Back Clinic Awọn itọju. Awọn itọju oriṣiriṣi wa fun gbogbo awọn iru awọn ipalara ati awọn ipo nibi ni Iṣoogun Ọgbẹ & Ile-iwosan Chiropractic. Ifojusi akọkọ ni lati ṣe atunṣe eyikeyi awọn aiṣedeede ninu ọpa ẹhin nipasẹ ifọwọyi afọwọṣe ati gbigbe awọn vertebrae ti ko tọ si pada si aaye wọn to dara. Awọn alaisan yoo fun ni ọpọlọpọ awọn itọju, eyiti o da lori ayẹwo. Eyi le pẹlu ifọwọyi ọpa-ẹhin, ati awọn itọju atilẹyin miiran. Ati bi itọju chiropractic ti ni idagbasoke, bẹ ni awọn ọna ati awọn ilana rẹ.
Kilode ti awọn chiropractors lo ọna kan / ilana lori miiran?
Ọna ti o wọpọ fun atunṣe ọpa-ẹsẹ ni bọọ silẹ ọna. Pẹlu ọna yii, chiropractor n kọja ọwọ wọn ki o tẹ mọlẹ ni ṣinṣin lori agbegbe ti ọpa ẹhin. Wọn yoo ṣe atunṣe agbegbe naa pẹlu titẹ ni iyara ati kongẹ. Ọna yii ti lo fun awọn ọdun ati pe a lo nigbagbogbo lati ṣe iranlọwọ lati mu ilọsiwaju alaisan kan pọ si.
Ọna miiran gbajumo gba ibi kan tabili tabili pataki. Tabili naa ni awọn apakan oriṣiriṣi, eyiti o le gbe soke tabi isalẹ da lori ipo ti ara. Awọn alaisan dubulẹ ni oju si ẹhin tabi ẹgbẹ wọn nigba ti chiropractor nlo awọn igbiyanju ni kiakia ni gbogbo agbegbe ọpa ẹhin bi apakan tabili ti lọ silẹ. Ọpọlọpọ fẹran atunṣe tabili yii, nitori ọna yii jẹ fẹẹrẹfẹ ati pe ko pẹlu awọn iṣipopada lilọ ni awọn ọna miiran.
Chiropractors tun lo awọn irinṣẹ pataki lati ṣe iranlọwọ ninu awọn atunṣe wọn, ie, awọn activator. A chiropractor nlo ọpa yii ti orisun omi lati ṣe atunṣe / s dipo ọwọ wọn. Ọpọlọpọ ṣe akiyesi ọna imudaniloju lati jẹ julọ ti onírẹlẹ gbogbo.
Eyikeyi ọna atunṣe ti chiropractor nlo, gbogbo wọn nfun awọn anfani nla si ọpa ẹhin ati ilera ati ilera gbogbo. Ti ọna kan ba wa ti o fẹ, sọrọ si chiropractor nipa rẹ. Ti wọn ko ba ṣe ilana kan, wọn le ṣeduro ẹlẹgbẹ ẹlẹgbẹ kan ti o ṣe.
Can various stretches be beneficial for individuals dealing with wrist and hand pain by reducing pain and discomfort to the extremities?
ifihan
In a technological-driven world, it is common for people to experience wrist and hand pain at some point in their lives. The hands are part of the body’s upper extremities and are used for various tasks and chores throughout the entire day. The forearms provide a causal relationship with the hands and wrists for the upper extremities since they offer very important motor functions to the body. The hands support the body when carrying something; the various muscles, ligaments, tendons, and joints help the wrist with mobility and flexibility. However, when injuries or everyday movements begin to affect the forearms and cause issues with the hands and wrist, it can be difficult to do simple tasks and negatively impact a person’s way of life. Fortunately, numerous ways exist to reduce the pain and discomfort of the wrist and hands. Today’s article focuses on what causes wrist and hand pain, how to prevent wrist and hand pain from returning, and how incorporating various can help reduce the pain-like effects. We discuss with certified medical providers who consolidate our patients’ information to assess the multiple causes that lead to the development of wrist and hand pain. We also inform and guide patients on how various stretches and techniques can help reduce the chances of wrist and hand pain from returning. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating these stretches and techniques into their daily routines to live healthier lives. Dr. Jimenez, D.C., includes this information as an academic service. be.
What Causes Hand and Wrist Pain?
Do you often feel pain or stiffness in your wrist after typing all day on the computer or phone? Do you have trouble gripping items in your hands? Or how often do your hands ache that massaging them causes temporary relief? Many people, including older adults, have experienced pain at some point, and most of the time, it affects the hands and wrists. Since everyone uses their hands and wrists when performing various tasks, when injuries or repetitive movements start to affect the hands and wrists, it can have a huge impact on simple tasks. When dealing with wrist and hand pain, it can make life unbearable for the person. Since pain is a normal protective response to any injuries and potentially harmful stimuli in its acute form, when prolonged or dysfunctional neuromuscular issues start to affect the body, it may contribute to disability and pain. (Merkle et al., 2020) For wrist and hand pain, many occurrences that lead to its development result from micro-stress or repetitive tear usage.
This is because since the world is technological-driven, many people are using computers or smartphones to communicate with each other, which can be one of the causes of the development of wrist and hand pain. When many people frequently use electronic devices, the frequent movements and uses of the thumbs will increase their load and become a higher prevalence of musculoskeletal disorders. (Baabdullah et al., 2020) Other studies stated that when many individuals begin to do repetitive movements constantly and have different positions of their wrist joints while using their electronic devices continually, it can cause pain to their wrist joints and affect the structure. (Amjad et al., 2020) Additionally, when repetitive vibration exposures or forceful angular motions affect the hands and wrists, it can lead to carpal tunnel syndrome and affect the hands. (Osiak et al., 2022) The various joints, tendons, and muscles also become affected in the hands and wrist as trigger points in the forearm. Fortunately, there are multiple ways that many people can reduce the pain-like effects of wrist and hand pain.
The Benefits of Stretching-Video
How To Prevent Wrist & Hand Pain From Returning
There are numerous ways to reduce wrist and hand pain, and many people try to find therapeutic solutions to mitigate the pain. Non-surgical treatments like manual therapy can help with wrist and hand pain by using mobilization forces to allow wrist flexion and extension to improve motor function. (Gutierrez-Espinoza et al., 2022) Another non-surgical treatment that can help with wrist and hand pain is acupuncture. Acupuncture utilizes small, solid, thin needles to be placed in various acupoints in the forearm to reduce the pain intensity and bring back the mobility function to the hands and wrist. (Trinh et al., 2022)
Various Stretches For Wrist & Hand Pain
Da, nibẹ ni a simple and accessible way for many individuals to reduce the effects of wrist and hand pain-stretching and incorporating yoga into their routine. Yoga stretches for the hands and wrists can help decompress and reduce stiffness, and these stretches can be done for just a few minutes, providing beneficial results. (Gandolfi et al., 2023) Below are some of these stretches that can be easily incorporated into anyone’s routine, making it easier for you to take control of your wrist and hand health.
Wrist Flexor Stretch
Bawo ni Lati Ṣe:
Extend your arm in front of you with your palm up.
Use your other hand to gently pull the fingers back toward the body until you feel a stretch in your forearm.
Hold this position for about 15 to 30 seconds.
Repeat 2-3 times with each wrist.
Wrist Extensor Stretch
Bawo ni Lati Ṣe:
Extend your arm in front of your body with your palm facing down.
Gently pull the fingers towards your body with your other hand until you feel a stretch on the outside of your forearm.
Duro fun 15 si 30 awọn aaya.
Do this 2-3 times per wrist.
Prayer Stretch
Bawo ni Lati Ṣe:
Put the palms together in a prayer position ni iwaju of the chest, below the chin.
Slowly lower the conjoined hands towards the waistline, keeping the hands close to your stomach and your palms together until you feel a stretch under your forearms.
Hold for at least 30 seconds and repeat a few times.
Tendon Glides
Bawo ni Lati Ṣe:
Start with your fingers extended straight out.
Then, bend your fingers to form a hook fist; you should feel a stretch but no pain.
Return to the starting position and bend your fingers to touch the top of your palm, keeping your fingers straight.
Finally, bend your fingers into a full fist.
Repeat the sequence ten times.
Thumb Stretch
Bawo ni Lati Ṣe:
Extend your hand with your fingers together.
Fa your thumb away from your fingers as far as comfortable.
Duro fun 15 si 30 awọn aaya.
Repeat 2-3 times with each thumb.
Gbọn o jade
Bawo ni Lati Ṣe:
After stretching, shake your hands lightly as if trying to dry them off. This helps reduce tension and promote circulation.
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Amjad, F., Farooq, M. N., Batool, R., & Irshad, A. (2020). Frequency of wrist pain and its associated risk factors in students using mobile phones. Pak J Med Sci, 36(4), 746-749. doi.org/10.12669/pjms.36.4.1797
Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). The association between smartphone addiction and thumb/wrist pain: A cross-sectional study. Oogun (Baltimore), 99(10), e19124. doi.org/10.1097/MD.0000000000019124
Gandolfi, M. G., Zamparini, F., Spinelli, A., & Prati, C. (2023). Asana for Neck, Shoulders, and Wrists to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yoga Protocol. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026
Gutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis. J Eniyan Manip Ther, 30(1), 33-45. doi.org/10.1080/10669817.2021.1992090
Merkle, S. L., Sluka, K. A., & Frey-Law, L. A. (2020). The interaction between pain and movement. J Hand Ther, 33(1), 60-66. doi.org/10.1016/j.jht.2018.05.001
Osiak, K., Elnazir, P., Walocha, J. A., & Pasternak, A. (2022). Carpal tunnel syndrome: state-of-the-art review. Folia Morphol (Warsz), 81(4), 851-862. doi.org/10.5603/FM.a2021.0121
Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, C. Y. (2022). The Effect of Acupuncture on Hand and Wrist Pain Intensity, Functional Status, and Quality of Life in Adults: A Systematic Review. Med Acupunct, 34(1), 34-48. doi.org/10.1089/acu.2021.0046
Can incorporating various yoga poses help reduce neck tension and provide pain relief for individuals dealing with neck pain?
ifihan
Within the hustling and bustling of modern life, it is common for many individuals to carry stress in their bodies. When the body deals with everyday stressors, tension, discomfort, and pain can often manifest in the upper and lower portions of the body. When the body’s upper and lower portions deal with these issues, they can cause overlapping risk profiles in the musculoskeletal system. One of the most common musculoskeletal issues is neck pain. It can cause many problems to the cervical portion of the spine and cause the surrounding muscles to become tense and in pain from the stress of everyday responsibilities. Luckily, there are numerous ways to reduce stress from the neck and help relax the affected muscles from discomfort, including yoga. In today’s article, we will look at how neck pain affects the upper body, the benefits of yoga for neck pain, and various yoga poses to reduce the overlapping effects of neck pain. We discuss with certified medical providers who consolidate our patients’ information to assess how neck pain is correlated with everyday stressors that affect the upper body. We also inform and guide patients on how yoga and the various poses can benefit the body and provide pain relief to the surrounding muscles. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating yoga into their daily routine to reduce muscle tension and provide clarity to their bodies. Dr. Jimenez, D.C., includes this information as an academic service. be.
How Does Neck Pain Affect The Upper Body?
Do you feel discomfort or pain in your neck and shoulders after a long, hard workday? Do you notice you hunched more than usual when doing your daily routine? Or do you see yourself developing a hunched posture from looking at the computer screen or phone for an extended period? Many of these normal motions are often correlated with the upper body, especially in the neck and shoulder regions, which causes neck pain. As one of the most common problems affecting many people worldwide, neck pain is a multifactorial disease with numerous risk factors contributing to its development. (Kazeminasab ati al., 2022) Like back pain, neck pain can have acute and chronic stages depending on the severity and environmental factors leading to its development. The various muscles, ligaments, and tissues surrounding the neck and shoulders keep the neck stable and mobile. When many individuals overuse these muscles in the neck and shoulders repetitively, it can increase neck pain in the upper body in adulthood. (Ben Ayed et al., Ọdun 2019)
When acute neck pain turns chronic, it can cause the individual to be in constant discomfort, pain, and misery, so they start to look for various solutions to reduce the correlating symptoms when speaking to their primary doctors. When many individuals begin to explain to their doctors what their daily routine looks like, many doctors will start to assess and formulate a plan that focuses on any specific description of any injuries, including potential mechanisms, inciting and relieving factors, and pain patterns they have encountered throughout the day to come up with a personalized treatment plan to not only reduce neck pain but also provide relief to tension and discomfort to the body. (Ọmọde & Stuek, 2020)
The Science of Motion- Video
The Benefits Of Yoga For Neck Pain
Many primary doctors will work with associated medical providers to develop a personalized plan to relieve neck pain and its associated symptoms in many individuals. Many of these customized treatment plans include spinal manipulation, acupuncture, massage, decompression therapy, and therapeutic exercises. One of the therapeutic exercises that many individuals have utilized is yoga. Yoga is a holistic practice encompassing breathing control, meditation, and various poses to stretch and strengthen the affected upper muscles. Yoga is excellent for reducing neck pain and helping with upper cervical spine mobility, stretching the neck musculature to help the individual improve mobility and flexibility. (Raja et al., 2021) Additionally, the effects of yoga and its many poses can reduce tension, give clarity to the mind, and allow the nutrients and oxygen to the musculo-articular system to naturally heal the body itself. (Gandolfi et al., 2023)
Yoga Poses For Neck Pain
At the same time, many individuals with sedentary jobs that correlate to neck pain have implemented yoga as part of their routine. Yoga improves their range of joint motion and cognitive function and helps relieve musculoskeletal discomfort in the neck and shoulder regions. (Thanasilungkoon et al., 2023) Below are some of the various yoga poses that can help reduce the pain-like symptoms of neck pain and ease the surrounding muscles.
Ijoko Ọrun Na
For seated neck stretches, this yoga pose helps stretch and release the neck muscles that carry tension and stress in the cervical region of the body.
In a seated upright position, turn the head to the right and gently lift the chin.
You should feel a stretch along the left side of the neck and shoulders.
Hold the position for three to five breaths and repeat on the left side.
Iduro ibakasiẹ
For the camel pose, this yoga pose helps strengthen the front neck muscles while easing tension on the shoulders and back of the neck.
You can kneel on a yoga mat by keeping your knees and feet hip-distance apart while keeping the pelvis neutral.
Lift the chest while arching your back and pressing the pelvis slightly forward.
Bring the fingertips to the heels or yoga blocks beside the ankles.
Focus on drawing the chin close to the neck while pressing the feet to the mat.
Hold the position for three to five breaths before releasing and lifting the sternum to rise back up.
Sphinx Pose
The sphinx pose allows you to lengthen and strengthen the spine while stretching the shoulders and releasing tension.
On a yoga mat, lie on your stomach with the elbows under the shoulders.
Press your palms and forearms on the mat and tighten the lower half to support you as you lift your upper torso and head.
Keep looking straight ahead as you are being mindful of lengthening the spine.
Hold this position for three to five breaths.
Thread The Needle Pose
The thread-the-needle pose helps release tension stored in the neck, shoulders, and back.
On a yoga mat, start in an all-fours position with the wrist under the shoulders and the knees under the hips.
Lift the right hand and move it to the left along the floor with the palm facing up.
Hold the position for three to five breaths for thirty seconds and release.
Return to the all-fours position and repeat to the left side.
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Overall, incorporating yoga as part of a daily routine can provide beneficial results in reducing neck pain and its associated comorbidities. Yoga does not require hours of practice or even contorting into various poses, as just a few minutes of gentle stretching and mindful breathing each day can provide positive results. When people start to utilize yoga as part of their daily activities, they will notice their posture improving, their minds clearer than ever, and live a happier, healthier life without dealing with neck pain.
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Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kassis, M., & Damak, J. (2019). Ilọsiwaju, Awọn okunfa Ewu ati Awọn abajade Ọrun, Awọn ejika ati Irora-Kekere ni Awọn ọmọde Ile-iwe Atẹle. J Res Health Sci, 19(1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
Gandolfi, M. G., Zamparini, F., Spinelli, A., & Prati, C. (2023). Asana for Neck, Shoulders, and Wrists to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yoga Protocol. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Irora ọrun: ajakale-arun agbaye, awọn aṣa ati awọn okunfa eewu. BMC iṣan Ẹjẹ, 23(1), 26. doi.org/10.1186/s12891-021-04957-4
Raja, G. P., Bhat, N. S., Fernandez-de-Las-Penas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021). Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial. idanwo, 22(1), 574. doi.org/10.1186/s13063-021-05533-w
Thanasilungkoon, B., Niempoog, S., Sriyakul, K., Tungsukruthai, P., Kamalashiran, C., & Kietinun, S. (2023). The Efficacy of Ruesi Dadton and Yoga on Reducing Neck and Shoulder Pain in Office Workers. Int J Exerc Sci, 16(7), 1113-1130. www.ncbi.nlm.nih.gov/pubmed/38287934
Bawo ni awọn alamọdaju ilera ni ile-iwosan chiropractic pese ọna itọju kan lati dena awọn aṣiṣe iṣoogun fun awọn ẹni-kọọkan ni irora?
ifihan
Awọn aṣiṣe iṣoogun yorisi 44,000-98,000 awọn iku ile-iwosan ti Amẹrika ni ọdọọdun, ati ọpọlọpọ diẹ sii fa awọn ipalara ajalu. (Kohn et al., 2000) Èyí ju iye àwọn tó ń kú lọ́dọọdún látàrí àrùn AIDS, àrùn jẹjẹrẹ ọmú, àti jàǹbá mọ́tò nígbà yẹn. Gẹgẹbi iwadii nigbamii, nọmba gangan ti iku le sunmọ 400,000, fifi awọn aṣiṣe iṣoogun gbe bi idi kẹta ti o wọpọ julọ ti iku ni AMẸRIKA. Loorekoore, awọn aṣiṣe wọnyi kii ṣe ọja ti awọn alamọdaju iṣoogun ti o buru lainidii; dipo, wọn jẹ abajade ti awọn ọran eto eto pẹlu eto itọju ilera, gẹgẹbi awọn ilana adaṣe olupese ti ko ni ibamu, awọn nẹtiwọọki iṣeduro ti o yapa, ilokulo tabi isansa ti awọn ilana aabo, ati abojuto aiṣedeede. Nkan oni n wo ọna ile-iwosan lati ṣe idiwọ aṣiṣe iṣoogun kan ni eto ile-iwosan kan. A jiroro lori awọn olupese iṣoogun ti o nii ṣe amọja ni ọpọlọpọ awọn itọju iṣaaju lati ṣe iranlọwọ fun awọn ẹni-kọọkan ti o jiya lati awọn ọran onibaje. A tun ṣe itọsọna awọn alaisan wa nipa gbigba wọn laaye lati beere lọwọ awọn olupese iṣoogun ti o somọ wọn pataki ati awọn ibeere inira. Dokita Alex Jimenez, DC, nlo alaye yii nikan gẹgẹbi iṣẹ ẹkọ. be
Ti n ṣalaye Awọn aṣiṣe Iṣoogun
Ipinnu kini aṣiṣe iṣoogun jẹ igbesẹ pataki julọ ni ibaraẹnisọrọ eyikeyi nipa idilọwọ awọn aṣiṣe iṣoogun. O le ro pe eyi jẹ iṣẹ ṣiṣe ti o rọrun pupọ, ṣugbọn iyẹn nikan titi di igba ti o ba lọ sinu ọpọlọpọ awọn ọrọ-ọrọ ti a lo. Ọpọlọpọ awọn ofin ni a lo bakannaa (nigbakugba ni aṣiṣe) niwon diẹ ninu awọn ọrọ-ọrọ jẹ paarọ, ati lẹẹkọọkan, itumọ ọrọ kan da lori pataki ti a jiroro.
Paapaa botilẹjẹpe eka ilera sọ pe ailewu alaisan ati imukuro tabi idinku awọn aṣiṣe iṣoogun jẹ awọn pataki, Grober ati Bohnen ṣe akiyesi laipẹ bi 2005 pe wọn ti kuna ni agbegbe pataki kan: ipinnu asọye ti “boya ibeere pataki julọ… Kini a egbogi aṣiṣe? Aṣiṣe iṣoogun jẹ ikuna lati pari iṣẹ ti a gbero ni eto iṣoogun kan. (Grober & Bohnen, ọdun 2005Bibẹẹkọ, ko si ọkan ninu awọn ofin ti ọkan yoo ma damọ ni gbangba pẹlu aṣiṣe iṣoogun kan — awọn alaisan, ilera, tabi eyikeyi nkan miiran — ti a mẹnuba ninu apejuwe yii. Bi o ti lẹ jẹ pe eyi, itumọ naa nfunni ni ilana ti o lagbara fun idagbasoke siwaju sii. Bi o ti le rii, itumọ kan pato ni awọn ẹya meji:
Aṣiṣe ipaniyan: Ikuna lati pari iṣẹ ti a gbero bi a ti pinnu.
Aṣiṣe eto: jẹ ilana ti, paapaa pẹlu ipaniyan pipe, ko ṣe awọn abajade ti o fẹ.
Awọn imọran ti awọn aṣiṣe ti ipaniyan ati awọn aṣiṣe igbero ko to ti a ba ni lati ṣalaye aṣiṣe iṣoogun kan ni pipe. Iwọnyi le waye nibikibi, kii ṣe ni ile-iṣẹ iṣoogun nikan. Apakan ti iṣakoso iṣoogun gbọdọ wa ni afikun. Eyi mu ero ti awọn iṣẹlẹ ti ko dara, ti a mọ si awọn iṣẹlẹ buburu. Itumọ ti o wọpọ julọ ti iṣẹlẹ ikolu jẹ ipalara aimọkan si awọn alaisan ti o mu wa nipasẹ itọju ailera dipo arun ti o wa labẹ wọn. Itumọ yii ti ni itẹwọgba agbaye ni ọna kan tabi omiiran. Fun apẹẹrẹ, ni ilu Ọstrelia, ọrọ awọn iṣẹlẹ jẹ asọye bi ninu eyiti ipalara ti yorisi eniyan gbigba itọju ilera. Iwọnyi ni awọn akoran, awọn isubu ti o nfa ipalara, ati awọn ọran pẹlu awọn oogun oogun ati ohun elo iṣoogun. Diẹ ninu awọn iṣẹlẹ ti ko dara le jẹ yago fun.
Awọn oriṣi wọpọ ti Awọn aṣiṣe Iṣoogun
Ọrọ kanṣoṣo pẹlu ero yii ni pe kii ṣe gbogbo awọn ohun odi n ṣẹlẹ lairotẹlẹ tabi imomose. Nitoripe alaisan le ni anfani nikẹhin, iṣẹlẹ ti o nireti ṣugbọn ti o farada le waye. Lakoko kimoterapi, ríru ati pipadanu irun jẹ apẹẹrẹ meji. Ni apẹẹrẹ yii, kiko itọju ti a ṣe iṣeduro yoo jẹ ọna ti o ni oye nikan lati ṣe idiwọ abajade ti ko dun. Bayi a de si imọran ti idilọwọ ati awọn iṣẹlẹ ikolu ti kii ṣe idiwọ bi a ṣe n tuntumọ itumọ wa siwaju sii. Ko rọrun lati ṣe iyasọtọ yiyan lati farada ipa kan nigbati o pinnu pe ipa ọjo yoo waye ni akoko kanna. Ṣugbọn idi nikan kii ṣe awawi dandan. (Nẹtiwọọki Abo Alaisan, 2016, para.3) Apeere miiran ti aṣiṣe ti a pinnu yoo jẹ gige ẹsẹ ọtun nitori tumo si ọwọ osi, eyi ti yoo jẹ gbigba iṣẹlẹ ti ko dara ti a mọ ati asọtẹlẹ ni ireti abajade anfani kan nibiti ko si ọkan ti o ti dide tẹlẹ. Ko si ẹri lati ṣe atilẹyin ifojusọna ti abajade rere kan.
Awọn aṣiṣe iṣoogun ti o fa ipalara si alaisan jẹ igbagbogbo idojukọ ti iwadii wa. Bibẹẹkọ, awọn aṣiṣe iṣoogun le ati ma waye nigbati alaisan ko ba ni ipalara. Iṣẹlẹ ti isunmọ awọn ipadanu le pese data ti ko niye nigbati o gbero bi o ṣe le dinku awọn aṣiṣe iṣoogun ni ile-iṣẹ ilera kan. Sibẹsibẹ, igbohunsafẹfẹ ti awọn iṣẹlẹ wọnyi ni akawe si awọn oṣiṣẹ ile-iwosan igbohunsafẹfẹ ṣe ijabọ wọn nilo lati ṣe iwadii. Awọn aṣiṣe ti o sunmọ ni awọn aṣiṣe iṣoogun ti o le ti fa ipalara ṣugbọn kii ṣe si alaisan, paapaa ti alaisan ba n ṣe daradara. (Martinez et al., 2017) Kini idi ti iwọ yoo gba ohun kan ti o le ja si ni igbese labẹ ofin? Gbé ìṣẹ̀lẹ̀ náà yẹ̀ wò níbi tí nọ́ọ̀sì kan, fún ìdí yòówù kí ó fà á, ti ṣẹ̀ṣẹ̀ ń wo fọ́tò oríṣiríṣi oògùn tí ó sì fẹ́ pèsè oogun kan. Boya ohun kan duro ni iranti rẹ, ati pe o pinnu pe kii ṣe bii oogun kan pato ṣe dabi. Nigbati o ṣayẹwo, o rii pe awọn oogun ti ko tọ ni a ti fun ni. Lẹhin ti ṣayẹwo gbogbo awọn iwe kikọ, o ṣe atunṣe aṣiṣe naa o si fun alaisan ni iwe oogun ti o tọ. Ṣe o ṣee ṣe lati yago fun aṣiṣe ni ọjọ iwaju ti igbasilẹ iṣakoso ba pẹlu awọn fọto ti oogun to dara bi? O rọrun lati gbagbe pe aṣiṣe kan wa ati aye fun ipalara. Òótọ́ yẹn ṣì jẹ́ òótọ́, yálà a láyọ̀ tó láti rí i lákòókò tàbí kó jìyà àbájáde búburú èyíkéyìí.
Awọn aṣiṣe ti Awọn abajade & Ilana
A nilo data pipe lati ṣe agbekalẹ awọn solusan ti o mu ailewu alaisan dara ati dinku awọn aṣiṣe iṣoogun. Ni o kere julọ, nigbati alaisan ba wa ni ile iwosan, ohun gbogbo ti a le ṣe lati dena ipalara ati fi wọn sinu ewu yẹ ki o royin. Ọpọlọpọ awọn onisegun ti pinnu pe lilo awọn aṣiṣe awọn gbolohun ọrọ ati awọn iṣẹlẹ ikolu jẹ diẹ sii ti o ni imọran ati ti o dara lẹhin ti o ṣe ayẹwo awọn aṣiṣe ati awọn iṣẹlẹ buburu ni itọju ilera ati jiroro lori awọn agbara ati ailagbara wọn ni 2003. Itumọ apapọ yii yoo mu ki o pọju data, pẹlu awọn aṣiṣe, awọn ipe ti o sunmọ, sunmọ. npadanu, atiti nṣiṣe lọwọ ati ki o wiwaba aṣiṣe. Ni afikun, ọrọ awọn iṣẹlẹ ikolu pẹlu awọn ọrọ ti o maa n ṣe afihan ipalara alaisan, gẹgẹbi ipalara iṣoogun ati ipalara iatrogenic. Ohun kan ṣoṣo ti o ku ni ṣiṣe ipinnu boya igbimọ atunyẹwo jẹ ara ti o yẹ lati mu iyapa ti idilọwọ ati awọn iṣẹlẹ ikolu ti kii ṣe idiwọ.
Iṣẹlẹ sentinel jẹ iṣẹlẹ nibiti o nilo ijabọ si Igbimọ Ajọpọ. Igbimọ Ajọpọ sọ pe iṣẹlẹ ti a firanṣẹ jẹ iṣẹlẹ airotẹlẹ kan ti o kan ipalara ti ara tabi ti ọpọlọ. ("Awọn iṣẹlẹ Sentinel," 2004, p.35) Ko si yiyan, bi o ṣe nilo lati ṣe akọsilẹ. Pupọ julọ awọn ohun elo ilera, sibẹsibẹ, tọju awọn igbasilẹ wọn ti n ṣalaye awọn iṣẹlẹ sentinel ati kini lati ṣe ni iṣẹlẹ ti ọkan lati ṣe iṣeduro pe awọn ajohunše Igbimọ Ajọpọ ti pade. Eyi jẹ ọkan ninu awọn ipo wọnyẹn nigbati o dara julọ lati wa ni ailewu ju binu. Niwọn bi “pataki” jẹ imọran ibatan, yara wriggle kan le wa nigbati o n daabobo alabaṣiṣẹpọ tabi agbanisiṣẹ kan. Ni apa keji, jijabọ iṣẹlẹ sentinel ti ko tọ dara ju aise lati jabo iṣẹlẹ sentinel kan. Ikuna lati ṣafihan le ni awọn abajade to ṣe pataki, pẹlu ifopinsi iṣẹ.
Nigbati o ba n ṣakiyesi awọn aṣiṣe iṣoogun, awọn eniyan nigbagbogbo ṣe aṣiṣe ti aifọwọyi nikan lori awọn aṣiṣe oogun. Awọn aṣiṣe oogun jẹ laiseaniani loorekoore ati pe o kan ọpọlọpọ awọn abawọn ilana kanna bii awọn aṣiṣe iṣoogun miiran. Awọn idinku ninu ibaraẹnisọrọ, awọn aṣiṣe ti a ṣe lakoko iwe ilana oogun tabi pinpin, ati ọpọlọpọ awọn ohun miiran ṣee ṣe. Ṣùgbọ́n a máa ń ṣi ọ̀rọ̀ náà lọ́nà tó burú jáì tí a bá rò pé àṣìṣe oògùn ló fa ìpalára fún aláìsàn. Ipenija pataki kan ni tito lẹtọ awọn aṣiṣe iṣoogun ti o yatọ ni ṣiṣe ipinnu boya lati pin aṣiṣe naa da lori ilana ti o kan tabi abajade. O jẹ itẹwọgba lati ṣayẹwo awọn isọdi wọnyẹn nibi, fun ọpọlọpọ awọn igbiyanju ti a ti ṣe lati ṣe agbekalẹ awọn asọye iṣẹ ti o ṣafikun ilana mejeeji ati abajade, ọpọlọpọ eyiti o da lori iṣẹ Lucian Leape lati awọn ọdun 1990.
Ṣe ilọsiwaju Igbesi aye Rẹ Loni- Fidio
Ṣiṣayẹwo & Idilọwọ Awọn Aṣiṣe Iṣoogun
Ṣiṣẹ ati aiṣiṣẹ ni awọn ẹka akọkọ meji ti awọn iṣẹlẹ ikolu ti Leape ati awọn ẹlẹgbẹ rẹ ṣe iyatọ ninu iwadii yii. (Leape et al., 1991) Awọn iṣoro iṣiṣẹ pẹlu awọn akoran ọgbẹ, awọn ikuna iṣẹ abẹ, awọn ọran ti kii ṣe imọ-ẹrọ, awọn ilolu ti pẹ, ati awọn iṣoro imọ-ẹrọ. Ti kii ṣe iṣẹ-ṣiṣe: awọn akọle bii ti o ni ibatan oogun, aiṣedeede, aiṣedeede, ti o ni ibatan ilana, isubu, fifọ, ibimọ, ibatan akuniloorun, ọmọ tuntun, ati apeja-gbogbo akọle ti eto naa ni o wa labẹ ẹka yii ti awọn iṣẹlẹ ikolu. Leape tun pin awọn aṣiṣe nipasẹ sisọ aaye ti didenukole ilana. O tun pin awọn wọnyi si awọn akọle marun, eyiti o pẹlu:
System
Performance
Itogun Oògùn
aisan
Idilọwọ
Ọpọlọpọ awọn aṣiṣe ilana ṣubu labẹ koko-ọrọ ju ọkan lọ, sibẹ gbogbo wọn ṣe iranlọwọ lati ṣe afihan idi gangan ti ọran naa. Ti o ba jẹ pe dokita diẹ sii ju ọkan lọ ni ṣiṣe ipinnu awọn agbegbe kongẹ ti o nilo ilọsiwaju, lẹhinna ibeere afikun le nilo.
Ni imọ-ẹrọ, aṣiṣe iṣoogun le ṣee ṣe nipasẹ oṣiṣẹ eyikeyi ni ile-iwosan kan. Ko ni opin si awọn alamọdaju iṣoogun bii awọn dokita ati nọọsi. Alakoso kan le ṣii ilẹkun kan, tabi oṣiṣẹ ile-iṣẹ mimọ le fi kẹmika kan silẹ laarin ọwọ ọmọ. Ohun ti o ṣe pataki ju idanimọ ti ẹniti o ṣe aṣiṣe ni idi lẹhin rẹ. Kini ṣaaju ki o to? Ati bawo ni a ṣe le rii daju pe ko waye lẹẹkansi? Lẹhin ikojọpọ gbogbo data ti o wa loke ati pupọ diẹ sii, o to akoko lati ṣawari bi o ṣe le ṣe idiwọ awọn aṣiṣe kanna. Bi fun awọn iṣẹlẹ sentinel, Igbimọ Ajọpọ ti paṣẹ lati ọdun 1997 pe gbogbo awọn iṣẹlẹ wọnyi ni ilana kan ti a pe ni Ayẹwo Fa Gbongbo (RCA). Sibẹsibẹ, lilo ilana yii fun awọn iṣẹlẹ ti o nilo lati royin si awọn ẹgbẹ ita yoo nilo lati ṣe atunṣe.
Kini Iṣayẹwo Idi Gbongbo kan?
Awọn RCAs “ya awọn alaye bi daradara bi irisi aworan nla.” Wọn jẹ ki awọn eto ṣiṣe iṣiro rọrun, itupalẹ boya iṣe atunṣe jẹ pataki, ati awọn aṣa ipasẹ. (Williams, 2001) Kini gangan jẹ RCA, botilẹjẹpe? Nipa ṣiṣe ayẹwo awọn iṣẹlẹ ti o yorisi aṣiṣe, RCA le dojukọ awọn iṣẹlẹ ati awọn ilana ju ki o ṣe ayẹwo tabi gbigbe ẹbi si awọn eniyan kan pato. (AHRQ,2017) Eyi ni idi ti o ṣe pataki. RCA nigbagbogbo nlo ohun elo kan ti a pe ni Idi marun. Eyi ni ilana ti bibeere nigbagbogbo fun ararẹ “idi” lẹhin ti o gbagbọ pe o ti pinnu idi ti ọran kan.
Idi ti o fi n pe ni “idi marun” jẹ nitori, lakoko ti marun jẹ aaye ibẹrẹ ti o dara julọ, o yẹ ki o beere idi nigbagbogbo titi iwọ o fi ṣe idanimọ idi okunfa ti iṣoro naa. Bibeere idi leralera le ṣafihan ọpọlọpọ awọn aṣiṣe ilana ni awọn ipele oriṣiriṣi, ṣugbọn o yẹ ki o tẹsiwaju bibeere idi nipa gbogbo abala ti ọran naa titi ti o fi pari awọn nkan miiran ti o le ṣe atunṣe lati pese abajade ti o nifẹ. Sibẹsibẹ, awọn irinṣẹ oriṣiriṣi yatọ si eyi ọkan le ṣee lo ni iwadii idi root kan. Ọpọlọpọ awọn miiran wa. Awọn RCA gbọdọ jẹ multidisciplinary ati ni ibamu ati ki o kan gbogbo awọn ẹgbẹ ti o ni ipa ninu aṣiṣe lati yago fun awọn aiyede tabi iroyin aipe ti awọn iṣẹlẹ.
ipari
Awọn aṣiṣe iṣoogun ni awọn ile-iṣẹ ilera jẹ loorekoore ati awọn iṣẹlẹ ti a ko royin pupọ julọ ti o halẹwu ilera awọn alaisan ni pataki. O to idamẹrin miliọnu awọn eniyan kọọkan ni a ro pe o kọja lọ ni ọdun kọọkan nitori abajade awọn aiṣedeede iṣoogun. Awọn iṣiro wọnyi ko ṣe itẹwọgba ni akoko kan nigbati aabo alaisan jẹ pataki ni pataki, ṣugbọn kii ṣe pupọ ni a ṣe lati paarọ awọn iṣe. Ti awọn aṣiṣe iṣoogun ba ni asọye ni pipe ati pe a rii idi ti iṣoro naa laisi fifi ẹbi si awọn ọmọ ẹgbẹ oṣiṣẹ kan pato, eyi ko ṣe pataki. Awọn ayipada pataki le ṣee ṣe nigbati awọn idi ipilẹ ti eto tabi awọn aṣiṣe ilana jẹ idanimọ ni deede. Iduroṣinṣin, ọna-ọna multidisciplinary si itupalẹ idi root ti o nlo awọn ilana bi awọn idi marun marun lati ṣawari titi gbogbo awọn oran ati awọn abawọn yoo fi han jẹ ọpa iranlọwọ. Botilẹjẹpe o jẹ dandan ni bayi fun ji ti awọn iṣẹlẹ sentinel, Itupalẹ Idi Gbongbo le ati pe o yẹ ki o lo si gbogbo awọn idi aṣiṣe, pẹlu awọn isonu ti o sunmọ.
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Igbimọ lori Didara Itọju Ilera ni Amẹrika. (2000). Lati ṣe aṣiṣe jẹ eniyan: kikọ eto ilera ti o ni aabo. National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Iseda ti awọn iṣẹlẹ buburu ni awọn alaisan ile-iwosan. Awọn abajade ti Ikẹkọ Iṣe adaṣe Iṣoogun Harvard II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Awọn ilana fun Ṣiṣayẹwo ati Ṣiṣayẹwo Awọn iṣẹlẹ Iwa buburu ati Awọn apadanu Nitosi ni Ile-iṣẹ Iṣoogun Ẹkọ kan. Jt Comm J Qual Alaisan Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Njẹ awọn ẹni-kọọkan pẹlu iṣọn Ehlers-Danlos ri iderun nipasẹ ọpọlọpọ awọn itọju ti kii ṣe iṣẹ-abẹ lati dinku aisedeede apapọ?
ifihan
Awọn isẹpo ati awọn ligamenti ti o wa ni ayika eto iṣan jẹ ki awọn apa oke ati isalẹ lati mu ara duro ati ki o jẹ alagbeka. Awọn oriṣiriṣi awọn iṣan ati awọn asọ ti o ni asopọ rirọ ti o yika awọn isẹpo ṣe iranlọwọ lati dabobo wọn lati awọn ipalara. Nigbati awọn okunfa ayika tabi awọn rudurudu bẹrẹ lati ni ipa lori ara, ọpọlọpọ awọn eniyan ni idagbasoke awọn ọran ti o fa awọn profaili eewu agbekọja, eyiti lẹhinna ni ipa lori iduroṣinṣin ti awọn isẹpo. Ọkan ninu awọn rudurudu ti o ni ipa lori awọn isẹpo ati awọn ara asopọ jẹ EDS tabi Arun Ehlers-Danlos. Iṣoro àsopọ asopọ yii le fa ki awọn isẹpo ninu ara jẹ hypermobile. O le fa aiṣedeede apapọ ni awọn igun oke ati isalẹ, nitorina nlọ ẹni kọọkan lati wa ni irora nigbagbogbo. Nkan oni ṣe idojukọ lori iṣọn-aisan Ehlers-Danlos ati awọn ami aisan rẹ ati bii awọn ọna ti kii ṣe iṣẹ abẹ ṣe wa lati ṣakoso rudurudu ti ara asopọ yii. A jiroro pẹlu awọn olupese iṣoogun ti o ni ifọwọsi ti o ṣe idapọ alaye awọn alaisan wa lati ṣe ayẹwo bawo ni iṣọn Ehlers-Danlos ṣe le ni ibamu pẹlu awọn rudurudu iṣan miiran. A tun sọfun ati itọsọna awọn alaisan lori bii ọpọlọpọ awọn itọju ti kii ṣe iṣẹ-abẹ le ṣe iranlọwọ lati dinku irora-bi awọn aami aisan ati ṣakoso iṣọn Ehlers-Danlos. A tun gba awọn alaisan ni iyanju lati beere lọwọ awọn olupese iṣoogun ti wọn somọ ọpọlọpọ awọn intricate ati awọn ibeere pataki nipa iṣakojọpọ ọpọlọpọ awọn itọju ti kii ṣe iṣẹ-abẹ gẹgẹ bi apakan iṣẹ ṣiṣe ojoojumọ wọn lati ṣakoso awọn ipa ti iṣọn Ehlers-Danlos. Dokita Jimenez, DC, pẹlu alaye yii gẹgẹbi iṣẹ ẹkọ. be.
Kini Ehlers-Danlos Syndrome?
Ṣe o nigbagbogbo rẹwẹsi pupọ ni gbogbo ọjọ, paapaa lẹhin alẹ kikun ti oorun? Ṣe o rọ ni irọrun ati iyalẹnu nibo ni awọn ọgbẹ wọnyi ti wa? Tabi o ti ṣe akiyesi pe o ni iwọn ti o pọ si ninu awọn isẹpo rẹ? Pupọ ninu awọn ọran wọnyi nigbagbogbo ni ibatan pẹlu rudurudu ti a mọ si ailera Ehlers-Danlos tabi EDS ti o ni ipa lori awọn isẹpo wọn ati awọn ara asopọ. EDS yoo ni ipa lori awọn ara asopọ ti ara. Awọn ara asopọ ti o wa ninu ara ṣe iranlọwọ lati pese agbara ati rirọ si awọ ara, awọn isẹpo, ati awọn odi iṣan ẹjẹ, nitorina nigbati eniyan ba n ṣe pẹlu EDS, o le fa idalọwọduro pataki si eto iṣan. EDS jẹ ayẹwo ni ile-iwosan pupọ, ati pe ọpọlọpọ awọn dokita ti ṣe idanimọ pe ifaminsi jiini ti collagen ati awọn ọlọjẹ ti o ṣepọ ninu ara le ṣe iranlọwọ lati pinnu iru EDS ti o kan eniyan kọọkan. (Miklovic & Sieg, ọdun 2024)
Awọn aami aisan naa
Nigbati o ba ni oye EDS, o ṣe pataki lati mọ awọn idiju ti iṣọn-ara ti ara asopọ yii. EDS ti pin si awọn oriṣi lọpọlọpọ pẹlu awọn ẹya ọtọtọ ati awọn italaya ti o da lori bi o ti buru to. Ọkan ninu awọn oriṣi ti o wọpọ julọ ti EDS jẹ hypermobile Ehlers-Danlos dídùn. Iru EDS yii jẹ ijuwe nipasẹ hypermobility apapọ apapọ, aisedeede apapọ, ati irora. Diẹ ninu awọn aami aisan ti o ni nkan ṣe pẹlu hypermobile EDS pẹlu subluxation, dislocations, ati awọn ipalara ti ara rirọ ti o wọpọ ati pe o le waye lairotẹlẹ tabi pẹlu ibalokanjẹ diẹ. (Hakim, ọdun 1993) Eyi le nigbagbogbo fa irora nla si awọn isẹpo ni oke ati isalẹ. Pẹlu awọn aami aiṣan ti o gbooro ati iseda ti ara ẹni ti ipo naa funrararẹ, ọpọlọpọ nigbagbogbo ko mọ pe hypermobility apapọ jẹ wọpọ ni gbogbo eniyan ati pe o le ṣafihan ko si awọn ilolu ti o tọka pe o jẹ iṣọn-ara ti ara asopọ. (Gensemer ati al., Ọdun 2021) Ni afikun, hypermobile EDS le ja si idibajẹ ọpa ẹhin nitori hyperextensibility ti awọ-ara, awọn isẹpo, ati awọn ailagbara awọ-ara. Ẹkọ-ara-ara ti ọpa ẹhin ti o ni nkan ṣe pẹlu hypermobile EDS jẹ nipataki nitori hypotonia iṣan ati laxity ligament. (Uehara ati al., 2023) Eyi fa ọpọlọpọ eniyan lati dinku didara igbesi aye wọn ati awọn iṣẹ igbesi aye ojoojumọ ni pataki. Sibẹsibẹ, awọn ọna wa lati ṣakoso EDS ati awọn aami aiṣan ti o ni ibamu lati dinku aisedeede apapọ.
Oogun gbigbe: Itọju Chiropractic-Video
Awọn ọna Lati Ṣakoso awọn EDS
Nigba ti o ba wa ni wiwa awọn ọna lati ṣakoso EDS lati dinku irora ati aiṣedeede apapọ, awọn itọju ti kii ṣe iṣẹ-abẹ le ṣe iranlọwọ lati koju awọn ẹya ara ati ẹdun ti ipo naa. Awọn itọju ti kii ṣe iṣẹ-abẹ fun awọn ẹni-kọọkan pẹlu EDS ni idojukọ nigbagbogbo lori jijẹ iṣẹ ṣiṣe ti ara lakoko imudarasi agbara iṣan ati iduroṣinṣin apapọ. (Buryk-Iggers ati al., 2022) Ọpọlọpọ awọn ẹni-kọọkan pẹlu EDS yoo gbiyanju lati ṣafikun awọn ilana iṣakoso irora ati itọju ailera atilo awọn àmúró ati awọn ẹrọ iranlọwọ lati dinku awọn ipa ti EDS ati ilọsiwaju didara igbesi aye wọn.
Awọn itọju ti kii ṣe iṣẹ-abẹ Fun EDS
Awọn itọju ti kii ṣe iṣẹ-abẹ bi MET (ilana agbara iṣan), itanna eletiriki, itọju ailera ti ara, itọju chiropractic, ati awọn ifọwọra le ṣe iranlọwọ fun okun lakoko toning awọn iṣan agbegbe ni ayika awọn isẹpo, pese iderun irora ti o to, ati idinwo igbẹkẹle igba pipẹ lori awọn oogun. (Broida ati al., 2021) Ni afikun, awọn ẹni-kọọkan ti o n ṣe pẹlu EDS ṣe ifọkansi lati teramo awọn iṣan ti o kan, ṣe iduroṣinṣin awọn isẹpo, ati ilọsiwaju imudara. Awọn itọju ti kii ṣe iṣẹ-abẹ jẹ ki ẹni kọọkan ni eto itọju ti a ṣe adani fun idibajẹ ti awọn aami aisan EDS ati iranlọwọ lati dinku irora ti o ni nkan ṣe pẹlu ipo naa. Ọpọlọpọ awọn ẹni-kọọkan, nigbati wọn ba lọ nipasẹ eto itọju wọn ni itẹlera lati ṣakoso awọn EDS wọn ati dinku awọn aami aisan ti o ni irora, yoo ṣe akiyesi ilọsiwaju ni aibalẹ aisan. (Khokhar et al., 2023) Eyi tumọ si pe awọn itọju ti kii ṣe iṣẹ-abẹ ti o jẹ ki awọn ẹni-kọọkan ni iranti diẹ sii ti awọn ara wọn ati ki o dinku awọn ipalara ti o ni irora ti EDS, nitorina o jẹ ki ọpọlọpọ awọn ẹni-kọọkan pẹlu EDS ṣe itọsọna ni kikun, awọn igbesi aye ti o ni itara laisi rilara irora ati aibalẹ.
jo
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Isakoso aisedeede ejika ni hypermobility-iru Ehlers-Danlos dídùn. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Idaraya ati Isọdọtun ni Awọn eniyan Pẹlu Ehlers-Danlos Syndrome: Atunwo Eto kan. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Adajọ, DP, Lavallee, M., & Norris, RA (2021). Awọn iṣọra Hypermobile Ehlers-Danlos: Awọn apanirun ti o nipọn, awọn iwadii ti o nija, ati awọn idi ti oye ti ko dara. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Saa. Ninu MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), Agbeyewo Gene ((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Awọn agbara, B., Yamani, M., & Edwards, MA (2023). Awọn anfani ti Itọju Manipulative Osteopathic lori Alaisan Pẹlu Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Fun awọn ẹni-kọọkan ti o niiṣe pẹlu sciatica, le awọn itọju ti kii ṣe iṣẹ-abẹ bi itọju chiropractic ati acupuncture dinku irora ati mu iṣẹ pada?
ifihan
Ara eniyan jẹ ẹrọ ti o ni eka ti o fun laaye ogun lati jẹ alagbeka ati iduroṣinṣin nigbati o ba simi. Pẹlu awọn ẹgbẹ iṣan ti o wa ni oke ati isalẹ awọn ipin ti ara, awọn iṣan ti o wa ni ayika, awọn tendoni, awọn iṣan, ati awọn ligamenti ṣe idi kan fun ara bi gbogbo wọn ṣe ni awọn iṣẹ kan pato ni mimu ki iṣẹ-ogun naa ṣiṣẹ. Sibẹsibẹ, ọpọlọpọ awọn ẹni-kọọkan ti ni idagbasoke awọn aṣa ti o yatọ ti o fa awọn iṣẹ ti o lagbara ti o fa awọn iṣipopada atunṣe si awọn iṣan ati awọn iṣan wọn ati ni ipa lori eto iṣan-ara wọn. Ọkan ninu awọn iṣan ti ọpọlọpọ awọn ẹni-kọọkan ti n ṣe pẹlu irora ni aiṣan sciatic, eyi ti o fa ọpọlọpọ awọn oran ni awọn igun-ara ti o wa ni isalẹ ati, nigbati a ko ba ṣe itọju lẹsẹkẹsẹ, o nyorisi irora ati ailera. Ni Oriire, ọpọlọpọ awọn ẹni-kọọkan ti wa awọn itọju ti kii ṣe iṣẹ-abẹ lati dinku sciatica ati mu iṣẹ-ara pada si ẹni kọọkan. Nkan ti ode oni fojusi lori agbọye sciatica ati bii awọn itọju ailera ti kii ṣe iṣẹ-abẹ bi itọju chiropractic ati acupuncture le ṣe iranlọwọ lati dinku awọn ipa-ipa irora sciatic ti o nfa awọn profaili ewu agbekọja ni awọn opin ti ara isalẹ. A jiroro pẹlu awọn olupese iṣoogun ti a fọwọsi ti o ṣopọ pẹlu alaye awọn alaisan wa lati ṣe ayẹwo bi sciatica ṣe jẹ ibatan nigbagbogbo pẹlu awọn ifosiwewe ayika ti o fa ailagbara ninu ara. A tun sọfun ati ṣe itọsọna awọn alaisan lori bii ọpọlọpọ awọn itọju ti kii ṣe iṣẹ-abẹ le ṣe iranlọwọ lati dinku sciatica ati awọn aami aiṣedeede rẹ. A tun gba awọn alaisan ni iyanju lati beere lọwọ awọn olupese iṣoogun ti wọn somọ ọpọlọpọ awọn intricate ati awọn ibeere pataki nipa iṣakojọpọ ọpọlọpọ awọn itọju ti kii ṣe iṣẹ-abẹ gẹgẹbi apakan ti won ojoojumọ baraku lati din awọn anfani ati awọn ipa ti sciatica lati pada. Dokita Jimenez, DC, pẹlu alaye yii gẹgẹbi iṣẹ ẹkọ. be.
Oye Sciatica
Ṣe o nigbagbogbo lero irora ti o tan kaakiri ti o rin si isalẹ ọkan tabi awọn ẹsẹ mejeeji nigbati o joko ni isalẹ fun igba pipẹ? Igba melo ni o ti ni iriri awọn ifarabalẹ tingling ti o fa ki o gbọn ẹsẹ rẹ lati dinku ipa naa? Tabi o ti ṣe akiyesi pe sisọ awọn ẹsẹ rẹ fa iderun igba diẹ? Lakoko ti awọn aami aiṣan irora agbekọja wọnyi le ni ipa lori awọn opin isalẹ, ọpọlọpọ awọn ẹni-kọọkan le ro pe o jẹ irora kekere, ṣugbọn ni otitọ, o jẹ sciatica. Sciatica jẹ ipo iṣan-ara ti o wọpọ ti o ni ipa lori ọpọlọpọ awọn eniyan ni agbaye nipasẹ nfa irora si nafu ara sciatic ati radiating si isalẹ awọn ẹsẹ. Nafu ara sciatic jẹ pataki ni pipese taara ati iṣẹ aiṣe-taara si awọn iṣan ẹsẹ. (Davis et al., 2024) Nigba ti a ba rọ nafu ara sciatic, ọpọlọpọ awọn eniyan sọ pe irora le yatọ ni kikankikan, pẹlu awọn aami aisan bi tingling, numbness, ati ailera iṣan ti o le ni ipa lori agbara eniyan lati rin ati iṣẹ.
Sibẹsibẹ, diẹ ninu awọn okunfa root ti o yorisi idagbasoke ti sciatica le mu ṣiṣẹ sinu ifosiwewe ti o fa irora ni awọn igun isalẹ. Ọpọlọpọ awọn okunfa ti o wa ninu ati ayika ni o ni nkan ṣe pẹlu sciatica, ti o nfa titẹkuro root nerve lumbar lori nafu ara sciatic. Awọn okunfa bii ipo ilera ti ko dara, aapọn ti ara, ati iṣẹ iṣẹ ni ibamu pẹlu idagbasoke sciatica ati pe o le ni ipa lori ilana eniyan. (Gimenez-Campos ati al., 2022) Pẹlupẹlu, diẹ ninu awọn okunfa ti sciatica le ni awọn ipo iṣan-ara bi awọn disiki ti a ti fi ara rẹ silẹ, awọn egungun egungun, tabi stenosis ti ọpa ẹhin, eyi ti o le ṣe atunṣe pẹlu awọn nkan ti o wa ni inu ati ayika ti o le dinku ọpọlọpọ awọn ẹni-kọọkan 'motility ati didara aye. (Zhou et al., 2021) Eyi fa ọpọlọpọ awọn ẹni-kọọkan lati wa awọn itọju lati ṣe iyipada irora sciatica ati awọn aami aisan ti o ni ibamu. Lakoko ti irora ti o fa nipasẹ sciatica le yatọ, ọpọlọpọ awọn ẹni-kọọkan nigbagbogbo n wa awọn itọju ti kii ṣe iṣẹ-abẹ lati dinku aibalẹ wọn ati irora lati sciatica. Eyi n gba wọn laaye lati ṣafikun awọn solusan ti o munadoko si iṣakoso sciatica.
Ni ikọja Awọn atunṣe: Chiropractic & Integrative Healthcare- Fidio
Itọju Chiropractic Fun Sciatica
Nigbati o ba wa si wiwa awọn itọju ti kii ṣe iṣẹ-abẹ lati dinku sciatica, awọn itọju ti kii ṣe iṣẹ-abẹ le dinku awọn ipa ti o ni irora nigba ti o ṣe iranlọwọ fun mimu-pada sipo iṣẹ-ara ati iṣipopada. Ni akoko kanna, awọn itọju ti kii ṣe iṣẹ-abẹ ni a ṣe adani si irora ti ẹni kọọkan ati pe a le dapọ si ilana ti eniyan. Diẹ ninu awọn itọju ti kii ṣe iṣẹ-abẹ bi itọju chiropractic dara julọ ni idinku sciatica ati awọn aami aiṣan irora ti o ni nkan ṣe. Abojuto itọju Chiropractic jẹ fọọmu ti itọju ailera ti kii ṣe iṣẹ-abẹ ti o fojusi lori mimu-pada sipo iṣipopada ọpa-ẹhin ara nigba ti ilọsiwaju iṣẹ-ara. Abojuto itọju Chiropractic nlo awọn imọ-ẹrọ ati awọn ilana afọwọṣe fun sciatica lati ṣe atunṣe ọpa ẹhin ati iranlọwọ fun ara larada nipa ti ara laisi iṣẹ abẹ tabi oogun. Abojuto itọju Chiropractic le ṣe iranlọwọ lati dinku titẹ intradiscal, mu giga aaye disiki intervertebral, ati ilọsiwaju iwọn iṣipopada ni awọn opin isalẹ. (Gudavalli et al., 2016) Nigbati o ba n ṣe pẹlu sciatica, itọju chiropractic le dinku titẹ ti ko ni dandan lori aifọwọyi sciatic ati iranlọwọ lati dinku ewu ti atunṣe nipasẹ awọn itọju ti o tẹle.
Awọn ipa ti Itọju Chiropractic Fun Sciatica
Diẹ ninu awọn ipa ti itọju chiropractic fun idinku sciatica le funni ni oye si eniyan bi awọn chiropractors ṣiṣẹ pẹlu awọn olupese iṣoogun ti o ni ibatan lati ṣe agbekalẹ eto ti ara ẹni lati mu awọn aami aiṣan bii irora pada. Ọpọlọpọ eniyan ti o lo itọju chiropractic lati dinku awọn ipa ti sciatica le ṣafikun itọju ailera ti ara lati mu awọn iṣan ti ko lagbara lagbara. ti o yika ẹhin isalẹ, na isan lati mu irọrun dara ati ki o ṣe akiyesi diẹ sii awọn ohun ti o nfa irora sciatic ni awọn opin isalẹ wọn. Abojuto itọju Chiropractic le ṣe itọsọna ọpọlọpọ awọn eniyan lori ergonomics panini to dara, ati awọn adaṣe oriṣiriṣi lati dinku awọn aye ti sciatica pada lakoko ti o nfun awọn ipa rere si ara isalẹ.
Acupuncture Fun Sciatica
Ọna miiran ti itọju ti kii ṣe iṣẹ-abẹ ti o le ṣe iranlọwọ lati dinku awọn ipa irora ti sciatica jẹ acupuncture. Gẹgẹbi paati bọtini ni oogun Kannada ibile, itọju acupuncture jẹ pẹlu awọn alamọja gbigbe tinrin, awọn abere to lagbara ni awọn aaye kan pato lori ara. Nigba ti o ba de si idinku sciatica, itọju ailera acupuncture le ṣe awọn ipa analgesic lori awọn acupoints ti ara, ṣe ilana microglia, ati ṣatunṣe awọn olugba kan pẹlu ọna irora si eto aifọkanbalẹ. (Zhang et al., 2023) Itọju acupuncture fojusi lori mimu-pada sipo ṣiṣan agbara ti ara tabi Qi lati ṣe igbelaruge iwosan.
Awọn ipa ti Acupuncture Fun Sciatica
Nipa awọn ipa ti itọju ailera acupuncture lori idinku sciatica, itọju ailera acupuncture le ṣe iranlọwọ lati dinku awọn ifihan agbara irora ti sciatica ṣe nipasẹ yiyipada ifihan agbara ọpọlọ ati yiyi pada motor ti o baamu tabi idamu ifarako ti agbegbe ti o kan. (Yu et al., 2022) Pẹlupẹlu, itọju ailera acupuncture le ṣe iranlọwọ lati pese iderun irora nipa gbigbe awọn endorphins silẹ, irora irora ti ara ti ara, si acupoint kan pato ti o ni ibamu pẹlu nafu ara sciatic, idinku iredodo ni ayika nafu ara sciatic, nitorina o dinku titẹ ati irora ati iranlọwọ lati mu iṣẹ-ara iṣan ṣiṣẹ. Mejeeji itọju chiropractic ati acupuncture nfunni awọn aṣayan itọju ti kii ṣe iṣẹ-abẹ ti o niyelori ti o le pese iranlọwọ ni ilana imularada ati dinku irora ti o ṣẹlẹ nipasẹ sciatica. Nigbati ọpọlọpọ awọn eniyan ba n ṣe itọju pẹlu sciatica ati wiwa ọpọlọpọ awọn solusan lati dinku awọn ipa ti o ni irora, awọn itọju meji ti kii ṣe abẹ-abẹ le ṣe iranlọwọ fun ọpọlọpọ awọn eniyan lati koju awọn idi pataki ti sciatica, mu ilana imularada ti ara ti ara, ati iranlọwọ pese iderun pataki lati ọdọ. irora naa.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Atunwo eto ati imọ-meta ti imunadoko ati awọn iṣẹlẹ ikolu ti gabapentin ati pregabalin fun irora sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). Ifọwọyi Ifọwọyi Ọpa Itọju Chiropractic lori Ilọsiwaju Ilọsiwaju Irẹwẹsi Irẹwẹsi ati Awọn Alaisan Irora Radicular: Aṣoju Ọran Ipadabọ. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Fun awọn ẹni-kọọkan ti o ni iriri ejika ati irora ẹhin oke, le periscapular bursitis le jẹ idi ti o ṣeeṣe?
Bursitis Periscapular
Awọn abẹfẹlẹ scapula / ejika jẹ egungun ti o yi ipo pada pẹlu ara oke ati gbigbe ejika. Iṣipopada scapula jẹ pataki si iṣẹ deede ti ejika ati ọpa ẹhin. Nigbati awọn iṣipopada ejika aiṣedeede tabi lojiji waye, iredodo ati awọn aami aisan irora le dagbasoke. (Augustine H. Conduah et al., Ọdun 2010)
Deede Scapula Išė
Scapula jẹ egungun onigun mẹta ni ẹhin oke ni ita agọ ẹyẹ. Lode tabi ita ẹgbẹ ni awọn ejika isẹpo socket / glenoid, nigba ti awọn iyokù ti awọn egungun sin bi asomọ ojuami fun awọn ti o yatọ ejika ati pada isan. Awọn scapula n yipada lori ẹyẹ egungun nigba gbigbe apa siwaju ati sẹhin. Egbe yi ni a npe ni scapulothoracic išipopada ati pe o ṣe pataki si iṣẹ deede ti apa oke ati isẹpo ejika. Nigbati scapula ko ba yọ ni iṣipopada iṣọpọ, iṣẹ ti torso ati awọn isẹpo ejika le di lile ati irora. (JE Kuhn et al., 1998)
Bursa Scapular
Bursa jẹ apo ti o kun omi ti o ngbanilaaye didan, lilọ kiri laarin awọn ẹya, awọn ara ara, awọn egungun, ati awọn tendoni. Bursae wa ni gbogbo ara, pẹlu awọn ti o wa ni iwaju ti ikun, ni ita ibadi, ati ni isẹpo ejika. Nigbati bursa ba di inflamed ati ibinu, awọn agbeka deede le di irora. Awọn bursae wa ni ayika scapula ni ẹhin oke. Meji ninu awọn apo bursa wọnyi wa laarin awọn egungun ati iṣan iwaju serratus ti o nṣakoso gbigbe scapular lori ogiri àyà. Apo bursa kan wa ni igun oke ti scapula, ti o sunmọ si ọpa ẹhin ni ipilẹ ọrun, ati ekeji wa ni igun isalẹ ti scapula, ti o sunmọ si aarin-aarin. Boya tabi awọn apo bursa mejeeji le ni ipa nipasẹ bursitis periscapular. Awọn bursae miiran wa ni ayika scapula ati awọn tendoni agbegbe, ṣugbọn awọn apo igun meji maa n jẹ bursae akọkọ ti o ni idagbasoke periscapular bursitis.
Iredodo
Nigbati awọn bursae wọnyi ba di igbona ati ibinu, wú, ati nipọn, ipo ti a mọ ni awọn abajade bursitis. Nigbati bursitis ba waye nitosi scapula, iṣan, ati awọn agbeka abẹfẹlẹ ejika le ja si aibalẹ ati irora. Awọn ami aisan ti o wọpọ julọ ti bursitis periscapular pẹlu:
Ayẹwo ti scapula le ṣe afihan awọn agbeka aiṣedeede ti abẹfẹlẹ ejika. Eyi le ja si iyẹ, nibiti a ko ti gbe abẹfẹlẹ ejika ni deede si ẹyẹ iha ti o si jade lọna aijẹ. Olukuluku ẹni ti o ni iyẹ scapula nigbagbogbo ni awọn mekaniki isẹpo ejika aiṣedeede nitori ipo ejika ti yipada.
Awọn okunfa
Awọn okunfa ti bursitis periscapular le jẹ orisirisi. Ohun ti o wọpọ julọ jẹ ailera apọju, nibiti iṣẹ ṣiṣe kan ti nfa irritation si bursa. Iwọnyi le pẹlu:
Awọn iṣẹ ṣiṣe ti o jọmọ ere-idaraya ti o waye lati lilo atunwi.
Awọn iṣẹ ti o ni ibatan si iṣẹ ti o waye lati lilo atunwi.
Awọn ipalara ikọlu ti o fa igbona tabi ibinu si bursa.
Diẹ ninu awọn ipo le fa anatomi ajeji tabi awọn protuberances egungun, binu bursa. Ipo kan jẹ idagbasoke egungun ti ko dara ti a mọ si osteochondroma. (Antônio Marcelo Gonçalves de Souza ati Rosalvo Zósimo Bispo Júnior 2014) Awọn idagba wọnyi le ṣe akanṣe kuro ni scapula, ti o yori si irritation ati igbona.
itọju
Itoju ti bursitis periscapular bẹrẹ pẹlu Konsafetifu awọn iwosan. Awọn itọju apanirun ko nilo lati ṣe atunṣe iṣoro naa. Itọju le pẹlu:
Iyoku
Igbesẹ akọkọ ni lati sinmi bursa ibinu ati yanju igbona naa.
Eyi le gba awọn ọsẹ diẹ ati pe o le ṣe nipasẹ iyipada ti ara, awọn ere idaraya, tabi awọn iṣẹ ti o jọmọ iṣẹ.
Ice
Ice jẹ wulo fun idinku iredodo ati iṣakoso irora.
Mọ bi o ṣe le yinyin ipalara daradara le ṣe iranlọwọ lati ṣakoso irora ati wiwu.
Itọju ailera
Itọju ailera ti ara le dinku awọn aami aiṣan ti igbona nipasẹ awọn adaṣe pupọ ati awọn isan.
Itọju ailera le mu ilọsiwaju awọn ẹrọ scapular ki ipalara naa ko di ti nlọ lọwọ ati loorekoore.
Iyika ajeji ti scapula lori ẹyẹ iha ko le ja si idagbasoke ti bursitis nikan, ṣugbọn ti a ko ba koju awọn ẹrọ aiṣedeede wọnyi, iṣoro naa le tun waye.
Awọn abẹrẹ Cortisone yẹ ki o ni opin ni awọn ofin ti iye awọn abẹrẹ ti a nṣe si ẹni kọọkan, ṣugbọn ni awọn iwọn lilo lopin le ṣe iranlọwọ pupọ.
Bibẹẹkọ, awọn iyọkuro cortisone yẹ ki o ṣee ṣe ni kete ti a ba ti jẹrisi ayẹwo.
Isẹ abẹ
Iṣẹ abẹ kii ṣe pataki ṣugbọn o le munadoko ninu awọn ẹni-kọọkan ti ko le ri iderun pẹlu awọn itọju Konsafetifu.
Iṣẹ abẹ ni a maa n lo fun awọn ẹni-kọọkan pẹlu anatomi scapular ajeji, bii awọn idagbasoke egungun tabi awọn èèmọ.
Ni Iṣoogun Iṣoogun Chiropractic ati Ile-iwosan Ise Iṣẹ, a tọju awọn ipalara ati awọn iṣọn irora onibaje nipa imudarasi agbara ẹni kọọkan nipasẹ irọrun, iṣipopada, ati awọn eto agility ti a ṣe fun gbogbo awọn ẹgbẹ ọjọ-ori ati awọn alaabo. Awọn eto itọju chiropractor wa ati awọn iṣẹ iwosan jẹ amọja ati idojukọ lori awọn ipalara ati ilana imularada pipe. Ti o ba nilo itọju miiran, awọn ẹni-kọọkan yoo tọka si ile-iwosan tabi dokita ti o baamu julọ si ipalara wọn, ipo, ati/tabi ailera.
Scapular Wing ni Ijinle
jo
Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Isakoso ile-iwosan ti bursitis scapulothoracic ati scapula snapping. Ilera idaraya, 2 (2), 147-155. doi.org/10.1177/1941738109338359
Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus ati bursitis. Iwe akosile ti Ile-ẹkọ giga ti Amẹrika ti Awọn oniṣẹ abẹ Orthopedic, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001
de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: foju tabi ṣe iwadii?. Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002
Fun awọn ẹni-kọọkan ti o ni iriri irora ti o pada lati inu disiki ti a fi silẹ, le ni oye iyatọ laarin abẹ-abẹ ati chiropractic iranlọwọ awọn ẹni-kọọkan lati wa eto itọju to tọ?
Iṣẹ abẹ tabi Chiropractic
Ngbe pẹlu irora ẹhin le jẹ alaburuku, ati sibẹsibẹ ọpọlọpọ Ijakadi laisi wiwa itọju. Loni, nọmba ti o pọju ti awọn iṣẹ abẹ ati awọn ilana ti ko ni ipalara ti o dara julọ ni ṣiṣe itọju ọpa ẹhin ati awọn iṣoro ẹhin ati iṣakoso awọn aami aisan. Fun awọn ẹni-kọọkan ti o le ni disiki ti a fi silẹ tabi ti o ni iyanilenu nipa awọn ọna lati ṣe iyọda irora ẹhin wọn, olupese ilera kan, oniwosan ara ẹni, alamọja ọpa ẹhin, ati chiropractor le sọ fun wọn awọn aṣayan itọju. Iṣẹ abẹ ati itọju ailera ti chiropractic jẹ awọn itọju ti o gbajumo fun disiki ti a ti ṣan, bulging, tabi yiyọ kuro.
Disiki herniated jẹ nigbati awọn disiki kerekere ti o jẹ timutimu vertebrae kuro ni ipo ti o si jade.
Iṣẹ-abẹ fun disiki ti a ti gbin jẹ pẹlu yiyọ kuro tabi atunṣe disiki naa.
Chiropractic ti kii ṣe iṣẹ-abẹ ṣe atunṣe disiki naa ati ṣe atunṣe ọpa ẹhin naa.
Chiropractic jẹ eto ti itọju ailera ti o fojusi lori atunṣe ati mimu titọpa ọpa ẹhin lati ṣe iranlọwọ pẹlu awọn iṣoro ẹhin ati iduro. Chiropractors jẹ ikẹkọ ati awọn alamọdaju iṣoogun ti iwe-aṣẹ ti o gba ọna ti kii ṣe iṣẹ abẹ, itọju ailera ti a fihan fun irora onibaje, irọrun, ati awọn ọran gbigbe.
Ọna ti O N ṣiṣẹ
Itọju Chiropractic ṣe iwuri ati atilẹyin awọn ilana imularada ti ara. O ṣe akiyesi fun irora apapọ ni ẹhin, ọrun, ẹsẹ, apá, ẹsẹ, ati ọwọ. Ni igbagbogbo o jẹ awọn akoko ninu eyiti chiropractor ti ara ati farabalẹ ṣatunṣe awọn vertebrae nipasẹ ọwọ, ti a tun mọ ni ifọwọyi ọpa ẹhin tabi awọn atunṣe chiropractic. (MedlinePlus. Ọdun 2023). Olutọju chiropractor ṣe igbelewọn iṣoogun ni kikun ati ṣiṣe awọn idanwo lati fi idi ayẹwo kan mulẹ. Olutọju chiropractor yoo ṣe agbekalẹ eto itọju kan ti o le kan ẹgbẹ ti ifọwọra ati awọn oniwosan ti ara, awọn alamọdaju, awọn olukọni ilera, ati awọn onimọran ounjẹ lati ṣe itọju awọn agbegbe ti o kan pẹlu orisirisi awọn ilana, ṣe iṣeduro awọn adaṣe ti a fojusi, ṣatunṣe igbesi aye ati ounjẹ lati ṣe atilẹyin fun itọju naa, ati atẹle ilọsiwaju. Ni idapọ pẹlu irọra ati titẹ idaduro, awọn ọna pupọ le ṣe alekun iṣipopada apapọ ati fifun awọn aami aisan irora. (Ile-iṣẹ Orilẹ-ede fun Ibaraẹnisọrọ ati Ilera Integrative. 2019) Awọn ilana ti a ṣafikun lati ṣe atilẹyin tabi mu ilọsiwaju itọju ailera chiropractic pẹlu:
Alapapo ati awọn itọju yinyin lati dinku igbona ati mu sisan ẹjẹ pọ si.
Lilo awọn ẹrọ lati mu awọn iṣan ati awọn iṣan ṣiṣẹ ni itanna.
Dagbasoke isinmi ati awọn imuposi mimi ti o jinlẹ.
Ṣiṣepọ awọn adaṣe lati ṣe igbelaruge atunṣe.
Igbekale kan deede amọdaju ti baraku.
Ṣiṣe awọn atunṣe si ounjẹ ati igbesi aye.
Gbigba awọn afikun ijẹẹmu kan.
Ifọwọyi ọpa ẹhin ati awọn atunṣe ti chiropractic ti han lati mu awọn aami aisan dara sii ati mimu-pada sipo ni awọn iṣẹlẹ ti irora ti o ni irora. Atunyẹwo kan rii pe awọn ẹni-kọọkan ti o ni irora ti o ni irora / irora kekere royin ilọsiwaju pataki lẹhin ọsẹ mẹfa ti itọju chiropractic. (Ian D. Coulter et al., Ọdun 2018)
owo
Awọn inawo ti o jade kuro ninu apo ti itọju chiropractic da lori ọpọlọpọ awọn okunfa.
Iṣeduro le tabi ko le bo itọju naa, ati iye ti ẹni kọọkan ni lati san le yatọ si da lori bi ọran wọn le, kini eto wọn bo, ati ibiti wọn ngbe. Atunwo kan rii pe idiyele le wa laarin $264 ati $6,171. (Simon Dagenais et al., Ọdun 2015)
Isẹ abẹ
Awọn ilana iṣẹ abẹ ti o kere pupọ wa lati ṣe itọju awọn disiki ti a ti ni igbẹ. Awọn iṣẹ wọnyi lati jẹ ki irẹwẹsi nafu ara kuro nipa yiyọ kuro tabi rọpo awọn disiki ti o bajẹ tabi diduro vertebrae, yiyọ irora ati igbona kuro.
Aṣeyọri ti iṣẹ abẹ disiki herniated da lori awọn ifosiwewe oriṣiriṣi. Ilọsiwaju ninu awọn ilana imuniyan ti o kere ju ti ni ilọsiwaju awọn abajade igba pipẹ, pẹlu wiwa atunyẹwo kan pe ni ayika 80% royin awọn abajade to dara julọ-awọn abajade to dara julọ ni atẹle ọdun mẹfa. (George J. Dohrmann, Nassir Mansour 2015) Sibẹsibẹ, o ṣee ṣe lati tun pada. Nipa 20% si 25% ti awọn ẹni-kọọkan pẹlu awọn disiki lumbar herniated ni iriri atunṣe-ara ni aaye kan. (Ile-ẹkọ giga ti Amẹrika ti Awọn oniṣẹ abẹ Neurological. Ọdun 2024)
owo
Iṣẹ abẹ fun disiki herniated jẹ amọja, ati awọn idiyele da lori iwọn ati iwọn ti itọju naa.
Eto iṣeduro pato ti ẹni kọọkan tun pinnu awọn inawo.
Nigbati o ba yan laarin chiropractic ati iṣẹ abẹ fun disiki herniated, nọmba kan ti awọn okunfa le pinnu ipinnu, pẹlu:
Chiropractic jẹ aṣayan ti kii ṣe iṣẹ abẹ ti o kere si.
Awọn atunṣe Chiropractic ko le ṣe iranlọwọ diẹ ninu awọn ọran ti o lagbara ti awọn disiki herniated.
Awọn atunṣe Chiropractic ṣe idiwọ disiki herniated lati buru si ati irọrun awọn aami aisan.
Iṣẹ abẹ n pese irora ati iderun aami aisan ni kiakia ju chiropractic tabi itọju Konsafetifu ṣugbọn o nilo akoko imularada pataki ati pe o jẹ gbowolori. (Anna NA Tosteson et al., 2008)
Iṣẹ abẹ le ma yẹ fun awọn ẹni-kọọkan pẹlu osteoarthritis tabi osteoporosis.
Itọju ailera ti Chiropractic jẹ laarin awọn aṣayan itọju Konsafetifu diẹ sii fun disiki ti a fi silẹ ati pe o le gbiyanju ni akọkọ ṣaaju ki o to tẹsiwaju pẹlu iṣẹ abẹ. Ni gbogbogbo, iṣẹ abẹ nikan ni a ṣe iṣeduro nigbati awọn ọna aiṣedeede ko ni anfani lati da duro tabi ṣakoso irora ati awọn aami aisan naa. Iṣoogun Iṣoogun Chiropractic ati Isegun Isegun ṣiṣẹ pẹlu awọn olupese ilera akọkọ ati awọn alamọja lati ṣe agbekalẹ ilera ti o dara julọ ati ojutu ilera ti o ni anfani fun ẹni kọọkan lati pada si deede.
Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Ifọwọyi ati koriya fun atọju onibaje irora kekere: atunyẹwo eto ati itupalẹ-meta. Iwe akọọlẹ ọpa ẹhin: Iwe akọọlẹ osise ti North American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spine.2018.01.013
Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). Atunwo eto ti o ṣe afiwe awọn idiyele ti itọju chiropractic si awọn ilowosi miiran fun irora ọpa ẹhin ni Amẹrika. Iwadi awọn iṣẹ ilera BMC, 15. doi.org/10.1186/s12913-015-1140-5
Dohrmann, GJ, & Mansour, N. (2015). Awọn abajade gigun-pipẹ ti Awọn iṣẹ ṣiṣe ti o yatọ fun Herniation Disiki Lumbar: Itupalẹ ti awọn alaisan 39,000 ju. Awọn ilana iṣoogun ati iṣe: Iwe akọọlẹ agbaye ti Ile-ẹkọ giga Kuwait, Ile-iṣẹ Imọ-iṣe Ilera, 24 (3), 285-290. doi.org/10.1159/000375499
Tosteson, AN, Skinner, JS, Tosteson, TD, Lurie, JD, Andersson, GB, Berven, S., Grove, MR, Hanscom, B., Ẹjẹ, EA, & Weinstein, JN (2008). Imudara iye owo ti iṣẹ abẹ ni ibamu si itọju ti kii ṣe itọju fun disiki lumbar lori ọdun meji: ẹri lati inu Iwadii Iwadii Awọn abajade Alaisan Spine (SPORT). Ọpa-ẹhin, 33 (19), 2108-2115. doi.org/10.1097/brs.0b013e318182e390
Ọpa Iṣẹ iṣe ti IFM wa ni nẹtiwọọki itọkasi ti o tobi julọ ni Oogun Iṣẹ iṣe, ti a ṣẹda lati ṣe iranlọwọ fun awọn alaisan lati wa awọn oṣiṣẹ Oogun Iṣẹ iṣe nibikibi ni agbaye. IFM Awọn oṣiṣẹ ti o ni ifọwọsi ni atokọ ni akọkọ ninu awọn abajade wiwa, ti a fun ni ẹkọ gbooro wọn ni Oogun Iṣẹ iṣe
