isihloko: Ukusebenza kwe Chiropractic Uhlengahlengiso ekunyamekelweni kwe-Migraine Headache kunye nezigulane ezibonisa i-cervical disc bulge.
Abstract: Injongo: Ukuphonononga ukuphumelela kokulungiswa kwe-chiropractic, kunye nokunyanzeliswa komgogodla ongeyena utyando kunyango lweemeko ze-disc ze-cervical spine ezibonisa intlungu yentamo, intloko ye-migraine, isiyezi kunye nokuphazamiseka okubonakalayo. Izifundo zoxilongo zibandakanya uvavanyo lomzimba, uludwe lwentshukumo oluncediswa yikhompyuter, uvavanyo lwamathambo kunye nemithambo-luvo, izifundo ze-x-reyi zefilimu ecacileyo, iMRI yobuchopho, iimviwo zeMRI yomqolo wesibeleko. Iziphumo zabonakala zibalaseleyo ekunciphiseni iintlungu zentamo, ubunzima bentloko kunye nokuphindaphinda kunye nokuphelisa isiyezi kunye nokuphazamiseka kokubona.
intshayelelo: Ngomhla we-11 / 19 / 13 ibhinqa elineminyaka eyi-37 linikezelwe ukuhlolwa kunye nokunyangwa kweentlungu zentamo, iintloko ze-migraine kunye nokuphazamiseka okuhambelanayo kunye nokuphazamiseka okubonakalayo.� Isigulane siyaphika kunye nokulimala kwangoku.
Contents
Ukunikezela ngeeNkalo zoPhando
Isigulana sibika intlungu yentamo kwingingqi ye-occipital yomlomo wesibeleko njenge-4 kwi-Verbal Analog Scale ye-0 ithetha ukungabikho okupheleleyo kwentlungu kunye ne-10 ibe yintlungu engapheliyo. Iingxelo ezingakumbi ze-episodic migraine intloko eqala kwindawo ephezulu yomlomo wesibeleko kwaye iqhubela phambili kwindawo yakhe ye-occipital.� Ezi ziqephu zikhatshwa sisiyezi kunye nokuphazamiseka okubonakalayo okuchazwa njengombono we-kaleidoscope. ngeveki.� Isigulana sixela ukoyika ukuqhuba imoto yaso ngenxa yeenkxalabo malunga nokuqala kwentloko.� Isigulana sixela uthethwano oludlulileyo kunye nogqirha wakhe wezonyango owafumanisa ukuba une-vertigo kunye nokhathalelo lwangaphambili lwe-chiropractic ngaphandle kweziphumo. .
Iziphumo zoNyango:��Isigulana sibonisa izikhalazo zentamo ebuhlungu, intloko ebuhlungu, isiyezi kunye nokuphazamiseka kokubona okuthabatha iminyaka emi-2. � Isigulana sibhinqa elineminyaka engama-37 ubudala elingumama wabantwana aba-2.
Iimpawu zakhe ezibalulekileyo zi:
Ubukhulu - 5 ft. 0 intshi
Ubunzima - i-130 lbs.
Ukunyamekela - R
Uxinzelelo lwegazi - L - 107 systolic kunye ne-78 diastolic
I-Radial Pulse - 75 BPM
Uphononongo lwesigulana kwiiNkqubo kunye neMbali yoSapho yayingabalulekanga.
I-Palpation/Spasm/Tissue changes:� Isigulane savandlakanywa ngokucofa kunye nokuqwalaselwa ngezi ziphumo zilandelayo: I-Bilateral cervical spine spasms ihlelwe kwi-+2 kummandla wesibeleko-occipital. i-flexion esecaleni ekhohlo, i-flexion yehla ngokuphakathi, i-right lateral flexion kunye nokwandiswa. Akukho ntlungu yaveliswa ngexesha loluhlu lovavanyo lwentshukumo.
Uvavanyo lweNeurological: I-Biceps, Triceps kunye neBrachioradialis reflexes zinikwe umlinganiselo kwi-+2 bilaterally.� Uvavanyo lweemvakalelo luveze imvakalelo eqhelekileyo ngokudibeneyo yedermatomes C-5 ukuya kwi-T1. , I-Forearm kunye ne-Intrinsic Hand muscles.
Ukufunyaniswa kwe-Radiographic: ukuguqulwa kwentambo yomlomo wesibeleko kunye ne-C5 / C6 indawo ye-disc etshintshiweyo iphawulwe. (Umfanekiso 1, (A) (B) I-osteophyte encinci ibonwa kumzimba ongaphantsi kwe-C5.� I-Flexion malposition ye-C5 nayo iphawulwe.� (Umfanekiso 1, (B).
Umzobo we-1, � (A), (B) ubonise ukulahlekelwa kwe-lordosis yomlomo wesibeleko, i-flexion malposition ye-C5, ukuwa kwenxalenye ye-C5 / 6 indawo yediski yangaphambili.
Umzobo 1. (B) ibonisa ekukhuliseni i-osteophyte encinci-esezantsi.
Umfanekiso wesi-2,� (A), (B) ubonisa kwimifanekiso ye-T2 MRI (A) yiSagittal kwaye (B) yi-Axial a
I-C5/6 i-disc herniation ephakathi edibanisa intambo ye-ventral.
UkuGqalisela kuDidindo kunye noVavanyo:�Uxilongo oluqwalaselwayo lulandelayo: I-Brain Tumor, i-Cervical Disc Displacement, kunye ne-Cervical-cranial syndrome.� I-MRI yobuchopho yayalelwa kwaye yavelisa iziphumo eziqhelekileyo. umjelo kunye noqhagamshelwano kunye nentambo yomgogodla wesibeleko. (5) �UPetros J. Tuchin, GradDipChiro, DipOHS, Henry Pollard, GradDipChiro, GradDipAppSc, Rod Bonillo, DC, DO.� Yamkelwa ngomhla wama-6 kuJuni 1. �Olunye uqwalaselo yayilucwangciso lonyango kuba isigulana sihlala kumgama ozimayile ezingama-29 ngasentshona yeklinikhi kwaye sa-odolwa ngonyango olu-1999. ishedyuli yonyango.
UkuGqalisela kuNyango kunye noVavanyo:��Uvavanyo lwe-MRI yomqolo wesibeleko zombini iimbono ze-sagittal kunye ne-axial ze-C5 / C6 kunye ne-C6 / C7 amanqanaba amacandelo abonise indawo eyaneleyo phakathi kwentambo yomlomo wesibeleko kunye ne-vertebral yangaphambili. yayinciphisa uxinzelelo lwe-C5 / C6 i-disc / i-osteophyte eyinkimbinkimbi kwintambo ye-ventral.� Ukukhuthaza ukuphulukiswa kwezicubu ze-nerve eyonakalisiweyo kunye nokubuyisela indawo efanelekileyo kunye nokunyakaza kwamacandelo e-vertebral C5 / C6.
1.����Ulungelelwaniso oluthile lwezityalo: usebenzisa iSigma Precision Adjusting Instrument ukuzisa amandla e-percussive ye-20 lbs. kunye nenani elikhulu lefuthe le50.
2.����Ukuwohloka koMnqonqo: Itheyibhile yoMnqopho we-Hill Spinal yasetyenziswa kunye ne-8 lbs. Ukutsalwa okuphezulu kunye nomjikelo wemizuzu emi-5 ubukhulu kunye nemizuzu emi-5 ekunciphiseni ukuya kuma-50% kwiseshoni yonyango yemizuzu engama-25.� Isigulana sigqibe iiseshoni ezili-18 zizonke.
3.����I-Low Level Laser Therapy yayisetyenziselwa ukukhuthaza ukuphilisa kwinqanaba leselula kusetyenziswa inkqubo ye-Dynatron Solaris. Unyango lwaluquka imizuzwana ye-30 yokuvezwa kwi-860-nanometer beam kwi-C5 / C6 kunye ne-C6 / C7 amanqanaba.
Ukulandelela kunye neZiphumo
Ukuthotyelwa kwesigulana kwishedyuli yonyango njengoko ihlelwe kwi-9 ye-10.� Ukugqitywa konyango olucetyiswayo lwe-18 kufuna iveki e-1 ubude kunokuba bekulindelwe. umhla wokugqitywa oqikelelweyo. Ekuphumeni kovavanyo isigulane sichaza intlungu yakhe yentamo kwi-Verbal Analog Scale i-2 ye-2 kunye ne-10 ukungabikho okupheleleyo kwentlungu kunye ne-0 ibe yintlungu embi kakhulu enokucinga. Uphinde wachaza intloko yakhe njenge-10 kwi-Verbal Analog Scale. � Zombini iimpawu bezisoloko zihleli ukusukela nge-1/10/01.� Eli lixesha leenyanga ezingama-11 phambi kotyelelo lwakhe lokuqala. Iimpawu zakhe zesiyezi kunye nokuphazamiseka okubonakalayo azikho ukususela ngo-25/12/13.
Ingxoxo: Intloko kunye I-Migraine Intloko yingxaki enkulu yempilo. Kuqikelelwa ukuba i-47% yabantu abadala banentloko ubuncinane kanye kanye kunyaka odlulileyo ngokubanzi.��Ngaphezu kwe-90% yabagulayo abakwazi ukusebenza okanye ukusebenza ngokuqhelekileyo ngexesha le-migraine yabo. Abaqeshi baseMelika balahlekelwa ngaphezu kwe-13 yeebhiliyoni zeedola ngonyaka ngamnye ngenxa ye-113 yezigidi ezilahlekileyo iintsuku zokusebenza ngenxa ye-migraine. (2)�Schwartz BS1, uStewart WF, uLipton RB. J Occup Environ Med. 1997 Epreli; 39(4): 320-7.
Le ngxelo yecala iyancipha ngoba ibonisa amava kunye neziphumo zekliniki ze-1 kuphela. Nangona kunjalo uhlolisiso lwezibhengezo ezifakwe kule ngxelo kunye neengxelo ngababoneleli benonophelo kunye nobufakazi obuvela kwizigulane kubonisa ukuba uphando oluninzi kufuneka lutyalomle kubudlelwane bomgudu womlomo wesibeleko, izakhiwo zayo kunye ne-biomechanics ngexesha lokuxilongwa kweentloko kunye ne-migraine izigulane.
Imvume eyaziswayo:�Isigulane sinikezela imvume esayiniweyo.
Ukhuphiswano lomdla:�Akukho zikhundla ezikhuphisanayo zokubhala ezi ngxelo.
Ukungachazi:�Yonke idatha enxulumene nesigulana isusiwe kule ngxelo yetyala.
Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu nemiqathango. Ukuze uxoxe ngokukhetha kwimiba, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 . 
Iingxelo:
1. Schwartz BS1, uStewart WF, uLipton RB.
J Occup Medon Med. 1997 Apr; 39 (4): 320-7.
Iintsuku zomsebenzi ezilahlekileyo kunye nokunciphisa ukusebenza komsebenzi ohambelana nentloko kwindawo yomsebenzi.
Wikipedia, The Free Encyclopedia. (2010, Julayi).Inkqubo yesistim.�Ifunyenwe ku�xh.wikipedia.org/wiki/Musculoskeletal
2. Vernon, H., Humphreys, K., & Hagino, C. (2007). Intlungu engapheliyo yentamo yomatshini kubantu abadala abaphathwa ngonyango lwezandla: ukuphononongwa okucwangcisiweyo kwamanqaku otshintsho kwizilingo zeklinikhi ezingahleliwe, �I-Journal ye-Treatment and Physiological Therapeutics, i-30(3), 215-227.
3.�Peter J. Tuchin, GradDipChiro, DipOHS, Henry Pollard, GradDipChiro, GradDipAppSc, Rod Bonillo, DC, DO.� Ifunyenwe 29 Juni 1999
Uvavanyo olulawulwa ngokungenamthetho lwe-chiropractic spinal manipulative therapy for migraine?
4.Mark Studin DC, i-FASBE (C), i-DAAPM, i-DAAMLP, uWilliam J. Owens DC, i-DAAMLP kunye ne-Chiropractic. IsiFundo sokuThathaniswa noTywala.
5.�D�Antoni AV, Croft AC. Ukuxhaphaka kweeDiscs ze-Herniated Intervertebral ze-Cervical Spine kwi-Asymptomatic Subjects usebenzisa i-MRI Scans: Ukuphononongwa kweNkqubo yokufaneleka. Ijenali ye-Whiplash kunye neZiphazamiso eziNxulumeneyo 2006; 5(1):5-13.
6. Murphy, DR, Hurwitz, EL, & McGovern, EE (2009) �Indlela engeyiyo yokuhlinzwa kulawulo lwezigulane ezine-lumbar radiculopathy yesibini kwidiski ye-herniated: Uphononongo olulindelekileyo lweqela lokujonga kunye nokulandelwa.�I-Journal ye-Treatment and Physiological Therapeutics, i-32(9), 723-733.
Imixholo eyongezelelweyo: I-Chiropractic Inceda Abaguli Abaphephe Ukuhlinzwa Kwangaphambili
Intlungu ebuyiswe ngumqondiso oqhelekileyo ochaphazela okanye oya kuthintela ubuninzi babemi ubuncinane kanye kanye ngexesha lokuphila kwabo. Nangona iimeko ezininzi ezibuhlungu zintlungu zingasombulula ngokwabo, ezinye iimeko zentlungu kunye nokungazinzi zingabangelwa kwiimeko ezinzulu zomqolo. Ngethamsanqa, iindlela ezahlukeneyo zonyango ziyafumaneka kwizigulane ngaphambi kokuqwalasela ukungenelela kokugulana. Ukunyamekela kwe-Chiropractic yindlela ekhuselekileyo kunye neyonyango, eyona ndlela inceda unyamekele impilo yangaphambili yomgudu, ukunciphisa okanye ukuphelisa ukungahambi kakuhle komgudu ongabangela intlungu.
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Ulwazi olulapha ku "Ukusebenza kweChiropractic kwiMigraine Headaches"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.
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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.
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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
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