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Kutheni umonakalo okhoyo okanye ukulimala okubangelwa yintlungu kubangela intlungu engapheliyo, engathintekiyo kwezinye izigulane? Yintoni ejongene nokuguqulwa kokulimala kwendawo kunye neentlungu ezibuhlungu kwiimeko ezibuhlungu ezingapheliyo? Kutheni kukho iintlungu ezithatha izidakamizwa ezichasayo kunye / okanye amayeza, kanti ezinye iintlobo zentlungu zifuna i-opiates?

 

Ubuhlungu yinkqubo eyinkimbinkimbi ebandakanya inkqubo ye-nervous system (PNS) kunye nenkqubo ye-nervous central (CNS). Ukulimala kweTisue kubangela i-PNS, leyo idlulisela isignali ngentambo yomgogodla ebuchosheni, apho kuvela khona intlungu. Nangona kunjalo, yintoni ebangela ukuba amava amaninzi entlungu aphuhlise ibe yinto ephazamisayo? Ngaba nantoni na enokuyenza ukukhusela? Ubu bungqina bubonisa ukuba Ubuhlungu obungapheliyo iziphumo ezivela kudibaniso lweendlela, ezinjengeengqondo "zeenkumbulo" zeentlungu ezidlulileyo.

 

I-Nociception: Indlela elula kakhulu

 

Intlungu okanye i-nociceptive intlungu ibonakaliswa njengamava amaninzi athathakayo eyenzekayo ekuphenduleni umonakalo ophantsi okanye ukulimala. Kuyasikhusela, sisilumkise ukuba sisuke kwimvelaphi yokuhlambalaza kwaye sinakekele ingozi. Iinkqubo ezenza intlungu ye-nociceptive ibandakanya ukuhanjiswa, okukhuthaza ukuvuselela kwangaphandle kwintsebenzo yombane kwii-nciceptive ze-primary nerve nerves. Iimvumi ezithandanayo ziqhuba i-sensory sensation kwi-PNS kwi-CNS.

 

Kwi-CNS, idatha yentlungu ithe isasazwa yi-neurons eyinqobo kwiiseli ezicwangcisiweyo. Emva kokuba ulwazi luhanjiswe kuzo zonke iindawo zengqondo ezijongene nokuqonda kwethu, kwenzeka ukuba kwenzeke ukuba kwenzeke. Intlungu ye-nociceptive yindlela esilula ngayo kwisimo esilula, esichukumisayo. Kodwa i-mechanics ejongene nentlungu ye-nociceptive ayikwazi ukuchonga iziganeko, ezinjengeentlungu eziqhubekayo ngaphandle kokususwa okanye ukuphilisa ukuvuselelwa, njengokwimeko yentlungu ye-phantom.

 

Ubuhlungu kunye nokuphendula okuvuthayo

 

Kwiimeko ezinobungozi obunzima, njengamaxhoba okugonywa, umonakalo wesikhumba ungashukumisa ukuphendula okuvuthayo. Nangona kunjalo, ezinye iimeko, ngakumbi i-arthritis, nazo ziyakwazi ukubonakalisa iziganeko zokuvuvukala ezihambisana neempawu ezibuhlungu. Iinkqubo zolu hlobo lweentlungu ezinxulumene nomonakalo wesisu kunye nokuphendula okuvuthayo zihluke kwiintlungu zokuxwayisa kwangaphambili.

 

Ukuqwalasela isicatshulwa okanye indawo yomonakalo okanye ukulimala, i-cascade yeziganeko ezinokungabikho kwezicwangciso zenzeke kwi-system ye-nervous. Isiqalo somoya "somoya" siqala esikhwameni, apho sikwazi ukuhamba khona kunye nemigudu ye-peripheral, kwaye siphumelele ekuphenduleni i-hypersensitivity cord (umthambo we-spors) kunye nengqondo. Iiseli ezivuthayo zizungeze imimandla yomonakalo wesisu kwaye zivelise i-cytokines kunye ne-chemokines, izinto ezijoliswe ekujonganeni nenkqubo yokuphulukisa nokuhlaziywa kwezicubu. Kodwa, ezi zithunywa zingaphinde zithathwe njengento ekhungathekileyo kwaye zihlengahlengise iipropati ze-neurons eziphambili ezijikeleze indawo yoxinzelelo.

 

Ngako oko, izinto eziphambili ezibangela intlungu evuzayo zibandakanya umonakalo kwi-nociceptors ephezulu, eyaziwa ngokuba yi-peripheral sensitization, utshintsho kunye nokuguqulwa kwee-neurons kwinkqubo yenzwa, kunye nokukhuliswa kwe-excurability ye-neurons ngaphakathi kwe-CNS. Oku kubonisa ukukhululwa komphakathi kwaye kuphendula ngokuxhomekeka komntu, apho iindawo ezikufutshane nezo zenzakalo zonyango ziza kuba neentlungu ezinjengezi nzakalo. Ezi zicubu ziyakwazi ukusabela ekuvuseleleni okuqhelekanga ukuba kungabangela intlungu, njengento yokuthinta, ukugqoka iimpahla, ukunyanzela ukukhanya okanye ukubethekisa iinwele zakho, njengokungathi zibuhlungu ngokwenene, zibizwa ngokuba yi-allodynia.

 

I-Peripheral kunye neCentral Sensitization (iVidiyo)

 

 

Ezinye iindlela zobuhlungu

 

Intlungu ye-neuropathic ibangelwa ngumonakalo okanye ukulimala kwinkqubo yeentlanzi, ezifana ne-carpal tunnel syndrome, i-neuralgia ye-postherpetic kunye ne-neuropathy. Nangona ezinye zeendlela ezibonakala zibangelwa ubuhlungu be-neuropathic kunye nalabo abanoxanduva lobuhlungu obuhlungu, abaninzi babo bahlukileyo, kwaye ngoko ke baya kufuna indlela eyahlukileyo eya kubaphathi babo.

 

Inkqubo yendlela yokwenziwa kwendawo kunye neentambo ezigciniweyo zigcinwa, ubuncinane kunye nokuhlola, ngexesha le-neurotransmitter ye-excitatory, i-glutamate, ekholelwa ukuba iya kukhutshwa xa i-receptor ye-N-methyl-D-aspartate (NMDA) iyasebenza.

 

Inkqubo ye-nervous yenziwe nge-neurotransmitter okanye i-excitatory neurotransmitters. Uninzi lwezinto ezivumela isimiso sethu senzwa ukuba siphendule ngokufanelekileyo umonakalo okanye ukulimala ukulungiswa kakuhle okanye ukuvinjelwa kweenkqubo ezahlukeneyo. Ukuxhatshazwa kwenkqubo ye-nervous kubonakala yinkinga kwiintlobo ezininzi zeengxaki ezahlukeneyo. Ngokomzekelo, ukusetyenziswa ngokutsha kwe-NMDA receptor kunokunxulumana neengxaki zokuphazamiseka, ukungahambi kakuhle, kunye nokunyamezela.

 

Nangona intlungu eqhelekileyo ye-nociceptive, kwinqanaba elithile, ivuselela i-NMDA receptor yaye ikholelwa ukuba iya kubakho ukukhululwa kwe-glutamate. Nangona kunjalo, ngobuhlungu be-neuropathic, ukungabikho komsebenzi kwi-NMDA yokufumana isisiseko.

 

Ngezinye iintlobo zentlungu engapheliyo, ezifana ne-fibromyalgia kunye neentloko zentlungu, ezinye zeendlela ezisisigxina kunye nobuhlungu be-neuropathic zingenza izinto ezingaqhelekanga kwinkqubo yentlungu, kubandakanywa ukukhuphaza okuphakathi, ukukhupha okuphezulu kweendlela zokuhamba kunye nokunciphisa inkqubo ye-nervous system inhibitory systems.

 

Sensitization

 

I-Cyclo-oxygenase (i-COX) nayo ibonisa umsebenzi obalulekileyo kuzo zombini kunye ne-central sensitization. I-COX-2 yenye yee-enzymes ezixutywe ngexesha lokuvuvukala; I-COX-2 iguqula i-arachidonic acid ibe yi-prostaglandins, eyenza ukwandisa uvelwano lwama-terminals of nociceptor. Ekubeni, ukutshaya kwipheripha kubangela ukuba i-COX-2 iveliswe kwi-CNS. Izibonakaliso ezivela kwi-peripheral nociceptors zincinci yecala lolawulo, kodwa kukho kubonakala kubandakanyeka kwi-humoral component ekutshintsheni kweempawu zentlungu kwi-barrier brain-barrier.

 

Ngokomzekelo, kwiimodeli zokulinga, i-COX-2 iveliswa kwi-CNS nangona izilwanyana zithola ibhunge le-nervous sensory phambi kwendlela yokuvuvukala komzimba. I-COX-2 echazwe kwi-neurons ye-rorsal ye-spinal cord ikhupha i-prostaglandins, eyenziwa kwiindawo eziphambili, okanye i-terminynaptic terminals ye-nociceptive sensory fibers, ukwenzela ukwandisa ukukhululwa kwe-transmitter. Ukongezelela, zenza i-postsynaptically kwi-neorons ye-dorsal ukuvelisa ukuxhomekeka ngokuthe ngqo. Kwaye ekugqibeleni, banqanda umsebenzi we-glycine receptor, kwaye lo ngumthumeli wokuvimbela. Ngoko ke, i-prostaglandins yenza ukwanda kwe-excurability ye-neurons ephakathi.

 

I-peripheral kunye ne-Central Sensitization | El Paso, TX Chiropractor

 

UbunjengePlastiki kunye neCentral Sensitization

 

Ukwaziswa okuphakathi kukuchaza utshintsho olwenzeka kwingqondo ekuphenduleni ukuvuselela iimbilini. Emva kokuphindaphindiweyo, iimali zama-hormones kunye nezibonakaliso zombane zengqondo zitshintsha njengoko i-neurons ihlakulela "imemori" yokuphendula kuloo miqondiso. Ukuvuselela okuqhubekayo kwakha imemori yengqondo enamandla ngakumbi, ngoko ingqondo iya kuphendula ngokukhawuleza nangempumelelo xa iqhutyelwa ukuvuselela okufanayo kwixesha elizayo. Ukuguqulwa kokulandelelana kwindlela yokucubungula ubuchopho kunye nokuphendula kuthathwa njenge-plastiki ye-neural, echaza ukukwazi kwengqondo ukuba iguqulwe ngokukhawuleza, okanye i-sensitization ephakathi. Ngoko ke, ingqondo iqhutywe okanye ikhuthazwe yi-stimuli yangaphambili okanye ephindaphindiweyo ukuze ibe yinto ekhuselekileyo.

 

Ukutshintshwa kwentshukumo ephakathi kwenzeke emva kokuhlangana ngokuphindaphindiweyo nentlungu. Uphando kwizilwanyana lubonisa ukuba ukutshatyalaliswa ngokuphindaphindiweyo ekuvuseleleni okubuhlungu kuyakutshintsha intlungu yesilwanyana kunye nokukhokelela kwimpendulo enamandla. Abaphandi bacinga ukuba oku kuguqulwa kunokukwazi ukuchaza intlungu eqhubekayo enokuthi yenzeke nangemva kokuhlinzwa ngokuphumelelayo. Nangona i-disc ye-herniated ingasuswa kwi-nervined pin, intlungu ingaqhubeka njengememori yokunyanzeliswa kwemizwa. Iintsana ezisoloko zisokwa ngaphandle kwe-aneshesia ziya kuthatha ingqalelo ngokukhawuleza ekuvuseleleni okubuhlungu, njenge-injections rhoqo, izitofu kunye nezinye iinkqubo ezibuhlungu. Aba bantwana abanalo kuphela ukuphendula okuphezulu kwe-hemodynamic, eyaziwa ngokuba yi-tachycardia kunye ne-tachypnea, kodwa baya kuhlakulela ukukhala okukhulu.

 

Inkumbulo engqondweni yeentlungu yayifundwa ngokubanzi. Ngxelo yeengxelo zakhe zophando zangaphambili, uWoolf wathi ukuphucula ukulungelelanisa i-reflex ukulandela umonakalo womzimba wecala okanye ukulimala akuxhomeki ekuqhubekeni kwemigudu yokufakelwa kwe-peripheral; Kunoko, emva kweeyure emva kwentshukumo ye-pipeline, i-spinal dorsal horn yamacandelo e-receptional neuron yaqhubeka yokwandisa. Abaphandi baye baqaphela ukubaluleka kwe-receptor yomgogodla we-NMDA ekungenisweni nasekugcinweni kwenkqubo yokwazisa.

 

Inkqubo yoVavanyo olusembindini | El Paso, TX Chiropractor

 

Uhlengahlengiso lweCortical | El Paso, TX Chiropractor

 

Okubaluleka kolawulo lwezinhlungu

 

Xa ukuqinisekiswa okuphambili kusekwa, ama-analgesics amakhulu amaninzi adingekayo ukuwucima. I-analgesia yokulungisa, okanye unyango ngaphambi kokuba intlungu iqhubekele, inokunciphisa imiphumo yazo zonke ezi ziphumo kwi-CNS. UWoolf wabonisa ukuba i-dose morphine efunekayo ukuyeka ukuxhomekeka kombindi, esinikwe phambi kokutshatyalaliswa kwamandla kagesi emfutshane kwiingqayi, yayisishumi kwisisombululo esidinga ukuphelisa umsebenzi emva kokuba sikhule. Oku kuguqulwa kwindlela yokliniki.

 

Kwilingo lekliniki yezilwanyana ze-60 ezithinteka kwi-hysterectomy esiswini, abantu abafumene i-10 mg ye-morphine ngenye indlela ngexesha lokuqulunqwa kwe-anesthesia efuna i-morphine engaphantsi kwelawulo lobuhlungu be-postoperative. Ukongezelela koko, ubuhlungu bentlungu ejikeleze isilonda, okubhekiswa njenge-hyperalgesia yesibini, kwancitshiswe kwiqela le-morphine eliphambili. I-analgeia yokulungisa yayisetyenziswe ngempumelelo efana neyokwimeko yokucwangcisa, kuquka nokusebenza okusemgangathweni kunye ne-postorthopaedic operation.

 

I-dose enye ye-40 okanye i-60 mg / kg ye-acetaminophen yamacandi ine-effect ecacileyo ye-morphine-ukuphazamiseka kwemini kubantwana, ukuba ilawulwe ekufakweni kwe-anesthesia. Ukongezelela, abantwana abane-analgesia eyaneleyo kunye ne-acetaminophen bafumana ubuncinci obungaphantsi kokuvavanya nokuhlanza.

 

Abaphikisi be-NMDA bafumana i-analgesia emva kokulawulwa kwangaphambili. Iingxelo ezahlukahlukeneyo zikhona kwiincwadi ezixhasa ukusetyenziswa kwe-ketamine kunye ne-dextromethorphan kwithuba eliphambili. Kwizigulane ezithatha ukulungiswa kwangaphambili kwesigidi, i-24 yeeyure ezilawulwa isigulane-ogiyoid e-opioid yayingekho ngaphantsi kweqela le-dextromethorphan elungelelaniswayo ngokumelene neqela le-placebo.

 

Kwizifundo eziphinda zimbini eziyimpumputhe, i-placebo ezilawulwa ngophando, i-gabapentin iboniswe njengesilathiso esilungelelanayo kwizigulana ezithatha i-mastectomy kunye ne-hysterectomy. I-oral opoperative gabapentin iyanciphisa amanqaku okubandezeleka kunye nokusetyenziswa kwe-analgesic emva kokungabikho kwimiphumo emibi xa kuthelekiswa ne placebo.

 

Ukulawulwa kwangaphambili kokusetyenziswa kweziyobisi ezichasayo (i-NSAID) ukubonisa ukulahleka okukhulu kwindlela yokusebenzisa i-opioid emva kokusebenza. I-COX-2 iyakhethwa ngenxa yokungahambi kakuhle kweziphumo zeplatelet kunye neprofayili enkulu yokukhusela isisu xa kuthelekiswa ne-NSAID eziqhelekileyo. I-Celecoxib, i-rofecoxib, i-valdecoxib, kunye ne-parecoxib, ngaphandle kwe-United States, ilawulwa ngokuphambi kokunciphisa i-narcotic emva kokusebenzisa i-40 ipesenti, kunye nezigulane ezininzi zisebenzisa i-opioid engaphantsi kwehafu ye-opioid.

 

Ukuthintela i-nerve conduction kwixesha langaphambili kubonakala kuthintela ukuphuhliswa kwe-central sensitization. I-Phantom Limb Syndrome (PLS) ibalelwa kwisiganeko sokuvuthuza komqolo.
Ngokuqhelekileyo ubuhlungu obuvuthayo okanye obunzima bokubamba inxalenye yomzimba kususwe. Esinye isizathu esinokuthi kukuba iimbambo ze-nervous at the stump ziyavuselelwa kwaye ingqondo iguqulela izibonakaliso njengokuba ivela kwingxenye enqunywe. Enye i-rearrangement ngaphakathi kwimihlaba yecandelo ukwenzela ukuba indawo ithethe isandla ngoku iphendula kwiimpawu ezisuka kwezinye iindawo zomzimba kodwa isichazela ngokuza kwisandla esinqunyiwe.

 

Nangona kunjalo, kwizigulane ezithatha umxhesho ophantsi-phantsi kwe-anesthesia ye-epidural, ayikho enye yezigulane ze-11 ezafumana i-lumbar epidural blockade ne-bupivacaine kunye ne-morphine kwii-72 iiyure ngaphambi kokusetyenziswa kwe-PLS. Kubantu abafumana i-anesthesia jikelele ngaphandle kwe-blockade yangaphambili, i-5 yezigulane ze-14 zine-PLS kwiiveki ze-6 kwaye i-3 yaqhubeka ifumana i-PLS kwi-1 ngonyaka.

 

UWoolf noChong baye baqaphela ukuba unyango olungagqibekanga, unyango olungaphelelanga, nolusemva kokusebenza luquka "ii-NSAID zokunciphisa ukusebenza / ukuphambili kwee-nociceptors, i-anesthetics yendawo ukuvimba ukuphuma kweengqondo, kunye nokusetyenziswa kweziyobisi eziphambili." ukwaneliseka, ukukhawuleza ukukhutshwa, ukusetyenziswa kwe-opioid, kunye nokuqothulwa kwehla, ukudibanisa, ukugcoba, kunye nokugcinwa kwamanzi okuvuthayo, kwaye kunokuthintela ukuphuhliswa kwentlungu engapheliyo. I-Anesthesiologists kunye noogqirha kufuneka baqikelele ukudibanisa ezi zixhobo kwindlela yabo yemihla ngemihla.

 

Xa intlungu ivela ngenxa yomonakalo okanye ukulimala ngenxa yokuhlinzwa, intambo yomgogodla ifumaneka kwiimeko ezingenakwenzekayo apho kunokwenzeka ukuba zenzeke iintlungu ezinokuthi ziqhubeke iintsuku, iiveki okanye neminyaka.

 

Kutheni ukuba ukulimala kwendawo ekubangelwa yintlungu kubangelwa intlungu engapheliyo, engathintekiyo kwezinye izigulane? Ukulimala kweetyhuse kubangela ukugqithiswa kweenguqu ekukhutsheni komgudu, kuquka ukuqhuma okuphakamileyo, ukuphakama kwamanzi kunye nobude obukhulu, ukunciphisa umyinge, ukukhutshwa okukhuculweyo ukwenzela ukuvuselela ngokuphindaphindiweyo, nokwandisa amasimu awamkelekileyo. Ukunyamezela kwezi nguqu, ezibizwa ngokuba yi-central sensitization, kubonakala ziyisiseko ekuphuculeni ixesha elide lokukhathazeka kwentlungu echaza intlungu engapheliyo. Iziyobisi ezininzi kunye / okanye amayeza kunye ne-anesthhetic blockade ye-anesthetic yendawo inganciphisa ubukhulu beenkqubo zentlaba ephakathi (CNS), njengoko kubonakaliswe intlungu eyanciphayo kunye nokusetyenziswa kwe-opioid ekunciphiseni.

 

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Insight of Dr. Alex Jimenez

Ukunyamekela kwe-Chiropractic yindlela enye yokwenza unyango osebenzisa ukulungiswa kwemigudu kunye neendlela zokuphatha ngokukhuselekileyo nokubuyiselwa ngokufanelekileyo kunye nokugcina ulungelelwaniso olufanelekileyo lomgudu. Uphando olwenziweyo luye lwafumanisa ukuba ukuphazamiseka kwemigulane, okanye ukuxilongwa, kungakhokelela ekubuhlungu okungapheliyo. Ukunyamekela kwe-Chiropractic kusetyenziswa ukuphathwa kweentlungu, nangona ukuba iimpawu azihambelani nokulimala kunye / okanye imeko kwi-system ye-musculoskelet kunye ne-nervous system. Ngokuqwalasela ngokucophelela umgudu, a chiropractor inokunceda ukunciphisa uxinzelelo kunye noxinzelelo kwizakhiwo ezungeze iqela eliphambili kwisiseko somzimba, ekugqibeleni ukubonelela ngentlungu.

 

I-System yeNerous System yeSebenzi kunye nobuhlungu

 

Xa kuziwa ekusetshenzisweni kokusetyenziswa kweziyobisi kunye / okanye amayeza, kuquka i-opioids, ukwenzela ukukhusela imiphumo yecala njengemiba yempilo yesisu, umsebenzi ofanelekileyo wenkqubo yesantya e-enteric ingaba yidlale.

 

Inkqubo ye-nervous ye-enteric (ENS) okanye inkqubo ye-nervous ye-intrinsic yenye yamasebe aphambili enkqubo ye-nervous autonomic (ANS) kwaye iqulethwe yinkqubo efana ne-mesh ye-nerve eguqula indima yendlela yesisu. Iyakwazi ukusebenza ngokuzimeleyo kwiinkqubo zemithambo-luvo ezinovelwano kunye neparasympathetic, nangona inokuchatshazelwa zizo. I-ENS ikwabizwa ngokuba bubuchopho besibini.�Iphuma kwiiseli zemithambo-luvo.

 

Inkqubo yesantya ye-enteric eyenziwa ngabantu iyenziwe nge-neurons ye-500 yezigidi, kubandakanywa iintlobo ezininzi zeeseli ze-Dogiel, malunga neyesibini kwikhulu le-neurons engqondweni. Inkqubo ye-nervous ne-enteric efakwe kwisitya somsondlo wesisu, ukuqala kwi-esophagus nokunyuka kwi-anus. Amaseli eDogiel, awaziwayo njengeeseli zeDigiel, athetha uhlobo oluthile lweetyhubhu ezinama-multipolar ngaphakathi kwe-gangla evelayo.

 

Iiseli zeDogiel | El Paso, TX Chiropractor

 

I-ENS iyakwazi ukwenza imisebenzi yokuzimela, njengokulungelelaniswa kwe-reflexes; nangona ifumana i-innervation enkulu kwinkqubo ye-nervous autonomic, yenza kwaye ikwazi ukusebenza ngokuzimeleyo kwingqondo kunye nentambo yomgogodla.�Inkqubo ye-nervous ye-enteric ichazwe "njengengqondo yesibini" ngenxa yezizathu ezininzi. Inkqubo ye-nervous ye-enteric inokusebenza ngokuzimeleyo. Ngokuqhelekileyo inxibelelana nenkqubo ye-nervous central (CNS) nge-parasympathetic, okanye nge-vagus nerve, kunye novelwano, oluhamba nge-prevertebral ganglia, iinkqubo ze-nervous. Nangona kunjalo, uphando lwe-vertebrate lubonisa ukuba xa i-vagus nerve iqhawulwe, inkqubo ye-nervous ye-enteric iyaqhubeka nokusebenza.

 

Kwiinkqubo zentsholongwane, inkqubo ye-nervic ye-enteric iquka i-neurons efanelekileyo, i-neurons ehambelanayo kunye ne-interneurons, yonke into eyenza inkqubo yentshontsho ye-enteric ekwazi ukuthwala i-reflexes kwaye isebenze njengeziko elidibeneyo ngokungabikho kwegalelo le-CNS. Iindlebe ze-neurons zinika ingxelo ngeemeko zamashishini kunye neekhemikhali. Inkqubo ye-nervous ne-enteric inekhono lokutshintsha impendulo yayo ngokubhekiselele kwizinto ezifana nokubunjwa kwezondlo kunye nobuninzi. Ukongezelela, i-ENS iqulethe iiseli ezincedisayo ezinjenge-astroglia yengqondo kunye nesithintelo sokusabalalisa malunga ne-capillaries ezungeze i-ganglia efana ne-blood-brain brain.

 

Inkqubo ye-nervous enteric (ENS) idlala indima ebalulekileyo kwiinkqubo ezivuthayo kunye ne-nociceptive. Iziyobisi kunye / okanye amayeza asebenzisana ne-ENS asanda kuphakamisa umdla omkhulu ngenxa yokukwazi kwabo ukulawula iinkalo ezininzi ze-gut physiology kunye ne-pathophysiology. Ngokukodwa, iimvavanyo kwizilwanyana zibonise ukuba i-proteinase-activated receptors (PARs) inokuba yimfuneko ekudumbeni kwe-neurogenic emathunjini. Ngaphezu koko, i-PAR2 i-agonists ibonakala ibangela i-intestinal hypersensitivity kunye ne-hyperalgesic states, ebonisa indima yale receptor kwi-visceral pain perception.

 

Ukongezelela, ii-PAR, kunye neeprotheyiniza ezizivuselelayo, zimela iithagethi ezitsha ezithintekayo zokungenelela ngonyango kwi-ENS. Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

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Imixholo eyongezelelweyo: iSciatica

Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.

 

 

 

umfanekiso webhlogi weendaba eziphambili zephepha lephepha

 

INGXELO EBALULEKILEYO: I-Chiropractor Sciatica Symptoms

 

 

IINKCUKACHA EZINYE Ukhathalelo lweNtlungu kunye noNyango

Umgangatho wobuchule wokuSebenza *

Ulwazi olulapha ku "Ukuqonda okungaqhelekanga kwenkqubo yobuhlungu ku-El Paso, Tx"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.

Ulwazi lweBlog kunye neengxoxo zoMda

Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.

Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.

Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.

I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.

Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.

Silapha ukunceda wena kunye nosapho lwakho.

Iintsikelelo

UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*

email: qeqeshi@elpasofunctionalmedicine.com

Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182

Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*

UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Ikhadi lam loShishino lweDijithali