Ukulimala kweWhiplash kuchazwe

Ukulimala kweWhiplash kuchazwe: i-Whiplash Associated Disorders

• Ngokumalunga ne-15 ukuya ku-40% yabalimazi kwiingozi zeemoto baya kulwa nobuhlungu obungapheliyo babo bonke ubomi babo. Umbhalo we-American Academy of Orthopedic Surgeons, i-2007
• Ukulimala kweWiflash kungekudala nje ukunyusa amathuba okuba intlungu engapheliyo kunye neentlungu zentlungu, zandisa ukwenzeka kwamanye amaxesha enempilo engabonakaliyo. Umbhalo we-Clinical epidemiology, i-2001
• Ubuhlungu obungapheliyo buzenza izinto ezimbi kubantu. Ngokweemvavanyo zovavanyo eziqhelekileyo, i-100% yabanobuhlungu obungapheliyo obangelwa kukulimala kwe-whiplash baneenkcukacha ezingavamile zengqondo. Indlela yodwa yokulungisa ezi ngxelo zengqondo ezingavamile ukukhupha / ukususa intlungu engapheliyo, intlungu yentamo kunye neentloko. Ukucebisa / i-Psychiatry akubonakalwanga ukuphucula intlungu okanye iingxelo zengqondo zabantu abachaphazelekayo ngenxa yemiphumo yemoto yabo. Ubuhlungu, i-1997
• Uvavanyo olude kunabo bonke olwenziweyo olwenziweyo kwi-whiplash izigulane lubhekiselele kwimpilo yonke yegulpshini izigulane malunga neminyaka engamashumi amabini emva kwengozi yabo yemoto. Phantse amabini eminyaka emva kwengozi yabo, i-55% yezi zi gulane zijongene nentlungu engapheliyo. Uhlalutyo lwengozi kunye nokukhusela, i-2002
• Ngaphandle kokuba unesifo seqhekeza okanye i-ligament ingqumbo, iCervical Collars ayisaphakanyiswa ukunyanga izigulane ngeenxeba ze-whiplash. Xa iikholeji zentsholongwane zisetyenziselwa ukonyango lwe-whiplash, kukho i-90% enokwenzeka ukuba uya kuba neentlungu ezingapheliyo ezintanyeni ezintandathu. Umzila, 2000
• Omnye kubantu abalikhulu kwihlabathi lonke (i-1% yabemi, okanye abantu abangaphezu kwezigidi ezi-70) bahlupheka ngenxa yentlungu engapheliyo yentamo ngenxa yokulimala kwe-whiplash. Ukulimala, i-2005
• Omnye wabantu abangamashumi amahlanu balimala kwi-Whiplash efana neengxaki zengozi ezinobunzima obungapheliyo obunzima bokufuna ukuvavanya uvavanyo, amayeza kunye nokutyelelwa koogqirha, ngokuqhubekayo - malunga neminyaka engama-8 emva kwengozi. Ubuhlungu, i-1994

"Ngokuqinisekileyo, wonke amaMerika angalindela ukuba ahlale ekhompyutheni yemoto kanye emva kweminyaka elishumi. Iinqwelo zithuthi ziye zaba yimbangela enye yokufa kwabantwana bethu amashumi eminyaka. Ukususela ngo-9 / 11 (ngo-Septemba 11, 2001), malunga ne-3,000 baseMerika bafa ngenxa yongongobungqina; malunga ne-360,000 baseMerika bafa kwisigxina sezithuthi. Ukususela ekuqaleni kwe-American Revolution kwi-1775, malunga nezigidi zabantu baseMerika baye bafa kwiimfazwe zethu. Ekubeni uHenry Ford uqalise i-motorcarcar eyenziwe ngobuninzi kwi-1913, ngaphezu kwe-2.5 yezigidi zabantu baseMerika baye badibana nokufa kwabo endleleni. Kwaye kwalimala izigidi zabantu baseMerika abangazange bafe ngenxa yokushayisana kweemoto. "U-Orthopedist kunye nomnye weengcali eziphambili zehlabathi kwi-whiplash, uDkt. Dan Murphy. Kukho iimeko ze-3,000,000 ezintsha ze-whiplash e-US minyaka yonke.

Ukulimala kweWhiplash kuchazwe

Igama elithi hipwhiplash ligama lababekekileyo-kwaye nangona lihambelana nokunxulumana neMoto, ukuphazamiseka ngokuqinisekileyo ayisiyiyo kuphela indlela yokufumana ukwenzakala kwe-whiplash. Ukuphazamiseka okunxulumene neWhiplash (i-WAD) kudla ngokubhekiswa kuncwadi olusemthethweni njengonyango Ukukhawulezisa / Ukwehlisa isantya , okanye ukwenzakala kwe- "Hyperflexion / Hyperextension". Kwaye, uninzi lwenu luye lwayiqonda indlela enzima, banokuba nogonyamelo olumangalisayo- kwaneengozi ezibonakala ngathi zincinci ezinomonakalo omncinci wemoto. Ngaphezulu kwezigidi ezithathu zamatyala amatsha okonzakala / okwehla okwenzakala minyaka le, nangaphezulu kwe-50% yabo baqhubela phambili ukuya kuthi ga kwinqanaba elithile leempawu ezingasombululwanga okanye zengqondo, kuyacaca ukuba i-Whiplash Associated Disorders ithatha umthwalo omkhulu kwilizwe lethu ngokwemali, ngokwasemzimbeni nangokweemvakalelo.

Xa abantu becinga nge-"hiphip "bahlala becinga ngeengozi zeemoto (MVA Ms). Nangona i-MVA mhlawumbi sesona sizathu sixhaphakileyo seempawu ezinxulunyaniswa nazo kwaye zinamava kwabo baneengxaki zeWhiplash eziDibeneyo (iintlungu zentamo, iintlungu ezingaphezulu, iintlungu zamagxa, ukucinga okungacacanga, ukuba ndindisholo, ukubetha kunye / okanye ubuthathaka bezandla, isiyezi, njl.njl.), I-whiplash inokwenzeka malunga newaka kunye neendlela ezahlukeneyo. Kwaye ngelixa kukho iimpawu ezithile esizibona ngaphezulu nangaphezulu kwiklinikhi yethu (iintlungu zentamo kunye nentloko, umzekelo), i-whiplash inokubonakala ngathi ibangela malunga newaka kunye neempawu ezahlukeneyo. Ezinye zezona zinto zixhaphakileyo zeWAD endizibonayo eofisini yam kubandakanya ukwenzakala kwezemidlalo, ukonzakala emsebenzini (cinga ukungena apha), ukuphathwa gadalala kwabantu abatshatileyo, iimilo, iingozi zamahashe (ukuwa), kunye nayo yonke into enesakhono intloko ngesiquphe nangobundlobongela.

Nangona ezona ngxaki zixhaphakileyo zinxulunyaniswa neWhiplash Associated Disorder zihambelana nentamo (iintlungu zentamo, izandla ezibuthathaka, iintloko), uphando lwezenzululwazi lubonisa ukuba ukukhawulezisa / ukonzakala kokuncipha kuhlala kubangela zonke iintlobo zokulimala. Umzekelo, ndihlala ndibona abantu abaneentlungu ezisezantsi eziqale nge-MVA. Ndide ndibone nabantu abane-FIBROMYALGIA eye yaziswa ngoxinzelelo lwasemzimbeni nangokwasemzimbeni lwe-MVA! Esinye sezigqibo ezothusayo malunga neWhiplash Associated Disorder, yabhalwa sisibini sabaphengululi abaziwayo kwiplanethi- abaphandi bezonyango, hayi abaphandi be-chiropractic. UGqr. U-Gargan kunye no-Bannister bachaze kuphononongo olwenziwe ngo-1990? S, ukuba ukwenzakala okufana ne-whiplash kukhokelela kumlo opheleleyo, weempawu ezingaqhelekanga nezibonakala zingadibani. Nangona kukho abantu abaninzi be-malingerer, i-faker, i-scam artists, i-grubbers, kunye nabafuna iziyobisi ngaphandle; Abantu abaninzi kakhulu baxutywe kwezi ndidi ngenxa yokuba iingxaki zabo zingabonakali kwiimvavanyo zonyango zemveli ezinjengeMRI / CT.

Nangona uninzi lwezifundo zenzululwazi zigqiba kwelokuba i-Whiplash Associated Disorders inzima (ngokufuthi ukuya kwinqanaba lokungabinakho) ukwenza umfanekiso kwii-ray-ray, ii-CT's, okanye ii-MRI, ezi ziseseyona ndlela iphambili yoluntu oluyisebenzisayo Ukuchonga ukuba wonzakele okanye awonzakalanga, kwaye ingaba nzulu kangakanani le nzakalo. Ingxaki kukuba, ukuba uninzi lokonzakala kwezihlunu ezithambileyo (ukwenzakala kwi-LIGAMENTS, TENDONS, MUSCLES, FASCIA, njl) azibonisi kakuhle ngeendlela eziphambili zokucinga, kwaye ukucinga yeyona ndlela iphambili yoluntu yokufumanisa isifo; Ngaphandle kokuba unayo idiski ye-herniated, uya kuhlala uphathwa ngokungathi akukho nto iphosakeleyo ngawe- ngathi ungumculi onobuqhetseba uzama ukufumana indawo yokuhlala enkulu kwinkampani yeinshurensi. Yima kwaye ucinge okomzuzwana malunga nokuba yingxaki kangakanani le fascia, ngokungathandabuzekiyo kwezona zicwili zibuthathaka emzimbeni wakho wonke, ayizukuvela nakoluphi na uvavanyo- kubandakanya iMRI.

Xa usiwe e-ER, uyakuba novavanyo kwaye ugqirha uyokujonga athi, "Enkosi Thixo Nks. Smith. Akukho nto yaphukileyo! Ngoku, yiya ekhaya uphumle, kwaye ubize ugqirha wosapho lwakho ngomso. Okwangoku, nxiba le khola, kwaye uthathe la Mayeza aChasayo, iipilisi zentlungu, kunye nezihlaziyi zezihlunu. Owu, kwaye ungalibali ukusebenzisa ipakethi yobushushu ngokunjalo. Ngokuqinisekileyo kunjalo ukuba unayo ikliniki yonyango! Landela eli cebiso kwaye ngokuqinisekileyo uya kuba yimpilo yobomi! Inyani yile, xa kufikwa kuvavanyo kunye nonyango lokulimala kwe-fascia kunye nokunye okunwebeka, izicubu ezisekwe kwi-collagen, zonke izixhobo ze-hi-tech ezineentsimbi kunye neempempe azincedi nje ukuxilonga okanye ukunceda abantu abaninzi abonzakeleyo. Ufunda iphepha kwi-whiplash - uqikelelo lwam kukuba uyayiqonda ngokupheleleyo le nto kuba ubukhona, kwaye wenze njalo! Imodeli yakudala yovavanyo lokulimala kwezicubu kunye nonyango lwaphuma ngomnyango malunga neminyaka engama-25 eyadlulayo. Kubonakala ngathi akukho mntu ukhumbileyo ukuxelela oogqirha malunga neMODEL ENTSHA.

Ubunzima obunobungozi

Ukuhamba kwakho okufutshane ukuya emsebenzini kwakungekho hlukile kunanoma yimuphi olunye usuku - de ube uqala ukucotha ukuhamba kwebhasi phambi kwesikolo. Kanye njengoko ufika ekupheleni ngokupheleleyo, i-BAM; Ihlabathi lakho liyaqhuma njengoko umntu emela emotweni yakho ngasemva, engqongqoza ebhasini. Ujika inkonyana iqhuba iloli elipheleleyo eliqingqiweyo elithintela ukuthumela imiyalezo, kwaye ungalokothi ubethe amabheki akhe. Unenkathazo yokukhumbula oko kwenzeka. Uyakhumbula isikhanyiso sokukhanya kwaye ikhanda lakho litshatyalaliswa ngasemva phezulu kwiphepha lekhanda lakho. Ngokuqinisekileyo ukhumbule ukuba intloko yakho iqhubekile xa ushaya ibhasi-phantse ukushaya i-windshield. Uyaphuma kwi-1997 Toyota Camry ukuze ulandele imeko. Akukho igazi okanye i-guts. Enyanisweni, awunayo inxeba ukubonisa ingxaki yakho. Kodwa ngelixa i-State Troopers ifika ukuza kusebenza ngengozi, awunayo nje intlungu yentamo engafani nantoni na owake wayiva ngayo ngaphambili, unesihloko sekhanda. Unenkathazo yokubeka izicatshulwa ukwenzela zona. Babuza ukuba ufuna i-ambulensi, kodwa awufuni ukuya kwiGumbi eliPhezulu. Kodwa emva kweeveki ezimbalwa, usenenkathazo ngememori yakho. Umsebenzi awuhambanga kakuhle ngenxa yentlungu kunye nokuphelelwa amandla (ewe, ngenxa yengozi awukwazi ukulala okanye), yonke into ibonakala ingenangqondo, inobunzima, kwaye ingabonakali. Ngubani obengacinga ukuba i-whiplash inokubangela ezi ntlobo zeempawu - ingakumbi ngaphandle kokulimala okungekho ngaphezulu / okubonakalayo?

Ukulimala kweWhiplash ziyingozi kakhulu kuba ziyimbangela eqhelekileyo ye-MTBI (Ubunzima bokuBala Ubunzima Bokulimala). I-MTBI ibangelwa kwiingqondo ezikhupha ngaphakathi ngaphakathi kwekhanga ngexesha lokutshatyalaliswa / ukutshatyalaliswa kwentamo. Njengoko unokucinga, oku kubonakalisa / kubhubhisa iiseli zesisongom. Ngokuxhomekeke kuyo nayiphi na ingqondo yengozi, umntu unokufumana iingxaki kwezinye zezi ndawo zilandelayo ...

• Ukuhamba / Ukuhamba
• ibhalansi
• Ulungelelaniso
• Amandla / Ukunyamezela
• Amandla okuthetha
• Ukwazi ukuqonda
• Amandla okuCinga
• Imemori
• Iimpawu zeMpawu zoBunzima okanye ezingabonakaliyo (izi ezinye "izimpawu eziyinqaba kwaye ezingabonakaliyo" ezikhulunywe ngabaphenyhi be-Garg and Bannister.)
• Iiprofayili zengqondo ezichanekileyo

Kungenxa yokuba ezi mpawu zihlala zibubuqili, azicacanga ncam, kwaye azibonisi kuvavanyo olusemgangathweni lwezonyango olunjengee-ray-ray okanye ii-MRI's, kuqhelekile kwizigulana ezine-MTBI ukungakhalazi ngazo-ubuncinci ekuqaleni. Kubantu abaninzi kunokuba neentloni "ukukhalaza" kwi-chiropractor okanye ugqirha ngezi mpawu zingacacanga kwaye kunzima ukuzichaza ezingenazo iziphumo zangaphandle ezinxulumene nazo (ukugruzuka, ukuqaqanjelwa, amathambo aphukileyo, njl.). Yikholwe okanye ungakholelwa, uninzi lwezigulana kuyathuthuzeleka ukufumanisa ukuba kukho isizathu somzimba esivakalelwa ngendlela abaziva ngayo, kwaye ayisiyiyo yonke "le nto isentloko". Iindaba ezimnandi zezokuba ngohlobo oluchanekileyo lokhathalelo, uninzi lwezigulana ezinengxaki yokulimala ziya kuphila kungaphelanga nonyaka. Kodwa ngelishwa, ayizizo zonke ezenzayo. Kungenxa yeli qela labantu apho igama elithi MTBI okanye "Post Concussive Syndrome" lisetyenziswa.

Izinto eziye zenza i-Whiplash eyingozi

Imodeli ye- old ye-whiplash yathi i-WAD ibangelwe zizicwili ezoluliweyo okanye ezikrazukileyo, ezazizeziphumo zentloko ebhabha ijikeleza impembelelo. Lo mzekelo awuzange uchaze ukonzakala okuxeliweyo kwiigilasi ezinesantya esisezantsi (15 mph nangaphantsi). Ezona modeli zangoku ze-whiplash zibonisa ukuba umtshangatshangiso shot ngomqolo phezu kwempembelelo-- iyafana kakhulu nomtshangatshangiso owenzileyo wokuhambisa ithumbu legadi iinyawo ezimbalwa ngasekhohlo. Le wave, eyenzeka kwisiqwengana somzuzwana, inokukrazula zombini izicwili kunye neethambo zemithambo-luvo microscopically. Okwangoku ikwanyusa uxinzelelo olukhulu kweyona mithambo incinci yegazi (ii-capillaries) yaziwa ngokuba yi "hamor yegazi". Igazi leHammer, UKUQHUBEKA KWENKCUKACHA, kunye nokulimala kweNeurological, kunceda ukucacisa ezinye zezi "mpawu zibonakalayo nezingaqhelekanga" eziphantse zibubhubhane kwabo baye bafumana ukonzakala kwe-whiplash ngenxa ye-MVA's.

Yintoni Enokuyenza I-Whiplash Yingozi Kangakumbi?

IINKCUKACHA ZOKWENZA KWI-WHIPLASH SEVERITY

• Ayazi ukuba uphumelele
• Ukuba ngumfazi (ubuncinane besisundu)
• Isithintelo esingenakulungiselelo (phantsi kakhulu)
• Imigwaqo emanzi, i-Icy, okanye i-Slick (okanye igravel)
• Ukuthunyelwa ngokuzenzekelayo
• Isithuthi sakho sincinci kwaye sibonwe okanye sitshitshiswe kwisithuthi esikhulu
• Umdala okanye umfo wezifo (okanye umlando we-whiplash eyingozi)
• Intloko iphendulele kwimpembelelo
• Iingozi zengqumbo okanye ezecaleni (iziphetho zangemuva zibi kakhulu)

IZINTO EZIFUNDA UKUPHATHA KWENKQUBO YOKWENZA I-WHIPLASH SEVERITY

• Uyakwazi ukuchaphazeleka
• Ukuba ngumntu (ubuninzi besisundu)
• Intloko yesigxina ephakamileyo phakathi kwendlebe
• Ukunyakaza okunyanzelekileyo
• Ukuthunyelwa kweMibhalo
• Isithuthi sakho sikhulu, sinzima, okanye sitshitshiswe imoto encinane
• Umncinci okanye umbane onomsoco kunye nempilo (akukho nzakalo yangaphambili)
• INtloko ibhekise phambili phambili
• Impembelelo echanekileyo

Ubudlelwane: Ubunzima bokwenzakala kunye nesixa soKonakaliswa kweZithuthi

“Amalungu ohlukeneyo omzimba womntu anemizimba eyahlukeneyo engafaniyo. Isixhobo sokwenzakala kwingozi yokungqubana kwezithuthi ngasemva, kukuthi, njengomthetho, ukwenzakala okungaphambuki. Oku kuthetha ukuba ukwenzakala akwenzeki ngenxa yokunxibelelana ngqo kwezahlulo zezithuthi emzimbeni wesigulana; Endaweni yoko, ukwenzakala kwenzeka ngenxa yeengxubakaxaka ezahlukileyo ezingahambelaniyo. ” UDkt.Daniel Murphy, iBhodi eQinisekisiweyo ye-Orthopedist kunye neNgcali ekhokelayo kwi-Whiplash Diagnosis kunye noNyango

Kwi-1687, i-astronometer / i-physicist / ifilosofi / ifilosofi / isazi sefilosofi, uSiir Issac Newton, wabhala yakhe i-Philosophiae Naturalis i-Principia Mathmatica (ngoku ibizwa ngokuba yi-Principia okanye "Imigaqo" nje), ekwacatshulwa njengona incwadi yesifundo kwimbali yabantu.

Kwi-Principia, uNewton wabeka iMithetho kaMathathu emithathu. Le mithetho iyakwazi ukuchazela i-whiplash kunye nokulimala okulandelayo okulandelayo kunengxaki nayiphi na into engayibonile ngoku. Ukuqonda ukulimala kwe-whiplash kunye nolwalamano lwabo nomonakalo wemoto, umthetho wokuqala waseNewton ubaluleke kakhulu-UMthetho we-Inertia. Khangela isigaba sakho sezesayensi zeBakala ye-8th kwaye uhlale nam apha njengoko sithatha uvavanyo olutshanje lwezesayensi / ye-physics. Umthetho Wokuqala KaNewton: Izinto zokuphumla zihlala ziphumle ngaphandle kokuba zenziwa ngamanye amazwe. Ngokufanayo, izinto ezihambayo ziyaqhubeka zihamba ngaphandle kokuba zenziwa ngabangaphandle. Khumbula oku; NjengoDkt Murphy ochazwe ngasentla, ukulimala kwe-whiplash kwenzeka ngenxa yokuba iinxalenye ezahlukeneyo zomzimba wakho zinako kwaye ziya kuba ne-inertias ezahlukeneyo - ngamanye ama-inertias ezahlukileyo.

Masithi uhleli e-stoplight kwaye ucinga ngoshishino lakho. Uyangcwina kumntu kaManfred Mann oPhilile ngokuKhanya, xa ngokukhawuleza - BAM! Utshitshiswa emva kwaye uqalise ngaphesheya kwendlela yokubethelwa njengokuba udutshulwe kwi-cannon! Awuqinisekanga ukuba kwenzekani, kodwa uvakalelwa ukuba uvele wangena kwiveki ezayo. I-PHYSICS ISIFUNDO: Xa isithuthi sakho sishaywa emva, sasiqhubela phambili. Ininzi yale nto yayinokuthi yenzeke ukuba uqhuba i-1992 Toyota Corolla, kunye nebhokhwe elikubethe (wayethetha ngeteksi) yayiya kubhado lokuthengisela uyise, iqhuba i-F-350 Supercab, kwaye idonsa i-trailer yesitokethi elayishwe ngamagosa asibhozo. Xa ekubetha kwakho, kwakukho utshintsho olukhulu olusisigxina. Kwiqhezu lesibini, i-Corolla yakho yenyuka ukusuka kwi-zero ukuya kwi-50 mph. Makhe sijonge esi siganeko kwifom ye-frame-by-frame.

Njengoko iCololla yadubulisa phambili, kwanjalo isantya sakho esasihleli esihlalweni. Ndilandele, kuba nantsi inqaku elichanekileyo apho i-whiplash ivela khona. Njengoko umzimba wakho wawukhawuleza phambili, intloko yakho (ubuncinci kwimilisecond yokuqala) ayizange ihambe. Intloko incinci (kunye ne-lighter) kuneyomso, kwaye iqhotyoshelwe ngumqolo omncuba weemisipha, izicubu kunye ne-vertebrate encinci siyibiza intamo okanye i-Cervical Spine. Ngenxa yokwahluka kobunzima phakathi kwentloko nomzimba, kwakunye nenyaniso yokuba umnxibelelwano phakathi kwabo (entanyeni) iselulekile kwaye sincinci; intloko ine-inertia eyahlukileyo ngokupheleleyo kunomzimba. Oku kwaphakanyiswa yinto yokuba isihlalo sokugcina sigcina isigxina sakho sokufuduka kude kakhulu, kodwa akenzanga nto yokumisa intamo yakho - kwaye ngelanga, ukulungiswa kwentloko yakho akuzange kulungiswe ukuphakama okufanelekileyo. Ngamanye amazwi, umzimba wakho wawususwe ngokusuka phantsi kwekhanda lakho; emva kweyure inxalenye yesibini kamva, intloko yakho ayibandakanyeki kunye nomzimba wakho, ngokukhawuleza ukukhawuleza kwangoko kunomzimba wakho, kwaye uyigqithise njengokuba intloko yakho yanyuka phambili.

Makhe sihlolisise: Njengoko isithuthi, isihlalo, kunye nomzimba wakho ugxobhozwa ngamandla kunye nokutshintsha kwempembelelo ukusuka kwimpembelelo, intloko yakho yahlala isecaleni sesibini sokuhlukana. Umzimba wakho wawuxoshelwa phantsi kwekhanda lakho, okwenza ukuba kubonakale ukuba intloko yakho yanyuka emva. Njengoko intloko yakho yaqala ukufikelela kuloo mzimba wakho, izicubu entanyeni yakho zaqala ukunweba kwaye zenzeke. Ngelishwa, xa amandla omngcipheko mkhulu kunamandla aphethe izicubu zakho ndawonye, ​​ezi zicuksi ziqala ukugqabhuka - ubuncinci kwi-microscopic basis (khumbula, ixesha elide le nkcenkcesha kunye ne-SCAR TISSUE ayiyi kubonakalisa kwi-MRI ). Umphumo waba yingozi yokutshatyalaliswa kwe-whiplash - ukulimala okungekho emzimbeni kwii-SPINAL LIGAMENTS, SPINAL DISCS, FASCIA, TENDONS, kunye nezinye iifomthi ezithambileyo entanyeni nangaphezulu. Enyanisweni, kukho izifundo ezibonisa ukuba nangona zincinci ukuba zingabonakaliswa ngempumelelo ngeteknoloji ye-MRI, ngokuqhelekileyo (ngokuqhelekileyo) iifractures ze-FACET JOINTS zikhoyo ngokuxhatshazwa okukhulu kwe-whiplash. Ngokuqhelekileyo, kukho ukulimala kwengqondo kwintsholongwane.

Okuthakazelisayo ngokwaneleyo, enye yezinto ezenza isivumelwano semisipha kunye nokunyaniseka okukhulu kukugxilisa ngokubanzi (cinga ngomoya ongenamandla kunye nengalo ephosiweyo ye-baseball pitcher apha). Xa intamo itywelwa kwizinga eliphezulu kangaka, isivumelwano se-muscle kuya kwizinga elilinganayo. Xa kudibaniswa nokukhawuleza nokuhlaziywa kwesithuthi, oku kwenza ukuba intamo iqhube phambili ibangele ukukhwaza kwamathambo entanyeni nasemva. Kwaye into ebaluleke kakhulu ukuyiqonda kukuba intamo yakho nentloko ayizange ifuthe nantoni yonke inkqubo. Ukulimala entanyeni ngokwayo (okwenzeke kwimiba ye-millisecond) kwenzeka ngenxa yokutshintshana okukhulu kwesikhashana kwi-momentum, amandla kunye ne-inertia phakathi komzimba wakho kunye nentloko yakho - njengokuba ubona kwi-Shaken Baby Syndrome.

Nangona unobunzima obunzima, uphuma kwi-Corolla yakho kwaye uqale ukulinganisa imeko. Ujonge iilungu zakho. Babonakala benganyaniseki. Unako ukuhamba. U phefumula. Akukho igazi. Akukho nto ibonakale iphazamiseke okanye iphukile. Enyanisweni, awunakho ukukhangela. Awufuni ukuya kwiGumbi eliPhezulu, kodwa u-Trooper Trooper osebenza ngengozi ekhuluma nawe kuyo. Unemiqolo emininzi yemigca kunye ne-CT yentamo yakho. Yonke into ayibi. Ugqirha we-ER uyangena, uyakusiza, kukutshintshisa amaxesha ambalwa, kwaye usuke uhamba kancane. Emva koko ukhulula i-short-monologue-enye eye ikhulule ngamakhulu amaxesha ngaphambili, "Wow uMnu Jones. Uvakala ngathi uzalwe phantsi kweenkwenkwezi zenkwenkwezi. Ndiyabonga uThixo akukho nto iphukile. I-neurologically uhlola kakuhle. Uya kuba nesifo, kodwa vuka uye kubona udokotela wakho wosapho ngomso. Uza kufumana i-PAIN PILLS, i-NSAIDS, i-CORTICOSTEROIDS, kunye ne-MUSCLE RELAXERS. Ungaxhalabi. Uya kulungela. "

Kodwa kunjalo nje. Ubonayo ugqirha wakho, kwaye njengoko iiveki zihamba, awuhambanga kakuhle. Kude kuyo. Unentlungu, kwaye iya kuba nzima. Kodwa akukho nto ongayibonayo. Njengoko ndathi, kwakungekho namathambo aphukileyo kwaye akukho misonto. Heck, kwakungekho ncitshitshitshi okanye i-scratch. Akukho nto eyoyilumkisa nabani (makungabikho ugqirha ongeyena uphando olutshanje) onokubuhlungu - kwaye luya kuba lubi kakhulu. Kwaye phezulu kwelo, umonakalo ekupheleni kwe-Corolla yakho yayimangalise ukukhanya xa kuthelekiswa nendlela enzima ngayo kunye nendlela oziva ngayo (ngenxa kaPete, imoto iyayikhupha). Ikampani yenkampani yomshuwalense yabanye ihlawulise i-$ 2,000 kwiToyota yakho, ephindwe kabini ixabiso leKelly Blue Book. Banyamekela i-ambulensi yokuhamba kunye noKhenketho lweMigudu yoLimo oluPhezulu, kwaye banokukunika i-$ 1,500 ngenxa yentlungu kunye nosizi. Uqeshe ugqwetha, kodwa wenza njengokuba engakholelwa ngokwenene ukuba ubuhlungu kangakanani na. Yintoni eyenziwa apha?

Phantse kwisiqingatha kwinkulungwane edlulileyo (1964), iphephandaba lezokwelapha elidumile, i-American Journal of Orthopedics ibonisa into efihlakeleyo-yokuba akukho buhlobo (akukho, nada, zilch, zero) phakathi komonakalo owenziwe kwisithuthi kunye nesixa ukulimala kwabahlali bezithuthi. Ukususela ngelo xesha, uluntu lwezonyango nolwazi lwenzululwazi luye lwabonakalisa eli qiniso ngokuphindaphindiweyo ngokuphindaphindiweyo ngophando. Kuyinyaniso yokuba ndivile ukuqinisekiswa ngokuphindaphindiweyo ngokuphindaphindiweyo ngamaGosa okuQinisekiswa koMthetho kunye neParamedics ukuba ndilungele rhoqo. Nangona uninzi lwamaxesha, iiNkampani zeInshshurensi kunye neeNkundla zamagqwetha ezimela zona ziyakukholelwa ngokuchasene (kwakungekho umonakalo okwenziweyo wezithuthi ukulimala), akunjalo. Iiminyaka ezili-10 ezifanelekileyo zenzululwazi zisitsho ukuba ubunzima bomonakalo wezithuthi azikwazi ukuqikelela ....

• Ukuba izigulane ziza kubandezeleka nge-whiplash.
• Kunzima kangakanani loo nzakalo.
• Kuya kuthatha ixesha elingakanani ukuphatha kakuhle / ukuphilisa ukulimala - nokuba ngaba baya kuphulukisa ngokwenene.
• Ingaba okanye ingekho iqela elimele liza kuphelisa nge-Pain Chronic and / okanye i-Arthritis njengesiphumo esisodwa sengozi.

Iintlobo ezininzi kwizifundo zeeNqwelo zeeMoto ziye zabonisa ukuba izithuthi ezingaphumeleli kwiimpembelelo ziya kukhawuleza ngamandla amakhulu kunye nokukhawuleza. Ngokukhawuleza ukuba isithuthi sakho siphuthuma phezu kwempembelelo, ngakumbi ukuxinzelela kwe-inertial entanyeni nasemva. Yingakho izithuthi zanamhlanje zenziwa "ngeendawo ezinqamlekileyo". Ulunge ngakumbi xa amandla okuba nempembelelo anqunywe yi-cartographic deformation, kunokuba uguqulwe komzimba wakho, ingakumbi iifomthi ezithambileyo kunye neediski entanyeni yakho. Eyona mikhulu ixinzeleleke kwi-neck and back back, umonakalo omkhulu kumathishini athambileyo entanyeni / entanyeni yomlomo wesibeleko.

Ngoko, kuyacaca ukuba iimpembelelo ezinzima kunye nemali emininzi yomonakalo wezithuthi zikhokelela ekubanjeni ukulimala komzimba. Akukuphela nje oku akukwenyani, kodwa ezininzi zophando lwezokwelapha kwiingozi ze-whiplash namhlanje zenziwa kwimiphumo yeempembelelo eziphantsi kwezantya (ezo phantsi kwe-15 mph). Nazi ezinye iincwadana zezobuNzululwazi / zezeMpilo / zezoLwazi ezithi akukho buhlobo phakathi kwemali yemonakalo yemoto kunye nenani lokulimala kwabahlali bezithuthi.

• I-Spine, i-1982
• Iiklinikhi zeOthopia zaseNyakatho Melika, i-1988
• Umbutho weeNjini zeMoto, i-1990
• Ukulimala, i-1993
• Ncokola, 1993
• Ukulimala, i-1994
• I-American Journal yoLawulo lwezinhlungu, i-1994
• Umbutho weeNjini zeMoto, i-1995
• Umbutho weeNjini zeMoto, i-1997
• IiNcwadi zoLondolozo lweMpilo kunye nokuBuyiselwa, i-1998
• Ijenali yeWhiplash kunye nokuphazamiseka okunxulumene noko, 2002
• Umzila, 2004
• I-Journal ye-Neurology, i-Neurosurgery kunye ne-Psychiatry, i-2005
• Umzila, 2005
• Ukulimala kweWhiplash, i-2006

Enye yeengxaki, nangona kunjalo, kunye nokulimala kwe-whiplash kukuba zihlala ziphelisa ukudala i-DEGENERATIVE ARTHRITIS. Oku kuhambelana nento yokuba ukulimala okungekho emzimbeni kubonakalisa izicubu ngeendlela ezingenakucinga ukusebenzisa ubuchwepheshe obuphambili. Ngenxa yokuba abaninzi oogqirha abangekho kwiphando ye-whiplash yangoku, kwaye uziva ukhangele iindawo ezinkulu zokuhlala, zihlala zikuncenga njengomdlali (faker). Nangona kunjalo, le nzakala ibangela i-fibrosis microscopic ebangela ukunyakaza okungaqhelekanga ngokuhamba kwexesha. Oku kukhokelela ekuhlaleni i-arthritis rhoqo, ukuba ndikwazi ukuxela ngokuchanekileyo ngokuchanekileyo xa kwenzeka umntu ngenxa yokulimala-nje ngokujonga i-x-ray yangoku kwentamo.

IArthritis Emva kweNqwelo-mali

• I-X-ray ithathe umyinge weminyaka esixhenxe emva kokonzakala kwe-whiplash ityhile ukuba isifo samathambo kwintamo yomqolo wediski phantse kwi-40% yezigulana. Iqela elingafundiswanga libonise kuphela iipesenti ezi-6% zesifo samathambo. Baphetha ngokuthini ababhali? HusNgoko ke, kwabonakala ngathi umonzakalo uqalile kwinkqubo ethe chu yokonakala kwediski.
• Izigulane zikaWiflash ezazisenomdla wesifo somlomo (intamo), zibonisa ubungqina be-arthritis ehlaselayo kwiidiski zangaphambili ezingezona i-arthritic kunye nama-vertebrates kwi-55% yamatyala. I-Cervical Spine Research Society, i-1989
• Xa kuthelekiswa neentamo zezigulane ezingenakulinganiswa, isiganeko esisodwa se-whiplash sandisa ukunyamezela kwintliziyo ye-arthritis ngeminyaka eyi-10. I-Journal ye-Orthopedic Medicine, i-1997
• Ukuguqulwa kwesifo se-arthritis yentamo / iKervical Spine, kubangela kakhulu umonakalo we-whiplash ukulimala. Izifundo ezininzi zibonisa ukuba oku kuphucotha amaxesha okubuyisela kwaye kwandisa amathuba okuphelisa ubuhlungu obungapheliyo kunye nesifo se-arthritis ngaphezu kokuba uqale. IBritish Journal ye-Bone and Joint Surgery, i-1983; I-American Academy ye-Orthopedic Surgeons, i-1987; Iiklinikhi zeOthopia zaseNyakatho Melika, i-1988; I-1994; I-British Journal ye-Bone and Joint Surgery, i-1996
• Umzekelo omhle wee-Inertia Ukulimala kubandakanya umdlalo webhola lebhola. Abadlali bebhola abahlala rhoqo "bekhwela" ibhola yebhola, bekhawuleza i-arthritis ephazamisayo entanyeni ngokumalunga neminyaka engamashumi amabini. I-European Spine Journal, i-2004 Lona alukho ulwazi olutsha, nangona kunjalo. Ndabhala ikholamu yephephandaba kwinqanaba elicacileyo kwi-1993. Siye sabona ukuba abadlali bebhola bebhola bebhola bephindaphinda kabini inani le-arthritis yentamo njengoko babo abangewona ibhola badlala iqela leontanga.

Ukuphazamiseka kweWiflash: Kunzima Ukuxilongwa Naphezu kokuFikelwa okuPhambili

I-WAD kunzima ukuyixilonga ngokufanelekileyo okanye ukuyivavanya kusetyenziswa uvavanyo oluqhelekileyo lonyango. I-X-ray ayibonisi izicubu ezinxibelelanayo ezithambileyo, kwaye uninzi lwezifundo lubonisa ukuba ii-MRIs, ngokuchasene nenkolelo edumileyo, zenza umsebenzi ombi wokucinga ngezicubu ezithambileyo ezenzakeleyo- NGOKUQHELEKILEYO FASCIA. Kungenxa yoko le nto unokuziva ngathi 'uyasweleka', kodwa zonke iimvavanyo azibi. Abantu bahamba ngala mava amaxesha ngamaxesha. Emva koko bathunyelwa ekhaya bevela kwi-ER okanye kwi-ofisi kagqirha nababulali beentlungu, izihlunu eziphumza umzimba, kunye neziyobisi ezichasayo ezinokubangela ukuba izicwili ezonzakeleyo ziphilise malunga ne-1/3 ebuthathaka kwaye ithambe kancinci kunokuba ibinjalo, uxelelwe ekuhambeni kwexesha iyaphola. Njengengalo eyaphukileyo exhonxwe kwikona ehlekisayo kodwa ungaze ubeke okanye ubeke isamente; iyakuphilisa .. Ayizukuphilisa ngendlela eyiyo okanye ngesixa esifanelekileyo sokusebenza / kwesindululo.

Ngoko ke kufuneka njani ingxaki efana nale? Isihluthulelo sokubuyiswa komsebenzi sihamba ngokunyuswa. UKUHLAWULWA KWE-CHIROPRACTIC, ulwahlulo oluthile, kunye nokuqiniswa kokuzibandakanya yindlela enye yokufeza oku! Ngenxa yokuba i-FASCIAL ADHESIONS iyingxenye ye-equplash equation, mhlawumbi kufuneka ufumane uhlobo lweTissue Remodeling. Ukubuyisela ukunyakaza, umsebenzi kunye namandla (zombini ngamalungu angamaqela okanye i-vertebrate, kunye nomgudu okanye umlenze ngokubanzi) yindlela kuphela eqinisekisiwe eyenza ngokwenene ukunciphisa impawu ye-whiplash. Ngokuchasene neenkolelo ezidumileyo, ukusebenzisa iziyobisi ukugubungela iimpawu, akusayi kukhethwa.

Ukuba kuphela unyango olufumanayo ngenxa yokulimala kwe-whiplash lugxininisa (oku kuthetha ukugubungela iimpawu ngezidakamizwa, ngaphandle kokujongana nesizathu esibangeleyo saloo mpawu), ngoko nayiphi na impumulo ephumelele yesikhashana, kwaye umphumo wokugqibela wale nkqubo kuya kuba yinto engasebenzi, kunye nobuhlungu obungapheliyo!

Ugqirha / Ayikwazi ukufumana nantoni na engalunganga: Yintoni ongayenza

Ndiya kucinga ngokugqithiseleyo ukufumana ugqirha. Njengoko sele ufunde, i-whiplash isoloko i-"clinic" yokuxilongwa. Oku kuthetha nje ukuba akuyi kubonakalisa kakuhle kwiimvavanyo eziqhelekileyo zokucinga ezifana ne-x-ray, CT, kunye ne-MRI. Ukuba ugqirha wakho akayi kunyusa uphando olutsha lwamanje, ulahlekelwa - ngeendlela ezininzi kunezinye. Makhe ndikubonise iziphumo zophando olulodwa olufuna ukubona ukuba imiphumo ye-whiplash yayinyani ("i-organic") okanye kwintloko yentloko ("psychometric"). Ngendlela, esi sifundo sivela kwimiba ye-1997 yenye yeendaba zonyango ezigqwesileyo zeeplanethi, I-Journal ye-Orthopedic Medicine. Bafanisa iqela elikhulu lokulawula kwiqela elikhulu le-whiplash, iminyaka elishumi emva kwengozi. Oku akusikho kuphela okusinika ukujonga kwexesha elide kwimiphumo ye-whiplash, kususa nemiphumo emihle yezobango kuphando njengoko kunokwenzeka nayiphi na imiba esemthethweni.

I-WHIPLASH INJURED GROUP

• entanyeni Pain
• Intloko
• Ubungqina, Ukulinganisa, ubuhlungu, i-Parshesia kwiZiko / kwiiNyawo
• I-Back Back and neck Pain
• Ukukhutshwa kweentambo njengoko kubonakala kwi-X-ray

I-WHIPLASH EYIKHULULEKILEYO

• Izihlandlo ezisibhozo zeeNgxowa
• Izihlandlo ezilishumi elinanye ziiNtloko
• Izihlandlo ezilishumi elinesibhozo ngaphezulu Ubungqina, ukulinganisa, ubuhlungu, i-Pesthesia kwizixhobo / izandla
• Amashumi amabini anesixhenxe amaxesha amaninzi aphindayo kunye neentlungu
• Ukukhutshwa kweNeck kwaba yiminyaka elishumi ephakamileyo xa kuthelekiswa neQela loLawulo

Ukufihlakala / Hyperextension yeCervical Spine

Ngokufihlakele, umgudu uya phambili, oqhuba iNucleus yediski ukuya ngasemva. Yingakho ii-Discs zeHerniated ziphumo eziqhelekileyo zengozi ye-Whiplash. Kwi-Hyperextension, umgudu uphazamise umva. Nangona oku kunqabile ukuba kukho i-Discalniations yangaphambili, idibanisa izicwangciso (ezi zimbini ezincinci ukuya ngasemva nangapha kwicala le disc). Oku kunokukhokelela kwimeko ekhubazayo ebizwa ngokuba yi-Facet Syndrome.

Isaziso kule Flexion / Extension X-ray yokuba kukho ukuKhulelwa koMgca okwenzekayo kwinqanaba leC5-C6 Spinal Disc. Oku kuthetha ukuba mhlawumbi le X-ray ithathwa iminyaka (mhlawumbi amashumi eminyaka) emva kokulimala, okanye ukuba lo mntu wayenokutshabalalisa kwangaphambili (i-bone spurs, i-discs encinci kunye ne-calcium deposits) ngaphambi kokulimala kwangoku. Ngandlela-thile, umntu o-X-rayed wayenokulimala / ukunyusa ukwandiswa kolunye uhlobo mhlawumbi iminyaka eyi-20 edlule okanye kunjalo. Singazixela njani oku. Nangona kukho iqondo elithile elithi "uqikelelo" oluya kukwazi oko, siyazi ukuba i-ARTHRITIS YOKUSEBENZISWA kwenzeka ngenxa yokulahlekelwa kokuhamba ngokubambisana kunye nexesha, kwaye i-whiplash ijwayele ukubetha kakhulu kwiC5-C6.

Ukulimala kwamathambo athambileyo?: Kuthatha ixesha elingakanani ukuphilisa?

Kubantu abonzakeleyo kwiingozi zeMoto, ukuwa, iiNgozi zamaHashe, iiMoto eziMothuko, okanye naziphi na ezinye iindlela abantu abaphela ngazo "Ukulimala ngeWhiplash", lo ngumbuzo oqhele ukubuzwa. Kodwa kukwayinto eqhelekileyo ukubuza imibuzo kwabo ukonzakala kwezicubu ezithambileyo bekungekho buhlungu, kodwa bekungenxa yokulayisha okungapheliyo, okuphindaphindwayo, okuphezulu kakhulu.Ngaphezu kokuqondakalayo Nokuba ungonzakalisa njani okanye uyintoni na, wonke umntu ufuna ukwazi ukuba kuzakuthatha ixesha elingakanani lunga khumbula nje ukuba ukuphilisa kuthatha ixesha Kwaye nangona uhlala uva "iiveki ezi-6 ukuya kwezi-8" zibhidekile, oku kuyinyani. you Ukuba uya kuqaphela itshathi engezantsi, uyabona ukuba emva Kwiiveki ezi-3 ukuya kwezi-4, ekuphela kwento eqhubekayo "kukuvuthwa kunye nokuLungiswa kwakhona". Ungakhohliswa! Esi sigaba asibalulekanga kuphela, kodwa amaxesha amaninzi sihoywa ngabo banomdla wemali ekonzakaleni kwakho.

Ukulungiswa kweethishu kunye neNqanaba lokuPhilisa

ISIGABA I (Isigaba Esivuthayo): Eli nqanaba lihlala kwiiyure eziyi-12-72, kwaye libonakaliswa ngokukhutshwa kweekhemikhali ezivuthayo ziiseli ezonzakeleyo. Xa iiseli zenzakele kwaye zifa, ziyaqhekeka kwaye zikhuphele imixholo yazo kulwelo olungaphandle (LUYINTONI UKUTSHALELWA). Ezi ChemicalIikhemikhali ezivuthayo ezikhutshwa kwiiseli ezaphukileyo ziyimfuneko kwaye zibalulekile kwinkqubo yonyango. Nangona kunjalo, ngokugqithileyo kunokubangela iintlungu. Bakwakhuthaza nokuqhekeka okuncinci kakhulu. Qaphela ukuba xa undwendwela ugqirha wakho wenzakala ethambileyo, uya kunikwa amayeza okulwa nokudumba. Oku kuneziphumo ebezingalindelekanga ezimandundu (intliziyo, isibindi, izintso, njl. Nangona kunjalo, ukukhaba okwenyani emazinyweni yinto yokuba olu didi lweziyobisi luye lwangqinwa ngokwenzululwazi ukuba lubangele ukuba izicwili ezinxibelelanayo ezenzakeleyo ziphilise buthathaka kakhulu kwaye zenze luthambe kancinci kunokuba bezinjalo. Akukho ndawo inyanisekileyo kule eneCorticosteroids. Yenza uphando ngokukhawuleza kwiMedico-Scientific Literature kwiCorticosteroids kunye nokulimala kwezicubu ezithambileyo. Uza kubona kaninzi ukuba ziyingozi kwinkqubo yokuphilisa kwaye akufuneki zidlale nxaxheba kunyango lokulimala (APHA ngumzekelo ovela kwicandelo loKonzakala kweMidlalo).

ISIGABA II (Ukubambisana Okungapheliyo): Kwesi sigaba esiqala ngomhla we-2 ukuya kowesi-4, siqala ukubona ukudumba (ngamanye amaxesha asikuboni, kuba akukho kumphezulu womzimba). Khumbula; Ukudumba akuhambelani nokudumba. Imichiza yokuvuvukala ekhutshwe ziiseli ezifayo itsala ulwelo olubangela ukudumba. Kungenxa yoko le nto ukusebenzisa unyango olubandayo (umkhenkce) ukulawula zombini ukudumba kunye nokudumba yinxalenye ebalulekileyo yenkqubo yokuphilisa - ngakumbi kumanqanaba ayo okuqala. Nangona kunjalo, eyona ndlela yokuhambisa le "Ukudumba ngokuxineneyo" kukuhamba ngesindululo esilawulwayo ukuba kunokwenzeka. Owu, kwaye ugqirha wakho angakuxelela ukuba usebenzise ubushushu kwezi zigaba zokuqala zokunyanga izicubu ezithambileyo; sukuyenza. Sebenzisa i-ICE ukulawula ukudumba!

ISIGABA III (Ukuhlaziywa kunye neSigaba sokuLungisa): IsiGaba sokuLungisa kulapho iifayibha ezintsha ze-collagen zenziwe zii-fibroblasts. Umzimba emva koko usebenzisa le micu ye-collagen njengoluhlobo lwethishu ethambileyo patch . Njengakwijee yakho eluhlaza okwesibhakabhaka, isiziba asifanelekanga. Kodwa nje ukuba loo Levis indala ikrazule okanye ikrazule, yintoni enye oza kuyenza? Emzimbeni, le patch ye-collagen (izicwili ezibomvu) ihlala yahlukile kunezicubu ezijikeleze yona ngeendlela ezininzi. Izicubu ezinqabileyo zibuthathaka, zincinci, ZININZI IINTLUNGU EZININZI, ZINCIPHISE AMANQAKU OKUQINISEKISA, njl.njl.). Yazi ukuba iSigaba sokuLungisa sokuphulukiswa kwezicubu sihlala kuphela malunga neeveki ezi-6, uninzi lugqityiwe kwisiqingatha sexesha. ISILUMKISO: Eli nqanaba lesithathu lokuphilisa kulapho uninzi lwezinto ezibizwa ngokuba ziingcali zifuna ukuba ukholelwe ukuba inkqubo yokunyanga nokulungisa izicubu iphela kuba eli nqanaba liphela kwinyanga yokwenzakala. Kodwa ayisiyiyo apho liphela khona ibali. UGqr. Dan Murphy usebenzisa inqwaba yezifundo, "uxwebhu lokuba olona lawulo lonzobeleyo lwezicwili ezithambileyo ngeli xesha lesigaba sokuphilisa kukuqala, ukuzingisa, ukulawulwa kokudibana. Ngokuchasene noko, ukungahambi kakuhle emzimbeni kuyingozi, kukhokelela kumngcipheko okhulayo wokunyanga okucothayo kunye nokunganyangeki ”.

ISIGABA IV (IsiQinisekiso / IsiGaba sokuHlola): Ayisiyiyo kuphela inde, kodwa iSigaba sokuHlengahlengisa sesona sigxina kakhulu kwizigaba ezine zokuphiliswa kweTissue Tissue. Nangona kunjalo isigaba esivame ukungahoywa. Kwakhona apho abantu bahlala bekhohliswa (ngamanye amaxesha ngokungazi, kodwa ngokuphindaphindiweyo kunokuba kungenjalo, ngenjongo) oogqirha, iinkampani ze-inshurensi kunye namagqwetha. Uninzi lwenu olufunda le luyazi kakuhle le nto ndithetha ngayo. Olona phando lukhoyo ngoku lubonisa ukuba kwimeko yokuDala okunzakeleyo kweTissue Tissue, isigaba sokuLungisa sinokuhlala ukuya kwiminyaka emibini; ukwenza i-old6-8 yeeveki ezindala zivakale zihlekisa (gulp)! Isigaba sokuLungisa kwakhona siboniswa yi- realignment (REMODELING) yemicu nganye eyenza izicwili ezonzakeleyo (i-collagen patch esiyibiza ngokuba yiScar Tissue). Yintoni enomdla kukuba isifundo ngasinye esiphuma kwesi sihloko, kubonakala ngathi sithetha ukuba esi sigaba sokuphilisa sihlala ixesha elide kuneso sifundo siphume ngaphambi kokuba sitsho. Le yinto elungileyo. Nangona kunjalo, khumbula ukuba ukuba awukaphucuki kwisithuba seentsuku ezingama-90 emva kokulimala, iindlela eziqhelekileyo zonyango ziye zingabi lula ukukunceda. Isigaba IV sinokuba semngciphekweni kuba nangona iintlungu zomntu zinokuphela, ukwenzakala akukapholi ngokupheleleyo kwaye kusengozini yokwenzakala kwakhona.

Ukugcinwa okulawulwayo / Ukugcinwa kwe-Tensile kusetyenziselwa kwizicubu zokuphilisa nge-CHIROPRACTIC ADJUSTMENTS, Scar Tissue Remodeling, UKUQHUBA nokuQinisekisa, ukuThola iMpilo, ukuPhathwa kweeMpilo, ukuThatyathwa kweMpilo, ukuThatyathwa kwe-Massage, i-PNF, njl; iifayili zomzimba zihamba ukusuka kwi-wadg, i-tangled, ne-twisted axidized fibrids; kwimizimba ehleleke kakhulu, efana, kwaye ehlelekile ngokubhekiselele ekuqwalaselweni kwayo okukrakra. Kwakhona, oku kuthatha ixesha! Nangona i-Scar Tissue Remodeling Therapy inokuhlala ikhupha ngokukhawuleza (jonga nje i-VIDEO TESTIMONIALS yethu), kucacile kwincwadi yezobugcisa ukuba kukho iinkqubo zokuphilisa ezingenakugqithiswa. Ngenxa yokuba ezininzi zeNzululwazi zeSayensi ziye zabonisa ukuba iCold Laser Therapy iyasebenza kwi-Collagen evuselelayo (QAPHELA), siyakhuthaza kakhulu ukuba izigulane zethu ezinokulimala kakhulu.

Wonke umntu uyivile into yakudala esasetyenziswa ngoogqirha, "ngekungcono ukuba wophule ithambo kunokuba ukrazule imisipha". Ukwazi into esiyaziyo malunga nokuphiliswa kweColgen-based, Elastic Connective Tissues; le ngxelo yenza ingqiqo enkulu! Izicubu ezithambileyo ziphilisa kancinci kancinci kunezinye izicubu (kubandakanya amathambo). Musa ukuvumela nabani na ukuba azame ukukuqinisekisa ngenye indlela! Kungenxa yesi sizathu le nto ukulandela ukuzolula ngokupheleleyo kunye nokomeleza umthetho olandelwayo ohamba kunye nonyango lwe-issTissue Remodeling , yeyona ndlela ekuphela kwayo eya kuthi isebenze ngokufanelekileyo ngaphezulu kohambo olude. Ngendlela, siye sajongana ngokubanzi nento yokuba ukwenzakala kwe-whiplash kuphulukisa ngcono ngeendlela zonyango ezisebenzisa isindululo esilawulwayo njenge-chiropractic. Ngoku ndifuna ukuphonononga ukuba zithini iincwadi zenzululwazi malunga nokusebenzisa amayeza okulimala kwe-whiplash kuchaziwe.

Ukulimala kwe-Whiplash kuchaziwe: Ubudlelwane bokuTshisa kwiNtlungu kunye neTissue Tissue

Kwi-2007, umphandi owaziwayo obuhlungu uDkt. Sota Omoigui, wapapasha inqaku kwiphepha lezokwelapha kwi-Medical Hypothesis elalibizwa ngokuthi, "Imvelaphi ye-Biochemical Pain: Umvelaphi Wobunzima Bonke Ukuvuvukala nokuphendula Okuvuthayo". Kulo, wabonisa ubuhlobo phakathi kwentlungu, ukuvuvukala, kunye ne-fibrosis (i-Scar Tissue). Uninzi lwabantu ludla ukucinga ngokuvuvukala njengento "yendawo". Uyazi; gxotha i-ankle, kwaye ivule - ngamanye amaxesha inxalenye yonke. Kodwa kubalulekile ukukhumbula ukuba amagama "ukukhukhuma" kunye "nokuvuvukala" akukho nanye indlela. Xa izalathisi ezithambileyo zilimala kakhulu (njenge-Whiplash Harmings), ziyafa. Ezi fileyo zize ziphule iziqulatho zazo kwi-ecidilar fluid ezungezile. Ekuphenduleni oku, i-System Immune System yenza iqela leekhemikhali esizibiza ngokubodwa ngokuthi "Ukuvuvukala", okuyixabiso elincinci kwaye lihle. Ubungqina babo bendawo buboniswa yimpawu ezihlanu eziyaziwayo kunye neempawu. Amagama aqhelekileyo kwimimandla eyahlukeneyo yoKhukula kweNgingqi ivela kwisiLatini kwaye iquka:

• Dolar (Ubuhlungu)
• UCalor (Ucoce)
• IRubor (Ubumvu)
• Ukuxhamla (Ukukhukhuma) Iikhemikhali esizibiza ngokuzibiza ngokuthi "Ukuvuvukala" azifanelanga ukuvuvukala, kodwa zitsala ukuvuvukala.
• Functio Laesa (Ukulahlekelwa koMsebenzi)

Nangona la mayeza akwazi ukuhlala kwindawo yangakhona (ndiyibambe inzwane, inzwane ibomvu kwaye ivuke), inokuhlasela umlambo wegazi kunye nefuthe le-systemic (umzimba wonke) nomphumo. Kodwa ukuvutha akupheli apho. La majoni omzimba amakhemikhali esiwabhekiselele ndawonye ngokuthi "ukuvuvukala" (i-prostaglandins, i-leukotrienes, i-thromboxanes, i-cytokines, i-chemokines, i-enzyme ethile, i-kinnins, i-histamines, i-eicosanoids, i-P, kunye nezinye ezininzi) zithathwa luluntu lonyango njengoko Isizathu esibalulekileyo saso sonke isifo sokugula, xa kuninzi kakhulu emzimbeni. Ezinye zezinye iingxaki ezinokuthi ukuvuvukala kuyaziwa kubangelwa;

• Ukulimala kweDis, ukuCoca iDiski, ukuHlazwa kweDis, kunye nokuDivulwa kweDiski
• Izifo zentliziyo kunye nazo zonke iintlobo zeengxaki ze-Cardiovascular Problems
• Izimo zesikhumba kuquka i-Eczema ne-Psoriasis
• Isifo samathambo kunye neFibromyalgia
• Isifuba
• KUNYE, KUNYE, Uxinzelelo, kunye neendlela ezahlukeneyo zeDementia
• Iimeko zeeurological
• Imiba yabasetyhini
• Cancer
• Izifo ezithintekayo zezifo / i-Leaky Gut Syndrome
• Isifo sikashukela, Ukuphikiswa kwe-insulini, i-Hypoglycemia, kunye nezinye iingxaki zeMigudu yeSety Sugar
• ukutyeba

Ukuvuvukala kubangela intlungu, ukugula, kwaye ekugqibeleni, ukufa. Kodwa olu luhlu aluyiyo iphambili yale candelo. Ukuyiqonda indlela ukuvuvukala kuhambelana ngayo Isiva, zokudibanisa, yaye Fibrosis.

Wazalelwa ngo-1904, uGqirha James Cyriax, owayefundela iMDC eCambridge owaziwa ngokubanzi njenge- “The Einstein of Physical Medicine” wabhala incwadi yakhe iMagnum Opus, Orthopedic Medicine, Diagnosis of Soft Tissue Lesions, ngo 1982 ngaphambi nje kokuba asweleke. UCyriax usathathwa njengomnye woovulindlela abaqaqambileyo bophando lwezicubu ezithambileyo. Enye yezinto ezifunyenwe nguGqr. Cyriax kukuba iScar Tissue / Fibrosis inakho kwaye iyakuvelisa impendulo yokuvuvukala emva kwexesha lesine lokuphilisa (Ukuvuthwa kunye nokuLungiswa kwakhona). Nika ingqalelo kwinto eyabhalwa nguCyriax ngaphezulu kweminyaka engamashumi amathathu eyadlulayo.

TissueIzicubu ezinemisipha zibonakala zikwazi ukugcina ukudumba, okothusayo kwasekuqaleni, njengesiphumo somkhwa oqhubekayo kwakude kudala emva kokuba unobangela uyekile ukusebenza… kodwa ixesha elingenammiselo emva koko, eligcinwa luxinzelelo oluqhelekileyo apho izicwili ziphantsi kwazo

Kutheni le nto oko kubizwa nguCyriax njengo “xinzelelo oluqhelekileyo loomatshini” kunokubangela "ixesha elingenammiselo" lokudumba? Le ilula. I-Scar Tissue kunye ne-Fibrosis zahluke kakhulu kwizicubu eziqhelekileyo. Enye yeendlela ezibonakalayo ukuba oku kunokujongwa kuyo nayiphi na incwadi elungileyo yePathology Textbook. I-Scar Tissue kunye ne-Fibrosis ibuthathaka kakhulu kwaye kuncipha kakhulu kune-Tissue yesiqhelo yokuDibanisa. Ithetha ntoni le nto? Kuphela kukuba kulula ukwenzakala kwakhona. Oku kuqala umjikelo wonke okhohlakeleyo kwakhona. Ukonzakala —-> Ukudumba -> Intlungu -> I-Fibrosis kunye ne-Scar Tissue Formation -> Ukuphinda wenzakale -> Phinda unaphakade. Khawukhumbule nje ukuba umphumo wokugqibela walo mjikelo ukonakala kwamathambo achaphazelekayo kunye ne-spinal disc!

Phawula indlela i-Connective Tissue ngakwesobunxele ifana ngayo. Oku kubangelwa i-collagen fibrils ezinika ububanzi kunye nokunyaniseka. Ngoku qaphela indlela iiseli ze-Scar Tissue ne-Fibrosis zihamba ngayo kwaye zihamba ngeendlela ezahlukeneyo. Oku kunciphisa kokubili ukuqina kunye namandla e-Scar Tissue.

I-Scar Tissue & Fibrosis: Ezahlukileyo kwiTissue yesiqhelo, iindlela ezi-3

I-TISSUE YENKQUBO IYAQALA

Izicubu ezincinci ezilungisiweyo zibuthakathaka kunezicubu ezincinci zomzimba. Ubuninzi bee-collagen ezibomvu zezicubu ezincinci zincinci kunezo zicubu eziqhelekileyo. Kwakhona, njengoko ubona kwimifanekiso engentla, isakhiwo sele sitshintshiwe. Ubu buthathaka bukhokelela kumjikelezo wesantya wokungazinzi, ukulimala kwakhona kunye nokuguga.

I-TISSUE YENKQUBO YOKUPHILA KWE-ELASTIC

Izicubu ezincinci ezilungisiweyo zihlala ziphantsi kakhulu kwaye zithi "zinqabileyo" kunezicubu ezincinci zomzimba. Oku kuhambelana nento yokuba i-collagen fibers ayinakuze ivumelane ngokufanayo njengamaqhosha athile angenakunqandwa. Konke kulula ukubona kuba uluhlu lwezandla zokuvavanya kubantu abalimele baya kuhlala bebonisa indawo zokunciphisa izigaba zokunyakaza.

I-TISSUE YENKQUBO YENKQUBO EZIQHELEKILEYO

Izicubu ezincinci eziphinda zilungele ukunyamekela ukuba zibe nobuhlungu obukhulu kunokuba zingabonakali nabalingane babo. Enyanisweni, ngenxa yezizathu ezingaqondakali ngokupheleleyo, i-Scar Tissue ine-neurological ability yokwenza into ebizwa ngokuthi "ubukhulu besisindo", kwaye iyakwazi ukuphelisa amaxesha e-1,000 ngakumbi kwiintlungu eziqhelekileyo.

Ubudlelwane: Ukudumba, iintlungu, kunye neFibrosis / iTissue Scar

UGqirha Soto Omoigui wayethetha le nto malunga nobudlelwane phakathi kwentlungu, ukudumba, kunye nefibrosis, “Imvelaphi yazo zonke iintlungu kukudumba kunye nempendulo yokukrala…. Kungakhathaliseki ukuba luhlobo luni lwentlungu, nokuba yintlungu engathethekiyo okanye ebuhlungu, ipheripheral okanye intlungu esembindini, i-nociceptive okanye i-neuropathic pain, ebukhali, ebutofotofo, ebuhlungu, etshisayo, ehlabayo, ebangela ukuba ndindisholo, Omnye umphengululi weentlungu uGqirha Manjo wathi kwisahluko se- “Chronic Inflammation” kwincwadi yakhe yezifo ngezifo ka-2004 ethi (ichazwe nje kancinane kwizigulana), “Emva kosuku okanye iintsuku ezimbini ukudumba okuqatha, izicwili ezihlangeneyo apho ukudumba kuvuleka kuqala yenza, uvelise ii-fibroblast ezingakumbi, ii-capillaries ezingakumbi, iiseli ezininzi ngakumbi izicubu, kodwa ayinakuphosisa kwizicwili eziqhelekileyo ezinxibelelanayo. I-Fibrosis ithetha ukugqithisa kwezicubu ezinxibelelana ngemicu. Kuthetha ukugqitha kwemicu ye-collagen. Xa i-fibrosis ikhula ngexesha lokudumba inokuba negalelo kwinkqubo yokuphilisa. Ngokwahlukileyo, isikhuthazo esigqithisileyo okanye esingafanelekanga sinokuvelisa i-fibrosis ebukhali kunye nomsebenzi wokuphazamisa. Kutheni le nto i-fibrosis ikhula? Kwiimeko ezininzi ukuqala ngokucacileyo kubandakanya ukudumba okungapheliyo. I-Fibrosis ubukhulu becala ilandela ukudumba. ”

Akunzima ukudibanisa amachashaza! Ukunyanyeka okungapheliyo kwenzakalo ye-whiplash kubangela ukuQulunqwa kweTisue Formation, kunye ne-Scar Tissue Formation kukhokelela entlungu. Kwaye njengokuba ndikhankanyile kwangaphambili, umonakalo wonke ukhokelela kwi-Spinal Degeneration. Ungayikhulula njani? UDkt. Cyriax uyaqhubeka athi kwincwadi yakhe ukuba ukunyanzeliswa kwezicubu ezinobungozi eziyingozi kuyinto engafanelekanga, kwaye ukuhlanganiswa kwezicubu ezinobungozi ezingekho kakuhle kuphela, kodwa kuyimfuneko yokuphilisa okufanelekileyo ukuba kwenzeke. Kodwa ngaphantsi kwe-umbrella we-AMAHLUKO YENKQUBO YENKONZO YAMANZI YAMerika, ukubuyiswa komsebenzi ngokuqhelekileyo kuthatha isitulo sokubuyela kwiintlobo ezahlukeneyo zamachiza. Musa ukungahambi kakuhle; ukuba ufuna enye into yentlungu emva kwengozi ye-whiplash, akukho ntlonipho ekwenzeni into ngexesha elifutshane. Nangona kunjalo, oku akusisisombululo. Kuphazamisa iimpawu zokukufumana kwindawo ekhohlakeleyo. Nokuba nje uqonda oku, kulungile. Nangona kunjalo, kukho enye iklasi yeziyobisi ezingayidlala nxalenye ekuphiliseni kwe-Whiplash yakho yokulimala ...

Ukunyanga amayeza eWhiplash kunye nokulimala kweTissue

• Isikolo sezonyango esiphambili kwizonyango, uJohn's Hopkins wabonisa ukuba i-1,000 200 mg capsules yeTylenol eyadliwa ngaphezu kwexesha lobomi bomntu liphindaphinda kabili amathuba omntu we-dialysis. Ukongezelela, iipilisi ze-5,000 zandisa ukungaphumeleli kwezintso malunga namaxesha alithoba. I-New England Journal of Medicine, i-1994
• Ukusetyenziswa rhoqo kweTylenol kunye neminye imithi efana neyona nto ibangela isifo sesibindi / ukuhluleka kwesibindi. I-New England Journal of Medicine, i-1997
• I-NSAID (i-Non-Steroidal Anti-Inflammatory Drugs) esetyenziswa ngabagulayo be-arthritis ibangela ii-16,500 zaseMerika ukuba zife ngenxa yezilonda zamachiza ngonyaka. Igazi lokufa kwe-GI yiyona 15 yeyona nto ibangela kakhulu ukufa eMelika. I-New England Journal of Medicine, i-1999
• Amathumbu emathunjini (GI) ityhefu ebangelwe kukusetyenziswa kwe-NSAID yenye yezona zinto zixhaphakileyo nezibi kakhulu kwiziphumo ezichaseneyo neziyobisi kwiinkcubeko zangoku. Umqolo, 2003 kunye neNeurology yoNyango, 2006
  Ukusetyenziswa rhoqo kweTylenol kabili amathuba okuphuhlisa uxinzelelo lwegazi eliphezulu. Ixinzelelo, 2005
  Zonke i-NSAID (ii-Non-Steroidal Anti-Inflammatory Drugs) zandisa amathuba e-Myocardial Infarction (ukuhlasela kwentliziyo) malunga ne-40%. Lo mngcipheko uqala ngosuku lokuqala lonyango lugqityiweyo. European Heart Journal, 2006
• I-Celebrex yandisa amathuba okuphuma kwamathumbu emathunjini ngamaxesha amane (malunga ne-400%). I-Vioxx yandisa amathuba akho okulonda izilonda kunye nezinye i-GI Bleeds ngokuphindwe kathathu (malunga ne-330%). Amachiza athathwe intlungu aphucula amathuba akho e-GI Bleeds malunga ne-140%. Ukhuseleko lweziyobisi, i-2009
• I-Vioxx isuswe kwimarike kwi-2004 kuba yandisa amathuba okuhlaselwa yintliziyo nge-230% (ngokucacileyo ngakumbi ukuba sele usenentliziyo ye-congestive). I-Celebrex yandisa umngcipheko we-heart attack by 44%. Iimpawu zobuhlungu, ngokuqhelekileyo, ukwandisa amathuba akho ekuhlaselweni kwentliziyo malunga nesiqingatha se-50%. Ngoxa i-Vioxx yayisuswe kwimarike, abanye babonwa ngokuba "bayamkela ngokukhuselekileyo" kwaye bavunyelwe ukuba bahlale emarikeni. Ukhuseleko lweziyobisi, i-2009
• Abo bathathe isixa esikhulu semithi yeentlungu ze-NSAID bandise amathuba abo kuzo zonke iintlobo zesifo sengqondo esixhalabisayo- i-Alzheimer's's included. Ukonyuka kwaba yi-2/3 ephezulu (66%). Neurology, 2009

Ngoko, yintoni umntu omele ayenze? Ngaphandle kweminyaka emininzi yophando ithi i-NSAID ayilona "yonyango" (ngokwenene inokunceda ukuba ube ngcono), kodwa kunoko, "i-palliative" (yenza uzive ungcono ngaphandle kwanoma yiyiphi inzuzo yokwelapha), uluntu lwengonyango luyaqhubeka linika le nezinye iziyobisi eziyingozi phantse njenge candy. Khawukhumbule nje ukuba nayiphi na intlungu enokuphumelela ngaphandle kokujongana nezixhobo ezisisiseko se-Whiplash Injury, zisesigxina. Kwaye akunjalo. Xa amalunga kunye nezicubu ziphilisa kwi-RESTRICTED FASHION, zihlala ziphela ngeemali ezininzi zokubola, ukubola, nokuhlaselwa. Kwaye ukukhaba ekugqibeleni ngamazinyo kulabo abaye beli-MEDICAL MERRY-GO-ROUND kukuba uninzi lwale phando luluncinane kwiminyaka emibini ubudala. Njengoko ndithethile ixesha elide, ininzi yoluntu lwezonyango lubanjwe ngexesha lokulwa. Benza ukulimala kwe-whiplash usebenzisa iimodeli ezingapheliyo, ngokuphindaphindiweyo amaxesha amaninzi angaphelelwa yisikhathi.

Izinzuzo ze-Chiropractic: i-Whiplash, iNeck / Back Pain

• Kwiminyaka engama-70 edlulileyo, uphando olulona lufumanekayo luthi ukulimala kwamathambo athambileyo kufuna ukunyuswa kwangaphambili kunye rhoqo ukulungiswa kakuhle. I-American Journal ye-Anatomy, i-1940
• Kwiminyaka engama-50 edlulileyo, uphando lubonise ukuba unyango olungakumbi lwe-whiplash ukulimala alubandakanyi unyango, kodwa kunoko lufuna ukugqugquzela, ukuxhaphaza kunye nokunyanzelisa ukuphilisa. Iziphumo ezigqwesileyo kwizigulane ezinobungozi be-whiplash zidinga ukuhlanganiswa kwangaphambili kunye rhoqo. Ukongezelela, kufuneka yenziwe ngumntu oqeqeshelwe ukulungiswa kwamalungu amanxeba. Umbhalo we-American Medical Association, i-1958
• Kwizihlunu ezithambileyo ezonzakeleyo ukuphilisa ngokufanelekileyo kufuna intshukumo edibeneyo / yokuhamba. Ukudibana ngokudibeneyo kufuneka kuthintelwe. Incwadi yesicatshulwa seMithi ye-Orthopedic, i-1982 kunye ne-Continuous Passive Motion, ngo-1993
• Ulungiso lwe-chiropractic umgudu wokuguqula umlenze lulungise kwi-4 / 5 yezigulane ezikhubazekileyo eziphethwe ngumqolo ongaphantsi ongapheliyo kunye ne-sciatica. Oku kuyinyani nangona kungaphumeleli kwezinye iindlela. I-Canadian Family Physician, i-1985
• Ukuguqulwa kwamagqabi e-chiropractic kuye kwabonakaliswa kukugqwesa ekunyangekeni kwintlungu engapheliyo, xa kuthelekiswa nesiphene sonyango. Ezi zinzuzo zokulungiswa kwe-chiropractic zisabonwa iminyaka eyi-3 emva kokunyanga. I-British Medical Journal, i-1991
• Ukuguqulwa kwamagqabi e-chiropractic kuye kwaboniswa ukuba kusebenza ngakumbi kunokuba unyango lwezolimo kunye nokusetyenziswa. Lancet, 1991
• I-93% yabanobuhlungu obungapheliyo ngenxa yokulimala kwe-whiplash - abaye bahluleka ukunakekelwa kwezonyango kunye nokwelapha ngokwenyama - phucula kakhulu phantsi kokunyamekela kwe-chiropractic. Ukulimala, i-1996
• Xa kuziwa kubuhlungu bentliziyo engapheliyo, ukunyanzeliswa kwimiyalelo yentamo kuye kwaboniswa ukuba kulunge ngakumbi kuneengxaki zomzimba kunye nokuzivocavoca. Ama-Annals of Medicine Internal, 2002
• Ukuguqulwa kwamagqabi okugulisa kwintsholongwane kuye kwavunywa ukuba kukho ngaphezu kwezihlandlo ezintlanu kunempumelelo kunezo ze-NSAID (ezingekho kwi-Steroidal Anti-Inflammatory Drugs) ngenxa yentamo engapheliyo kunye nentlungu ephantsi. Kule sifundo, iqela le-chiropractic lithinteka ngaphandle kwempembelelo, kodwa iqela le-NSAID linezigulane ezininzi ezichaza ukusetyenziswa kwezidakamizwa ezimbi kunokuba zancediswa ngokwenene. Isiqingatha se-NSAIDS esisetyenziswe kwisifundo ngoku sithengiswa. Umzila, 2003
• Ukuba intlungu engapheliyo kunye nentlungu emva, ukuguqulwa kwamagciwane okutshatyalaliswa kwentsholongwane kwakubonakala kungcono kunezo zonyango zomzimba kunye neentlungu. Ukongezelela, ukulungiswa kwe-chiropractic yodwa yonyango olwenziwe ngolu hlobo olubonisa inzuzo yonyango emva konyango. I-Journal ye-Treatment and Physiological Therapeutics, i-2005
• Kwizigulana ezineentlungu ezingapheliyo kwi-DEGENERATIVE ARTHRITIS, i-59% inokuphelisa iintlungu zabo ngokuthatha i-omega-3 fatty acids efumaneka kwioyile yeentlanzi (i-EPA kunye ne-DHA). Utyando lweNeurology, 2006
• Kupapasho lwakutshanje lwezonyango olubizwa ngokuba yi-ReviewUkuphononongwa koBungqina be-American Pain Society kunye ne-American College ye-Physicians ye-Clinic Practice Guideline , kuphela ukunyanzeliswa komgudu okwenziwe ukuba kulungele unyango lweentlungu ezibuhlungu ezingapheliyo. Izaziso zoNyango lwaNgaphakathi, 2007
• Umzamo odibeneyo wophando ovela kwiDyunivesithi yaseCalifornia, eSan Francisco, kunye neHarvard Medical School, ibonakalise ukuba ukhathalelo lweChiropractic lusebenza ngakumbi kunezinye iindlela zokunyanga iintlungu ezisezantsi nasemva kwentamo. Ngaba iinkonzo zeChiropractic zoNyango lweMva ephantsi kunye neNtamo yeNhlungu ziphucula ixabiso leziCwangciso zeZibonelelo zezeMpilo? Uvavanyo oluSekwe kubungqina boPhembelelo lweZongezelelo kwiMpilo yaBantu kunye neNkcitho yoKhathalelo lwezeMpilo, ngo-2009

Ixesha elide lokuhlaziya: i-Whiplash

Nangona unokuba ungabona kwiincwadi zenzululwazi zangoku, ukunyamekelwa kwe-chiropractic kuphumelele ekuncedeni abantu abanobungozi obukhulu, obuthathakayo, obuthathaka; akusiwo wonke umntu omale kwi-MVA aya kubuyela. Ngelishwa, abaninzi abanakuze baphinde babuye - nangona emva kweminyaka emininzi. Kubonakala ngathi i-whiplash ebangelwa yiNqwelo zeZithuthi zeMoto yi-portal apho abantu abaninzi bangena kwiindawo zokuPhepha okungapheliyo kunye nokungasebenzi. Inyaniso kukuba kukho uphando olunzulu lwenzululwazi olwenziwe kwesi sihloko esithile. Kwaye ngokubhekiselele, njengoko ubona kwiinkcazo ezincinci ezibomvu ezenziwe ngababhali beesifundo ngasinye, ukuxabana kubonakala kungenanto okanye akukho mphumo kwiziphumo zekliniki.

• I-Journal ye-Bone and Joint Surgery yashicilele uphando kwi-1964 ebonisa ukuba izigulane ze-145 ezibandakanyeka ekuhloleni i-whiplash ukulimala; uninzi lwe-83% yezigulane ezalimazile zaqhubeka zintlungu kwiintlungu ezimbini emva kwengozi. Ababhali beengxelo bathi, "Ukuba iimpawu ezibangelwa ukongezwa kokunyuswa komfutho entanyeni zibangelwa yi-controversy neurosis, kunzima ukuchaza isizathu sokuba [ubuncinane] i-45% yezigulane kufuneka zibe neempawu ezimbini kwiminyaka okanye ngaphezulu emva kokulungiswa kwezenzo zabo zenkundla. "
• Umcimbi we-1989 we-Neuro-Orthopedics wanyathelisa uphando olwenziwe kwizigulane ezixhatshazwa nge-whiplash iminyaka engaphezu kwe-10. Nangona ubude bexesha elibandakanyekayo, phantse i-sibini yesithathu isabunzima neemvavanyo ezinzima ngenxa yengozi yazo. Ababhali beengxelo bathi, "Ukuba iimpawu zibangelwa ikakhulu ngenxa yokugweba okuza kukulindelwa ukuba iimpawu ziya kuphucula emva kokulungiswa kwebango. Iziphumo zethu ziyakubonakala zingaphumeleli le ngqungquthela, kunye nomphumo wexesha elide kubonakala ngathi uzimisele phambi kokuhlaziywa kwembuyekezo. "
• Uvavanyo lwe-7 lweminyaka kwizigulane ezenzakaliswe nge-whiplash ezipapashwe kwimiba ye-2000 ye-Journal of Clinical Epidemiology ibonise ukuba i-40% yabangxaki eyenziwa ngengozi ye-whiplash yaqhubeka ibandezeleka entanyeni nasezintlungwini zentlungu emva kwengozi.
• Iprojekthi yophando ye-2005 epapashwe kwiphepha lezonyango elijongene nokulimala, yabonisa ukuba ngaphezu kwe-20% yabalimala kwintlungu ye-whiplash eyayinenkinga yokugula okungapheliyo malunga ne-8 iminyaka emva kokulimala. Ukongezelela, malunga nesiqingatha sazo ezifundweni eziye zahlulwa "kwi-Pains Nuisance" ngexesha elifanayo.
• Ucwaningo lweminyaka ye-11 epapashwe kwi-1990 inkcazo ye-British Journal ye-Bone and Joint Surgery yabonisa i-40% yezigulane ze-whiplash ezijongene nobuhlungu obungapheliyo emva kweminyaka elishumi emva kweqiniso. I-40% yabaseleyo babantu abafundayo bajongana ne "Inhlungu Yokukhathazeka" ngexesha elifanayo. Ababhali bokufunda bathi: "Inyaniso yokuba iimpawu aziyikuyicombulula nangona emva kokuba i-10 yeminyaka isekela isigqibo sokuba ukugwenxa akulondeli."
• Ucwaningo lweminyaka elishumi elinesihlanu nesigxina esikhankanywe kwi-1996 inkcazo yeBritish Journal ye-Bone and Joint Surgery yabika ukuba ngaphezu kwe-40% yezigulane ezenzakaliswe ngengozi engapheliyo kwingozi engaphezulu kweminyaka elishumi nesiqingatha emva koko. Phantse i-30% yabanye bajongene ne "Inhlungu Yeengxaki" ngexesha lokufunda. Ababhali bokufunda bathi, "Iimpawu azizange ziphucule emva kokuhlaziywa kwamatyala, okuhambisana nezifundo ezipapashwe ngaphambili".
• I-European Spine Journal yanyathelisa i-10-year-long study kwi-2002. Ngaphezulu kwesiqingatha (i-55%) yalabo bafundayo babenentlungu elishumi elinesixhenxe emva kwengozi. Ingxenye enye yezo zinto zijongene nentlungu yesantya, kwaye phantse enye ikota yayineengcambu zengalo imihla ngemihla. Ababhali bokufunda bathi, "Akunakwenzeka ukuba izigulane zichazwe kwiingozi zeemoto ziza kuxela okanye zifanise isikhalazo somsindo kwintlanganiso ye-17 emva kwengozi, njengoko onke amabango okuhlawula aya kulungiswa."
• Kwesinye sezifundo ezona zide kakhulu ezenziwe kwangoku kwizigulane ezenzakaliswe yi-whiplash, umcimbi we-2006 weBritish Journal of Bone and Joint Surgery ubhekise kwizigulane ezenzakaliswe ngamatshumi amathathu emva kokulimala kokuqala. I-15% yezi zigulane zineengxaki zemihla ngemihla ezaneleyo zokufuna unyango. Ezilishumi kwilishumi ezisele zisetyenziselwa "Intlungu Yengxaki" ngexesha elifanayo.

Igqwetha, i-Inshurensi, iiNtlawulo kunye neNtlawulo yokuNyanga

Emva kweminyaka engama-20 yokuziqhelanisa, ndingatsho ukuba ndizibonile zonke. Phantse. Inye into endingakhange ndiyibone kukuphucuka kwindlela uxanduva lwezezimali lweeNgozi zeMoto (MVA) ezisingathwa ziinkampani zeinshurensi. Le yinxalenye enkulu yesizathu sokuba ndingayamkeli i-inshurensi yemoto (eyakho okanye eyelinye iqela) kunyango lokulimala okugcinwe kwii-MVA s. Amagqwetha athanda ukuzibandakanya, kwaye ndifumanise ukuba kwiimeko ezininzi, amagqwetha awasebenzi kuwe, ayazisebenzela.

LAPHI LONKE LONKE?

Nangona, andiphathi amanani amaninzi eengxaki ze-MVA (zivame ukuya apho apho igqwetha labo lizithumela khona ngokuqhelekileyo nabani na okwazi ukuqhuba iindleko eziphezulu), ndiphatha amanqaku amaxhoba e-MVA xa sele afikelele kwisigaba esingapheliyo. Emva kokuba igqwetha labo lifike kwindawo yokuhlalisa abaxhasi babo, naluphina unyango olwalufumana luphela. Njengoko unokukuxelela ukususela kwiBhodi yethu yoBungqina boMonde, kunye neBlog Post yethu ebizwa ngokuba yi-WEEKLY TRREEMENTMENT DIARY, unyango luhlala luphelile ngaphandle kokusebenza ngokukhawuleza kunye ne-scarcutic tissue kunye ne-Fibrotic Adhesions ezishiya abantu abaninzi kwi-Pain Pain, emva kwexesha baye bahlawula ibango labo lokulimala.

Aba bantu bangena kwilizwe elibuhlungu le-CHRONIC NECK / BACK PAIN kunye neentloko, kwaye emva koko bayazibuza ukuba yintoni abaza kuyenza kuba iitsheki zabo zokuhlawula i-3,000 zide zadlula. Isigulana siyekwe sikhethe. Banokunyuka babuyele kwiMedical Merry-Go-Round kwaye baqhubeke nokujikeleza kwizangqa. Uvavanyo, umsebenzi wegazi, iiMRI , iiCT scan, iziyobisi, iziyobisi, kunye nezinye iziyobisi; kunye nonyango ezinye izinto ezifanayo (ezibizayo) oye wadlula kuzo ngaphambi kokuba ulungise ityala lakho, kunye nezinye iziphumo ezifanayo. Okanye banokwenza into eyahlukileyo.

Ukuthintela ukwenzakala kweWhiplash kunye nokuNciphisa iziphumo

Kukho iindlela ezininzi zokuhamba malunga nokukhusela okanye ubuncinci, ukunciphisa iziphumo ezinokwenzeka zengozi ye-whiplash njengengozi / ukulimala. enye yeyona ndlela ihamba phambili iyayiqhuba isithuthi esicatshulwa kakhulu kwiimvavanyo zokuhlaselwa. Iyiphi imoto ekhuselekileyo kwindlela namhlanje? Ngaphandle kokungathandabuzeki, iimveliso ze-Volvo ne-Saab ziye zenziwa ngabanye abenzi bemoto kwimarike namhlanje ngokubhekiselele kukhuseleko. Nangona kunjalo, kukho izinto ezininzi onokuzenza ukuze uzikhusele ngaphandle kokuthengisa i-Chevy yakho kwi-Volvo.

• UKUSEBENZA ISICWANGCISO ESIPHELEKILEYO: Qinisekisa ukuba isithuthi oqhubayo silinganiswe kakhulu yimibutho ebeka ukhuseleko lwezimoto. Le ngcaciso ingafumaneka apha.
• UKUPHATHA UKUPHELEKILEYO KUNYE NOKUZIPHUMA: Oku kunengqiqo. Ngenxa yokuba ndihambe ngesithuthuthu iminyaka emininzi, ndafunda ukuqhuba ngokuzikhusela. Ndandisoloko ndicinga ukuba ngokunikela ingqalelo kwaye ndizama ukucinga ngenyathelo elinye phambi kwezinto zonke ezijikelezayo, ukuphazamiseka nezinye izithuthi kunokukhutshwa. Kwada kwade ndibetha unxilisayo owayegijimela uphawu lokuma (ndandise-Chevy Silverado epheleleyo). Izinto zenzeka ngokukhawuleza, ukuba awukwazi ukulawula. Nangona kunjalo, ukuqhuba imoto yakho ngendlela engakhuselekanga ngokuqinisekileyo kukubeka kumngcipheko ophezulu wokubandezeleka kwe-Whiplash Injury.
• HLAWULWA KWAKHO: Inyaniso elula yolu mbandela kukuba iibhanti zokuhlala aziyi kunciphisa i-"Whiplash" yecandelo leNqwelo-mali. Enyanisweni, ngokubamba umzimba wakho ngenkqubela xa intloko yakho ihamba ngeenxa zonke, inokubangela ukonakala ngakumbi ukulimala kwentamo kwiifisi eziluhlaza. Nangona kunjalo, iibhanti zokuhlala ziya kukunceda uhlale uphila.
• QINISEKISA UKUBHALA KWINTLUNKULU YAKHO YAKHENZISWA NGAPHAKATHI: Le yinto ebaluleke kakhulu into ongayenza ngayo ukunciphisa amathuba akho e-Whiplash Ukulimala xa usuphelela kwi-MVA. Inyaniso kukuba, ininzi yethu ibhekisela kulezi zinto ezigxila phezulu kwiindawo zethu ezifana ne "Head Rests" esikhundleni se "Iinqununu zeNtloko", kwaye ngokwenene ziye zahlengahlengiswa ngokungafanelekanga (yonke indlela ephantsi). Injongo yalezi zixhobo akufanele "uphumle" intloko yakho ngenxa yokuba ukhathele, kukuthi "ukuzibamba" intloko yakho ukuba ibhawule emva kwingozi engemva. Umphezulu weSithintelo seNtloko kufuneka ube yinqanaba lentloko yakho, kwaye ikhefu phakathi kwezi zibini akufanele libe ngaphezu kweekhilo ezimbini. Kwirekhodi; ukuba uhlalisa isihlalo sakho ngaphezu kwee-degrees ze-20, zonke iibhentshi ziyacinywa. I-backer-ender enzulu kakhulu iya kukubangela ukuba unqande kwisitulo sakho unikezela isithintelo seNtloko esingenanto.

I-2018 Inokutshabalalisa ubuhlungu bemizimba / isigqirha uRussell Schierling