Whiplash
I-Back Clinic Whiplash Iqela le-Chiropractic Physical Therapy. I-Whiplash iyigama elihlangeneyo elisetyenziselwa ukuchaza ukulimala kwintsimbi yomlomo (intamo). Le meko ihlala iphuma kwi-crash yemoto, ngokukhawuleza iqhube intamo nentloko ukuba iqhubise emva nangaphandle (ukutshatyalaliswa / ukunyanzeliswa). Phantse i-3 yezigidi zaseMelika zibuhlungu kwaye zihlushwa yi-whiplash ngonyaka. Uninzi lwazo nzakala zivela kwiingozi zemoto, kodwa kukho ezinye iindlela zokunyamezela ukulimala kwe-whiplash.
Iimpawu ze-whiplash zingabandakanya intlungu yentamo, ububele kunye nokuqina, intloko, isiyezi, isicaphucaphu, ihlombe okanye intlungu yengalo, i-paresthesias (i-numbness / tingling), umbono ophazamisayo, kwaye kwiimeko ezinqabileyo kunzima ukugwinya. Kungekudala emva kokuba kwenzeke kwisigaba esibuhlungu i-chiropractor iya kugxila ekunciphiseni ukudumba kwentamo isebenzisa iindlela ezahlukeneyo zonyango (umzekelo, i-ultrasound).
Basenokusebenzisa ezolula ezithambileyo kunye neendlela zonyango lwezandla (umzekelo, unyango lwamandla kwizihlunu, uhlobo lokuzolula). I-chiropractor ingancoma ukuba ufake ipakethe ye-ice entanyeni yakho kunye / okanye inkxaso yentamo elula ukuyisebenzisa ixesha elifutshane. Njengoko intamo yakho iyancipha kwaye iintlungu ziyancipha, i-chiropractor yakho iya kwenza ukuguqulwa komgogodla okanye ezinye iindlela zokubuyisela intshukumo eqhelekileyo kumalungu omgogodla wentamo yakho.
by UGqr Alex Jimenez | Unyango lweentlungu, Whiplash
Abo bafumana iintlungu zentamo, ukuqina, intloko ebuhlungu, igxalaba kunye neentlungu zangasemva banokuhlupheka ngenxa yokulimala kwe-whiplash. Ngaba ukwazi iimpawu kunye neempawu ze-whiplash kunokunceda abantu babone ukwenzakala kwaye bancede ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Iimpawu zeWhiplash kunye neempawu
I-Whiplash yingozi yentamo eyenzeka ngokuqhelekileyo emva kokungqubuzana kwemoto okanye ingozi kodwa ingenzeka ngayo nayiphi na inzakalo ebetha ngokukhawuleza intamo phambili nasemva. Kukulimala kancinci ukuya phakathi kwemisipha yentamo. Iimpawu eziqhelekileyo ze-whiplash kunye neempawu ziquka:
- intlungu entanyeni
- Ukuqina kwentamo
- intloko ebuhlungu
- Utywala
- intlungu Gxalaba
- Umqolo obuhlungu
- Ukubetha entanyeni okanye phantsi kweengalo. (Johns Hopkins Medicine. 2024)
- Abanye abantu banokuhlakulela iintlungu ezingapheliyo kunye neentloko.
Iimpawu kunye nonyango luxhomekeke kubukhulu bokulimala. Unyango lunokubandakanya amayeza eentlungu angaphaya kwe-counter, unyango lwe-ice kunye nobushushu, i-chiropractic, unyango lomzimba, kunye nokuzivocavoca.
Iimpawu kunye neempawu rhoqo
Ukunyakaza ngokukhawuleza kwentloko kunokuchaphazela izakhiwo ezininzi ngaphakathi kwentamo. Ezi zakhiwo ziquka:
- izihlunu
- Amathambo
- Amalungu
- Tendons
- IiLigaments
- Iidiski eziphakathi kwendawo
- Ivazi yegazi
- Imithambo-luvo.
- Nayiphi na okanye zonke ezi zinto zinokuchaphazeleka ngokulimala kwe-whiplash. (I-MedlinePlus, ngo-2017)
Statistics
I-Whiplash yi-neck sprain eyenzeka kwi-neck-neck-jerking motion. Ukulimala kwe-Whiplash akhawunti ngaphezu kwesiqingatha sokulimala kwezithuthi zezithuthi. (UMichele Sterling, ngo-2014) Nokuba kukwenzakala kancinci, ezona mpawu zixhaphakileyo ziquka: (Nobuhiro Tanaka et al., 2018)
- intlungu entanyeni
- Ukuqina okulandelayo
- Ububele bentamo
- Uluhlu olulinganiselweyo lwentshukumo yentamo
Abantu ngabanye banokuhlakulela ukungahambi kakuhle kwentamo kunye nentlungu emva nje kokulimala; nangona kunjalo, iintlungu ezingakumbi kunye nokuqina akwenzeki kanye emva kokulimala. Iimpawu zidla ngokuba mandundu ngosuku olulandelayo okanye kwiiyure ezingama-24 kamva. (Nobuhiro Tanaka et al., 2018)
Iimpawu zokuqala
Abaphandi baye bafumanisa ukuba malunga nesiqingatha sabantu abane-whiplash bahlakulela iimpawu kwiiyure ezintandathu zokulimala. Malunga ne-90% ivelisa iimpawu kwiiyure ezingama-24, kwaye i-100% ivelisa iimpawu kwiiyure ze-72. (Nobuhiro Tanaka et al., 2018)
I-Whiplash vs. I-Traumatic Cervical Spine Injury
I-Whiplash ichaza ukulimala okuncinci ukuya kwimodareyitha yentamo ngaphandle kweempawu ezibalulekileyo ze-skeletal okanye ze-neurological. Ukulimala okuphawulekayo kwentamo kunokukhokelela ekuqhekekeni kunye nokuchithwa komqolo onokuthi uchaphazele iimbilini kunye nentambo yomgogodla. Emva kokuba umntu ehlakulela iingxaki ze-neurological ezinxulumene nokulimala kwentamo, ukuxilongwa kutshintsha ukusuka kwi-whiplash ukuya kwi-traumatic cervical spine. Le yantlukwano inokubhida njengoko ikwisipeyithi esinye. Ukuqonda ngakumbi ubunzima bentamo yentamo, inkqubo yokuhlelwa kweQuebec ihlukanisa ukulimala kwentamo kula mabanga alandelayo (Nobuhiro Tanaka et al., 2018)
Bakala 0
- Oku kuthetha ukuba akukho zimpawu zentamo okanye iimpawu zokuhlolwa komzimba.
Bakala 1
- Kukho intlungu yentamo kunye nokuqina.
- Zimbalwa kakhulu iziphumo zovavanyo lomzimba.
Bakala 2
- Ibonisa intlungu yentamo kunye nokuqina
- Ububele bentamo
- Ukunciphisa ukuhamba okanye intamo yokunyakaza kwimvavanyo yomzimba.
Bakala 3
- Ibandakanya intlungu yemisipha kunye nokuqina.
- Iimpawu zeNeurological ziquka:
- Ubungqina
- Ukulinganisa
- Ubuthathaka kwiingalo
- Ukuncipha kwengqondo
Bakala 4
- Ibandakanya ukuphuka okanye ukuchithwa kwamathambo omqolo womgogodla.
Ezinye Iimpawu
Ezinye iimpawu ze-whiplash kunye neempawu ezinokudibaniswa nokulimala kodwa aziqhelekanga okanye zenzeke kuphela ngokulimala okukhulu kubandakanya (Nobuhiro Tanaka et al., 2018)
- Intloko yesifo
- Iintlungu zomhlathi
- Iingxaki zokulala
- Intloko ebuhlungu
- Unzima ukugxila
- Ubunzima bokufunda
- Umbono ongezantsi
- Utywala
- Ukuqhuba ubunzima
Iimpawu ezinqabileyo
Abantu abanokulimala kakhulu banokuhlakulela iimpawu ezinqabileyo ezihlala zibonisa ukulimala komgudu womlomo wesibeleko kwaye ziquka: (Nobuhiro Tanaka et al., 2018)
- kunesifo
- Ukugubha
- Izwi litshintsha
- I-Torticollis - i-spasms ebuhlungu yemisipha egcina intloko ijika kwicala elinye.
- Ukopha ebuchotsheni
Iingxaki
Uninzi lwabantu ngokubanzi luyaphola kwiimpawu zabo kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. (UMichele Sterling, ngo-2014) Nangona kunjalo, iingxaki ze-whiplash zinokuthi zenzeke, ngakumbi ngebanga elibi kakhulu le-3 okanye ibakala lesi-4. Iingxaki eziqhelekileyo zokulimala kwe-whiplash ziquka intlungu engapheliyo / ixesha elide kunye neentloko. (UMichele Sterling, ngo-2014) Ukulimala komgogodla womlomo wesibeleko kunokuchaphazela intambo yomgogodla kwaye idibaniswe neengxaki ezingapheliyo ze-neurological, kubandakanywa ukuphazamiseka, ubuthathaka, kunye nobunzima bokuhamba. (ULuc van Den Hauwe et al., 2020)
impatho
Iintlungu ziqheleke kakhulu ngosuku olulandelayo kunasemva kokwenzakala. Unyango lokulimala kwe-Whiplash musculoskeletal kuxhomekeke ekubeni ingaba yingozi kakhulu okanye umntu uye waphuhlisa intlungu engapheliyo entanyeni kunye nokuqina.
- Iintlungu ezibuhlungu zinokunyangwa ngamayeza angaphaya kwekhawuntara afana neTylenol kunye ne-Advil, ezinyanga iintlungu ngempumelelo.
- I-Advil i-nonsteroidal anti-inflammatory enokuthi ithathwe kunye ne-Tylenol yokunciphisa intlungu, esebenza ngeendlela ezahlukeneyo.
- Isiseko sonyango sikhuthaza umsebenzi oqhelekileyo kunye nokwelula kunye nokuzivocavoca. (UMichele Sterling, ngo-2014)
- Unyango lomzimba lusebenzisa uluhlu oluhlukeneyo lweendlela zokuzivocavoca ukuqinisa imisipha yentamo kunye nokunciphisa intlungu.
- Uhlengahlengiso lwe-Chiropractic kunye nokunciphisa ukungabikho kokuhlinzwa kunokunceda ukulungelelanisa kunye nokondla umqolo.
- Ukwenza i-Acupuncture kunokubangela ukuba umzimba ukhulule amahomoni endalo anika isiqabu kwiintlungu, ukunceda ukukhulula izicubu ezithambileyo, ukwandisa ukujikeleza, kunye nokunciphisa ukuvuvukala. Umqolo womlomo wesibeleko unokubuyela ekulungelelaniseni xa izicubu ezithambileyo zingasadumbanga kwaye zixhaphaze. (Tae-Woong Moon et al., 2014)
Ukulimala Kweentambo
Ucaphulo
Amayeza, JH (2024). Ukulimala kweWhiplash. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
MedlinePlus. (2017). Ukwenzakala Entanyeni kunye nokuphazamiseka. Ifunyenwe kwi medlineplus.gov/neckinjuriesanddisorders.html#cat_95
Sterling M. (2014). Ukulawulwa kwePhysiotherapy yeengxaki ezinxulumene ne-whiplash (WAD). Ijenali ye-physiotherapy, i-60 (1), i-5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). I-Pathology kunye noNyango lwe-Traumatic Cervical Spine Syndrome: I-Whiplash Injury. Ukuqhubela phambili kwi-orthopedics, i-2018, i-4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). I-Spinal Trauma kunye ne-Spinal Cord Injury (SCI). Ku: Hodler J, Kubik-Huch RA, von Schulthess GK, abahleli. Izifo zengqondo, iNtloko kunye neNtamo, i-Spine 2020-2023: i-Diagnostic Imaging [i-Intanethi]. Cham (CH): Springer; 2020. Isahluko 19. Ifumaneka ku: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Inyanga, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). I-acupuncture yokunyanga i-whiplash ehambelana ne-disorder: ukuphononongwa okucwangcisiweyo kwezilingo zeklinikhi ezingahleliwe. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2014, 870271. doi.org/10.1155/2014/870271
by UGqr Alex Jimenez | Ukunyamekela, Whiplash
Abantu abaye babandezeleka ukukhawuleza komlomo wesibeleko-ukunciphisa / i-CAD eyaziwa ngokuqhelekileyo njenge-whiplash, banokufumana intloko ebuhlungu, kunye nezinye iimpawu ezifana nokuqina kwentamo, intlungu, ukukhathala, kunye negxalaba / intamo / umva. Ngaba unyango olungasebenzisi utyando kunye nonyango lunokunceda ukunciphisa iimpawu?
Ukukhawuleza kweCervical - Ukunciphisa okanye i-CAD
Ukukhawuleza kwe-Cervical-deceleration yindlela yokulimala kwentamo ebangelwa ukunyanzeliswa kwentamo ye-back-and-out. Kwenzeka ngokuqhelekileyo kwimigibe yemoto engasemva xa intloko kunye nentamo ibetha phambili nasemva ngokukhawuleza okukhulu kunye / okanye ukuncipha okubangela ukuba intamo iguquke kunye / okanye yandise ngokukhawuleza, ngaphezu kwesiqhelo, ukuxinzelela kwaye mhlawumbi ukukrazula izicubu zemisipha kunye nemithambo-luvo, iigaments, ukuchithwa kwee-spinal discs kunye ne-herniations, kunye nokuphulwa kwamathambo omlomo wesibeleko.
- Ukufumana iimpawu ezingaphucukanga okanye ezimbi kakhulu emva kwe-2 kwiiveki ze-3, jonga umboneleli wezempilo okanye i-chiropractor ukuze uhlolisise kunye nonyango.
- Ukulimala kwe-Whiplash kuxinzelelo okanye ukuhlutha imisipha yentamo kunye / okanye iigaments, kodwa kunokuchaphazela i-vertebrae / amathambo, i-disc cushions phakathi kwe-vertebrae, kunye / okanye i-nerve.
- Kubantu abafumana intloko ebuhlungu eqala kwisiseko sokakayi emva kwengozi yemoto inokuba yintloko ye-whiplash. (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023)
iimpawu
Iimpawu ze-Whiplash zingabonisa ngokukhawuleza, okanye emva kweeyure eziliqela ukuya kwiintsuku ezimbalwa emva kwesiganeko, kwaye zivame ukubi kakhulu kwiintsuku emva kokulimala. Iimpawu zinokuhlala iiveki ezimbalwa ukuya kwiinyanga ezimbalwa, kwaye zinokunciphisa kakhulu umsebenzi kunye noluhlu lokunyakaza. Iimpawu zingabandakanya: (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023)
- Iintlungu eziphumela emagxeni nasemva.
- Ukuqina kwentamo
- Intshukumo yentamo encinci
- Iimfucu zamathambo
- I-numbness kunye ne-sensations sensations - i-paresthesias okanye izikhonkwane kunye neenaliti kwiminwe, izandla, okanye iingalo.
- Iingxaki zokulala
- Ukukhathala
- Ukutshatyalaliswa
- Ukuphazamiseka kwengqondo - inkumbulo kunye / okanye ubunzima bokugxila.
- Ukukhala ezindlebeni - i-tinnitus
- Utywala
- Umbono ongezantsi
- ukudakumba
- Intloko - Intloko ye-whiplash ngokuqhelekileyo iqala kwisiseko sokhakhayi kwaye inokuhluka ngamandla. Uninzi lwabantu luba neentlungu kwicala elinye lentloko nangasemva, nangona abanye banokufumana iimpawu entloko, kwaye inani elincinci liba neentloko ebunzi okanye emva kwamehlo. (UMonica Drottning. 2003)
- Iintloko zinokuba nzima ngokuhambisa intamo, ngakumbi xa ujonge phezulu.
- Iintloko zentloko zihlala zinxulunyaniswa neentlungu zegxalaba kunye nentamo ebuhlungu kunye nezihlunu zamagxa ezithi xa zichukunyiswa zinokunyusa amanqanaba eentlungu.
- Iintloko ze-Whiplash zingakhokelela kwintlungu engapheliyo entanyeni eyaziwa ngokuba yi-cervicogenic headaches. (Phil Page. 2011)
Izizathu
Isizathu esiqhelekileyo se-whiplash yizingozi zemoto ezisemva kunye nokungqubana. (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023)
Nangona kunjalo, ukukhawulezisa komlomo wesibeleko-ukunciphisa ukwenzakala kunokuthi kwenzeke ukusuka:
- Ukudlala imidlalo - ihoki, ubugcisa bokulwa, umdlalo wamanqindi, ibhola ekhatywayo, umthambo, ibhola yomnyazi, ibhola yevoli, ibhola ekhatywayo kunye nebaseball.
- Ukutyibilika kunye nokuwa okubangela ukuba intloko ishukume ngephanyazo phambili nasemva.
- Uhlaselo ngokwasemzimbeni – ukubethwa okanye ukushukunyiswa.
- Ukubethwa yinto enzima okanye eqinileyo entloko.
impatho
- Iimpawu zihlala zisonjululwa kwiiveki ezi-2 ukuya kwezi-3.
- Ukuqhawula intamo yemizuzu ye-10 ngamaxesha amaninzi ngosuku kunokuncedisa ukunciphisa intlungu kunye nokuvuvukala. (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023)
- Kwakhona kubalulekile ukuphumla indawo yentamo yakho emva kokulimala.
- Ikhola yomlomo wesibeleko ingasetyenziselwa okwethutyana ukuzinzisa intamo, kodwa ukubuyisela ixesha elide, kuyacetyiswa ukuba ugcine indawo ehambayo.
- Ukunciphisa umsebenzi womzimba de umntu angajonga phezu kwamagxa omabini, kwaye athobe intloko yakhe yonke indlela ukuya phambili, yonke indlela ebuyayo, kwaye ukusuka kwelinye icala ukuya kwelinye ngaphandle kweentlungu okanye ukuqina.
Unyango olongezelelweyo
- Unyango lokutsalwa kunye noxinzelelo.
- Chiropractic uhlengahlengiso
- Unyango ngeendlela ezahlukeneyo zokuphulula.
- Ukuvuselela i-nerve ye-elektroniki
- Ukuziqeqesha kwakhona kwesimo
- Ukunxibelelana
- Uhlengahlengiso lwendawo yokulala.
- I-non-steroidal anti-inflammatories - ii-NSAID - i-Ibuprofen okanye i-Naproxen.
- Izihlunu zezihluli
Ukuba iimpawu aziphuculi, umboneleli wezempilo unokuncoma unyango lomzimba kunye / okanye amayeza eentlungu ezinamandla. Ngeentloko ze-whiplash ezihlala iinyanga ezininzi, i-acupuncture, okanye i-spinal injection inokucetyiswa.
Ukulimala Kweentambo
Ucaphulo
Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. Iphepha leNgcaciso yeWhiplash.
I-Drottning M. (2003). Intloko yeCervicogenic emva kokulimala kwe-whiplash. Iintlungu zangoku kunye neengxelo zentloko, i-7 (5), i-384-386. doi.org/10.1007/s11916-003-0038-9
Iphepha P. (2011). Iintloko zeCervicogenic: indlela ekhokelwa bubungqina bolawulo lweklinikhi. Ijenali yamazwe ngamazwe yonyango lomzimba, 6(3), 254–266.
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.
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Ingozi yeNgcali yeMoto, Chiropractic, News Chiropractic, I-El Paso Chiropractic News, Umenzakalo owehle kwisiqu, Whiplash
Izifundo malunga nokunyamekela kokunyamekela kwezilwanyana kwizigulane ezixinzelelekileyo kwintlungu yesibhash. Kwi-1996, i-Woodward ne-al. ushicilele isifundo malunga nokuphumelela kwonyango lwe-chiropractic ye-injured whiplash.
Kwi-1994, uGargan kunye noBannister bapapasha iphepha malunga nezinga lokubuyisela izigulane kwaye bafumanisa ukuba xa izigulane zisenempawu emva kweenyanga ezintathu, kwakukho phantse i-90% ithuba lokuba bahlale belimele. Ababhali bolu phando babevela kwiSebe lezoNyango lwamathambo eBristol, eNgilani. Akukho unyango oluqhelekileyo olubonakaliswe ukuba lusebenza kwezi zigulana zokulimala kwe-whiplash ezingapheliyo. Nangona kunjalo, amazinga okuphumelela aphezulu afunyenwe yizigulane zokulimala kwe-whiplash ngokunyamekela kwe-chiropractic ekubuyiseleni ezi ntlobo zezigulane.
Iziphumo zophando lweWhiplash
Kwisifundo se-Woodward, iipesenti ze-93 zezigulane ze-28 ezifundwe ngokuphindaphindiweyo zifunyenwe ziphuculwe ngokwezibalo emva kokunakekelwa kwe-chiropractic. Ukhathalelo lweChiropractic kolu phononongo luqulethwe yi-PNF, ukunyanzelwa komgogodla, kunye ne-cryotherapy. Uninzi lwezigulane ze-28 zazinonyango lwangaphambili kunye ne-NSAIDs collars kunye ne-physiotherapy. Umyinge wexesha elide ngaphambi kokuba izigulane ziqale ukunakekelwa kwe-chiropractic kwiinyanga ze-15.5 emva kwe-MVA (uluhlu lweenyanga ze-3-44).
Olu pho nonongo lubhale ukuba uninzi lwe-DCs lufumana ntoni kwiklinikhi: ukhathalelo lwe-chiropractic lusebenza kakuhle kubantu abalimele kwingozi yemoto. Iimpawu ezivela kwiintloko ukuya kwiintlungu zangasemva, iintlungu zentamo, intlungu ye-interscapular, kunye neentlungu ezibuhlungu ezinxulumene ne-paresthesias zonke ziphendule kukhathalelo lwe-chiropractic esemgangathweni.
Ngesiqhelo kunye neWhiplash X-Rays
Iziphumo ze-Whiplash MRI
Uncwadi luye lwacebisa ukuba ukulimala kwediski yomlomo wesibeleko akuqhelekanga emva kokulimala kwe-whiplash. Kuphononongo olupapashwe kwi-chiropractic ukunakekelwa kwe-disk herniations, kwaboniswa ukuba izigulane ziphucula ikliniki kwaye i-imaging ye-MRI ephindaphindiweyo ibonisa ukuncipha kobukhulu okanye isisombululo se-disk herniation. Kwizigulane ze-28 ezifundwe kwaye zilandelwa, abaninzi babene-disc herniations esabela kakuhle kukhathalelo lwe-chiropractic.
Kuphononongo olutshanje olwenziwa nguKhan et al., olupapashwe kwi-Journal ye-Orthopedic Medicine, kwizigulane ezenzakaliswe nge-whiplash malunga nentlungu yomlomo wesibeleko kunye nokungasebenzi kakuhle, izigulane zahlulwa zibe ngamaqela asekelwe kumanqanaba esiphumo esihle sokunakekelwa kwe-chiropractic:
- Iqela I: Abaguli abaneentlungu zentamo kuphela kwaye banqanda intamo yeROM. Izigulane zineendlela zokusasazeka kweengubo ze-hangar ezingenayo i-neurologic deficits; Ipesenti ze-72 zineziphumo ezihle.
- Iqela le-II: Izigulane ezineempawu ze-neurological okanye izibonakaliso kunye ne-ROM enqongopheleyo yomgogodla. Izigulana zaba ndindisholo, ukubetha, kunye ne-paresthesias emacaleni.
- Iqela le-III: Izigulane zineentlungu ezibuhlungu zentamo kunye ne-ROM epheleleyo yentamo kunye nokuhanjiswa kweentlungu ezingaqhelekanga ezivela kwimida. Ezi zigulana zihlala zichaza intlungu yesifuba, isicaphucaphu, ukuhlanza, ukucima, kunye nokungasebenzi kakuhle.
Iziphumo zophononongo wabonisa ukuba udidi mna, izigulane 36 / 50 (72%) baye basabela kakuhle yinkathalelo kwamathambo: kwiqela II, 30 / 32 izigulane (94 pesenti) wasabela kakuhle kukhathalelo kwamathambo; kwaye kwiqela III, iimeko ze-3 / ze-11 kuphela (i-27%) ziphendule kakuhle ekunyamekelweni kwe-chiropractic. Kwakukho umahluko omkhulu kwiziphumo phakathi kwamaqela amathathu.
Olu pho nonongo lunika ubungqina obutsha bokuthi ukhathalelo lwe-chiropractic lusebenza kakuhle kwizigulane ze-whiplash. Nangona kunjalo, uphononongo aluzange luqwalasele izigulane ezinokulimala kwangemva, ukulimala kokugqibela, kunye nokulimala kwe-TMJ. Akuzange kuchonge ukuba zeziphi izigulane ezinokulimala kwe-disc, i-radiculopathy, kunye nokulimala kwengqondo ye-concussive (ininzi izigulane zeqela le-III). Ezi ntlobo zezigulane ziphendula bhetele kumzekelo wokunakekelwa kwe-chiropractic ngokudibanisa nababoneleli abaninzi.
Ezi zifundo zibonisa ukuba ininzi i-DCs sele ifumene, ukuba ugqirha we-chiropractic kufuneka abe ngumboneleli oyintloko wokunyamekela kule meko. Luluvo oluqhelekileyo ukuba kwiimeko ezifana neqela lezigulane ze-III, ukhathalelo kufuneka lube luninzi lwezinto ezininzi ukufezekisa esona siphumo sinokwenzeka kwiimeko ezinzima.
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.
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, Kokulimala Kwenzakalo, Whiplash
Ngelixa ukutyumka, ukukhathazeka, kunye nokukhuhla kuqhelekile, I-whiplash kunye nokulimala okungapheliyo kwe-whiplash akunakubonakalisa iintsuku okanye iiveki ezininzi. Ngelixa izithuthi zanamhlanje zikhuselekile kunakuqala, zisenokwenza lukhulu kakhulu xa kuziwa emzimbeni nasempilweni yemisipha. Ukubandakanyeka kwingozi yemoto, Nokuba impompo elula inganikezela ngesiquphe somqolo nokuba nangona umntu ebengaziva nantoni na efana nokungonwabi okanye iintlungu, bekwanele ukushenxisa ii-disc / indawo endaweni okanye ukubamisa ukuba baphume endaweni. Akukho mntu ufuna ukubandakanyeka engozini yemoto okanye yesithuthuthu, kodwa ngaphandle kokuziphatha kakuhle, okanye ukuba zikhulu kangakanani iimpawu zokhuseleko kwisithuthi, umqhubi ophakathi uyakubandakanyeka kwiingozi ezintathu ukuya kwezine ebomini babo..
Whiplash
I-Whiplash kunye nokulimala okungapheliyo kwe-whiplash kuqhelekileyo kwiingozi zeemoto. Abantu abangaphezu kwezigidi ezi-3 baseMelika baya kubona ugqirha kunye ne-chiropractor yeengozi zeemoto kunye nefuthe le-whiplash. Kuthatha kuphela i-2.5 mph hit ukwenza ukulimala. Kwaye i-whiplash ayenzeki kuphela xa ubethwa ngasemva, zininzi iindlela umntu anokufumana ngazo i-whiplash, kubandakanya ukuba ne-T-boned, ukukhwela ipaki yokonwabisa, kunye nokuwa kwibhayisikile okanye ihashe.
iimpawu
Uninzi lweempawu ze-whiplash zikhula kwiiyure zokuqala ezingamashumi amabini anesine, kodwa oku akusoloko kunjalo. Iimpawu eziqhelekileyo zibandakanya:
- intlungu entanyeni
- Intamo elukhuni
- Intlungu ebuhlungu yentamo xa ushukuma, ujikeleza
- Intloko eziqala emazantsi entloko
- Ukuphulukana noluhlu lwesindululo
- Utywala
- Ukukhathala
- intlungu Gxalaba
- Intlungu yokulwa
- Intlungu ephezulu yomqolo
- Intlungu e buyela emuva
- Umbono ongezantsi
- Ukuxhalabisa
- I sizathu
- ukudakumba
- Ubunzima bokuxinzezeleka
- Ubunzima bememori
- Izifo zokulala
Iinyani kunye nezibalo
Uninzi lwabantu luyaqonda ukuba babetha usuku okanye ezimbini emva koko, kodwa kwabanye, kunokuthatha iiveki ezimbalwa okanye neenyanga ukubonisa. I-Whiplash yiyo Ihlelwe ngokodidi okanye inqanaba:
Bakala 0
Umntu akanasikhalazo kwaye akukho zimpawu / zimpawu zokonzakala komzimba.
Bakala 1
Nantsi lapho intlungu entanyeni kodwa zikhona akukho miqondiso yokwenzakala.
Bakala 2
Nazi iimpawu / iimpawu zomonakalo wemisipha kunye nentlungu yentamo ibonakalisa.
Bakala 3
Nazi iimpawu / iimpawu zomonakalo wemithambo-luvo kunye nentlungu yentamo ibonakalisa.
Inani eliphakathi lexesha uninzi lwabantu luhlala ekhaya lusuka emsebenzini lujikeleze iintsuku ezingama-40. Nangona kunjalo, xa iintlungu ze-whiplash zihlala ixesha elide kuneeveki ezimbalwa, kuthathwa njenge-whiplash engapheliyo.
I-Whiplash engapheliyo
Abanye abantu kunye amava e-whiplash abuhlungu kwiminyaka. Oku kuyinyani kwabo bayaluphepha okanye balugatye unyango kwaye bafunda ukuhlala nalo.
Izinyango Zonyango
Kukho iindlela ezisebenzayo zokunyanga i-whiplash kunye nokulimala okungapheliyo kwe-whiplash. Kuxhomekeka kubungakanani bokwenzakala, ukuphuhliswa konyango olufanelekileyo / nesicwangciso sokubuyisela kwimeko yesiqhelo kufuna ukubonisana nomntu ngamnye kunye nonyango ukuxoxa ngeendlela ezinokubandakanya:
Uncedo Lwezinhlungu
Intlungu ingangcungcutheka. Iintlungu ezingaphezulu kwekhawuntari ziyayinciphisa njenge-ibuprofen yokufumana isiqabu sexeshana. Nangona kunjalo, umntu ngamnye uya kufuna unyango olwandisiweyo ukuqinisekisa ukuba ayisiyiyo intlungu engapheliyo.
I-Brows eNcam
Ukuqiniswa kweentsimbi kunceda ukunciphisa umda wentlungu, kodwa akufuneki kunxitywe ngaphezulu kweentsuku ezintathu okanye ezine. Ukuba kunxitywe ixesha elide izihlunu zentamo zithintelwa ekufumaneni amandla afunekayo okuxhasa intloko.
Sukuhlala ixesha elide
Kuphephe ukugcina intloko nakwesiphi na isikhundla ixesha elide. Oku kubandakanya ukuhlala ebhedini, ukubukela iTV, okanye ukusebenza kwidesika. Oku kubeka inani elikhulu loxinzelelo kunye noxinzelelo entanyeni, okwenza ukuba iintlungu zibe nzima kakhulu kwaye zihlala ixesha elide.
Ukulala ngokufanelekileyo nangokuthuthuzela
Kwabaninzi, kunokuba nzima ukungena kwindawo entle xa ulele. Ukulala emqolo intloko ijike kwelinye icala kunokwenza iintlungu zibe mandundu. Zama umgangatho ophezulu umqamelo we-ergonomic evumela umntu ukuba alale ecaleni kwaye athathe uxinzelelo entanyeni.
Ulungelelwaniso lwesisu
I-Whiplash inokubangela ukuba umqolo uphume ulungelelwaniso. Oku kungakhokelela kwiingxaki ezongezelelweyo ngasemva okanye emagxeni. Kuhlala kungumbono olungileyo ukubona i-chiropractor egxile kukulimala kwengozi yemoto ukulungelelanisa umqolo nentamo, kunye nokuvuselelwa komeleze izihlunu kunye nokuthintela ukonzakala okungaphezulu. Jonga i-chiropractor yovavanyo lokonzakala kunye nokuphuhlisa isicwangciso sonyango esenzelwe wena esisebenza kwimeko yomntu.
Wonke umntu wahlukile
Abanye abantu banokuba lukhuni kwaye babe buhlungu kangangeentsuku ezimbalwa kwaye balungile ngaphandle kwentlungu. Abanye abantu bafumana iintlungu eziqatha kwangoko emva kwengozi, ngelixa abanye bengenazo iintlungu iintsuku okanye iiveki. Zombini ezi meko zixhaphakile. Ithishu ethambileyo nzakala Ungakhohlisa kakhulu. Abanye abanamava entlungu kwiinyanga emva kwengozi. Uninzi alucingi ukuba kufuneka lubone ugqirha okanye i-chiropractor kuba akukho zintlungu okanye zimpawu. Nangona kunjalo, phantsi kweengxaki ezinzulu kunokuba ulungele ukubonisa ukubonisa kubandakanya:
- Intloko eqhubekayo
- Ubungqindilili okanye izikhonkwane neenaliti ezandleni okanye ezingalweni
- Ubuhlungu phakathi kwamagxa ehlombe
- Ukunyanzeliswa okubi
- Ukuxhatshazwa kwemisipha engapheliyo
- Iintlungu ezibuhlungu
- Ukuhlaziywa kweediski
- Isifo samathambo esibuhlungu
- Ukuphuhliswa ngokukhawuleza kwe-arthritis
- Imithambo ebuhlungu, eqinileyo, okanye engaguqukiyo
- Ukuphazamiseka kokulala
- Ukukhathala
- Utywala
UkuBumbiswa kweBhunga
Ukwehla kwemisebenzi yomzimba
Ukungasebenzi ngokwasemzimbeni yeyona nto iphambili kwinkqubela phambili ye- isarcopenia. Ukuxhathisa umthambo kunokunceda ukugcina ubunzima bemisipha kunye nokunceda ukwakha amandla emisipha. Abantu abahleli ngakumbi banokuzandisa iziphumo ze-sarcopenia.
Ukwehla kwee-neurons zemoto
Ukwaluphala kukhatshwa yilahleko yemoto ebangelwa kukufa kweseli. Oku kukhokelela ekunciphiseni kwefiber yemisipha. Oku kuncipha kwimicu yemisipha kukhokelela ku:
- Ukusebenza okungalunganga
- Ukuncitshiswa kwamandla okusebenza
- Ukwehla kwesakhono sokwenza imisebenzi yemihla ngemihla
UGqr Alex Jimenez's Iposti yeBlog
Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic, musculoskeletal, amayeza omzimba, impilo, kunye nemicimbi yezempilo ebuthathaka kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo. Sisebenzisa iinkqubo zempilo kunye nezempilo ukunyanga kunye nenkxaso yokhathalelo lokonzakala okanye ukuphazamiseka kwenkqubo yemisipha. Izithuba zethu, izihloko, izifundo, kunye nokuqonda kugubungela imicimbi yeklinikhi, imiba kunye nezihloko ezinxulumene nokuxhasa ngokuthe ngqo okanye ngokungathanga ngqo kwinqanaba lethu lonyango. *
Iofisi yethu yenze iinzame ezifanelekileyo zokubonelela ngeziqendu ezixhasayo kwaye ichonge uphando olufanelekileyo okanye izifundo ezixhasa izithuba zethu. Senza ikopi yezifundo zophando ezixhasayo ukuba zifumaneke ebhodini nakuluntu xa kuceliwe. Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo malunga nendlela enokunceda ngayo kwisicwangciso esithile sokhathalelo okanye kwinkqubo yonyango; Ke, ukuqhubeka nokuxoxa ngalo mbandela ungentla, nceda ukhululeke ukubuza uGqirha Alex Jimenez okanye unxibelelane nathi apha 915-850-0900. Umboneleli (s) unelayisensi eTexas naseNew Mexico *
Ucaphulo
Isebenza njani iNeck:PUpToDate. (2020) educationIsifundo somonde: Intlungu yentlungu (Ngaphandle kweZiseko)www.uptodate.com/contents/neck-pain-beyond-the-basics
Iimpawu: IDLALO ENYE. Ukungasebenzi kakuhle kweThoracic kwiingxaki ezinxulumene ne-whiplash: Uphengululo lwenkqubowww.ncbi.nlm.nih.gov/pmc/articles/PMC5865734/
Izizathu:ClinIkliniki yaseMayo. (Nd) hipWhiplashwww.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921
by UGqr Alex Jimenez | Unyango lweentlungu, Whiplash
Intlungu yentamo Ikwabizwa ngokuba yintlungu entanyeni, i-whiplash, kunye noxinzelelo lomlomo wesibeleko / wentamo. Babhekisa kwintlungu kunye nokuphazamiseka okubaleka ngasemva okanye ngasemva kwentamo. I-Axial ichazwa njengokwenza okanye ukujikeleza i-axis. Olu hlobo lwentlungu luhlala lujikeleze intamo kunye nolwakhiwo olungqongileyo kwangoko. Ayisasazeli / iphume iye ezingalweni, ezandleni, kwiminwe nakwezinye iindawo zomzimba. Intlungu yentamo ye-Axial yahlukile kwezinye iimeko zentamo ezimbini. Bazi:
I-radiculopathy yomlomo wesibeleko ichaza ukucaphuka okanye uxinzelelo / ukucofa kwethambo njengoko liphuma kwintambo yomqolo. Imithambo-luvo yomqolo wesibeleko yaziwa ngokuba zii-peripheral nerves. Banoxanduva lokuhambisa imiqondiso ukuya nokusuka ebuchotsheni ukuya kwiindawo ezithile zeengalo nezandla. Iimpawu ezithunyelwa zisuka ebuchotsheni zezentshukumo yezihlunu, ngelixa imiqondiso eya ebuchotsheni yeyokuvava.
Xa enye yale mithambo-luvo icaphuka, idumbile, okanye yenzakele, inokubangela ukuba:
- Ubuhlungu besisu
- Ubuthathaka
- Ubungqina
- Ukuziva ngamehlo
- Iintlungu ezivuthayo
- Olunye uhlobo lweemvakalelo ezingaqhelekanga ezingalweni, ezandleni, okanye kwiminwe.
I-myelopathy yomlomo wesibeleko ichaza Ukunyanzeliswa kwentambo yomgogodla ngokwawo. Intambo yomqolo lulwazi uhola wendlela / imibhobho kuwo onke amalungu omzimba. Kukho uluhlu lweempawu ezinokubandakanya:
- Iimpawu ezifanayo ne-radiculopathy yomlomo wesibeleko
- Iingxaki zokulinganisela
- Iingxaki zokuququzelela
- Ukuphulukana nezakhono ezifanelekileyo zemoto
- Isisu kunye nokungakwazi ukuzibamba
Intlungu yentamo
Intlungu yentamo ye-Axial luhlobo oluqhelekileyo lweentlungu zentamo. Ichaphazela malunga ne-10% yabemi. Nangona kunjalo, uninzi lwezi meko azibandakanyi iimpawu ezinzima ezibangela umda kwimisebenzi yemihla ngemihla.
iimpawu
Ubuhlungu emva kwentamo luphawu lokuqala kunye nolona luqhelekileyo. Ngamaxesha athile iintlungu zihambela isiseko solukakayi, igxalaba, okanye igxalaba. Ezinye iimpawu ziquka:
- Ukuqina kwentamo
- Intloko
- Intlungu yesiqhelo yendawo
- Ubushushu
- Ukulinganisa
Izinto zomngcipheko wophuhliso
Ukuma kakubi, ukungabikho kwe-ergonomics, kunye nobuthathaka bemisipha kwandisa amathuba okuphucula intlungu yentamo. Imiba yengozi kuphuhliso lubandakanya:
- ubudala
- Umothuko-ingozi ezenzekelayo, ezemidlalo, ezomntu, ukwenzakala emsebenzini
- Intloko
- ukudakumba
- Intlungu engapheliyo yentamo
- Iingxaki zokulala
Ukuqondwa
Ngokusekwe kwiimpawu kunye neziphumo zovavanyo lomzimba yindlela isifo esihlala siphumelela ngayo. Ugqirha uya ngokuqhelekileyo ukuyalela i-x-ray, i-CT, okanye i-MRI yomqolo wesibeleko. Oku kufuna utyelelo olukhawulezileyo esibhedlele/ekliniki ukuze zihlolwe. Kunokubakho iimpawu ezinzima ezinokubonisa into eyingozi ngakumbi, ebangela intlungu enje usulelo, umhlaza, okanye ukwaphuka. Ezi mpawu ziquka:
- Phambi koxinzelelo / ukwenzakala ngenxa yokuwa, ingozi yemoto, ezemidlalo, ukwenzakala emsebenzini
- Fever
- Ukuhla ukusinda
- Ukukhupha ebusuku
- Iintlungu ezihlala zikho ebusuku
Ngokuhlaziya iimeko / izifo ezibangela iintlungu zentamo zingabandakanya ukuqina kwasekuseni kunye nokungakwazi ukuhamba okungcono njengoko imini iqhubeka. Ukuba iimpawu ziyaqhubeka ngaphezulu kweeveki ezi-6, umfanekiso womqolo unokucetyiswa, ngakumbi abantu abaye batyandwa intamo okanye umqolo ngaphambili okanye ukuba ingaba yi-radiculopathy yomlomo wesibeleko okanye i-myelopathy.
impatho
Kukho uluhlu olubanzi lweendlela zokhetho. Uqhaqho olunqabileyo alufuneki ngaphandle kweemeko ezinzima. Ukubuyela kwimisebenzi yesiqhelo ngokukhawuleza yenye yezona zinto zibalulekileyo zokuthintela intlungu ukuba ingapheli. Unyango lokuqala ludla ngokuqala ngolu hlobo:
- Ulungiso lwenyama
- Chiropractic
- Ukuzolula rhoqo
- Ukuqinisa imizimba
- Acetaminophen
- Amayeza okuchasana / nokudumba
- Maxa wambi izihlunu zezihlunu zimiselwe
Ukuba i-fracture yomlomo wesibeleko ifunyenwe, intambo yentamo inokucetyiswa ukuba isetyenziswe ixesha elifutshane. Ikhola ethambileyo ingasetyenziswa ukuba iintlungu zibukhali, kodwa ugqirha udla ngokuyeka ukusebenzisa emva kweentsuku ezi-3. Olunye ukhetho lonyango olungenayo ungenelelo lubandakanya:
- I-TENS -ukuhamba kombane ukukhuthaza amandla
- Unyango lwe-electromagnetic
- Qigong
- Ukwenza i-Acupuncture
- Unyango lwe-laser ekumgangatho ophantsi
- Unyango ngokuziphatha
Unyango olungaqhelekanga njenge inaliti, ukuphazamiseka kwemithambozo, yaye utyando azifane zifuneke. Kodwa ukuba kuyimfuneko, kunokuba luncedo kwezo meko.
Izizathu
Iindidi ezahlukeneyo zentamo yokwakheka komzimba inokuba negalelo kwintlungu. Izizathu eziqhelekileyo zibandakanya:
- Ukunyanzeliswa okubi
- ubudala
- Ukuhlaziywa
- Ergonomics
- Ukwenzakala kwezihlunu okanye iigaments
- Arthritis
Zonke ezi zinto zinako ichaphazela imizimba ye-vertebral, iidiski, kunye namalungu e-facet. Amahlombe ama-arthritis okanye i-rotator cuff inyembezi unako xelisa iintlungu zentamo ye-axial. Ukungasebenzi kakuhle komhlathi we-temporomandibular okanye imithambo yegazi yentamo kunokubangela intlungu ye-axial, kodwa inqabile.
Prognosis
Iimpawu zihlala zinciphisa ngaphakathi kweeveki ezi-4-6 ukusuka ukuqala kwentlungu. Intlungu eqhubekayo ngaphaya koku kufuneka ikhuthaze ukutyelela ugqirha we-chiropractic.
uthintelo
- Gcina izihlunu zentamo zomelele nge umzimba.
- Yolula intamo rhoqo.
- A ukutya okunempilo ngokukodwa ukuxhaswa kwethambo.
- Ukulala ngokufanelekileyo, umzekelo, ukulala ngasemva okanye ecaleni ngomqamelo oxhasa igophe lendalo lentamo.
- Ukuba kwikhompyuter yomsebenzi okanye ixesha elide, ukulungelelanisa amehlo kunye nesithathu esiphezulu kwesikrini.
- Kuphephe ukujonga phantsi xa usefowunini, ufunda, njl., ixesha elide ngokugcina iingalo zixhaswe kwindawo yokuphumla.
- Iiglasi kufuneka zityhalwe phezulu kwibhulorho yempumlo; ukuba zityibilika phantsi, kukho utyekelo lokuba intloko ilandele.
- Musa ukulibala jonga phezulu rhoqo.
Ukuphucula i-posture, i-ergonomics, kunye nokuqiniswa kwemisipha kunokunceda ukukhusela ukuqala kweentlungu kunye nokunceda ukunciphisa iimpawu.
Unyango lwe-Whiplash Neck Pain
by UGqr Alex Jimenez | Whiplash
Ulungiso lwenyama kubandakanya zombini Isenzi unyango kunyeLunyango olusebenzayo whiplash, ngakumbi zidityaniswe nolunye unyango, njengokukrala kunye ne-chiropractic. Whiplash ibangela ukuba izicubu ezithambileyo zentamo yakho zonakale. Unyanga ngokwasemzimbeni unokusebenza nawe ukubuyisela ukusebenza okufanelekileyo kunye nokuhamba kwezi zihlunu.
Unyango oluzenzekelayo luyanceda phumla uxinzelelo kwizicubu zomzimba eziziswe ngexesha lengozi entanyeni nasemzimbeni. Iyaqwalaselwa Unyango nje kuba umguli engathathi nxaxheba. Ukutsha kokulimala i-acute pain isetha ngaphakathi, ke ngoko unyango olusebenzayo luhlala luhlobo lokuqala lonyango olusetyenziswayo njengoko umzimba wakho uqala ukuphilisa kwaye uhlengahlengise iimpawu.
Eyona njongo iphambili yokunyanga umzimba kukufumana isigulana sithathe inxaxheba kunyango olusebenzayo de babe banokuzilolonga bebodwa. Unyango lwezonyango abafundiswa ziingcali bomzimba kwizigulana Ukomeleza umzimba wakho wonke uqinisekisa ukuba umqolo wakho uxhaswa ngokufanelekileyo.
Treatment Passive
Ubunzulu beTissue Massage
Obu buchule bujolise kwingxinano yemisipha eqinileyo evela ukukhula komonzakalo. Uxinzelelo oluthe ngqo luyasetyenziswa kwaye lutshintshiwe ukukhulula uxinzelelo kwizicubu ezithambileyo ezifana nezi:
- IiLigaments
- Tendons
- izihlunu
Oku kuya kunceda ezi tishu ziphilise ngokukhawuleza kwaye zikhulule.
Unyango olushushu / olubanda
Unyango lobushushu lusetyenziswa ngoochwephesha bomzimba ukujikeleza igazi elininzi kwindawo eyonzakeleyo. Ukuhamba kwegazi okwandayo kuvumela ioksijini ngakumbi, kunye nezakha mzimba kwindawo. Igazi likhupha nezinto ezingafunekiyo ezenziwe yizihlunu zemisipha.
Unyango olubandayo luyacothisa ukuhamba kwegazi, lona inceda ukunciphisa ukuvuvukala, imisipha kunye neentlungu. Unyango ngokwasemzimbeni luyatshintsha phakathi konyango olushushu kunye nolubandayo kuxhomekeka kwimeko yesigulana.
Nokuba kwenzeka ingozi yemoto okanye lolunye uhlobo lonyango olushushu nangokubanda olunokusetyenziswa apho ikhaya. Umkhenkce kufuneka usetyenziswe kuqala ukuthoba ukuvuvukala. Emva koko Iiyure ezingama-24 ukuya kwengama-48, tshintsha phakathi komkhenkce kunye nobushushu. Ubushushu bunceda ukuphumla izihlunu ezomeleleyo kunye nokunyusa ukuhamba kwegazi kwindawo eyonzakeleyo. Ungaze ubeke umkhenkce okanye ubushushu ngqo esikhumbeni, usongele ithawula emva koko ufake isicelo.
omoya
I-Ultrasound inceda ukunciphisa umsipha:
- Ukuqhawula
- Ubuhlungu
- Iipasms
- Ubunzima
- Ukuvuvukala
Amaza esandi athunyelwa nzulu kwizicubu zomzimba kwaye adala ubushushu obuthambileyo obujikeleza igazi elenza inkqubo yokuphiliswa iphilise.
Unyango o
Xa inxenye yonyango esebenzayo iqala, ugqirha uzokufundisa / ekuqeqeshe ngeendlela ezahlukeneyo zokuzilolonga ukuze usebenze ngamandla kunye nodidi lwentshukumo okanye indlela amalungu ahamba ngokulula okanye hayi. Inkqubo nganye yonyango lomzimba ilungiselelwe imeko yesigulana ngasinye, impilo kunye nembali yezonyango.
Olunye uvavanyo lunokungalungelanga omnye umntu onzakala nge-whiplash njengoko kunokuzenza zibe mbi ngakumbi iimpawu zazo kwaye zenze ukuba loo monakalo ube mkhulu. Ukufunda indlela yokulungisa ukuma kwakho kunye nokusebenzisa i-ergonomics kwimisebenzi yakho yemihla ngemihla yinxalenye yenkqubo yonyango. Xa sele efumene lomsebenzi wokuma komhlaba uya kuqhubeka nokunceda ngenxa yoqeqesho / ukwenza umthambo ungathintela ezinye iintlobo zentlungu yentamo ezikhula kubomi obuqhelekileyo.
Unyango ngokomzimba kwizigulana ze-whiplash lunceda ukunciphisa imisipha yemisipha, yonyusa ukujikeleza kwegazi, kunye nokukhuthaza ukuphiliswa kwezicubu zentamo.
Ukutsala umhlana kwenye inketho
I-Whiplash inyangeke kakhulu, Enye indlela kukusebenzisa i-brace yomlomo wesibeleko okanye ikhola yomlomo wesibeleko. I-brace inikezela inkxaso entanyeni ngelixa izicubu ezithambileyo zipholisa. Umsebenzi wezicubu ezithambileyo kukuxhasa intamo yakho, kodwa xa kwenzekile abanakho ukwenza umsebenzi wabo. Kulapho kungena khona umkhombandlela.
Izixhobo zomlomo wesibeleko zitshitshisa intshukumo yentamo kunye nokuxhasa intloko yakho, ethatha ubunzima entanyeni.
Oku kuvumela izihlunu ukuba ziphumle ngelixa zipholile. Ugqirha wakho uya kukwazisa ixesha elingakanani ekufuneka unxibe i-brace. Ngokubanzi, inxitywa iiveki ezimbini okanye ezintathu. Ugqirha uya kucacisa ukuba uyinxibe njani ikholaji, oko kuthetha ukuba uza kuyidinisa ixesha elingakanani suku ngalunye, ukukhathalela ikhola, ukuphatha imisebenzi yemihla ngemihla njengokuhlamba, ukuhlala, ukulala, njlnjl. Iimpawu zihlala zingena kwiiveki ezimbini ukuya kwezintathu. Nangona kunjalo, ukuba kusekho iintlungu, ukuba buhlungu, okanye ezinye iimpawu, kuya kufuneka uzame ezinye iindlela zonyango.
Unyango lwe-Whiplash Massage Therapy El Paso, TX Chiropractor
Izixhobo zeNCBI
Emva kwengozi yemoto, unokuqaphela iintlungu zentamo.Could Kungaba kukubandezeleka okuqaqambileyo ocinga ukuba akunto kodwa kukukhathalela ngaphezu kokuba une-whiplash. Ukuba ubukrakra obuncinci bungajika bube bubomi beentlungu ezinganyangekiyo zentamo ukunyangwa kuphela ngeengqaqambo kwaye azinyangwa umthombo.
