Motsi na Clinic Back & Sassautu: Jikin ɗan adam yana riƙe da matakin halitta don tabbatar da cewa duk tsarinsa yana aiki yadda yakamata. Kasusuwa, tsokoki, ligaments, tendons, da sauran kyallen takarda suna aiki tare don ba da izinin motsi da kuma kula da dacewa da dacewa da abinci mai gina jiki zai iya taimakawa wajen ci gaba da aiki da jiki. Babban motsi yana nufin aiwatar da motsi na aiki ba tare da hani a cikin kewayon motsi (ROM).
Ka tuna cewa sassauƙa sassa ne na motsi, amma matsanancin sassauci da gaske ba a buƙatar yin motsin aiki. Mutum mai sassauƙa zai iya samun ƙarfi, daidaito, ko daidaitawa amma ba zai iya yin motsi iri ɗaya kamar mutumin da ke da babban motsi ba. Kamar yadda Dr. Alex Jimenez ya tattara kasidu akan motsi da sassauci, mutanen da ba sa shimfiɗa jikinsu sau da yawa suna iya fuskantar gajeriyar tsoka ko taurin tsokoki, rage ƙarfin motsin su yadda ya kamata.
Shin mutanen da ke da ciwon Ehlers-Danlos za su iya samun sauƙi ta hanyar jiyya daban-daban waɗanda ba na tiyata ba don rage rashin kwanciyar hankali na haɗin gwiwa?
Gabatarwa
Hanyoyin haɗin gwiwa da haɗin gwiwa da ke kewaye da tsarin musculoskeletal suna ba da damar babba da ƙananan ƙafafu don daidaita jiki kuma su kasance ta hannu. Nau'o'in tsokoki da kayan haɗin kai masu laushi waɗanda ke kewaye da haɗin gwiwa suna taimakawa kare su daga raunuka. Lokacin da abubuwan muhalli ko rikice-rikice suka fara shafar jiki, mutane da yawa suna haɓaka al'amuran da ke haifar da bayanan haɗarin haɗari, wanda hakan ke shafar kwanciyar hankali na haɗin gwiwa. Ɗaya daga cikin matsalolin da ke shafar haɗin gwiwa da nama mai haɗawa shine EDS ko Ehlers-Danlos ciwo. Wannan cuta na nama mai haɗawa na iya haifar da haɗin gwiwa a cikin jiki don zama mai motsi. Zai iya haifar da rashin daidaituwa na haɗin gwiwa a cikin babba da ƙananan ƙafafu, don haka ya bar mutum ya kasance cikin ciwo mai tsanani. Labarin na yau yana mai da hankali kan ciwon Ehlers-Danlos da alamominsa da kuma yadda ake samun hanyoyin da ba na tiyata ba don gudanar da wannan cuta ta haɗin gwiwa. Muna tattaunawa tare da ƙwararrun likitoci waɗanda ke haɓaka bayanan majinyatan mu don tantance yadda ciwon Ehlers-Danlos zai iya daidaitawa da sauran cututtukan musculoskeletal. Har ila yau, muna sanar da jagorar marasa lafiya kan yadda nau'o'in jiyya daban-daban waɗanda ba na tiyata ba zasu iya taimakawa wajen rage ciwo-kamar bayyanar cututtuka da kuma sarrafa ciwon Ehlers-Danlos. Har ila yau, muna ƙarfafa majinyatan mu su tambayi ma'aikatan lafiyar su tambayoyi masu yawa masu mahimmanci da mahimmanci game da haɗa nau'o'in hanyoyin kwantar da hankali na yau da kullum a matsayin wani ɓangare na aikin yau da kullum don sarrafa tasirin Ehlers-Danlos. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Menene Ehlers-Danlos Syndrome?
Kuna yawan jin gajiya sosai a cikin yini, koda bayan cikakken barcin dare? Kuna jin rauni cikin sauƙi kuma kuna mamakin daga ina waɗannan raunukan ke fitowa? Ko kun lura cewa kuna da ƙarin kewayon a cikin haɗin gwiwa? Yawancin waɗannan batutuwa galibi ana danganta su da cuta da aka sani da ciwon Ehlers-Danlos ko EDS wanda ke shafar haɗin gwiwa da nama mai haɗawa. EDS yana shafar ƙwayoyin haɗin gwiwa a cikin jiki. Hanyoyin haɗin da ke cikin jiki suna taimakawa wajen samar da ƙarfi da elasticity ga fata, haɗin gwiwa, da ganuwar jini, don haka lokacin da mutum yake hulɗa da EDS, zai iya haifar da gagarumin rushewa ga tsarin musculoskeletal. An gano EDS da yawa a asibiti, kuma likitoci da yawa sun gano cewa tsarin kwayar halitta na collagen da sunadaran da ke hulɗa a cikin jiki na iya taimakawa wajen ƙayyade irin nau'in EDS ya shafi mutum. (Miklovic & Sieg, 2024)
Kwayar cututtuka
Lokacin fahimtar EDS, yana da mahimmanci a san abubuwan da ke tattare da wannan cuta ta nama. An rarraba Eds zuwa nau'ikan fasali da daban-daban da kuma kalubale waɗanda suka bambanta dangane da tsananin ƙarfi. Ɗaya daga cikin nau'o'in EDS na yau da kullum shine hypermobile Ehlers-Danlos ciwo. Irin wannan nau'in EDS yana da alaƙa da haɗin gwiwa na gaba ɗaya, rashin daidaituwa na haɗin gwiwa, da zafi. Wasu daga cikin alamun bayyanar da ke hade da hypermobile EDS sun hada da subluxation, dislocations, da kuma raunin nama mai laushi wanda ya zama ruwan dare kuma zai iya faruwa ba tare da bata lokaci ba ko tare da ƙananan rauni. (Hakim, 1993) Wannan na iya haifar da ciwo mai tsanani ga haɗin gwiwa a cikin babba da ƙananan ƙafafu. Tare da nau'in bayyanar cututtuka da kuma yanayin yanayin kansa, da yawa sau da yawa ba sa gane cewa haɗin gwiwa hypermobility ya zama ruwan dare a cikin yawan jama'a kuma yana iya ba da wata matsala da ke nuna cewa cuta ce ta haɗin kai. (Gensemer et al., 2021) Bugu da ƙari, hypermobile EDS na iya haifar da nakasar kashin baya saboda haɓakar fata, haɗin gwiwa, da raunin nama daban-daban. Halin ilimin cututtuka na nakasar kashin baya da ke hade da hypermobile EDS shine da farko saboda hypotonia tsoka da laxity ligament. (Uehara et al., 2023) Wannan yana sa mutane da yawa rage ingancin rayuwarsu da ayyukansu na yau da kullun sosai. Duk da haka, akwai hanyoyin da za a gudanar da EDS da alamun da ke da alaƙa don rage rashin daidaituwa na haɗin gwiwa.
Magungunan Motsi: Kulawar Chiropractic-Video
Hanyoyi Don Sarrafa EDS
Lokacin da ake neman hanyoyin da za a gudanar da EDS don rage ciwo da rashin daidaituwa na haɗin gwiwa, magungunan da ba a yi amfani da su ba na iya taimakawa wajen magance yanayin jiki da tunani na yanayin. Jiyya marasa tiyata ga mutane masu EDS yawanci suna mai da hankali kan haɓaka aikin jiki yayin haɓaka ƙarfin tsoka da daidaitawar haɗin gwiwa. (Buryk-Iggers et al., 2022) Mutane da yawa tare da EDS za su yi ƙoƙari su haɗa da dabarun sarrafa ciwo da jiyya na jiki dayi amfani da takalmin gyaran kafa da na'urorin taimako don rage tasirin EDS da inganta rayuwar su.
Magungunan marasa tiyata Don EDS
Jiyya daban-daban waɗanda ba na tiyata ba kamar MET (dabarun makamashi na tsoka), electrotherapy, jiyya na jiki mai haske, kula da chiropractic, da tausa zai iya taimakawa ƙarfafa yayin da ake toning tsokoki da ke kewaye a kusa da haɗin gwiwa, samar da isasshen jin zafi, kuma iyakance dogara na dogon lokaci akan magunguna. (Broida et al., 2021) Bugu da ƙari, mutanen da ke mu'amala da EDS suna nufin ƙarfafa tsokoki da abin ya shafa, tabbatar da haɗin gwiwa, da inganta haɓakawa. Jiyya marasa aikin tiyata suna ba da damar mutum ya sami tsarin kulawa na musamman don tsananin alamun EDS kuma yana taimakawa rage zafi da ke hade da yanayin. Mutane da yawa, lokacin da suke aiwatar da shirin maganin su a jere don gudanar da EDS da kuma rage alamun bayyanar cututtuka, za su lura da ci gaba a cikin rashin jin daɗi. (Khokhar et al., 2023) Wannan yana nufin cewa maganin da ba a yi amfani da shi ba yana ba wa mutane damar yin la'akari da jikinsu da kuma rage raɗaɗin raɗaɗi na EDS, don haka ƙyale mutane da yawa tare da EDS su jagoranci rayuwa mai kyau, mafi jin dadi ba tare da jin zafi da rashin jin daɗi ba.
References
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Gudanar da rashin zaman lafiyar kafada a cikin hypermobility-nau'in ciwon Ehlers-Danlos. 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). Motsa jiki da Gyarawa a cikin Mutanen da ke da Cutar Ehlers-Danlos: Binciken Tsare-tsare. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Alkali, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos Syndrome: Complex phenotypes, ƙalubalanci bincike, da kuma rashin fahimtar dalilai. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. In MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Fa'idodin Maganin Manipulative Osteopathic akan Marasa lafiya Tare da Cutar Ehlers-Danlos. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Shin fahimtar haɗin gwiwar hinge na jiki da kuma yadda suke aiki zai iya taimakawa tare da motsi da matsalolin sassauci da sarrafa yanayi ga mutane masu wahalar lankwasawa ko mika yatsunsu, yatsun kafa, gwiwar hannu, idon sawu, ko gwiwoyi?
Hinge Joints
Haɗin gwiwa yana samuwa inda kashi ɗaya ya haɗa zuwa wani, yana ba da damar motsi. Daban-daban na haɗin gwiwa sun bambanta a cikin tsari da motsi dangane da wurin su. Waɗannan sun haɗa da hinge, ball da soket, planar, pivot, sirdi, da haɗin gwiwar ellipsoid. (Mara iyaka. Janar Biology, ND) Hinge haɗin gwiwa sune haɗin gwiwa na synovial wanda ke motsawa ta hanyar jirgin sama guda ɗaya: sassauci da tsawo. Ana samun haɗin gwiwar hinge a cikin yatsu, gwiwar hannu, gwiwoyi, idon sawu, da yatsun kafa da sarrafa motsi don ayyuka daban-daban. Raunin, osteoarthritis, da yanayin autoimmune na iya shafar haɗin gwiwa. Huta, magani, kankara, da jiyya na jiki na iya taimakawa wajen rage ciwo, inganta ƙarfi da kewayon motsi, da kuma taimakawa wajen sarrafa yanayi.
ilimin tiyata
Ana yin haɗin gwiwa ta hanyar haɗa ƙasusuwa biyu ko fiye. Jikin ɗan adam yana da manyan rarrabuwa guda uku na haɗin gwiwa, wanda aka rarraba ta gwargwadon matakin da zasu iya motsawa. Wadannan sun hada da: (Mara iyaka. Janar Biology, ND)
Har ila yau, an san shi da haɗin gwiwar cartilaginous.
Faifan fibrocartilage yana raba ƙasusuwan da ke samar da haɗin gwiwa.
Waɗannan haɗin gwiwa masu motsi suna ba da izinin ɗan ƙaramin motsi.
Diarthroses
Har ila yau aka sani da haɗin gwiwar synovial.
Waɗannan su ne mafi yawan gama-gari na haɗin gwiwar wayar hannu waɗanda ke ba da izinin motsi a wurare da yawa.
Kasusuwan da ke samar da haɗin gwiwa suna layi tare da guringuntsi na articular kuma an rufe su a cikin capsule na haɗin gwiwa da ke cike da ruwan synovial wanda ke ba da izinin motsi mai laushi.
An rarraba haɗin haɗin gwiwar Synovial zuwa nau'i daban-daban dangane da bambance-bambance a cikin tsari da adadin jiragen motsi da suke ba da izini. Haɗin haɗin gwiwa shine haɗin gwiwa na synovial wanda ke ba da damar motsi a cikin jirgi ɗaya na motsi, kama da ƙuƙwalwar ƙofar da ke motsawa gaba da baya. A cikin haɗin gwiwa, ƙarshen kashi ɗaya yana yawanci convex/ nuna waje, tare da sauran concave / zagaye a ciki don ƙyale iyakar su dace da kyau. Saboda mahaɗan hinge suna motsawa ta jirgin sama ɗaya kawai, sun fi zama barga fiye da sauran haɗin gwiwar synovial. (Mara iyaka. Janar Biology, ND) haɗin gwiwa sun haɗa da:
Haɗin yatsan yatsan yatsan yatsan hannu - ba da damar yatsu da yatsu su lanƙwasa da faɗaɗa.
Haɗin gwiwar gwiwar hannu - yana ba da damar gwiwar hannu don lankwasa da mikawa.
Haɗin gwiwa gwiwa - yana ba da damar gwiwa don tanƙwara da mikawa.
Haɗin gwiwa na talocrural na idon sawun - yana ba da damar idon ƙafar ya motsa sama / dorsiflexion da ƙasa / shuka.
Haɗin mahaɗa yana ƙyale gaɓoɓi, yatsu, da yatsotsi su nisa su karkata zuwa ga jiki. Wannan motsi yana da mahimmanci ga ayyukan rayuwar yau da kullun, kamar shawa, yin sutura, cin abinci, tafiya, tashi, da zama.
yanayi
Osteoarthritis da nau'in kumburi na arthritis na iya shafar kowane haɗin gwiwa (Arthritis Foundation. ND) Nau'in cututtukan cututtuka na autoimmune, ciki har da rheumatoid da psoriatic arthritis, na iya sa jiki ya kai hari ga haɗin gwiwa. Wadannan yawanci suna shafar gwiwoyi da yatsu, suna haifar da kumburi, tauri, da zafi. (Kamata, M., Tada, Y. 2020) Gout wani nau'i ne mai kumburin ƙwayar cuta wanda ke tasowa daga matakan uric acid a cikin jini kuma yawanci yana shafar haɗin gwiwa na babban yatsa. Sauran sharuɗɗan da ke shafar haɗin gwiwar hinge sun haɗa da:
Rauni ga guringuntsi a cikin haɗin gwiwa ko haɗin gwiwa wanda ke daidaita waje na haɗin gwiwa.
Ƙunƙarar ligament ko hawaye na iya haifar da yatsotsi ko yatsu, mirgina idon sawu, murɗa raunuka, da kuma tasiri kai tsaye a gwiwa.
Hakanan waɗannan raunin na iya shafar meniscus, ƙaƙƙarfan guringuntsi a cikin haɗin gwiwa na gwiwa wanda ke taimakawa matashi da ɗaukar girgiza.
fi
Yanayin da ke shafar haɗin gwiwar hinge sau da yawa yana haifar da kumburi da kumburi, yana haifar da ciwo da iyakacin motsi.
Bayan rauni ko a lokacin yanayin kumburin kumburi, ƙayyadaddun motsi mai aiki da hutawa haɗin gwiwa da ya shafa zai iya rage yawan damuwa da damuwa. zafi.
Da zarar zafi da kumburi sun fara raguwa, jiyya na jiki da / ko aikin aiki na iya taimakawa wajen gyara wuraren da abin ya shafa.
Mai ilimin hanyoyin kwantar da hankali zai ba da shimfidawa da motsa jiki don taimakawa wajen inganta haɗin gwiwa na motsi da ƙarfafa tsokoki masu goyan baya.
Ga mutanen da ke fama da ciwon haɗin gwiwa daga yanayin autoimmune, magungunan ilimin halitta don rage ayyukan autoimmune na jiki ana gudanar da su ta hanyar jiko da ake bayarwa kowane makonni ko watanni. (Kamata, M., Tada, Y. 2020)
Hakanan za'a iya amfani da allurar cortisone don rage kumburi.
A Rauni Medical Chiropractic da Aiki Clinical Medicine, muna da sha'awar mayar da hankali a kan zalunta marasa lafiya' raunin da kuma na kullum zafi ciwo da kuma inganta iyawa ta hanyar sassauci, motsi, da kuma shirye-shirye na agility wanda aka kera ga mutum. Masu samar da mu suna amfani da haɗe-haɗe don ƙirƙirar tsare-tsaren kulawa na keɓaɓɓu waɗanda suka haɗa da Magungunan Aiki, Acupuncture, Electro-Acupuncture, da ka'idojin Magungunan Wasanni. Manufarmu ita ce mu kawar da ciwo ta dabi'a ta hanyar maido da lafiya da aiki ga jiki. Idan mutum yana buƙatar wani magani, za a tura shi zuwa asibiti ko likitan da ya fi dacewa da su. Dokta Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, da kuma masu samar da gyaran gyare-gyare na farko don samar da magunguna masu mahimmanci.
Kamata, M., & Tada, Y. (2020). Inganci da Tsaron Ilimin Halittu don Psoriasis da Psoriatic Arthritis da Tasirinsu akan Cututtuka: Binciken Adabi. Mujallar kimiyyar kwayoyin halitta, 21(5), 1690. doi.org/10.3390/ijms21051690
Ga mutanen da ke fama da kafada da ciwon baya na sama, shin periscapular bursitis zai iya zama dalili?
Periscapular Bursitis
Kwancen scapula / kafada shine kashi wanda ke canza matsayi tare da jiki na sama da motsin kafada. Motsi na scapula yana da mahimmanci ga aikin al'ada na kafada da kashin baya. Lokacin da rashin daidaituwa ko kwatsam motsi na kafada ya faru, kumburi da bayyanar cututtuka na iya tasowa. (Augustine H. Conduah et al., 2010)
Ayyukan Scapula na al'ada
Scapula kashi ne mai siffar triangular a baya na sama a wajen kejin hakarkarin. Gefensa na waje ko na gefensa ya ƙunshi soket ɗin haɗin gwiwa na kafada / glenoid, yayin da sauran ƙasusuwan ke aiki azaman abubuwan haɗin gwiwa don daban-daban na kafada da tsokoki na baya. Scapula yana motsawa akan kejin hakarkarin lokacin da yake motsa hannu gaba da baya. Ana kiran wannan motsi scapulothoracic motsi kuma yana da mahimmanci ga aikin al'ada na babba da haɗin gwiwa na kafada. Lokacin da scapula ba ya yin tafiya a cikin motsi mai haɗin gwiwa, aikin ƙwanƙwasa da kafada zai iya zama mai tsanani da zafi. (JE Kuhn et al., 1998)
Bursa Scapular
Bursa buhu ce mai cike da ruwa wacce ke ba da damar santsi, motsi tsakanin sifofi, kyallen jikin jiki, ƙasusuwa, da tendons. Ana samun Bursae a ko'ina cikin jiki, ciki har da waɗanda ke gaban gwiwa, a waje da hip, da kuma a kafada haɗin gwiwa. Lokacin da bursa ya zama mai kumburi da fushi, motsi na al'ada zai iya zama mai zafi. Akwai bursae a kusa da scapula a cikin babba baya. Biyu daga cikin waɗannan buhunan bursa suna tsakanin ƙasusuwa da tsoka na baya na serratus wanda ke sarrafa motsi na scapular akan bangon ƙirji. Ɗaya daga cikin jakar bursa yana kan kusurwar sama na scapula, kusa da kashin baya a gindin wuyansa, ɗayan kuma yana a kusurwar kasan scapula, kusa da tsakiyar baya. Ko dai ko duka buhunan bursa na iya shafar bursitis na periscapular. Akwai wasu bursae a kusa da scapula da kuma tendons da ke kewaye, amma jakar kusurwa guda biyu sun kasance farkon bursae wanda ke tasowa bursitis na periscapular.
kumburi
Lokacin da waɗannan bursae suka zama masu kumburi da fushi, kumbura, da kauri, yanayin da aka sani da sakamakon bursitis. Lokacin da bursitis ya faru a kusa da scapula, tsoka, da motsi na kafada na iya haifar da rashin jin daɗi da zafi. Mafi yawan bayyanar cututtuka na periscapular bursitis sun hada da:
Binciken scapula na iya nuna motsi mara kyau na ruwan kafada. Wannan na iya haifar da fuka-fuki, inda ba a riƙe kafadar kafada daidai zuwa kejin haƙarƙari kuma yana fitowa ba daidai ba. Mutanen da ke da fiffike na scapula yawanci suna da injin haɗin gwiwa na kafada mara kyau saboda an canza matsayin kafada.
Sanadin
Abubuwan da ke haifar da bursitis na periscapular na iya zama daban-daban. Mafi na kowa shine rashin amfani da yawa, inda wani takamaiman aiki ke haifar da haushi ga bursa. Waɗannan na iya haɗawa da:
Ayyukan da suka shafi wasanni waɗanda ke haifar da maimaita amfani.
Ayyukan da suka danganci aikin da ke haifar da maimaita amfani.
Raunin rauni wanda ke haifar da kumburi ko haushi ga bursa.
Wasu yanayi na iya haifar da rashin lafiyar jiki ko haɓakar kashi, yana harzuka bursa. Wani yanayi shine haɓakar ƙashi mara kyau wanda aka sani da osteochondroma. (Antônio Marcelo Gonçalves de Souza da Rosalvo Zósimo Bispo Júnior 2014) Wadannan ci gaban na iya yin aiki daga scapula, haifar da fushi da kumburi.
Jiyya
Jiyya na periscapular bursitis yana farawa da ra'ayin mazan jiya hanyoyin kwantar da hankali. Ba a cika buƙatar magunguna masu ɓarna don gyara matsalar ba. Jiyya na iya haɗawa da:
sauran
Mataki na farko shine a huta bursa mai haushi da daidaita kumburi.
Wannan na iya ɗaukar ƴan makonni kuma ana iya cikawa ta hanyar gyaggyara ayyukan jiki, wasanni, ko ayyukan da suka shafi aiki.
Ice
Kankara yana da amfani don rage kumburi da sarrafa ciwo.
Sanin yadda ake kankara rauni da kyau zai iya taimakawa wajen sarrafa zafi da kumburi.
jiki Far
Magungunan jiki na iya rage alamun kumburi ta hanyar motsa jiki daban-daban da mikewa.
Maganin na iya inganta scapular makanikai don kada raunin ya zama mai ci gaba da maimaitawa.
Matsanancin motsi na scapula a kan ƙwayar haƙarƙari ba zai iya haifar da ci gaban bursitis kawai ba, amma idan ba a magance waɗannan ƙananan injiniyoyi ba, matsalar na iya sake dawowa.
Magungunan Maganin Ciwo
Ana amfani da magungunan anti-inflammatory marasa steroidal don sarrafa kumburi a cikin ɗan gajeren lokaci. (Augustine H. Conduah et al., 2010)
Magunguna na iya taimakawa wajen toshe amsawar kumburi.
Kafin shan kowane magani, yakamata mutane su tabbatar tare da mai ba da lafiyar su cewa ba shi da lafiya.
Injections na Cortisone
Nasarar jiyya tare da harbin cortisone alama ce da ke nuna cewa tiyata zai fi tasiri ga mutanen da ke buƙatar tiyata.
Allurar Cortisone na iya zama da taimako sosai wajen isar da ƙaƙƙarfan maganin hana kumburi kai tsaye zuwa wurin kumburi. (Augustine H. Conduah et al., 2010)
Yakamata a iyakance allurar Cortisone dangane da yawan alluran da aka yiwa mutum, amma a cikin ƙayyadaddun allurai na iya taimakawa sosai.
Koyaya, ya kamata a yi allurar cortisone kawai da zarar an tabbatar da ganewar asali.
Surgery
Tiyata ba kasafai ake buƙata ba amma yana iya yin tasiri a cikin mutanen da ba su iya samun sauƙi tare da jiyya na mazan jiya.
Ana amfani da fiɗa sau da yawa ga mutanen da ke da ƙwayar jijiyar jiki, kamar ci gaban kashi ko ciwace-ciwace.
A Rauni Medical Chiropractic and Functional Medicine Clinic, muna bi da raunin da kuma ciwo mai tsanani ta hanyar inganta iyawar mutum ta hanyar sassauƙa, motsi, da shirye-shiryen haɓakawa waɗanda aka keɓance ga duk ƙungiyoyin shekaru da nakasa. Shirye-shiryen kula da chiropractor da sabis na asibiti na musamman ne kuma suna mai da hankali kan raunin da ya faru da kuma cikakken tsarin dawowa. Idan ana buƙatar wani magani, za a tura mutane zuwa asibiti ko likitan da ya fi dacewa da raunin su, yanayinsu, da/ko rashin lafiya.
Scapular Wing a Zurfi
References
Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Gudanar da asibiti na scapulothoracic bursitis da scapula na scapula. Lafiyar wasanni, 2(2), 147-155. doi.org/10.1177/1941738109338359
Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus da bursitis. Jaridar Cibiyar Nazarin Magungunan Orthopedic ta Amurka, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001
de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: watsi ko bincika?. Revista brasileira de ortopedia, 49(6), 555-564. doi.org/10.1016/j.rboe.2013.10.002
Shin mutanen da ke da hypermobility na haɗin gwiwa za su iya samun sauƙi ta hanyar jiyya ba tare da tiyata ba don rage ciwo da maido da motsin jiki?
Gabatarwa
Lokacin da mutum ya motsa jikinsa, ƙwayoyin da ke kewaye da tsokoki, haɗin gwiwa, da ligaments suna shigar da su cikin ayyuka daban-daban waɗanda ke ba su damar shimfiɗawa da sassauƙa ba tare da ciwo ko rashin jin daɗi ba. Yawan maimaita motsi yana ba mutum damar ci gaba da ayyukansa na yau da kullun. Duk da haka, lokacin da haɗin gwiwa, tsokoki, da ligaments suka shimfiɗa fiye da na al'ada a cikin babba da ƙananan ƙafa ba tare da ciwo ba, an san shi da haɗin gwiwa hypermobility. Wannan cuta na nama mai haɗuwa zai iya daidaitawa tare da sauran alamun da ke shafar jiki kuma ya sa mutane da yawa su nemi magani don sarrafa alamun hypermobility na haɗin gwiwa. A cikin labarin yau, za mu dubi haɗin gwiwa hypermobility da kuma yadda nau'o'in jiyya ba tare da tiyata ba zasu iya taimakawa wajen rage ciwo da haɗin gwiwa ya haifar da mayar da motsin jiki. Muna magana da ƙwararrun likitocin kiwon lafiya waɗanda ke ƙarfafa bayanan marasa lafiyarmu don tantance yadda za a iya haɗa ciwon su tare da haɗin gwiwa hypermobility. Har ila yau, muna sanar da kuma jagorantar marasa lafiya game da yadda haɗa nau'o'in jiyya daban-daban ba na tiyata ba zai iya taimakawa wajen inganta aikin haɗin gwiwa yayin sarrafa alamun da ke hade. Muna ƙarfafa marasa lafiyarmu su tambayi masu ba da lafiyar su tambayoyi masu banƙyama da basira game da haɗa magungunan marasa aikin tiyata a matsayin wani ɓangare na yau da kullum don rage ciwo da rashin jin daɗi daga haɗin gwiwa hypermobility. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Menene Haɗin Haɗin Haɗin Kai?
Kuna ji sau da yawa a kulle haɗin gwiwa a hannunku, wuyan hannu, gwiwoyi, da gwiwar hannu? Kuna jin zafi da gajiya a cikin haɗin gwiwa lokacin da jikin ku ke jin gajiya kullum? Ko kuma lokacin da kuka shimfiɗa ɓangarorin ku, shin suna yin nisa fiye da yadda aka saba don jin sauƙi? Yawancin waɗannan yanayi iri-iri ana danganta su da daidaikun mutane da ke fuskantar hypermobility na haɗin gwiwa. Haɗin kai hypermobility cuta ce da aka gada tare da manyan alamu na autosomal waɗanda ke nuna hyperlaxity na haɗin gwiwa da ciwon musculoskeletal a cikin sassan jiki. (Carbonell-Bobadilla et al., 2020) Wannan yanayin nama mai haɗawa sau da yawa yana da alaƙa da sassaucin kyallen takarda da aka haɗa kamar ligaments da tendons a cikin jiki. Misali zai kasance idan babban yatsan yatsan yatsan hannu yana taɓa gaɓar sa na ciki ba tare da jin zafi ko rashin jin daɗi ba, suna da haɗin gwiwa hypermobility. Bugu da ƙari, mutane da yawa masu mu'amala da hypermobility na haɗin gwiwa sau da yawa za su sami matsala mai wuyar ganewa yayin da za su ci gaba da raunin fata da nama na tsawon lokaci, suna haifar da rikitarwa na musculoskeletal. (Tofts et al., 2023)
Lokacin da mutane ke magance hypermobility na haɗin gwiwa a kan lokaci, da yawa sau da yawa suna da alamun hypermobility na haɗin gwiwa. Za su gabatar da cututtuka na musculoskeletal da tsarin tsarin da ke haifar da nuna nakasar kwarangwal, nama da raunin fata, da bambance-bambancen tsari a cikin tsarin jiki. (Nicholson et al., 2022) Wasu daga cikin alamun da ake nuna hypermobility na haɗin gwiwa a cikin ganewar asali sun haɗa da:
Ciwon tsoka da taurin haɗin gwiwa
Danna haɗin gwiwa
gajiya
Tambayoyi masu laushi
Batun daidaitawa
An yi sa'a, akwai jiyya daban-daban waɗanda mutane da yawa za su iya amfani da su don taimakawa wajen ƙarfafa tsokoki da ke kewaye da su a kusa da haɗin gwiwa da kuma rage alamun da ke da alaƙa da haɗin gwiwa ya haifar da hypermobility.
Motsi A Matsayin Magunguna-Bidiyo
Magungunan marasa tiyata Don Haɗaɗɗen Haɗaɗɗen Motsi
Lokacin da ake magance hypermobility na haɗin gwiwa, mutane da yawa suna buƙatar neman magunguna don rage daidaitawar ciwo-kamar bayyanar cututtuka na haɗin gwiwa da kuma taimakawa wajen kawar da sassan jiki yayin da suke dawo da motsi. Wasu ingantattun jiyya don haɗin gwiwa hypermobility sune hanyoyin kwantar da hankali waɗanda ba su da haɗari, masu laushi a kan haɗin gwiwa da tsokoki, kuma masu tsada. Za'a iya keɓance nau'ikan jiyya waɗanda ba na tiyata ba ga mutum gwargwadon yadda tsananin haɗin gwiwa da haɓakar haɗin gwiwa ke shafar jikin mutum. Magungunan da ba na tiyata ba na iya sauƙaƙe jiki daga haɗin gwiwa hypermobility ta hanyar magance abubuwan da ke haifar da ciwo ta hanyar ragewa da haɓaka ƙarfin aiki da kuma maido da yanayin rayuwar mutum. (Atwell et al., 2021) Magunguna guda uku waɗanda ba a yi amfani da su ba waɗanda ke da kyau don rage ciwo daga haɗin gwiwa hypermobility da kuma taimakawa wajen ƙarfafa tsokoki da ke kewaye da su a ƙasa.
Hanyar Chiropractic
Kulawa na chiropractic yana amfani da magudi na kashin baya kuma yana taimakawa wajen dawo da motsi na haɗin gwiwa a cikin jiki don rage tasirin haɗin gwiwa ta hanyar daidaitawa da abin da ya shafa daga ƙananan motsi. (Boudreau et al., 2020) Chiropractors sun haɗa da inji da manipulation na hannu da fasaha daban-daban don taimakawa mutane da yawa su inganta yanayin su ta hanyar yin la'akari da jikinsu da kuma yin aiki tare da wasu hanyoyin kwantar da hankali don jaddada ƙungiyoyi masu sarrafawa. Tare da wasu cututtuka da ke hade da haɗin gwiwa na haɗin gwiwa, kamar ciwon baya da wuyansa, kulawar chiropractic zai iya rage waɗannan alamun bayyanar cututtuka kuma ya ba da damar mutum ya sake samun yanayin rayuwarsu.
acupuncture
Wani maganin da ba na tiyata ba wanda mutane da yawa zasu iya haɗawa don rage haɗin gwiwa hypermobility da haɗin gwiwa shine acupuncture. Acupuncture yana amfani da ƙananan, sirara, ƙwararrun allura waɗanda acupuncturists ke amfani da su don toshe masu karɓar raɗaɗi da dawo da kuzarin jiki. Lokacin da mutane da yawa ke fama da haɗin gwiwa hypermobility, ƙayyadaddun su a cikin ƙafafu, hannaye, da ƙafafu suna jin zafi a tsawon lokaci, wanda zai iya haifar da jiki ya zama marar ƙarfi. Abin da acupuncture ke yi shi ne taimakawa wajen rage ciwon da ke haifar da haɗin gwiwa hypermobility hade da extremities da mayar da ma'auni da aiki ga jiki (Luan et al., 2023). Wannan yana nufin cewa idan mutum yana fama da taurin kai da ciwon tsoka daga haɗin gwiwa hypermobility, acupuncture zai iya taimakawa wajen sake sake ciwo ta hanyar sanya allura a cikin acupoints na jiki don ba da taimako.
jiki Far
Maganin jiki shine magani na ƙarshe wanda ba na tiyata ba da yawa mutane zasu iya haɗawa cikin ayyukan yau da kullun. Jiyya na jiki zai iya taimakawa wajen sarrafa hypermobility na haɗin gwiwa wanda aka kera don taimakawa ƙarfafa tsokoki masu rauni waɗanda ke kewaye da haɗin gwiwar da aka shafa, inganta kwanciyar hankali na mutum da kuma taimakawa wajen rage haɗarin rushewa. Bugu da ƙari, mutane da yawa za su iya amfani da motsa jiki mara ƙarfi don tabbatar da ingantacciyar kulawar mota yayin yin motsa jiki na yau da kullun ba tare da sanya damuwa mai yawa akan haɗin gwiwa ba. (Russek et al., 2022)
Ta hanyar haɗa waɗannan jiyya guda uku waɗanda ba na tiyata ba a matsayin wani ɓangare na gyaran gyare-gyaren da aka keɓance don haɗin haɗin gwiwa, mutane da yawa za su fara jin bambanci a cikin ma'auni. Ba za su fuskanci ciwon haɗin gwiwa ba ta hanyar yin la'akari da jiki da kuma haɗa ƙananan canje-canje a cikin aikin su na yau da kullum. Ko da yake rayuwa tare da hypermobility na haɗin gwiwa na iya zama kalubale ga mutane da yawa, ta hanyar haɗawa da yin amfani da daidaitattun hanyoyin jiyya ba tare da tiyata ba, mutane da yawa zasu iya fara jagorancin rayuwa mai aiki da gamsuwa.
References
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ganewa da Gudanar da Cutar Haɓaka Bakan Haɓaka a cikin Kulawa na Farko. J Am Hukumar Fam Med, 34(4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Gudanar da asibiti na rashin lafiyar haɗin gwiwa hypermobility ciwo: jerin lokuta. J Can Chiropr Assoc, 64(1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [Haɗin gwiwa hypermobility ciwo]. Acta Ortop Mex, 34(6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Tasirin acupuncture ko irin wannan buƙatun buƙatun akan ciwo, rashin daidaituwa, daidaituwa, da aikin da aka ba da rahoton kai a cikin mutane tare da rashin kwanciyar hankali na ƙafar ƙafa: nazari na yau da kullun da meta-bincike. Kammala Ther Med, 77, 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Halayen Ƙasashen Duniya akan Haɗin Kai Haɗaɗɗen Haɗaɗɗiya: Tsarin Kimiyya na Yanzu don Jagorar Clinical da Jagoran Bincike. J Clin Rheumatol, 28(6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J. ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Gabatarwa da kula da lafiyar jiki na rashin kwanciyar hankali na sama a cikin marasa lafiya tare da hypermobility na haɗin gwiwa gabaɗaya: shawarwarin ƙwararrun ƙwararrun ƙwararrun duniya. Front Med (Lausanne), 9, 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Hypermobility na haɗin gwiwa na yara: tsarin bincike da bita na labari. Marayu J Rare Dis, 18(1), 104. doi.org/10.1186/s13023-023-02717-2
Shin mutanen da ke da ciwon kashin baya a wuyansu da baya za su iya amfani da maganin ragewa don dawo da tsayin diski na kashin baya kuma su sami sauƙi?
Gabatarwa
Mutane da yawa ba su gane cewa yayin da jiki ke tsufa, haka ma kashin baya. Kashin baya wani bangare ne na tsarin musculoskeletal wanda ke ba da tallafi na tsari ga jiki ta hanyar kiyaye shi tsaye. Abubuwan da ke kewaye da tsokoki, ligaments, da kyallen takarda da ke kewaye da kashin baya suna taimakawa tare da kwanciyar hankali da motsi, yayin da faifan kashin baya da haɗin gwiwa suna ba da damuwa daga madaidaicin nauyi na tsaye. Lokacin da mutum yake tafiya tare da ayyukansu na yau da kullun, kashin baya na iya ƙyale mutum ya kasance ta hannu ba tare da ciwo ko rashin jin daɗi ba. Duk da haka, yayin da lokaci ya wuce, kashin baya yana shiga cikin canje-canje na lalacewa wanda zai iya haifar da ciwo da rashin jin daɗi ga jiki, don haka ya bar mutum don magance matsalolin haɗari masu haɗari wanda zai iya rinjayar wuyansa da baya. Har zuwa wannan batu, mutane da yawa suna neman magunguna don rage zafin da ke shafar kashin baya da kuma mayar da tsayin diski a jikinsu. Labarinmu na yau ya duba yadda ciwon kashin baya ke shafar wuyan mutum da bayansa da kuma yadda jiyya irin su kashin baya na iya rage ciwon baya da kuma dawo da tsayin diski. Muna magana da ƙwararrun likitocin likita waɗanda ke ƙarfafa bayanan marasa lafiyarmu don tantance yadda ciwon kashin baya zai iya tasiri sosai ga lafiyar mutum da ingancin rayuwa a jikinsu. Har ila yau, muna sanar da kuma jagorantar marasa lafiya game da yadda haɗakarwa na kashin baya zai iya taimakawa wajen rage ciwo na kashin baya da kuma mayar da tsayin diski na kashin baya. Muna ƙarfafa marasa lafiyar mu su tambayi masu ba da lafiyar su tambayoyi masu mahimmanci da mahimmanci game da haɗa magungunan marasa tiyata a cikin tsarin lafiya da lafiya don sauƙaƙa ciwon kashin baya kuma su dawo da ingancin rayuwarsu. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Yadda Ciwon Kashin Kashin Kaya ke Shafar Wuyan Mutum & Baya
Kuna jin ciwon tsoka akai-akai a wuyanku da baya? Shin kun dandana taurin kai da ƙayyadaddun motsi lokacin da kuke jujjuyawa? Ko abubuwa masu nauyi suna haifar da ciwon tsoka lokacin motsi daga wuri guda zuwa wani? Mutane da yawa za su kasance a kan tafiya kuma su kasance a cikin wurare masu ban mamaki ba tare da jin zafi da rashin jin daɗi ba idan ya zo ga kashin baya. Wannan shi ne saboda kewaye da tsokoki da kyallen takarda da aka shimfiɗa da kuma fayafai na kashin baya suna ɗaukar matsa lamba na tsaye akan kashin baya. Duk da haka, lokacin da abubuwan muhalli, raunin da ya faru, ko tsufa na halitta ya fara rinjayar kashin baya, zai iya haifar da ci gaba da ciwo na kashin baya. Wannan shi ne saboda ɓangaren waje na diski na kashin baya ba shi da kyau, kuma ɓangaren ciki na diski yana da tasiri. Lokacin da matsananciyar damuwa ta fara rage yawan ruwa a cikin diski, zai iya tada masu karɓar raɗaɗi a ciki ba tare da alamun tushen jijiya a cikin diski ba. (Zhang et al., 2009) Wannan yana haifar da mutane da yawa don magance wuyan wuyansa da ciwon baya a jikinsu kuma yana rage ingancin rayuwarsu.
Jin zafi na kashin baya zai iya haifar da bayanan haɗari masu haɗari wanda ke haifar da mutane da yawa don magance mummunan ciwon baya da wuyan wuyansa, wanda ya sa ƙwayoyin da ke kewaye da su su zama masu rauni, m, da kuma wuce gona da iri. A lokaci guda kuma, tushen jijiyar da ke kewaye da ita yana shafar yayin da ƙwayoyin jijiyoyi ke kewaye da sassan waje da na ciki na diski na kashin baya, wanda ke haifar da abubuwan ciwo na nociceptive zuwa wuyansa da yankin baya kuma yana haifar da ciwon discogenic. (Coppes et al., 1997) Lokacin da mutane da yawa ke fama da ciwon tsoka da ke da alaƙa da fayafai na kashin baya, yana haifar da yanayin zafi-spasm-pain wanda zai iya shafar jikinsu saboda rashin motsi sosai kuma yana haifar da ayyukan tsoka mai raɗaɗi lokacin ƙoƙarin zama wayar hannu. (Roland, 1986) Lokacin da mutum yana da iyakacin motsi yana haifar da ciwon kashin baya, tsayin diski na halitta yana raguwa sannu a hankali, yana haifar da ƙarin al'amurran da suka shafi jikinsu da nauyin tattalin arziki. Abin farin ciki, lokacin da mutane da yawa ke fama da ciwon kashin baya, jiyya da yawa na iya rage ciwon kashin baya da kuma mayar da tsayin diski.
Magungunan Motsi- Bidiyo
Yadda Rage Rage Ciwon Kaya
Lokacin da mutane ke neman magani don ciwon kashin baya, mutane da yawa za su nemi magungunan tiyata don rage radadin su, amma zai zama dan kadan. Koyaya, mutane da yawa za su zaɓi magungunan da ba na tiyata ba saboda iyawarsu. Magungunan da ba na tiyata ba suna da tsada kuma ana iya daidaita su ga radadin mutum da rashin jin daɗi. Daga kulawar chiropractic zuwa acupuncture, dangane da tsananin zafin mutum, da yawa za su sami sauƙin da suke nema. Ɗaya daga cikin sababbin hanyoyin magance ciwon baya shine raguwar kashin baya. Rushewar kashin baya yana ba da damar mutum a ɗaure shi a cikin tebur mai jan hankali. Wannan saboda yana jan kashin baya a hankali don daidaita diski na kashin baya ta hanyar rage matsa lamba akan kashin baya don kiran tsarin warkarwa na jiki don rage zafi. (Ramos & Martin, 1994) Bugu da ƙari, lokacin da mutane da yawa ke amfani da ƙwayar cuta ta kashin baya, ƙwanƙwasa mai laushi yana ba da motsin motsa jiki ga kashin baya wanda zai iya haifar da sauye-sauye na jiki zuwa diski na kashin baya kuma yana taimakawa wajen mayar da motsi na mutum, sassauci, da motsi. (Amjad et al., 2022)
Rushewar kashin baya Yana Maido da Tsawon Fayil na kashin baya
Lokacin da ake ɗaure mutum a cikin na'ura mai lalata kashin baya, tausasawa mai laushi yana taimakawa faifan kashin baya ya dawo cikin kashin baya, yana barin ruwaye da abubuwan gina jiki su sake sake dawo da kashin baya, yana kara tsayin diski na kashin baya. Wannan shi ne saboda raguwar kashin baya yana haifar da mummunan matsa lamba akan kashin baya, yana barin diski na kashin baya ya dawo zuwa tsayinsa na asali kuma yana ba da taimako. Bugu da ƙari, abin ban mamaki da ƙaddamarwar kashin baya ya yi shi ne cewa za'a iya haɗa shi tare da farfadowa na jiki don taimakawa wajen shimfiɗawa da ƙarfafa ƙwayoyin da ke kewaye da su kusa da kashin baya don samar da ƙarin kwanciyar hankali da sassauci. (Vanti et al., 2023) Wannan yana bawa mutum damar yin la'akari da jikinsu kuma ya fara haɗawa da ƙananan canje-canje na al'ada don rage zafi daga dawowa. Lokacin da mutane da yawa suka fara tunani game da lafiyarsu da lafiyarsu ta hanyar zuwa magani, za su dawo da yanayin rayuwarsu kuma su dawo cikin al'amuran yau da kullum ba tare da matsalolin da suka shafi kashin baya ba.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Hanyoyin da ba a yi amfani da su ba tare da farfadowa na jiki na yau da kullum akan ciwo, kewayon motsi, jimiri, rashin aikin aiki da ingancin rayuwa tare da farfadowa na jiki na yau da kullum kadai a cikin marasa lafiya da lumbar radiculopathy; gwaji mai sarrafa bazuwar. Damuwar Musculoskelet na BMC, 23(1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation na "mai raɗaɗi" fayafai na lumbar. Spine (Phila Pa 1976), 22(20), 2342-2349; tattaunawa ta 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Tasirin raguwar axial na vertebral akan matsa lamba na intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Roland, MO (1986). Wani nazari mai mahimmanci na shaida don zagayowar zafi-spasm-pain a cikin cututtuka na kashin baya. Clin Biomech (Bristol, Avon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Sakamakon haɓakar haɓakar injiniyoyi zuwa jiyya ta jiki akan ƙananan ciwon baya? Bita na tsari tare da meta-bincike. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Binciken asibiti don ƙananan ciwon baya na discogenic. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647
Shin mutanen da ke fama da ciwon haɗin gwiwa zasu iya haɗawa da maganin acupuncture don sarrafa alamun lupus da dawo da motsin jiki?
Gabatarwa
Tsarin garkuwar jiki yana da matukar mahimmanci ga jiki kamar yadda babban aikinsa shine kare mahimman tsari daga mahara na kasashen waje wanda zai iya haifar da batutuwa masu kama da ciwo da rashin jin daɗi. Tsarin garkuwar jiki yana da dangantaka mai kyau tare da tsarin jiki daban-daban, ciki har da tsarin musculoskeletal, kamar yadda cytokines mai kumburi yana taimakawa wajen warkar da tsoka da lalacewa lokacin da jiki ya ji rauni. Bayan lokaci, duk da haka, lokacin da al'amuran muhalli da kwayoyin halitta suka fara tasowa a cikin jiki, tsarin rigakafi zai fara aika wadannan cytokines zuwa lafiya, kwayoyin halitta. Har zuwa wannan lokacin, jiki yana farawa cikin haɗarin haɓaka cututtuka na autoimmune. Yanzu, cututtuka na autoimmune a cikin jiki na iya haifar da ɓarna na tsawon lokaci lokacin da ba a sarrafa su ba, yana haifar da rashin lafiya na yau da kullum wanda zai iya haifar da bayyanar cututtuka a cikin tsarin musculoskeletal. Ɗaya daga cikin cututtuka na yau da kullum na autoimmune shine tsarin lupus erythematosus ko lupus, kuma yana iya sa mutum ya kasance cikin ciwo mai tsanani da rashin jin daɗi yayin da yake daidaitawa da tsoka da ciwon haɗin gwiwa. Labarin yau yana kallon dalilai da tasirin lupus, nauyin ciwon haɗin gwiwa a cikin lupus, da kuma yadda hanyoyin gabaɗaya kamar acupuncture na iya taimakawa wajen sarrafa lupus yayin dawo da motsin jiki. Muna magana da ƙwararrun likitocin kiwon lafiya waɗanda ke ƙarfafa bayanan marasa lafiyarmu don tantance yadda za a rage tasirin zafi da lupus ke haifarwa akan gidajen abinci. Har ila yau, muna sanar da jagorar marasa lafiya game da yadda acupuncture zai iya taimakawa wajen sarrafa lupus da hada wasu hanyoyin kwantar da hankali don rage ciwo-kamar bayyanar cututtuka da ke shafar tsarin musculoskeletal. Muna ƙarfafa marasa lafiyar mu su tambayi masu ba da lafiyar su tambayoyi masu mahimmanci da mahimmanci game da hada maganin acupuncture don sauƙaƙa tasirin kumburi na lupus yayin gano hanyoyin halitta don dawo da motsi. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Dalilai & Tasirin Lupus
Shin kun kasance kuna fama da ciwon haɗin gwiwa a cikin na sama ko na ƙasa, yana yin wahalar aiki a cikin yini? Shin kun kasance kuna jin tasirin gajiya akai-akai? Yawancin mutanen da ke fuskantar waɗannan batutuwa masu kama da zafi na iya haɗarin haɓaka lupus erythematosus na tsarin. A cikin wannan cutar ta autoimmune, tsarin garkuwar jiki na kansa ya fara kai hari a kan kyallen jikinsa bisa kuskure, wanda hakan ke haifar da kumburi da nau'ikan alamun zafi. Lupis yana da wayo don tantancewa saboda hadadden tsarin rashin lafiyarsa wanda zai iya haifar da haɓakar cytokines wanda zai iya shafar jiki. (Lazar & Kahlenberg, 2023) A lokaci guda kuma, lupus zai iya rinjayar mutane daban-daban, tare da alamun bayyanar cututtuka da tsanani ya bambanta dangane da yadda ƙananan ko tsanani abubuwan ke shafar jiki. Lupus na iya tasiri ga sassa daban-daban na jiki, ciki har da haɗin gwiwa, fata, kodan, ƙwayoyin jini, da sauran sassa masu mahimmanci na jiki da gabobin jiki, kamar yadda yanayi da yanayin hormonal na iya rinjayar ci gabanta. (Tsang & Bultink, 2021) Bugu da ƙari, lupus na iya kasancewa tare da haɗin gwiwa tare da wasu cututtuka waɗanda ke haifar da bayanan haɗari mai haɗari tare da kumburi wanda zai iya rinjayar haɗin gwiwa a cikin tsarin musculoskeletal.
Nauyin Ciwon Haɗuwa A Lupus
Lupus yana da wuyar ganewa tun da yake sau da yawa yana kwaikwayon wasu cututtuka; Alamar jin zafi da aka fi sani da lupus shine haɗin gwiwa. Mutanen da ke da lupus suna fama da ciwon haɗin gwiwa, wanda zai iya haifar da tasirin kumburi da lalacewar tsarin ga gidajen abinci, tendons, tsokoki, da kasusuwa, haifar da cututtuka na cututtuka. (Di Matteo et al., 2021) Tun da lupus yana haifar da cututtuka masu kumburi a cikin haɗin gwiwa, mutane da yawa za su yi tunanin cewa suna fama da ciwon ƙwayar cuta, kuma zai iya haifar da bayanan haɗari mai haɗari kamar yadda yake tare da lupus, don haka ya haifar da ciwo na gida a cikin haɗin gwiwa ba tare da la'akari da asalinsa ba. (Senthelal et al., 2024) Ciwon haɗin gwiwa a cikin mutanen lupus na iya hana ayyukan yau da kullun, rage motsi da kuma yanayin rayuwa gaba ɗaya yayin da suke ƙoƙarin samun taimako.
Bude Sirrin Kumburi-Video
Babban Hanyar Gudanar da Lupus
Duk da yake daidaitattun jiyya na lupus sun haɗa da magani da rigakafi don rage kumburi da lupus ke haifarwa, mutane da yawa suna so su nemi hanyoyin da za su iya sarrafa lupus kuma su rage tasirin kumburi daga cutar da gidajensu ta hanyar yin sauye-sauye a rayuwarsu. Mutane da yawa sun haɗa abinci mai ƙin kumburi mai wadatar antioxidants don rage tasirin kumburi. Daban-daban kari, kamar bitamin D, calcium, zinc, da dai sauransu, na iya taimakawa wajen rage kumburi da lupus ke haifarwa da kuma karfafa lafiyar kashi. Bugu da ƙari, magungunan da ba na tiyata ba na iya inganta ƙarfin zuciya da kuma rage gajiya yayin inganta aikin tunani, wanda zai iya taimakawa wajen inganta rayuwar mutum ta hanyar sarrafa alamun da lupus ya haifar. (Fangtham et al., 2019)
Yadda Acupuncture zai iya Taimakawa Lupus & Maido da Motsi
Ɗaya daga cikin tsofaffin nau'ikan hanyoyin da ba na tiyata ba da cikakke don rage kumburi da sarrafa lupus shine acupuncture. Acupuncture ya ƙunshi ƙwararrun allura masu ƙarfi waɗanda ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararru ke amfani da su don shigar da su cikin takamaiman wuraren jiki don daidaita qi (makamashi) na jiki ta hanyar ƙarfafa tsarin juyayi da sakin sinadarai masu amfani a cikin tsokoki da abin ya shafa, kashin baya, da kwakwalwa. Bugu da ƙari, acupuncture, tare da ƙananan sakamako masu illa da cikakkiyar tsarin kulawa, na iya taimakawa wajen sarrafa lupus. Wannan shi ne saboda lokacin da aka sanya allurar acupuncture a cikin acupoints na jiki, zai iya rushe siginar ciwo da ke haifar da ciwo a cikin yankin da aka shafa kuma ya tsara cytokines masu kumburi daga lupus don ba da taimako. (Wang et al., 2023) Wannan shi ne saboda falsafancinsa na magance ba kawai jin zafi na jiki ba har ma da motsin rai da tunanin tunanin mutum na rayuwa tare da yanayin rashin lafiya kamar lupus.
Bugu da ƙari, acupuncture na iya taimakawa wajen dawo da motsin haɗin gwiwa yayin gudanar da lupus ta hanyar jiyya a jere, kamar yadda mutane da yawa suka lura cewa motsin haɗin gwiwa ya inganta kuma ciwon su ya ragu. Wannan shi ne saboda shigar da yin amfani da allura a cikin acupoints na jiki yana haifar da sauye-sauye a cikin abubuwan da suka shafi afferent zuwa tsarin juyayi na tsakiya, wanda ke ƙara haɓakar alpha motoneuron kuma yana rage kumburi. (Kim et al., 2020) Lokacin da mutane ke mu'amala da lupus kuma suna ƙoƙarin nemo hanyoyin madaidaiciyar hanyoyin don kawar da kumburi da haɗin gwiwa da lupus, acupuncture, da jiyya marasa aikin tiyata ke haifar da su na iya ba da bege don sarrafa ƙalubalen yau da kullun na lupus.
References
Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Hoto na Haɗuwa da Nama mai laushi a cikin Tsarin Lupus Erythematosus. Curr Rheumatol Rep, 23(9), 73. doi.org/10.1007/s11926-021-01040-8
Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Magungunan marasa magani don tsarin lupus erythematosus. Lupus, 28(6), 703-712. doi.org/10.1177/0961203319841435
Kim, D., Jang, S., & Park, J. (2020). Electroacupuncture da Acupuncture na Manual suna Ƙara Sassauci na Haɗin gwiwa amma Rage Ƙarfin tsoka. Kiwon lafiya (Basel), 8(4). doi.org/10.3390/kiwon lafiya8040414
Lazar, S., & Kahlenberg, JM (2023). Tsarin Lupus Erythematosus: Sabbin Bincike da Hanyoyi na warkewa. Annu Rev Med, 74, 339-352. doi.org/10.1146/annurev-med-043021-032611
Tsang, ASMWP, & Bultink, IEM (2021). Sabbin ci gaba a cikin tsarin lupus erythematosus. Rheumatology (Oxford), 60(Kashi na 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498
Wang, H., Wang, B., Huang, J., Yang, Z., Song, Z., Zhu, Q., Xie, Z., Sun, Q., & Zhao, T. (2023). Inganci da aminci na acupuncture far haɗe tare da na al'ada pharmacotherapy a cikin lura da tsarin lupus erythematosus: nazari na yau da kullum da meta-bincike. Magunguna (Baltimore), 102(40), e35418. doi.org/10.1097/MD.0000000000035418
Mutanen da ke cikin farfadowa bayan tiyata ko magance rashin lafiya ko rauni na iya samun raunin tsoka da juriya wanda zai iya haifar da asarar motsi na barci na wucin gadi kuma ba za su iya motsawa akai-akai ba saboda rauni, rage yawan motsi, ko ciwo. Shin za su iya amfana daga jiyya ta jiki don taimakawa wajen dawo da motsin aiki na yau da kullun?
Motsin barci
Ga mutanen da ke asibiti ko gida daga rauni, rashin lafiya, ko farfaɗowa, mai ilimin hanyoyin kwantar da hankali zai tantance wurare daban-daban na motsin aiki. Waɗannan sun haɗa da canja wuri - daga zama zuwa matsayi na tsaye, tafiya, da motsin barci. Motsin barci shine ikon yin takamaiman motsi yayin da yake kan gado. Mai ilimin hanyoyin kwantar da hankali zai iya tantance motsin barci ko barci kuma ya ba da shawarar dabaru da motsa jiki don inganta motsi. (O'Sullivan, SB, Schmitz, TJ 2016) Mai ilimin hanyoyin kwantar da hankali na iya sa mutum ya yi amfani da takamaiman na'urori, kamar trapeze akan gado ko allon zamewa, don taimakawa wajen motsawa.
Motsin Kwanciya da Barci
Lokacin da mai ilimin motsa jiki ya duba motsi, za su tantance motsi daban-daban waɗanda suka haɗa da: (O'Sullivan, SB, Schmitz, TJ 2016)
Motsawa daga zaune zuwa kwanciya.
Motsawa daga kwanciya zuwa zaune.
Mirginawa.
Scooting ko zamewa sama ko ƙasa.
Scooting ko zamewa a gefe.
Juyawa
Isa.
Tada kwatangwalo.
Duk waɗannan motsi suna buƙatar ƙarfi a cikin ƙungiyoyin tsoka daban-daban. Ta hanyar duba motsin mutum ɗaya a cikin motsi na barci, mai ilimin hanyoyin kwantar da hankali na iya yin takamaiman ƙungiyoyin tsoka waɗanda zasu iya raunana kuma suna buƙatar motsa jiki da aka yi niyya da kuma shimfiɗa don dawo da motsi zuwa al'ada. (O'Sullivan, S. B., Schmitz, T. J. 2016) Mutanen da ke ziyartar likitan kwantar da hankali a cikin asibiti na waje ko yankin gyaran jiki na iya samun aikin mutum akan motsin barci a kan teburin magani. Ana iya yin motsi iri ɗaya akan teburin magani a cikin gado.
Muhimmanci
Jiki ya nufa ya motsa.
Ga mutanen da ba za su iya motsawa cikin kwanciyar hankali a kan gadonsu ba, jiki na iya fuskantar rashin amfani ko rashin amfani da ƙarfin tsoka, wanda zai iya haifar da ƙarin matsaloli. Rashin iya motsawa kuma na iya haifar da ciwon matsi, musamman ga mutanen da suka lalace sosai da/ko suka kasance a wuri ɗaya na dogon lokaci. Lafiyar fata na iya fara rushewa, yana haifar da raunuka masu raɗaɗi waɗanda ke buƙatar kulawa ta musamman. Samun damar zagawa a kan gado yana taimakawa wajen hana ciwon huhu. (Surajit Bhattacharya, RK Mishra. 2015)
Inganta
Mai ilimin hanyoyin kwantar da hankali na jiki zai iya tsara takamaiman motsa jiki don ƙarfafa ƙungiyoyin tsoka da inganta motsin barci. Tsokoki sun haɗa da:
Kafada da rotator cuff tsokoki.
Triceps da biceps a cikin hannu.
Gluteus tsokoki na kwatangwalo.
hamstrings
Quadriceps
Musclesan maraƙin
Kafadu, hannaye, kwatangwalo, da kafafu suna aiki tare yayin motsa jiki a kusa da gado.
Motoci Daban-daban
Don inganta motsin gado, motsa jiki na motsa jiki na iya haɗawa da:
An horar da masu ilimin motsa jiki don tantance waɗannan motsin da ayyuka da rubutawa jiyya don inganta motsin jiki. (O'Sullivan, SB, Schmitz, TJ 2016) Kula da lafiyar jiki mai dacewa zai iya taimakawa jiki ya kasance mai aiki da hannu. Yin motsa jiki na motsa jiki wanda likitan motsa jiki ya tsara zai iya kiyaye ƙungiyoyin tsoka masu dacewa suyi aiki yadda ya kamata, kuma yin aiki tare da mai ilimin hanyoyin kwantar da hankali na jiki zai iya tabbatar da motsa jiki daidai da yanayin kuma an yi shi da kyau.
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