ClickCease
+ 1-915-850-0900 spinedoctors@gmail.com
Khetha Page

Uvavanyo lweChiropractic

UVavanyo lweChiropractic yangasemva. Uvavanyo lokuqala lwe-chiropractic ye-musculoskeletal disorders luya kuba namacandelo amane: ukubonisana, imbali yecala, kunye nokuhlolwa komzimba. Uhlalutyo lwebhubhoratri kunye novavanyo lwe-X-reyi lunokwenziwa. I-Ofisi yethu ibonelela ngoVavanyo oloNgezelelweyo lokuSebenza kunye noluHlanganisiweyo lweMpilontle ukuze izise ulwazi oluphangaleleyo kwiinkcazo-mpilo zesigulana.

Ukubonisana:
Isigulane siya kudibana ne-chiropractor esiya kuhlola kwaye sibuze umbuzo omfutshane weentlungu zakhe ezisezantsi, njenge:
Ixesha kunye nobukhulu beempawu
Inkcazo yeempawu (umz. Ukuvutha, ukuphosa)
Iindawo zeentlungu
Yintoni eyenza intlungu iziva ngcono (umzekelo, uhleli, ulula)
Yintoni eyenza intlungu ibuhlungu ngakumbi (umzekelo ukuma, ukuphakamisa).
Imbali yembali. I-chiropractor ichonga indawo (s) yesibheno kunye nesimo seentlungu emva kokubuza imibuzo nokufunda ngakumbi malunga nemimandla eyahlukeneyo yomlando wesigulane, kuquka:
Imbali yentsapho
Indlela yokutya
Imbali edlulileyo yamanye unyango (i-chiropractic, i-osteopathic, unyango kunye nezinye)
Imbali yomsebenzi
Imbali yengqondo
Eminye imimandla emayiphononongwe, ngokufuthi isekelwe kwiimpendulo zale mibuzo ingasentla.

Uhlolo loqobo:
Siza kusetyenziswa iindlela ezahlukeneyo zokujonga izigulane zamagqabi ezifuna unyango lwe-chiropractic, kubandakanywa kodwa ezingagqibekanga kwiinkqubo zesigxina kunye neendlela zokunyakaza ezinqumle amaqhekeza omnxeba onobungozi bezithuthi (ezinqongophele ekuhambeni kwawo) okanye ukulungiswa. Ngokuxhomekeke kwiziphumo zoviwo olukhankanywe ngasentla, i-chiropractor ingasebenzisa iimvavanyo zokuxilonga ezongezelelweyo, ezifana:
I-X-ray ukufumana izihlomelo (indawo eguqulelwe kwi-vertebra)
Isixhobo esichaza ukushisa kwesikhumba kwindawo yesigxina ukuchonga iindawo zokumelana nomoya ngokuhluka kweqondo lokushisa olufuna ukuphathwa.

Diagnostics yeLebhanki:
Ukuba kuyimfuneko, sikwasebenzisa iindlela ezahlukeneyo zokuxilonga zaselebhu ukuze siqinisekise umfanekiso opheleleyo wekliniki wesigulana. Siye sasebenzisana neelebhu eziphezulu esixekweni ukuze sinike izigulane zethu umfanekiso weklinikhi ogqibeleleyo kunye nonyango olufanelekileyo.


I-Non-Radiographic Axial Spondyloarthritis: Ikliniki yase-El Paso yangasemva

I-Non-Radiographic Axial Spondyloarthritis: Ikliniki yase-El Paso yangasemva

I-non-radiographic axial spondyloarthritis or nr-axSpA kunye non-radiographic ankylosing spondylitis /AS zihlobene. Nangona kunjalo, i-non-radiographic axial spondyloarthritis ingabonisa iimpawu ze-AS ngokukrala okusebenzayo komgudu kunye ne-sacroiliac / SI joints, ebangela ubuhlungu be-back and hip kodwa ayibonakalisi umonakalo odibeneyo kwi-X-rays okanye i-MRIs. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic inokuchaza ukuba kuthetha ukuthini ukuba ne-non-radiographic axial spondyloarthritis, indlela enokulawulwa ngayo, kunye nento ongayenza ukuyikhusela ukuba ingajiki ibe yi-ankylosing spondylitis.I-Non-Radiographic Axial Spondyloarthritis: Iqela le-EPs Chiropractic

I-Non-Radiographic Axial Spondyloarthritis

I-non-radiographic axial spondyloarthritis ithetha ukuba kukho iimpawu zokuqala ze-AS kodwa azikaphuhli ngokwaneleyo ukudumba kwamalungu okanye umonakalo onokuthi ubonakale kwi-X-reyi okanye olunye uhlobo lomfanekiso. Ubungqina bokuqala bokuvuvukala okuhlangeneyo kubandakanya ukufiphala kwemiphetho edibeneyo kunye nemimandla yendawo yokutshatyalaliswa ngokubambisana. Kunokuba nzima koogqirha ukubona olu tshintsho lufihlakeleyo kwi-x-reyi.

Ankylosing Spondylitis

  • I-Ankylosing spondylitis, okanye i-AS, luhlobo lwe-arthritis evuthayo echaphazela amajoyina kumqolo nakwezinye iindawo.
  • Sisifo esingapheliyo, esivuthayo, esizimelayo.
  • Uphando lwezonyango lusaqhuba ukufumanisa oyena nobangela, kodwa icandelo lemfuzo kukholelwa ukuba linegalelo.
  • Malunga nama-85% abantu abane-ankylosing spondylitis bafumene ilifa I-HLA-B27 gene, ehambelana neemeko ezininzi ze-autoimmune.
  • Kwinqanaba lokuqala, umntu ngamnye uya kubonisa iintlungu ezisezantsi zomqolo ezijikeleze amalungu e-sacroiliac okanye amalunga adibanisa umqolo kwi-pelvis.
  • Amanqanaba amva aneziphumo ezicacileyo zeX-reyi, njengokudityaniswa kwamalungu e-sacroiliac kunye nomqolo osezantsi owenzeka ngokuhamba kwexesha.
  • Ukuvuvukala okudibeneyo kunokuqhubela phambili, kubangele umonakalo osisigxina kunye ukuqina komqolo.
  • Uninzi lwabantu abanemeko banokulawula iimpawu zabo nge-NSAIDs, ukhathalelo lwe-chiropractic, unyango lomzimba kunye ne-massage, kunye noluhlu lweendlela zokuzivocavoca.

Isigaba 1

  • Akukho bungqina bokudumba komqolo kwi-x-reyi.
  • I-MRI inika imifanekiso ethe kratya yamathambo kwaye inokutyhila Umongo wethambo edema okanye ukuqokelelana kolwelo kwizakhiwo zamathambo omqolo kunye namalungu.
  • Abantu abane-non-radiographic axial spondyloarthritis, ulapha.

Isigaba 2

  • Kukho ukuvuvukala okubonakalayo kwamalungu omgogodla kwi-x-reyi.
  • Amalungu e-sacroiliac phakathi komqolo kunye ne-pelvis ngawona achaphazelekayo.

Isigaba 3

  • Ukuvuvukala okungapheliyo kwamalungu kubangele ukulahleka kwethambo kunye nomonakalo osisigxina odibeneyo, obangela ukuqina komqolo.

Iimpawu ze-Non-Radiographic Axial Spondyloarthritis

Kukho umahluko phakathi kweentlungu zangasemva ezinxulumene noxinzelelo lwemisipha kunye ne-arthritis. Iimpawu zeentlungu zomqolo ziquka:

  • Iqala ukubonakala phambi kweminyaka engama-40.
  • Inokuqala ngokuthe ngcembe kwaye inokungaqatshelwa iminyaka.
  • Ukuphucula ngentshukumo okanye umsebenzi.
  • Kuyanceda imini yonke.
  • Iqala ngokuhlwa xa uphumle.

Ezinye iimpawu ziquka:

  • Ukuqina ngokudibeneyo
  • Iminwe idumbile
  • Intlungu yesheel
  • Ukungakhululeki kwempundu kunye neentlungu

Ukuqhubela phambili okucothayo

Ukuqhubela phambili ukusuka kwi-non-radiographic axial spondyloarthritis ukuya kwi-ankylosing spondylitis kwenzeka kwi-10% - 20% yabantu ngabanye kwisithuba seminyaka emibini. Izinto zokuqhubela phambili ziquka i-genetics, isini, iqondo lomonakalo odibeneyo, kunye nenqanaba labamakishi abavuthayo ngexesha lokuxilongwa.

  • Ukuxilongwa kwangoko kunye nonyango kunokucothisa ukuqhubela phambili phambi komonakalo omkhulu odibeneyo kunye nonyango oluchasayo, unyango lwe-rheumatological, kunye nomthambo ojoliswe kuwo.
  • Sebenza nengcali efana nengcali yamathambo kunye ne-rheumatologist eyiqondayo ingxaki kwaye ihlaziywe kwiindlela zonyango zamva nje.
  • I-rheumatologist iya kwenza iimvavanyo zokuxilonga, kubandakanywa umqolo we-X-rays, i-genetic umsebenzi wegazi, yaye iimpawu zokudumba kweserum.
  • Abantu abane-non-radiographic axial spondyloarthritis kufuneka balindele ukuba serial X-reyi ukulinganisa ukuqhubela phambili kwesi sifo.
  • Ukuhlala usempilweni kwaye usebenza kuyacetyiswa ukuba ucothise ukuqhubela phambili kwe-nr-AxSpA kunye AS.
  • Inkqubela phambili yezonyango yakutsha nje kunye nohlengahlengiso kwindlela yokuphila inokucothisa ukuqhubeka kwiimeko ezininzi.

axSpA


Ucaphulo

Iingcebiso ezintandathu zokuhlala kakuhle kunye ne-ankylosing spondylitis. Ifumaneka e www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/in-depth/6-tips-for-living-well-with-ankylosing-spondylitis/art-20478753. Kufumaneka 11 / 07 / 2022.

Ankylosing spondylitis. Iklinikhi yaseMayo. Ifumaneka e www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/symptoms-causes/syc-20354808. Kufumaneka 11 / 05 / 2022.

U-DJ Pradeep, A. Keat, K. Gaffney, Ukuqikelela umphumo kwi-ankylosing spondylitis, i-Rheumatology, uMqulu 47, ukukhutshwa kwe-7, ngoJulayi 2008, amaphepha 942-945, doi.org/10.1093/rheumatology/ken195

Kucybała, Iwona, et al. "Indlela yeRadiologic ye-axial spondyloarthritis: siphi ngoku kwaye siyaphi?" Rheumatology ngamazwe vol. 38,10 (2018): 1753-1762. doi:10.1007/s00296-018-4130-1

Michelena, Xabier, López-Medina, Clementina, kunye noHelena Marzo-Ortega. "I-non-radiographic ngokuchasene ne-radiographic axSpA: ngubani igama?". Iziko leSizwe loLwazi lweBiotechnology. Nge-14 ka-Okthobha 2020. doi.org/10.1093/rheumatology/keaa422

Swift D. Ankylosing spondylitis: ukuqhubela phambili kwesifo kuyahluka ngokubanzi. Medpage Namhlanje. Ifikeleleke ngo-11/05/2022.Ifumaneka apha www.medpagetoday.com/rheumatology/arthritis/49096

I-Muscle Back Back: El Paso Back Clinic

I-Muscle Back Back: El Paso Back Clinic

Ukuziva ungakhululekanga ngasemva kunye neempawu zinokubonisa izihlunu ezitsaliweyo. Ngaphandle kokuba ukhe wahlangabezana nale meko ngaphambili, ukufumanisa unobangela kunokuba nzima. Isihlunu esitsaliweyo sinokuqala ngokukhawuleza, ukuhlaba okubukhali xa ugoba, ufikelela, okanye ujija. Okanye inokuzibonakalisa ngokuthe ngcembe, ibe mandundu kwiintsuku ezimbalwa. Ukwenzakala okuqhelekileyo, kodwa ukuba kuyekwa kunganyangwa kunokuthatha iiveki ezininzi, kwaye kwiimeko ezinzima, iinyanga ezimbalwa, ukuphilisa ngokuchanekileyo. Ukulimala kweChiropractic yezoNyango kunye neKlinikhi yezoNyango eSebenzayo inokunceda ukuxilonga ingxaki kunye nokuphuhlisa isicwangciso sonyango esilungiselelwe ukubuyisela umsebenzi ofanelekileyo kunye nempilo.

I-Muscle ekhutshwe ngasemva: Iqela leChiropractic le-EP

Utsalwa Ngasemva Kwemisipha

Isihlunu esitsaliweyo sichaza isihlunu esixineneyo.

  • A bunzima sisihlunu okanye i-tendon eyenzeka xa izicubu zolule kakhulu okanye zikrazula.
  • Xa i-ligament isolula okanye ikhala, ibizwa ngokuba yi-a kuhlutha.
  • Amatyala amaninzi anokulawulwa kwaye anyangwe ekhaya.
  • Kodwa ukuba iimpawu aziphuculi okanye zenza kube nzima ukuhamba, bona ugqirha okanye i-chiropractor.

iimpawu

Iimpawu eziqhelekileyo kunye neempawu zesihlunu sokutsalwa ngasemva ziquka:

  • Ukuvuvukala
  • ukuthantamisa
  • Ukukhathazeka - Izihlunu ezibuhlungu eziziva ziqinile kwaye zibuhlungu ngokuqhelekileyo zibonisa imeko enokuthi iphucule kwiintsuku ezimbalwa. Ukuqaqanjelwa kakhulu kunokubonisa ukwenzakala okubaluleke ngakumbi.
  • Iipasms – I-spasm exhuzula ngokukhawuleza kwi-muscle ingabonisa kwakhona ukutsalwa. Oku kunokuvakala ngathi kukuqiniswa ngesiquphe okungakhululekiyo. I-muscle inokuqhubeka i-spasm kwaye iholele kwezinye iimpawu.
  • Ukuqhawula -I-muscle inokukrazula kunokukhokelela ekukhuleni kokuqina xa uzama ukusebenzisa i-muscle.
  • Ubuhlungu -Inokubonakaliswa njengobuthuntu obuqhubekayo kunye / okanye ubuhlungu kwiimeko ezininzi okanye, kwiimeko ezinzima, ezibukhali kunye nokudubula.
  • Ukungakhululeki xa ujikeleza. Ukuba iintlungu ziyavutha xa uzama ukushukuma okanye ukusebenzisa imisipha yangasemva ngokuqhelekileyo kubonisa ukuba kukho into engalunganga.
  • Uncedo ngexesha lokungasebenzi kunye nokuphumla. Xa ulele phantsi ukuze uphumle okanye uthabathe ikhefu okwexeshana, kwaye iimpawu zisenokunyamalala zisenokuba luphawu lwesihlunu esitsaliweyo okanye enye inzakalo.

Izizathu

Oonobangela abaqhelekileyo zezi:

Isihlunu esiQiqiniweyo

  • Oku kubangela umonakalo othile kummandla wezicubu ze-muscle, ngokuqhelekileyo umphumo wokusetyenziswa ngokugqithiseleyo okanye ukukrazulwa kwenye inzakalo.

I-Sprained Ligaments

  • Ibandakanya umonakalo kwi-ligaments kwi-joint, ngokuqhelekileyo abo bakwi-vertebrae yomgogodla.

I-Herniated Disc

  • Oku kubandakanya umonakalo kwiidiski ezinokuphuma, ukucaphukisa izicubu ezijikelezileyo kunye neentsholongwane kwaye zingabangela ukutshintshwa kunye nokungahambi kakuhle komqolo.

Ezi meko zihlukile, kodwa iimpawu zinokufana.

Iipilisi

Kubalulekile ukubonisana nochwepheshe bezonyango ngaphambi kokuba uphathe ukulimala ngenxa yokuba iimpawu zolunye ukulimala, njengeengxaki ze-disc okanye ithambo eliphukile, linokufana neentlobo kunye ne-sprains. Uninzi lonyango luya kusebenzisa:

Ice kunye noHu

  • Umkhenkce unceda ukunciphisa ukuvuvukala.
  • Iqhwa elikhawulezayo lingasetyenziselwa kwi-muscle ekhutshiweyo, intlungu ekhawulezayo kunye nokuvuvukala kuyancipha, kwaye inkqubo yokuphulukisa ingaqala.
  • Faka isicelo ipakethe ebandayo ye-15-20 imizuzu ngokukhawuleza xa kwenzeka ukulimala.
  • Thatha ikhefu lemizuzu engama-20 phakathi kwesicelo ngasinye esibandayo.
  • Emva kweentsuku zokuqala, enye unyango olubandayo kunye nobushushu ukwandisa ukujikeleza.
  • Zama umgaqo we-20-20-20: imizuzu engama-20 yepaki yeqhwa elandelwa yikhefu lemizuzu engama-20, emva kwemizuzu engama-20 yokushisa.
  • Phinda kwakhona njengoko kuyimfuneko, ukuvumela imizuzu engama-20 phakathi kobushushu okanye unyango lwe-ice.

Ukuphumla okulinganiselweyo

  • Kanye emva koxinzelelo lwemisipha, ukunciphisa amanqanaba okusebenza ngokomzimba kunye nokuphepha ukunyakaza kucetyiswa ixesha elifutshane.
  • Emva kokuba intlungu yokuqala iyancipha, amanqanaba omsebenzi wenxalenye ayacetyiswa ukunceda ukukhusela imisipha ukuba ibe buthathaka.

Ukunyanzeliswa

Ukunxibelelana

  • Ukubuyela kwimisebenzi, ukuzilolonga ngokuthambileyo kunokuphucula ukuphiliswa kwezicubu ngokunyusa ukujikeleza kwegazi kwindawo eyenzakeleyo.
  • Ukufaka ubushushu kwindawo phambi kokuba uzolule nako kunokunceda.

Uqeqesho ngamandla

  • Buza ugqirha okanye i-chiropractor malunga nokuzivocavoca kwamandla okufanelekileyo kwimeko yakho.
  • Uqeqesho lwamandla luya kuphuhlisa imisipha ukukhusela ukulimala kwexesha elizayo.

Imithi Yobunzima

  • Amanqanaba entlungu ayibonakalisi ebalulekileyo ngexesha lenkqubo yokubuyisela.
  • Amayeza eentlungu aphelisa iimpawu kodwa awancedi ekunyangeni kwaye kufuneka asetyenziswe ixesha elifutshane ukunika isiqabu.
  • Ukuba ufuna amayeza eentlungu, dibana nogqirha wakho ukuze abone uhlobo olufanelekileyo kunye nedosi kwimeko yakho.

ukuphulula umzimba womntu ngobunono

  • Ukujikeleza kwegazi kwizicubu ezonzakeleyo kunyuswa ngonyango lwe-massage.

Chiropractic

  • I-chiropractor ingakwazi ukuxilonga iintlungu zangasemva kwi-muscle okanye kwi-disc nzakala kunye nokuphuhlisa isicwangciso sonyango lomntu ngamnye.

Unyango lweChiropractic


Ucaphulo

www.aans.org/Patient/Neurosurgical-Conditions-and-Treatments/Low-Back-Strain-and-Sprain

Allen, Laura. "I-Case Study: Ukusetyenziswa kwe-Massage Therapy ukuNciphisa iiNzululwazi eziNgenaPhantsi eziNgasemva." Ijenali yamazwe ngamazwe yonyango lokuphulula umzimba kunye nokusebenza komzimba vol. 9,3 27-30. 9 Septemba 2016, doi:10.3822/ijtmb.v9i3.267

Kumar, Saravana et al. "Ukusebenza konyango lwe-massage kunyango lweentlungu ezingachazwanga ezisezantsi: uphononongo olucwangcisiweyo lophononongo olucwangcisiweyo." Ijenali yamazwe ngamazwe yeyeza jikelele vol. 6 733-41. 4 Septemba 2013, doi:10.2147/IJGM.S50243

www.merckmanuals.com/professional/injuries-poisoning/sprains-and-other-soft-tissue-injuries/overview-of-sprains-and-other-soft-tissue-injuries

www.spine-health.com/conditions/lower-back-pain/exercises-lower-back-muscle-strain

Indlela yeKlinikhi kwi-SBAR kwiKliniki yeChiropractic

Indlela yeKlinikhi kwi-SBAR kwiKliniki yeChiropractic


intshayelelo

UDkt Alex Jimenez, DC, ubonisa indlela indlela ye-SBAR esetyenziswa ngayo kwindlela yekliniki kwiofisi ye-chiropractic. Kuba iintlungu emzimbeni sesinye sezona zikhalazo zixhaphakileyo kwihlabathi liphela, abantu abaninzi banokuthunyelwa kwingcali yezempilo ukuze baqonde ngcono okwenzekayo emizimbeni yabo kwaye impilo yabo kunye nempilo yabo ibuyiselwe. Sithumela izigulana kubaboneleli abaqinisekisiweyo abaziingcali kunyango ukunceda abantu abaphethwe yimiba eyahlukeneyo engapheliyo enxulumene nemisipha kunye neentlungu ezidibeneyo ezichaphazela imizimba yabo. Sikwakhokela izigulana zethu ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

 

Yintoni indlela ye-SBAR?

UGqr. Alex Jimenez, DC, unikezela: Igama elithi SBAR limele imeko, imvelaphi, uvavanyo kunye nengcebiso. Yindlela yokunxibelelana esetyenziswa ngabasebenzi abaninzi be-chiropractors okanye abaqeqeshi bezempilo ukunceda ukwenza lula ukunxibelelana ngolwazi lwesigulane kwamanye amalungu eqela lezempilo. Kwaye yonke injongo yendlela ye-SBAR kukusinceda ngobuchule nangokucwangcisiweyo ngemeko yesigulana kunye nemvelaphi yeso sigulana, iziphumo zovavanyo esizifumeneyo, kunye neengcebiso esizicebisa kulo mntu uthile ukuze baqonde ngokulula ukuba yintoni na. sidinga, sifuna, kwaye kuqhubeka ntoni ngeso sigulana ngendlela ecacileyo negxininisekileyo. Ke indlela ye-SBAR inokunceda i-chiropractor okanye i-massage therapist ihlale icwangcisiwe nanini na kufuneka inxibelelane kwaye ikhuphe ulwazi olungafunekiyo olunokuba kwincoko echitha ixesha okanye enokubhida umphulaphuli kwaye incede ukuthintela loo maxesha apho ingcali inokufumana imibuzo. kumntu abathetha naye, kwaye basenokungazi.

 

Indlela ye-SBAR ivumela ii-chiropractors ukuba zinxibelelane ngokufanelekileyo kunye nezigulane malunga nokuba iintlungu zikhona emizimbeni yazo. Ngoko ke i-SBAR iya kunceda abaninzi abaqeqeshi bezempilo bahlale behlelekile. Eminye imizekelo yendlela ye-SBAR esetyenziselwa unxibelelwano ibandakanya: umongikazi kufuneka athethe nomboneleli wezempilo njengogqirha, umongikazi, okanye i-PA ukuze abazise ukuba imeko yesigulana iya isiba mandundu, kwaye kufuneka bafowunele kwaye baxele ukuba . Ukuba badinga into ethile kweso sigulana, umboneleli wezempilo unokulandela indlela ye-SBAR, eya kubanceda ngokucacileyo nangokufutshane loo mbandela kumphulaphuli. I-Chiropractors ingaphinda isebenzise i-SBAR ukwabelana nabanye ababoneleli bezonyango abahambelanayo okanye i-massage therapists xa benengxelo yesigulane yokunikezelwa okanye idluliselwe kwiyunithi eyahlukileyo.



Indlela ye-SBAR ingasetyenziswa namanye amalungu eqela lezempilo, njengonyango lwentetho, unyango lomsebenzi, unyango lwe-chiropractic, kunye nonyango lomzimba. Le ndlela inceda kwaye ikhokela i-chiropractors malunga naluphi ulwazi olufunekayo ukuze banikeze isigulane, ngoko banokuqonda ngokupheleleyo okwenzekayo kubo. Umzekelo uya kuba sisigulane esiza kwiklinikhi ye-chiropractic ngentlungu emva; nangona kunjalo, bafumana imiba yamathumbu kwaye baneendawo zezikhalazo ezinqeni zabo, ezibangela imiba yokuhamba. Ke ngokusebenzisa indlela ye-SBAR, i-chiropractors kunye nabanye ababoneleli bezempilo banokunxibelelana ngcono nezigulana zabo kwaye baphuhlise isisombululo kunye Inkqubo ye-APPIER kunye nesicwangciso sonyango esijongene nomntu. Xa usenza i-SBAR yakho ukunxibelelana ngcono nomntu, kungcono ukuqinisekisa ukuba uzilungiselele ngokupheleleyo phambi kokuba uqalise loo ncoko. Ukuba nenkqubo encinci yokuthobela indlela ye-SBAR inokukunceda ngokukhawuleza kwaye ikuvumela ukuba uqaphele okwenzekayo kunye nesigulane entloko yakho okanye uqaphele imeko yabo. Ukufumana ukucwangciswa kwendlela ye-SBAR kuyisinyathelo sokuqala, kwaye ezininzi iiyunithi zonyango ziya kubenza zidalwe ukuze ugqirha akwazi ukuzalisa kwaye abeke lonke ulwazi olufunekayo xa bebiza okanye bethetha nezigulane zabo.

 

I-Chiropractors esebenzisa indlela ye-SBAR yayiza kungena kwigumbi, ijonge eso sigulane, sivavanye eso sigulane, siqokelele iimpawu zabo ezibalulekileyo kwaye sijonge kwitshathi, jonga inkqubela phambili yangoku, kwaye wazi ukuba ngubani okhoyo ebhodini ukunyamekela eso sigulane. Indlela ye-SBAR ikwavumela ugqirha ukuba ahlaziye itshathi yesigulana ngokucokisekileyo kwaye aqonde ukuba kuqhubeka ntoni ngesi sigulana. Ngoko xa bengena egumbini, baya kuba nombono wento eyenzekayo ngesigulana xa loo mibuzo ifikayo. Kwaye, xa bejonge iziphumo zelebhu zamva nje kubaboneleli bezonyango abanxulumeneyo. Banokuqonda ukuba leliphi iyeza isigulana esilithathayo kuba loo mibuzo mhlawumbi iya kuza kwaye ifakwe kwindlela ye-SBAR. Oku kuya kuvumela i-chiropractor ukuba iqokelele yonke loo ngcaciso kwisigulane kwaye ikhululeke kwaye ilungele ukuqalisa ingxoxo.

 

imeko

UGqr. Alex Jimenez, DC, unikezela: Ngoku makhe sijonge kwicandelo ngalinye lendlela ye-SBAR. Ekubeni indlela ye-SBAR igxininise kakhulu kwaye imfutshane ngonxibelelwano, iqondile. Ke imeko yinto yokuqala oza kuqala ngayo nanini na xa unxibelelana usebenzisa indlela ye-SBAR. Ke ngokuba nekhompyuter yakho kweso sigulana sikhethekileyo, oogqirha banokujonga into ngokulula xa umntu ebabuza umbuzo kwaye abe nolwazi phambi kwabo ngokukhawuleza. Ngoko kwimeko, kanye njengokuba isitsho, usukelo kukuthetha ngesizathu sokuba umguli efowunele. Leyo yinjongo yayo, njengoko inceda ukuqala izinto kwaye ivumela ugqirha kunye nesigulana ukuba bazazise kwaye bachaze ngokufutshane ukuba kuqhubeka ntoni ngemizimba yabo. Umzekelo uya kuba ngumntu onentlungu yomqolo ozazisa kwi-chiropractor kwaye ngokuchaseneyo kwaye achaze ngokufutshane apho abuhlungu khona.

 

imvelaphi

UGqr. Alex Jimenez, DC, unikezela: Ingxenye yangasemva yendlela ye-SBAR inceda ukupenda umfanekiso wento isigulane esihamba kuyo kwaye iya kunika inkcazo emfutshane yemeko. Emva koko, siya kungena ngqo kwimvelaphi yesigulana, kwaye le nxalenye yonxibelelwano iya kugxila kakhulu kwakhona. Kwaye ungatshintsha njani ukusuka kwimeko ukuya kwimvelaphi kwindlela ye-SBAR ngokuya kuxilongo lwesigulana. Ngoko isigulana samkelwa nakuphi na ukuxilongwa ngomhla wokwamkelwa. Emva koko i-chiropractor iya kulungelelanisa kwaye ifake ulwazi olubalulekileyo lwesigulane ngokusekelwe kwinto isigulane esifumana intlungu-esilumkileyo. Intlungu inokwahluka kumntu ngamnye kwaye inokuchaphazela umzimba ngokwahlukileyo.

 

Oogqirha abaninzi banokubandakanya isimo sekhowudi yesigulane kwaye baxoxe ngazo naziphi na ezinye iingxaki zempilo ezibalulekileyo ezihamba kunye nemeko yangoku yesigulane. Umzekelo uya kuba ukuba umntu ujongene nemiba yenhliziyo, ugqirha wabo oyintloko unokubuza ukuba babenayo nayiphi na imbali yempilo kunye nokuphazamiseka kwentliziyo, amayeza ezifo zentliziyo, intlungu yesifuba, njl njl. Ukufumana imbali yabo yemvelaphi kunokubonelela oogqirha abaninzi ngesicwangciso sonyango esingayi kubangela nayiphi na imiba kwisigulane. Xa ii-chiropractors zisebenza kunye nabanye abaqeqeshi bezempilo, banokubonelela ngemvelaphi yesigulane, kuquka igazi, iinkqubo zangaphambili, kunye naluphi na ulwazi olongezelelweyo lokuphuhlisa isicwangciso sonyango. Kunye nodliwano-ndlebe, ngawaphi amanye amaqela ogqirha akhoyo kunye nesi sigulana kunye naziphi na iinkqubo ezilindileyo umguli anokuba nazo? Oko kuyabazisa, kulungile, andidingi kuodola olu vavanyo okanye imveliso kuba baya kuba nale nkqubo.

 

U vavanyo

UGqr. Alex Jimenez, DC, unikezela: Icandelo elilandelayo lendlela ye-SBAR yinxalenye yovavanyo, apho ugqirha uya kuxelela isigulane oko baye bavavanya okanye bafumene kwisigulane. Uninzi lweengcali zezempilo, njenge-chiropractors, zibonelela ngezo ziphumo zovavanyo kunye neempawu ezibalulekileyo zangoku ukuxhasa oko bacinga ukuba kuyaqhubeka. Umzekelo uya kuba ngugqirha weyeza elisebenzayo elichazela isigulane into abayifumene emzimbeni wabo, njengemiba yokuphefumula, intliziyo, okanye i-GI, kunye noko bacinga ukuba kuqhubeka ngokusekelwe kwinto abayifumeneyo.

 

Kodwa masithi, umzekelo, ukuba umongikazi okanye ugqirha akazi; nangona kunjalo, bayazi ukuba kukho into engalunganga ngesigulana kwaye bafuna okuthile. Kule meko, ugqirha okanye umongikazi unokuthathela ingqalelo into eqhubekayo ngesigulana kwaye achazele ababoneleli bezonyango abanxulumene nabo ukuba banexhala okanye isigulana siya siwohloka; azinzanga kwaye zitshintshile ukusuka kwixesha ebezibona ngalo ngaphambili. Ngokusebenzisa indlela ye-SBAR, i-chiropractors inokuvavanya imeko isigulane esijongene nayo kwaye inike izisombululo ezinokuqonda ukuphuhlisa isicwangciso sonyango kwisigulane.

 

I ngcebiso

UGqr. Alex Jimenez, DC, unikezela: Kwaye ekugqibeleni, inxalenye yokugqibela yendlela ye-SBAR ziingcebiso. Ke iingcebiso kulapho ugqirha anxibelelana nesigulana kwinto abayifunayo okanye abayidingayo. Ngokubeka isakhelo ekusebenziseni indlela ye-SBAR, inxalenye yokucebisa ivumela ugqirha ukuba athethe ngokuthe ngqo nesigulane malunga noko kufuneka kwenziwe ukuphucula impilo kunye nokuphila kakuhle. Umzekelo kukuba isigulane sijongene nemiba yamathumbu ehambelana nesifo se-metabolic syndrome kwaye ugqirha wabo ubanika isicwangciso sonyango sokubandakanya ukutya okunomsoco kwizidlo zabo, ukuzivocavoca ngakumbi kunye nokufumana uhlengahlengiso kwi-chiropractor kunokunceda ukunciphisa intlungu echaphazela umqolo okanye ezinqeni zabo. .

 

isiphelo

Ekubeni intlungu yomzimba yenye yezona zikhalazo eziqhelekileyo kwihlabathi jikelele, ukhathalelo lwe-chiropractic lunokunceda ekulawuleni iimpawu ezinxulumene nentlungu edibeneyo kunye nemisipha ngelixa i-indleko-esebenzayo kwaye ingabikho. Ukusebenzisa indlela ye-SBAR kwiklinikhi ye-chiropractic inokunika i-chiropractor izixhobo ezifanelekileyo zokuphuhlisa isicwangciso sonyango lomntu ukukhulula nayiphi na intlungu echaphazela umzimba wabo. Ukunyamekela kwe-Chiropractic kunokusebenzisa indlela ye-APPIER edibeneyo kunye nendlela ye-SBAR yokuphelisa ngokupheleleyo nayiphi na ingxaki kwisakhiwo somzimba ukubuyisela impilo kunye nokuphila komntu.

 

isikhanyeli

I-subluxation Chiropractor: El Paso Back Clinic

I-subluxation Chiropractor: El Paso Back Clinic

I-subluxation xa i-joint shifts ngaphandle kokulungelelaniswa, enokuthi yenzeke kuyo nayiphi na idibeneyo emzimbeni. I-subluxation yomgogodla ibonisa ukungahambi kakuhle kwenxalenye enye okanye ngaphezulu kwe-vertebrae yomgogodla. Kuqhelekile kumqolo kuzo zonke ukufikelela, ukugoba, ukujija, kunye nokuguquguquka komzimba odlulayo. I-Spinal subluxations, ukuba ishiywe ingaphendulwanga, inokubangela ukuchithwa kwe-disc, umonakalo ongapheliyo we-nerve, iimeko ze-neurological, kunye neempawu ezibuhlungu ezingapheliyo. I-chiropractor ye-subluxation iya kulungelelanisa kwaye idibanise umqolo odibeneyo kunye nonyango lwe-massage ukukhulula imisipha kunye nokubuyisela ukuhamba kunye nomsebenzi.

I-subluxation Chiropractor

I-subluxation Chiropractor

Ezinye ii-subluxations azibangeli naziphi na iingxaki okanye iintlungu, kodwa oko akuthethi ukuba azichaphazeli umva kunye nomzimba. I-subluxation yomgogodla inokubangela iingxaki zexesha elide ngoku:

  • Ukuqhubela phambili inkqubo yokuguqulwa kwediski.
  • Ukutyhala kancinci kancinci, ukutsala, kunye/okanye ukucinezela imithambo-luvo.
  • Ukubangela ukuba umzimba uhlawule ngokuma okungenampilo.
  • Ukulibazisa iimpendulo zenkqubo ye-nervous kunye nokuhanjiswa kwemiqondiso.

iimpawu

Ngelixa ezinye ii-subluxation zomgudu zisenokungabi nazimpawu, uninzi lwazo zibandakanya:

  • Ukuqina kwemisipha, ubuthathaka, okanye i-spasms ejikeleze umva.
  • Umqolo obuhlungu kunye neentlungu.
  • Intamo ebuhlungu kunye nokungakhululeki.
  • Intloko.
  • Ukuhamba okulinganiselweyo.
  • Imicimbi yokugaya.
  • Ukubetha okanye intlungu ezingalweni okanye emilenzeni.

Izizathu

Unobangela oqhelekileyo ubandakanya:

  • Ukuma okungenampilo.
  • Ukulala kwiindawo ezingaqhelekanga.
  • Ukuhlala okanye ukuma ixesha elide.
  • Ukuphakamisa izinto ngokungafanelekanga.
  • Ukunxiba ibhegi enzima kwelinye igxalaba ixesha elide
  • Amanqanaba oxinzelelo aphezulu anokubangela ukuba izihlunu zangasemva ziqiniswe, ezinokubangela i-subluxations.
  • Iingozi zemoto, ukuwa, okanye ezinye iingozi.
  • Ukudlala imidlalo yoqhagamshelwano.
  • Edema
  • Hyperemia – ukungabikho kokujikeleza kwegazi.
  • I-Atrophy
  • Fibrosis

I ziphumo

Uphando lubonisa ukuba i-subluxation yomgogodla inokuchaphazela iinkalo ezininzi zomzimba. Iziphumo zexesha elide zinokubandakanya:

  • Iingxaki zokulala
  • Amandla aphantsi
  • Inkohlakalo yengqondo
  • Ukuhamba kweemvakalelo
  • Ukukhathazeka nokuxinezeleka
  • Imiba yokugaya
  • Iingxaki zokuphendula
  • I-Bone ihluma
  • Isifo samathambo

Ukhathalelo lweChiropractic

Xa umqolo ungaphandle kokulungelelaniswa, kunokubangela imiba kuwo wonke umzimba. Utshintsho kwindawo enye luchaphazela wonke umzimba. I-chiropractor ye-subluxation ijonga kwi-neurological and mechanical components kunye neenjongo zokubuyisela yonke into kwindawo yayo efanelekileyo. Ngokufana nendlela i-massage enceda ngayo ingqondo nomzimba ukuba uphumle kwaye ukhuphe uxinzelelo, uhlengahlengiso lomqolo lunceda ngoku:

  • Ukwandisa ukujikeleza
  • Ukuphelisa ukungakhululeki kunye neentlungu
  • Ukukhulula uxinzelelo
  • Ukuphucula imo
  • Ukunciphisa amanqanaba oxinzelelo
  • Ukuphucula umsebenzi wokulala
  • Ukwandisa amanqanaba amandla

Xa umqolo ulungelelaniswe ngokufanelekileyo, umzimba unokusebenza ngokusemandleni awo.


Ukungasebenzi kakuhle kwe-Adrenal


Ucaphulo

UBrian S. Budgell, i-Reflex effects of subluxation: inkqubo ye-nervous autonomic, Journal of Manipulative and Physiological Therapeutics, Volume 23, Issue 2,
2000, amaphepha 104-106, ISSN 0161-4754, doi.org/10.1016/S0161-4754(00)90076-9. (www.sciencedirect.com/science/article/pii/S0161475400900769)

Green, JD et al. "I-subluxation yangaphambili yomqolo wesibeleko: i-hyperflexion sprain." AJNR. Ijenali yaseMelika ye-neuroradiology vol. 2,3 (1981): 243-50.

Meyer, S. “Umonzakalo womqolo weThoracic.” Iisemina kwi-roentgenology vol. 27,4 (1992): 254-61. doi:10.1016/0037-198x(92)90004-l

Neva MH, Häkkinen A, Mäkinen H, et al. Ukuxhaphaka okuphezulu kwe-asymptomatic cervical spine subluxation kwizigulane ezine-rheumatoid arthritis ezilindele ukuhlinzwa kwamathamboAnnals of the Rheumatic Diseases 2006; 65: 884-888.

Nourollahi, Maryam, et al. "Ukuma kwe-trunk engafanelekanga kunye nobudlelwane babo kunye neentlungu ezisezantsi kubahlengikazi basesibhedlele." Umsebenzi (Ukufunda, uMsa.) vol. 59,3 (2018): 317-323. doi:10.3233/WOR-182683

Vernon, Howard. "Uphononongo lwembali kunye nohlaziyo kwiithiyori ze-subluxation ()." Ijenali ye-chiropractic humanities vol. 17,1 (2010): 22-32. doi:10.1016/j.echu.2010.07.001

Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis Back Clinic

Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis Back Clinic

Ukuxilongwa i-ankylosing spondylitis ngokuqhelekileyo kubandakanya iimvavanyo ezininzi. Xa oogqirha beyalela uvavanyo lwegazi ukufumanisa i-ankylosing spondylitis, umntu ufumana iimpawu eziya zisiba mandundu kumqolo kunye namalungu. Rhoqo, ukuxilongwa kovavanyo lwegazi kuthetha ukuba ugqirha ukhangela ubungqina bayo nayiphi na enye into enokubangela iimpawu. Nangona kunjalo, iimvavanyo zegazi ngokwazo azikwazi ukuxilonga ngokuqinisekileyo i-ankylosing spondylitis, kodwa xa idibene nemifanekiso kunye novavanyo, inokubonelela ngeempawu ezibalulekileyo ezikhomba iimpendulo.Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis

Uvavanyo lwegazi lwe-Ankylosing Spondylitis

I-Ankylosing spondylitis sisifo samathambo ichaphazela ikakhulu umqolo kunye nezinqe. Kunokuba nzima ukuxilonga njengoko kungekho vavanyo olunye olunokubonelela ngolwazi olugqibeleleyo loxilongo oluqinisekileyo. Kusetyenziswa indibaniselwano yovavanyo lokuxilonga, kubandakanywa uvavanyo lomzimba, umfanekiso, kunye novavanyo lwegazi. Oogqirha abakhangeli kuphela iziphumo eziza kubhekisela kwi-spondylitis ye-ankylosing, kodwa bafuna nayiphi na imiphumo enokuthi ibhekiselele kwimiphumo ye-spondylitis enokubonelela ngengcaciso eyahlukileyo yeempawu.

Uviwo loMzimba

Inkqubo yokuxilongwa iya kuqala ngembali yonyango lomntu ngamnye, imbali yosapho, kunye novavanyo lomzimba. Ngexesha loviwo, ugqirha uya kubuza imibuzo ukunceda ukulawula ezinye iimeko:

  • Zinexesha elingakanani iimpawu zibonakalisa?
  • Ngaba iimpawu ziba ngcono xa uphumla okanye ujima?
  • Ngaba iimpawu ziya ziba mandundu okanye zihlala zifana?
  • Ngaba iimpawu zibi ngakumbi ngexesha elithile losuku?

Ugqirha uya kujonga imida ekuhambeni kunye neendawo zethenda ze-palpate. Abaninzi iimeko zingabangela iimpawu ezifanayo, ngoko ugqirha uya kukhangela ukuba intlungu okanye ukungabikho kokuhamba kuhambelana ne-ankylosing spondylitis. Uphawu olubonakalayo lwe-ankylosing spondylitis yintlungu kunye nokuqina kumalungu e-sacroiliac. Amalungu e-sacroiliac ahlala kumqolo osezantsi, apho isiseko somqolo kunye ne-pelvis sidibana khona. Ugqirha uya kujonga ezinye iimeko zomqolo kunye neempawu:

  • Iimpawu zentlungu emva okubangelwa - ukulimala, iipatheni zokuma, kunye / okanye iindawo zokulala.
  • I-lumbar spinal stenosis
  • Irheumatoid arthritis
  • Isifo samathambo
  • Ukusasaza i-idiopathic skeletal hyperostosis

Imbali Yentsapho

  • Imbali yosapho idlala indima ekuxilongeni ngenxa ye imfuza ye-spondylitis ye-ankylosing.
  • I-HLA-B27 i-gene ihambelana ne-spondylitis e-ankylosing; ukuba umntu unayo, omnye wabazali bakhe unayo.

Ukucinga

  • IiX-reyi zidla ngokuba linyathelo lokuqala lokuxilongwa.
  • Njengoko isifo siqhubela phambili, amathambo amatsha amatsha enza phakathi kwe-vertebrae, ekugqibeleni adibanise.
  • Ii-X-reyi zisebenza ngcono ekwenziweni kwemephu yokuqhubela phambili kwesifo kunoxilongo lokuqala.
  • I-MRI inikeza imifanekiso ecacileyo kwiinqanaba zokuqala njengoko iinkcukacha ezincinci zibonakala.

Uvavanyo lweGazi

Uvavanyo lwegazi lunokunceda ukulawula ezinye iimeko kunye nokujonga iimpawu zokuvuvukala, ukubonelela ubungqina obuxhasayo kunye neziphumo zeemvavanyo zemifanekiso. Ngokuqhelekileyo kuthatha malunga nosuku okanye ezimbini ukufumana iziphumo. Ugqirha unokuodola olunye kolu vavanyo lwegazi lulandelayo:

I-HLA-B27

Uvavanyo lwe-HLA-B27.

  • I-HLA-B27 gene ibonisa iflegi ebomvu ukuba i-ankylosing spondylitis ingaba khona.
  • Abantu abanale mfuza banomngcipheko ophezulu kakhulu wokukhula kwesi sifo.
  • Idityaniswe neempawu, ezinye iilebhu, kunye neemvavanyo, inokunceda ukuqinisekisa ukuxilongwa.

ESR

Isantya se-sedimentation or Uvavanyo lwe-ESRt.

  • Uvavanyo lwe-ESR lulinganisa ukudumba emzimbeni ngokubala umlinganiselo okanye ukuba iiseli ezibomvu zegazi zikhawuleza kangakanani ukuzinza ezantsi kwisampulu yegazi.
  • Ukuba bahlala ngokukhawuleza kunesiqhelo, isiphumo siphezulu se-ESR.
  • Oko kuthetha ukuba umzimba ufumana ukudumba.
  • Iziphumo zeESR zinokubuya ziphezulu, kodwa ezi zodwa aziyixilonga i-AS.

CRP

Iproteni esebenzayo - Uvavanyo lwe-CRP.

  • Iitshekhi zovavanyo lwe-CRP Amanqanaba e-CRP, iprotheni ehambelana nokuvuvukala emzimbeni.
  • Amanqanaba e-CRP aphakamileyo abonisa ukuvutha okanye ukusuleleka emzimbeni.
  • Sisixhobo esiluncedo sokulinganisa ukuqhubela phambili kwesifo emva kokuxilongwa.
  • Ihlala ihambelana notshintsho kumqolo oboniswe kwi-X-ray okanye i-MRI.
  • Kuphela i-40-50% yabantu abane-spondylitis e-ankylosing bafumana ukwanda kwe-CRP.

ANA

Uvavanyo lwe-ANA

  • Izilwa-buhlungu zeAnuclear, okanye i-ANA, ilandela iiproteni ezikwinucleus yeseli, ixelela umzimba ukuba iiseli zayo zilutshaba.
  • Oku kuvula impendulo yokuzivikela komzimba ukuba umzimba ulwe ukuyiphelisa.
  • Uphononongo lufumanise ukuba i-ANA ifunyenwe kwi-19% yabantu abane-ankylosing spondylitis kwaye iphezulu kwabasetyhini kunamadoda.
  • Xa kudityaniswa nolunye uvavanyo, ubukho be-ANA bunika omnye umkhondo woxilongo.

Health Gut

  • The gut microbiome idlala indima ebalulekileyo ekuqaliseni ukuphuhliswa kwe-spondylitis ye-ankylosing kunye nonyango lwayo.
  • Uvavanyo lokujonga impilo yamathumbu anokunika ugqirha umfanekiso opheleleyo wento eyenzekayo ngaphakathi emzimbeni.
  • Uxilongo lovavanyo lwegazi lwe-ankylosing spondylitis kunye nezinye iimeko ezivuthayo zixhomekeke kakhulu ekudibaniseni iimvavanyo ezahlukeneyo ecaleni kweemviwo zeklinikhi kunye nokucinga.

Oonobangela, Iimpawu, Uxilongo, kunye noNyango


Ucaphulo

Cardoneanu, Anca, et al. "Iimpawu ze-intestinal microbiome kwi-ankylosing spondylitis." Iyeza lovavanyo kunye nonyango vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108

Prohaska, Et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Amasosha omzimba akwi-ankylosing spondylitis (inguqulelo yombhali)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.

Sheehan, Nicholas J. "Iimpembelelo ze-HLA-B27." Ijenali yeRoyal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102

Wenker KJ, Quint JM. Ankylosing Spondylitis. [Ihlaziywe ngo-2022 ku-Epreli 9]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK470173/

Xu, Yong-Yue, et al. "Indima ye-gut microbiome kwi-ankylosing spondylitis: uhlalutyo lwezifundo kuncwadi." Ukufunyanwa kweyeza vol. 22,123 (2016): 361-370.

Ukuxilongwa kwe-Scoliosis: Iklinikhi yase-Adams Forward Bend yoVavanyo lwangasemva

Ukuxilongwa kwe-Scoliosis: Iklinikhi yase-Adams Forward Bend yoVavanyo lwangasemva

The Adams phambili bend uvavanyo yindlela yokuhlola elula enokunceda ukuxilongwa kwe-scoliosis kunye nokunceda ekuphuhliseni isicwangciso sonyango. Uviwo luthiywe emva kwe Ugqirha wesiNgesi uWilliam Adams. Njengenxalenye yoviwo, ugqirha okanye i-chiropractor iya kukhangela i-bend engaqhelekanga kwicala ukuya kwicala lomqolo.Ukuxilongwa kwe-Scoliosis: Uvavanyo lwe-Adams Forward Bend

Ukuxilongwa kwe-Scoliosis

  • Uvavanyo lwe-Adams oluya phambili lunokunceda ukufumanisa ukuba kukho izikhombisi ze-scoliosis.
  • Ayiloxilongo olusemthethweni, kodwa iziphumo zingasetyenziswa njengesiqalo.
  • Uvavanyo lwenziwa kunye nobudala besikolo abantwana phakathi kwe-10 kunye ne-18 ukufumana umntwana ofikisayo idiopathic scoliosis okanye AIS.
  • Uvavanyo oluhle luyi-asymmetry ebonakalayo kwiimbambo kunye ne-bend phambili.
  • Iyakwazi ukubona i-scoliosis kuyo nayiphi na indawo yomqolo, ngakumbi kumbindi we-thoracic nangaphezulu.
  • Uvavanyo alulolwabantwana kuphela; i-scoliosis inokukhula nakweyiphi na iminyaka, ngoko ke iyasebenza nakubantu abadala.

Adams Phambili Bend Test

Uvavanyo luyakhawuleza, lulula, kwaye alunantlungu.

  • Umvavanyi uya kukhangela ukuba akukho nto ingalinganiyo xa imi nkqo.
  • Emva koko isigulane siya kucelwa ukuba sigobe phambili.
  • Isigulane sicelwa ukuba sime kunye nemilenze yabo kunye, ijonge kude nomhloli.
  • Emva koko izigulane zigobela phambili ukusuka esinqeni, iingalo zijinga ngokuthe nkqo ukuya ezantsi.
  • Umvavanyi usebenzisa a i-scoliometer-njengenqanaba lokubona i-asymmetries ngaphakathi komqolo.
  • Ukunxaxha kuthiwa yi I-engile yeCobb.

Uvavanyo lwe-Adams luya kubonisa iimpawu ze-scoliosis kunye / okanye ezinye iziphene ezinokuthi:

  • Amanqanaba angalinganiyo
  • Iinqumlo ezingavumelekanga
  • Ukungabikho kwe-symmetry phakathi kwe-vertebrae okanye i-shoulder blades.
  • Intloko ayingqamani no-a ubambo hump okanye i-pelvis.

Ukufunyanwa kweminye imiba yoMnqonqo

Uvavanyo lunokusetyenziselwa ukufumana imiba ye-spinal curvature kunye neemeko ezinje:

  • I-Kyphosis okanye i-hunchback, apho umva ongaphezulu ugobe phambili.
  • Isifo sikaScheuermann luhlobo lwe-kyphosis apho i-thoracic vertebrae ingakhula ngokungafaniyo ngexesha lokukhula kwaye ibangele ukuba i-vertebrae iphuhlise ibe yinto efana ne-wedge.
  • Umqolo wokuzalwa iimeko ezibangela igophe elingaqhelekanga lomqolo.

isiqinisekiso

Uvavanyo lwe-Adams ngokwalo alwanelanga ukuqinisekisa i-scoliosis.

  • I-X-ray emileyo enemilinganiselo ye-engile ye-Cobb ngaphezu kwee-degrees ezili-10 iyadingeka ukuze kuhlolwe i-scoliosis.
  • I-engile ye-Cobb imisela ukuba yeyiphi i-vertebrae ethambeke kakhulu.
  • I-angle ephezulu, imeko enzima kakhulu kwaye iya kuvelisa iimpawu.
  • I-computed tomography okanye i-CT kunye ne-magnetic resonance imaging okanye i-MRI scans nazo zingasetyenziswa.

Phambili Bend Test


Ucaphulo

Glavaš, Josipa et al. "Indima yeyeza lesikolo ekubonweni kwangaphambili kunye nolawulo lwe-adolescent idiopathic scoliosis." Wiener klinische Wochenschrift, 1–9. 4 Okt. 2022, doi:10.1007/s00508-022-02092-1

Grossman, TW et al. "Uvavanyo lovavanyo lwe-Adams lwe-bend phambili kunye ne-scoliometer kwindawo yokuhlola isikolo se-scoliosis." Ijenali yamathambo yabantwana vol. 15,4 (1995): 535-8. doi:10.1097/01241398-199507000-00025

Letts, M et al. "I-digitization ye-ultrasonic ekhompyutheni kumlinganiselo wokugoba komgogodla." Umqolo vol. 13,10 (1988): 1106-10. doi:10.1097/00007632-198810000-00009

Senkoylu, Alpaslan, et al. "Indlela elula yokuvavanya ukuguquguquka okujikelezayo kwi-idiopathic scoliosis yokufikisa: uvavanyo oluguquliweyo luka-Adam oluguquguqukayo." Ukukhubazeka komqolo vol. 9,2 (2021): 333-339. doi:10.1007/s43390-020-00221-2

I-Thoracic Herniated Disc Chiropractic Back Clinic

I-Thoracic Herniated Disc Chiropractic Back Clinic

Intlungu ephakathi kwe-back back idla ngokubangelwa kukungahambi kakuhle, ukunyuswa okungafanelekanga okanye ukujija, kunye nokulimala okuncinci njengemisipha ye-muscle, i-sprains, kunye neediski ze-herniated. Iidiski ze-Thoracic herniated aziqhelekanga kunentamo okanye i-back back herniations ngenxa yobukhulu be-thoracic vertebrae kunye nokuqina, kodwa ziyenzeka. Ukunyamekela kwe-Chiropractic kunokuphatha iidiski ze-thoracic herniated kunye nokukhusela iziqendu ezizayo.I-Thoracic Herniated Disc Chiropractor

I-Thoracic Herniated Disc

I-12 ye-thoracic vertebrae phakathi kwentamo kunye ne-lumbar spine yenza indawo enkulu kunye neyona nto incinci. The Ikhayiji yembambo yongeza:

  • ukhuselo
  • inkxaso
  • Ukuzinza komgogodla

iimpawu

Iidiski zeHerniated zenzeka xa umaleko othambileyo, onje ngejeli wediskhi ye-intervertebral efunxa umothuko igqabhuka okanye ivuza kwidiskhi yangaphandle eyomeleleyo. umaleko. Ngenxa yendawo, i-disc ye-herniated ingabangela imiba eyahlukeneyo kumqolo ophakathi, udonga lwesifuba, kunye / okanye iindawo zesisu ezijikeleze i-vertebrae eyalimala. Oku kususwa kunokubangela:

  • Ukuvutha
  • Uxinzelelo kwimithambo-luvo okanye intambo yomgogodla
  • Ukulinganisa
  • Ubungqina
  • Ubuhlungu
  • Ubuthathaka
  • Ukuba ummandla we-thoracic ophantsi u-herniated, iimpawu ziyakwazi ukugqithisa kwelinye okanye zombini iziphelo ezisezantsi.

Radiculopathy

Ukuba i-herniation icinezela i-thoracic spinal nerve, inokubangela i-radiculopathy okanye intlungu ephuma phantsi kwe-nerve kwaye iphume kumqolo ukuya kwimisipha ejikelezayo. I iimpawu angabonisa ngeenxa zonke imbambo yekheji okanye isisu esiphezulu indawo. A i-disc herniation enkulu inokucinezela intambo yomqolo ngaphakathi kumjelo womqolo. Le yimeko ebizwa ngokuba myelopathy enokubangela:

  • Ubungqina
  • Ukulinganisa
  • Ubuthathaka kwindawo enye okanye zombini ezisezantsi
  • Ngamanye amaxesha ukungasebenzi kakuhle kwamathumbu kunye nesinyi
  • Kwiimeko ezinzima, ukukhubazeka

Izizathu

Isifo se-disgenerative kunye ne-trauma njengokungqubana kwezithuthi okanye ukuwa zezona zizathu zixhaphakileyo ze-thoracic herniation.

  • Abantu abaphakathi kwama-30 nama-50 badla ngokuchaphazeleka.
  • Njengoko umzimba uguga, idiskhi ethambileyo yangaphakathi ilahlekelwa yi-hydration, iyenze ingasebenzi kakuhle njengesixhobo sothusayo.
  • Uluhlu lwangaphandle olunzima lulahlekelwa u-elasticity, ukwandisa umngcipheko weenyembezi zediski.

Ukhathalelo lweChiropractic

  • I-chiropractor okanye i-neurological therapist yomzimba inokwenza isicwangciso sonyango lwe-disc ye-herniated yokunciphisa intlungu, ukuphucula amandla kunye nokuma, kunye nokwandisa ukuhamba.
  • I-massage yonyango inokuba luncedo ekulawuleni iintlungu kunye nokunciphisa ukuvuvukala.
  • Unyango lokutsala
  • Isitofu somqolo we-epidural ingasetyenziselwa unyango lomzimba ukunceda ukulawula intlungu kunye nokuvumela umzimba ukuba uphilise ngokuzimeleyo.

izindululo

  • Kuphephe ukugoba, ukuphakamisa, ukufikelela kunye nokujija.
  • Faka isicelo se-ice pack okanye i-compress ebandayo ye-15- ukuya kwi-20-minute intervals rhoqo kwiiyure ezimbini.
  • Hlala ezitulweni ezinomqolo oqinileyo ukuxhasa umqolo.
  • Xa ulala, faka umcamelo omncinci phantsi kwentloko kunye namadolo ukuze ugcine umqolo ungathathi hlangothi ukukhusela uxinzelelo kummandla we-herniated.
  • Kuphephe ukuphumla kakhulu, oko kunokuwenza mandundu ukwenzakala.
  • Umsebenzi womzimba othambileyo uya kugcina ukujikeleza kwaye ugcine izihlunu zomelele.

Ukuhlinzwa

Uninzi lweemeko ze-thoracic herniation azifuni utyando. Utyando lunokucetyiswa ukuba kukho iintlungu ezinganyamezelekiyo, imiba yemithambo-luvo, kwaye unyango olugcinayo alusebenzi. Ingcali yomgogodla inokugqiba ukuba utyando luyimfuneko ngokusekelwe kubukhulu bokulimala, uhlobo, kunye nendawo. Utyando lomqolo luya kususa yonke okanye inxalenye yediski ye-herniated ecinezela ingcambu ye-nerve. Iinkqubo zotyando eziqhelekileyo ziquka:


Ukuvuselelwa kweDisc Herniated


Ucaphulo

I-Barrow Neurological Institute. "I-Herniated Thoracic Disc." I-Barrow Neurological Institute, ngo-Agasti 3, 2022. www.barrowneuro.org/condition/thoracic-disc-herniation/.

Court, C., E. Mansour, kunye noC. Bouthors. "I-Thoracic Disc Herniation: Unyango loNyango." I-Orthopedics & Traumatology: Utyando kunye noPhando 104, no. 1 (2018). doi.org/10.1016/j.otsr.2017.04.022.

Dydyk, Alexander M, Ruben Ngnitewe Massa, kunye noFassil B Mesfin. "Disc Herniation-Statpearls-NCBI Bookshelf." Ithala leencwadi leSizwe laMayeza, nge-18 kaJanuwari, ngo-2022. www.ncbi.nlm.nih.gov/books/NBK441822/.

Yoon, Wai Weng, kunye noJonathan Koch. "Iidiski zeHerniated: Kufuneka nini uTyando?" EFORT Open Reviews 6, no. 6 (2021): 526-30. doi.org/10.1302/2058-5241.6.210020.