ufumane ukuchacha ngokupheleleyo kunye nokuphiliswa koncedo lwexesha elide. Iqela liza kusebenza kunye ukwenza isicwangciso sonyango esibanzi sokuqinisa imisipha ye-hip ukuze ufumane inkxaso engcono kunye nokwandiswa koluhlu lokunyakaza.
Intshukumo njengeyeza
Ucaphulo
Cooper, uJoseph, et al. "I-hip dislocation kunye nokulimala kwangaxeshanye kwiingozi zemoto." Ukwenzakala vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
UFadl, uShaimaa A, kunye noClaire K Sandstrom. "IiPattern Recognition: Indlela eSekwe kwiNdlela yokuFumana ukwenzakala emva kokuNgqwidiza kweeMoto." Radiographics: upapasho lophononongo lweRadiological Society of North America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
UFrank, uCJ et al. "Ii-acetabular fractures." Ijenali yezonyango yaseNebraska vol. 80,5 (1995): 118-23.
UMasiewicz, uSpencer, et al. "I-Posterior Hip Dislocation." I-StatPearls, i-StatPearls iPapasha, ngomhla wama-22 kuTshazimpuzi ka-2023.
UMonma, H, kunye noT Sugita. "Ngaba indlela yokutshatyalaliswa kwe-hip emva kokulimala kwe-brake pedal endaweni yokulimala kwedashboard?" Ukwenzakala vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
UPatel, uVijal, et al. "Ubudlelwane phakathi kokuthunyelwa kwe-airbag yamadolo kunye nomngcipheko wokulimala kwedolo-ethangeni-hip kwiingozi zemoto: isifundo esihambelanayo." Ingozi; Uhlalutyo kunye noThintelo vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023
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
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 | 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
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 | Kokulimala Kwenzakalo, Chiropractic, Ubuhlungu obungapheliyo, Unyango lokuthotywa koMnqonqo
intshayelelo
Wonke umntu uhlala ehamba ngezithuthi zakhe njengoko besuka kwenye indawo besiya kwenye ngexesha elincinci. Ngamanye amaxesha iingozi zenzeka njengezithuthi ukungqubana omnye komnye kwaye ibangele iintlungu ezibuhlungu emzimbeni njengoko usiya phambili, ubangela umva kwaye intlungu entanyeni kumntu ngamnye. Ezi ziziphumo zomzimba emzimbeni, kodwa impembelelo yeemvakalelo nayo ithatha ubunzima kumntu ngamnye. Inokubangela ukuba umntu akhathazeke kwaye achaphazele umgangatho wobomi bakhe. Inqaku lanamhlanje lixubusha imiphumo yengozi yemoto zibangelwa umva kunye nomzimba, kunye nendlela unyango olungasebenziyo lwe-decompression lunokunceda ngayo ukunciphisa intlungu emqolo kwingozi yemoto. Izigulane zibhekiswa kubaboneleli abaqeqeshiweyo, abanezakhono ezikhethekileyo kwi-spinal decompression kunye nonyango olungenalo utyando. Sihamba kunye nezigulana zethu ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo ibalulekile ekubuzeni imibuzo ebalulekileyo kubaboneleli bethu. UDkt Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ngaba i-inshorensi yam ingayihlawula? Ewe, kunokwenzeka. Ukuba akuqinisekanga, nali ikhonkco kubo bonke ababoneleli beinshorensi esibakhuselayo. Ukuba unemibuzo okanye iinkxalabo, nceda ufowunele uDkt Jimenez kwi-915-850-0900.
Iziphumo Zeengozi Zemoto Ngasemva
Ngaba ukhe waphathwa yintlungu emva kokungqubana kwesithuthi? Kuthekani ngokufumana i-whiplash okanye intlungu yentamo? Okanye ngaba umqolo wakho ongezantsi ubuziva uqinile kwaye uqaqanjelwa ngakumbi? Uninzi lwale mpawu luphawu lokuba umqolo, umva, kunye nentamo zonke ziye zabandezeleka ngenxa yengozi yemoto. Uphando lu bonise ukuba impembelelo yomntu kwingozi yemoto ibangela ukuba umzimba ujike ngokukhawuleza phambili nasemva emva kokumisa ngokupheleleyo, kubangela umonakalo emzimbeni, ngakumbi kumqolo. Emva kokuba kwenzeke ingozi yemoto, abantu abaninzi abaziva imiphumo yokulimala okubangelwa iingozi zemoto ngamanye amaxesha de kube yimini emva kwengozi. Oku kubangelwa yi-adrenaline emzimbeni, ekubini i-neurotransmitter kunye nehomoni kwaye ivuliwe ngokupheleleyo kwi-max. Ulwazi olongezelelweyo luchazile ukuba abantu abaninzi baphathwa ziintlungu ezisezantsi emva kokungqubana kwemoto. Nangona ingozi yayingenakubulala, impembelelo inokubangela ukunyanzeliswa kwemisipha engaphantsi kunye nokunyanzeliswa kwemisipha yomgogodla, okwenza ukuba bacaphuke.
Indlela Umzimba Ochaphazeleka Ngayo
Izifundo zophando zibonisile ukuba impembelelo yengozi yemoto inokubangela ukuba umzimba ube nokwenzakala emzimbeni okungabulaliyo kodwa kubangele ukwenzakala ngokwasengqondweni okunokuchaphazela ingqondo yomntu. Abantu abaninzi abafumene ingozi yemoto baya kuba neemvakalelo ezahlukeneyo ezibashiya bothukile. Ebudeni baloo nkqubo, iimvakalelo ezifana nonxunguphalo, ukungabi nakuzinceda, umsindo, ukothuka, kunye nonxunguphalo zibonakaliswa njengomntu obekwingozi ehlangabezana nale mvakalelo imbi. Uphando olongezelelweyo lufunyenwe ukuba abantu abaninzi banokuziva iintlungu ezisezantsi ziphinde zenzeke kunye nobukho beemvakalelo ababuvayo. Ngethamsanqa, kukho iindlela zokunciphisa iintlungu ezisezantsi ezibangelwa ziingozi zemoto kwaye zinokunceda ukubuyisela umqolo ekusebenzeni kwawo.
Unyango lokuthotywa koMnqonqo Lunciphisa ukwenzakala kweNgozi ye-Auto-Ividiyo
Ngaba ukhe waziva iintlungu ezisezantsi emva kwengozi yemoto? Kuthekani ngokuziva imiphumo yokuqina kwemisipha entanyeni kunye ne-back back day after? Ngaba iimvakalelo ezifana noxinezeleko, ukuphoxeka, nokothuka ziyawuchaphazela umgangatho wobomi bakho? Ezi zibonakaliso kunye neempawu zento umntu ahamba ngayo emva kokubandakanyeka engozini yemoto kunye nokujongana nentamo kunye nentlungu emva. Kukho iindlela zokunyanga iintlungu zentamo kunye nomqolo ngokunciphisa, kwaye le vidiyo ingentla ichaza imiphumo ekhangayo yento eyenziwa yi-decompression kumntu. I-Decompression yonyango olungelulo utyando oluvumela ukutsalwa ngokuthambileyo ukuthomalalisa i-disc ye-spinal disc kunye nokuthatha uxinzelelo kwi-nerve eyingozi ejikeleze umqolo. Ukutsalwa okuthambileyo kuphinda kumpompe izondlo zibuyele kwiidiski eziphelelwe ngamanzi ngelixa zinyusa ukuphakama kwazo. Oku ikhonkco liya kuchaza yintoni i-decompression enikezela ngayo kunye neziphumo ezithandekayo kubantu abaninzi abanengxaki yomqolo okanye yentamo ngenxa yengozi yemoto.
Njani ukuwohloka koMnqonqo kuNcedisa uMnqonqo emva kweeNgozi ezizenzekelayo
Emva kokuba umntu ehlaselwe yingozi yemoto, bafumana intlungu kumqolo wabo kunye nomva ngosuku ngaphambi okanye emva. Abantu abaninzi abaneentlungu ezisezantsi, iintlungu zentamo, kunye ne-whiplash kwiingozi zemoto badla ngokufumana iindlela zokuphelisa iintlungu zomqolo. Olunye lwezi zonyango kukuthotywa komqolo. Uxinzelelo lwe-Spinal decompression luvumela umntu ukuba ahlale kwitafile yokutsalwa kwindawo ephantsi kwaye aboshwe. Uphando lophando lukhankanyile ukuba ukudodobala komqolo lunyango olungasebenzisi utyando kubantu abaninzi abaneentlungu ezisezantsi. Ngokwahlukileyo koko, umatshini wokutsala kancinci kodwa ngobunono utsala umnqonqo ukukhulula intlungu ebangelwa kukwenzakala komqolo ngenxa yengozi. Oku kuya kubonelela ngokuchacha okusebenzayo kubantu abaninzi abaneentlungu ezisezantsi. Ulwazi olongezelelweyo lukhankanyiwe ukuba ukusebenza kwe-decompression kunokunciphisa iimpawu ezivuthayo ezibangelwa yingcambu ye-nerve eyingozi ngoxinzelelo olubi, ngaloo ndlela kubangele ukukhululeka kumqolo.
isiphelo
Ngokubanzi, ukuva iintlungu ezisezantsi okanye iintlungu zentamo emva kwengozi ye-auto yi-nerve-wracking kubantu abaninzi. Ukwenzakala ngokweemvakalelo nasemzimbeni okubangelwa kukungqubana kwemoto kunokuyithomalalisa indlela umntu avakalelwa ngayo, yaye intlungu eshiyekileyo emva koko inokuchaphazela umgangatho wobomi bakhe. Ukusebenzisa i-decompression kunyango olungenalo utyando kunokubonelela ngeziphumo eziluncedo ekubuyiseleni ukusebenza kwakhona kumqolo kunye nokunciphisa intlungu umntu akuyo.
Ucaphulo
UDaniel, uDwain M. "Unyango olungelulo utyando lokuthotywa koMnqonqo: Ngaba uBhalo lweNzululwazi luxhasa amaBango okuSebenza ngokuFanelekileyo enziwe kwiMedia yeNtengiso?" IChiropractic & Osteopathy, BioMed Central, 18 May 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/.
Kang, Jeong-Il, et al. "Impembelelo yokuNxinzelela koMnqongo kwi-Lumbar Muscle Activity kunye neDisk Height kwizigulane ezine-Herniated Intervertebral Disk." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, ngoNovemba 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5140813/.
Nolet, Paul S, et al. "Ukubonakaliswa kwiNgxaki yeMoto kunye neNgcipheko yeNzululwazi yeXesha elizayo: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta." Ingozi; Uhlalutyo kunye noThintelo, ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 2020, yentshutshiso.ncbi.nlm.nih.gov/32438092/.
Nolet, Paul S, et al. "Umbutho phakathi kweMbali yoBomi yoLwahlulo oluPhambili kwiNgqungquthela yeMoto kunye neNzululwazi eNgemva ePhakamileyo: iSifundo seQela eliSekwe kuBemi." I-European Spine Journal: Ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu le-Cervical Spine Research Society., ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2018, yentshutshiso.ncbi.nlm.nih.gov/28391385/.
USam, uMahmoud M. "IiNgozi zeMoto: Umzimba ngokuchasene neNgculaza yeNgqondo." Ijenali yezoNgxamiseko, iNgxaki, kunye neNgxaki, iMedknow Publications & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5357873/.
UToney-Butler, uTammy J, kunye noMateyu Varacallo. "Ukungqubana kweMoto-i-Statpearls-ishelufa yeencwadi ye-NCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 5 Septemba 2021, www.ncbi.nlm.nih.gov/books/NBK441955/.
isikhanyeli
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Chiropractic, Disc Disc, Unyango lokuthotywa koMnqonqo
intshayelelo
Umzimba ngumatshini olungelelanisiweyo ohamba rhoqo. Iinkqubo ezahlukeneyo ezifana ne inkqubo yemisipha, i inkqubo yomzimba, kwaye i inkqubo edibeneyo, ukukhankanya ezimbalwa, kunokunceda umsebenzi womzimba womzimba ukufumana umzimba ukusuka kwindawo A ukuya kwindawo B. Xa ukulimala okanye izingozi zomoto Ukuchaphazela umzimba, kunokubangela imiba eyahlukeneyo ukuba ichaphazele umzimba ngokuhamba kwexesha. Abantu abaninzi abajongene nokulimala kwengozi yemoto baya kuba neentlungu kwiindawo zomlomo wesibeleko kunye ne-lumbar yomqolo wabo. Inokuba buhlungu njengoko bezama ukuqonda okwenzekayo. Inqaku lanamhlanje liza kugxila kwi-herniation ngenxa yeengozi zemoto, ukuba iwuchaphazela njani umqolo, kunye nendlela unyango lokuthomalalisa olunokunceda abantu abaninzi ababandezelekileyo ngengozi yemoto. Ukubhekisa izigulana kubaboneleli abaqeqeshiweyo kunye nabanobuchule abakhethekileyo kunyango loxinzelelo lomgogodla. Sikhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo ibalulekile ekubuzeni imibuzo ecacileyo kubaboneleli bethu. UDkt Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ngaba i-inshorensi yam ingayihlawula? Ewe, kunokwenzeka. Ukuba akuqinisekanga, nali ikhonkco kubo bonke ababoneleli beinshorensi esibakhuselayo. Ukuba unemibuzo okanye iinkxalabo, nceda ufowunele uDkt Jimenez kwi-915-850-0900.
Iingozi ze-Auto zibangela njani i-Herniation?
Ngaba uye wafumana intlungu entanyeni okanye ezantsi? Ngaba uye wafumana i-whiplash entanyeni yakho? Ngaba iintlungu ziye zanda ngakumbi emva kwengozi? Uninzi lweempawu ngokuyintloko ziziphumo emva kwengozi yemoto ebandakanya umntu. Emva kokuba umntu ebandakanyeke engozini yemoto, ukulimala kunye neempawu zivame ukuvela kwimizuzu embalwa kude kube yimini elandelayo. Izifundo zophando zibonisile ukuba iimpawu zokulimala kwengozi ye-auto ezifana ne-herniation zenzeka xa iinxalenye zomlomo wesibeleko kunye ne-lumbar zonzakele, ezibangela iimpawu ezifana noxinzelelo lwezicubu ezithambileyo kunye ne-disc derangement ehamba kunye neempawu zentlungu. I-auto accident herniation iphinda iqalise ukucinezela imithambo-luvo ejikeleze umnqonqo. Ibangela iimpawu ezivuthayo kwiindawo ezichaphazelekayo ezihlala entanyeni nasezantsi. Uphononongo olongezelelweyo lufunyenwe ukuba i-auto accident herniation nayo ichaphazela inxalenye ye-thoracic yomqolo. Abantu abaninzi abakhathazwa yi-herniation baya kuba neentlungu zangasemva kwegxalaba kunye neentlungu ezingaphezulu / ezisezantsi zomva ngenxa yokubandakanyeka kwingozi yemoto.
Iwuchaphazela Njani uMnqonqo?
Xa umntu ebandezelekile ngenxa yengozi yemoto, iziphumo zasemva azithathi nje umzimba kuphela kodwa nomqolo ngokunjalo. Iimpawu ezibuhlungu, ezivuthayo zibangela ukuba izihlunu ezithambileyo zibe zithambe xa zibamba. Uphando lophando lukhankanyile ukuba umqolo uya kuba nakho ukwaphuka okunokwenzeka ecaleni kwecandelo le-lumbar lomqolo ngenxa yempembelelo yamandla ebangela ukunyanzeliswa kwe-axial kunye nokugqithisa kwemisipha kunye nezicubu ezithambileyo, ezibangela intlungu ebukhali yokudubula. Oku kwenza umva nentamo unikezele kukuphelelwa lithemba ngakumbi emva kokuba kwenzeke ingozi yemoto, ngaloo ndlela kuthintela umgangatho wobomi bomntu. Uphononongo oluninzi lophando lubonisile ukuba abantu abaninzi abahluphekayo bafumana iintlungu ze-lumbosacral radicular phezu kwe-herniation. Xa umntu ephethwe yi-disc degeneration kwaye uye wabandakanyeka engozini yemoto, imiphumo ye-cascading ibangela ukuba i-intervertebral disc layer yangaphandle igqabhuke kwaye ivumele ukukhutshwa kwezinto ze-disc kubangele ukuba i-herniation ibe ngumqolo. Xa i-disc ruptured iba yi-herniated, iya kuhlala icinezela kwiingcambu zemithambo-luvo, kwaye nakuphi na ukusabela okuqhelekileyo njengokukhohlela okanye ukuthimla kuya kwandisa intlungu. Ngombulelo, kukho iindlela zonyango ezinceda ukunciphisa i-herniation kunye nokunceda ukubuyisela umsebenzi kumqolo.
I-Mechanical Traction ye-Herniation-Video
Ukuziva intlungu engathandekiyo entanyeni okanye ngasemva? Ngaba izenzo zemihla ngemihla ezifana nokukhohlela okanye ukuthimla zikwenzakalisa umqolo xa ungafanelanga ukuba zenjenjalo? Ngaba iintlungu ziya ziba mandundu imini yonke? Zonke ezi zimpawu zibangelwa yi-disc herniation ebangelwa iingozi zemoto kwaye inokuchaphazela umgangatho wobomi bomntu. Iindaba ezilungileyo kukuba unyango lwe-traction lunokuba yimpendulo yokunciphisa ezinye zeempawu ezifana ne-herniation kumqolo. Le vidiyo ingentla ibonisa ukuba isetyenziswa njani intambo yomatshini kubantu abaninzi abaneentlungu kwindawo yomlomo wesibeleko. Unyango lokutsalwa luhlobo lonyango lokuthomalalisa olungelulo utyando okanye utyando, kuxhomekeke kwindlela iintlungu eziwuchaphazela ngayo umzimba. Ukutsalwa kunceda umqolo ngokutsala ngobumnene, okubangela ukuba iidiski ze-herniated zihoxise kwiimbilini ezixinzelelweyo kwaye ziseke iipropati zokuphilisa ukuze zihlaziye kwiidiski ezichaphazelekayo ngelixa zinyusa indawo yediski phakathi kwe-spinal vertebrae. Ukunyanzeliswa koxinzelelo / unyango lwe-traction nokuba yimimandla ye-lumbar okanye yomlomo wesibeleko yomqolo inemiba emininzi enenzuzo ekukhuseleni i-disc herniation. Oku ikhonkco liya kuchaza indlela i-decompression okanye i-traction inika ngayo isiqabu esichukumisayo kubantu abaninzi abahluphekayo entanyeni kunye ne-back back pain herniation ebangelwa kukwenzakala kwengozi yemoto.
Njani Decompression Treatments Help Auto Accident Herniation
Emva kokuba umntu ehlaselwe yingozi yengozi yemoto, umzimba ngamanye amaxesha uya kuba nemiphumo ebuhlungu ngosuku olulandelayo kuba umzimba une-adrenaline rush efihla intlungu. Xa oku kwenzeka, iindlela zonyango zinceda ukunciphisa intlungu kwaye uzame ukulungisa umzimba ukuba usebenze kwakhona. Izifundo zophando zibonisile ukuba unyango lwe-decompression luncede abantu abaninzi abaphethwe yi-herniation ngenxa yeengozi zemoto ngokusebenzisa ukukhupha amandla okukhupha kunyango ukunciphisa i-herniation kumqolo. La mandla aphikisayo anceda ukuthomalalisa iimpawu ezibuhlungu ezibangelwa yi-disc herniation ngelixa i-nerve compressed ikhululeka. Ezinye izifundo zophando zikhankanyile ukuba unyango lwe-traction, xa lusetyenziselwa i-herniation, lubangela ukuhlukana kwe-vertebral ukwandisa indawo yediski kunye nokunciphisa ukunyanzeliswa kweengcambu ze-nerve. Oku kuvumela i-spinal ligaments ukuba igxininise, nto leyo iluncedo kwiidiski ze-herniated ukuba zibuyele kumqolo kwaye zibangele ukukhululeka kubantu ababandezelekileyo.
isiphelo
Lilonke iziphumo emva kokwenzakala kwengozi yemoto ebangela ukuba umqolo ube yi-herniated ichaphazela umgangatho wobomi bomntu. Iimpawu ezibuhlungu zibangela ukunyanzeliswa kweengcambu ze-nerve ezijikelezayo, ukuthumela iimpawu zentlungu ukuphazamisa ingqondo kunye nokugqithisa imisipha xa umgudu wonzakele. Emva kokuba kwenzeke ingozi yemoto, intlungu eshiyekileyo iya kubangela ukuthantamisa kumlomo wesibeleko kunye neenxalenye ze-lumbar zomnqonqo ezibangela intlungu engakumbi emntwini. Unyango olunjengonyango lokutsalwa luvumela abantu ukuba bafumane isiqabu abasidinga kakhulu njengoko idiski ye-herniated ifuduselwa kwindawo yayo yokuqala kwaye yabekwa kwiingcambu zemithambo-luvo. Unyango lokutsalwa lunikeze isiqabu esiluncedo kumqolo ngenxa yoxinzelelo olubi kwaye lwabuyisela ukusebenza komnqonqo emzimbeni.
Ucaphulo
I-Cornips, u-Erwin M J. "I-Crippling Upper Back Pain emva kwe-Whiplash kunye nezinye ii-Motor Vehicle Collisions ezibangelwa yi-Thoracic Disc Herniations: Ingxelo yeemeko ze-10." Isihlwele, Ilayibrari yeSizwe yaseMelika yoNyango, 20 Meyi 2014, yentshutshiso.ncbi.nlm.nih.gov/24718062/.
UHashish, uRami, kunye noHasan Badday. "I-Frequency ye-Acute Cervical and Lumbar Pathology kwiintlobo eziqhelekileyo zokuNghlakana kweeMoto: ukuphononongwa kweRetrospective Retrospective." Iingxaki ze-BMC zeMisculoskeletal, Kwi-BioMed Central, nge-9 Novemba ngo-2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5680606/.
Kumari, Anita, et al. "Iimpembelelo zeSihlanu, iSithathu, kunye nesiqingatha se-Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo." IBioMed yoPhando yeHlabathi, Hindawi, 16 Septemba 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8463178/.
Oakley, uPaul A, kunye noDeed E Harrison. "I-Lumbar Extension Traction inciphisa iimpawu kwaye iququzelele ukuPhiliswa kwe-Disc Herniation / Sequestration kwii-6-iveki, emva kokungaphumeleli koNyango kwii-Chiropractors eziThathu zangaphambili: Ingxelo ye-CBP® yeNgxelo kunye ne-8 yokulandela iminyaka." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, ngoNovemba 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702845/.
Pachocki, L, et al. "I-Biomechanics ye-Lumbar Spine Injury kwi-Road Barrier Collision-Finite Element Study." Imida kwiBioengineering kunye neBiotechnology, Frontiers Media SA, 1 Nov. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8591065/.
Suri, Pradeep, et al. "Iziganeko ezikhuthazayo ezinxulumene neLumbar Disc Herniation." Ijenali yoMnqopho: Ijenali esemthethweni yoMbutho waseMntla waseMelika, ILayibrari yeSizwe yaseMelika yoNyango, ngoMeyi 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2919742/.
isikhanyeli
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Unyango lokuthotywa koMnqonqo
Abantu ngabanye baqhubela emisebenzini, esikolweni, benza imisebenzi ethile, bathathe uhambo, bachithe ixesha elininzi besendleleni. Iingozi kunye neengozi zenzeka rhoqo kuzo zonke iintlobo zokwenzakala. I Ikomishoni yoKhuseleko lweNdlela yeSizwe ifumene ukuba i-37% yeengozi zeemoto kunye neengozi zibandakanya ukulimala komlenze kunye nomonakalo. Ukuvuselelwa komzimba we-Chiropractic kunye neyeza ezisebenzayo kunokunceda ukuphilisa ukulimala ukubuyisela umntu kubomi bemihla ngemihla.
Ukwenzakala Emilenzeni
Umlenze oqhelekileyo nzakala ziquka:
Ukugruzuka kunye nokuSika
Ukugruzuka kunye nokusikeka kuqhelekile kwimpembelelo kunye nomzimba ukubethelwa ngeenxa zonke. Imikrwelo inokuqatshelwa kwangoko, kodwa ukugruzuka kuvela ekudibaneni kwegazi ngaphantsi kwesikhumba kwaye kunokuthatha ixesha ukuzisa, mhlawumbi iiyure ezingama-24 ukuya kwezingama-48. Uninzi lwemikrwelo kunye namanxeba aphilisa ngokuzimeleyo kukhathalelo lokuqala lwasekhaya. Ukuchacha okusemgangathweni okusetyenziselwa ukunyamekela ukugruzuka I-RICE okanye ukuphumla, umkhenkce, ukunyanzeliswa, kunye nokuphakama. Oku kunceda inkqubo yokuphilisa; nangona kunjalo, ukuba i-inzakalo / i-s inzima kakhulu, i-chiropractic inokunceda nge-massage yonyango ukukhulula intlungu kunye nokuqinisa imisipha, i-tendon kunye ne-ligaments.
ACL Ukwenzakala
The femur okanye ithambo lethanga ineebhanti ezininzi zethishu ezidibanisa kuyo patella okanye i-kneecap kwaye i-tibia okanye ithambo le-shin. Elinye lamaqela yi i-anterior cruciate ligament okanye i-ACL. Ukulimala kweli qela lezicubu kuqhelekileyo kwimidlalo. Iingozi zemoto kunye neengozi zezinye izizathu eziqhelekileyo, ngokukodwa ukukrazula i-ligament. Abantu abafumana iinyembezi banokuqaphela ezinye okanye zonke ezi mpawu zilandelayo:
- Isandi sokukrazuka okanye esiphumayo xa ingozi okanye ingozi yenzeka.
- Ukudumba ngaphakathi najikeleze idolo.
- Iintlungu ezibuhlungu ngaphakathi nangaphandle kwedolo.
- Ingazinzanga kwaye ingazinzanga xa ihamba okanye ime.
- Uluhlu oluncitshisiweyo lwentshukumo eyenza ukuhamba okanye ukuhamba kube nzima.
I-chiropractor inokunceda ukunyanga ukwenzakala kwaye incede ukulungisa nakuphi na ukungalingani kwemisipha.
Iinyembezi zeMeniscus
Iinyembezi kwi-meniscus ziqhelekile kwiingozi zemoto kunye neengozi. I imeniscus yinxalenye yedolo. Iziqwenga ezimbini zecartilage ezimile okweweji zibonelela ngomqamelo apho i-femur kunye ne-tibia zidibana khona ukuze zibambe umothuko. I-wedges ibizwa ngokuba yi-menisci.
- Xa i-meniscus ikhala, abantu ngabanye banokuziva okanye beve i-pop kwaye banokuva umlenze uphuma ngokukhawuleza.
- Ukudumba edolweni.
- Ezinye iintlungu kodwa ukwazi ukuhamba.
- Idolo liya kuba nzima kwiintsuku ezimbalwa ezizayo.
- Ubunzima obuninzi bokuthwala ubunzima okanye ukuhamba.
Indlela ye-RICE yindlela ekhuthazwayo yokuzinyamekela. Iinyembezi ezininzi ze-meniscus azidingi utyando ukuphucula umsebenzi wamadolo. Iinyembezi ze-meniscus ezithambileyo ukuya kwimodareyitha zinokunyangwa ngempumelelo ngobuchule be-chiropractic njengomsebenzi wezicubu ezithambileyo, ukolula kokulungisa, kunye nokuzivocavoca.. Utyando lunokuthi ekugqibeleni lube yimfuneko kwiimeko ezinzima ukulungisa i-meniscus ukuthintela iingxaki zexesha elide.
Ophukile Amathambo Atyumkileyo
Ukususela ezinqeni ukuya kwiinzwane, isiqingatha esisezantsi samathambo omzimba sisengozini yokuphuka. Ukwenzakala ngokwasemzimbeni ngenxa yoxinzelelo olude emzimbeni kunokubangela ukuba amathambo aphuke ukutyumza ukwenzakala. Ukulimala kokutyumza kuchaphazela amathambo, izicubu ezithambileyo, kunye nezinye iindawo zomlenze. Iintlobo ezahlukeneyo ze iifractures ziba qatha. Nazi ukwaphuka inxalenye ezingenzi ukuba ithambo lahlule kwaye zaphuka ngokupheleleyo ukuba ahlukane kwaye ukwaphuka okuvulekileyo ezigqobhoza ulusu. Ezinye iifracture kunzima ukuzibhaqa ukuya kutsho kwiintsuku ezininzi.
Ukunyamekela kwe-Chiropractic kunokunceda umzimba uphilise kwaye uphinde ubuyele ekuqhekekeni kwamathambo. Ukuxinana kwethambo lesigulana kuyavavanywa kwaye kuvavanywa ngesicwangciso sonyango lomntu ngamnye ukunceda ukubuyisela nokugcina ukomelela kwamathambo afanelekileyo. Unyango lomeleza izihlunu, lunciphisa ukuqina, luphucule isondlo, luthomalalise iintlungu. Uhlengahlengiso lobuchule, ukubuyisela kwisimo sangaphambili, iindlela zokuphumla, kunye noqeqesho lwezempilo lokutya lunceda abantu ukuba baphile ngokukhawuleza kwaye bomeleze amathambo abo. Injongo kukunceda ukubuyisela ukuhamba okwandisiweyo kunye noluhlu lwentshukumo.
Sciatica
Iingozi zeemoto kunye neengozi ngumzekelo omnye apho umqolo ungonakaliswa ngokwaneleyo ukuzisa intlungu ye-sciatic apho kungekho zingxaki zangasemva ezazikho ngaphambili. Impembelelo evela kwingozi yemoto inokubangela ukuba iidiski zikhutshwe ngaphandle kwendawo, zonakaliswe, kunye / okanye ziqhekeze malunga nezicubu ezijikelezayo. Nasiphi na kwezi ziphumo zinokucinezela i-nerve ye-sciatic, ekhokelela kwiintlungu kunye nezinye iimpawu ze-sciatica. Chiropractic inokulungelelanisa umqolo kunye nokunciphisa uxinzelelo kwi-nerve / s.
DOC Spinal Decompression Table
Ucaphulo
Atkinson, T, kunye no-P Atkinson. "Ukulimala kwamadolo kwiingozi zemoto: uphononongo lweNational Accident Sampling System database kwiminyaka ye-1979-1995." Ingozi; uhlalutyo kunye nothintelo vol. 32,6 (2000): 779-86. doi:10.1016/s0001-4575(99)00131-1
Foulk, uDavid M, kunye noBrian H Mullis. "I-hip dislocation: uvavanyo kunye nolawulo." Ijenali yeAmerican Academy of Orthopedic Surgeons vol. 18,4 (2010): 199-209. doi:10.5435/00124635-201004000-00003
Reynolds, Epreli. "I-femur eyaphukileyo." Itekhnoloji yeRadiologic vol. 84,3 (2013): 273-91; imibuzo p.292-4.
UWilson, LS Jr Jr et al. "Ukulimala kweenyawo kunye neqatha kwiingozi zemoto." Unyawo & iqatha ngamazwe vol. 22,8 (2001): 649-52. doi:10.1177/107110070102200806
