Back Clinic Chiropractic. Wannan wani nau'i ne na madadin magani wanda ke mayar da hankali kan ganewar asali da kuma kula da raunuka da yanayi daban-daban na musculoskeletal, musamman ma wadanda ke hade da kashin baya. Dokta Alex Jimenez ya tattauna yadda gyare-gyare na kashin baya da gyare-gyare na hannu akai-akai na iya taimakawa sosai duka inganta da kuma kawar da yawancin alamun da zasu iya haifar da rashin jin daɗi ga mutum. Chiropractors sun yi imani daga cikin manyan dalilan da ke haifar da ciwo da cututtuka sune rashin daidaituwa na vertebrae a cikin kashin baya (wanda aka sani da suluxation na chiropractic).
Ta hanyar yin amfani da ganowar hannu (ko palpation), matsa lamba a hankali, tausa, da yin amfani da hannu na kashin baya da haɗin gwiwa (wanda ake kira gyare-gyare), masu chiropractors na iya rage matsa lamba da fushi a kan jijiyoyi, mayar da motsi na haɗin gwiwa, da kuma taimakawa wajen dawo da homeostasis na jiki. . Daga subluxations, ko rashin daidaituwa na kashin baya, zuwa sciatica, saitin alamun bayyanar cututtuka tare da jijiyar sciatic da ke haifar da jijiyar jijiya, kulawar chiropractic zai iya mayar da hankali ga yanayin yanayin mutum. Dokta Jimenez ya tattara rukuni na ra'ayoyi akan chiropractic don mafi kyawun ilmantar da mutane akan nau'ikan raunuka da yanayin da ke shafar jikin mutum.
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
Ga mutanen da ke mu'amala da sciatica, shin ba za a iya jiyya ba na tiyata kamar kulawar chiropractic da acupuncture rage zafi da dawo da aiki?
Gabatarwa
Jikin ɗan adam wata na'ura ce mai rikitarwa wacce ke ba mai gida damar zama ta hannu da kwanciyar hankali lokacin hutawa. Tare da ƙungiyoyin tsoka daban-daban a cikin sassan jiki na sama da na ƙasa, ƙwayoyin da ke kewaye da su, tendons, jijiyoyi, da haɗin gwiwa suna ba da ma'ana ga jiki kamar yadda dukansu ke da takamaiman ayyuka don kiyaye aikin mai watsa shiri. Koyaya, mutane da yawa sun haɓaka halaye daban-daban waɗanda ke haifar da ayyuka masu ƙarfi waɗanda ke haifar da maimaita motsi ga tsokoki da jijiyoyi kuma suna shafar tsarin musculoskeletal. Ɗaya daga cikin jijiyoyi da mutane da yawa ke fama da ciwo shine jijiyar sciatic, wanda ke haifar da al'amurra da yawa a cikin ƙananan sassan jiki kuma, idan ba a bi da su ba nan da nan, yana haifar da ciwo da nakasa. Abin farin ciki, mutane da yawa sun nemi magungunan marasa magani don rage sciatica da mayar da aikin jiki ga mutum. Labarin yau yana mai da hankali kan fahimtar sciatica da kuma yadda hanyoyin kwantar da hankali ba kamar kulawar chiropractic da acupuncture na iya taimakawa rage tasirin sciatic-kamar tasirin da ke haifar da bayanan haɗarin haɗari a cikin ƙananan sassan jiki. Muna tattaunawa tare da ƙwararrun likitocin kiwon lafiya waɗanda ke haɓaka tare da bayanan marasa lafiyarmu don tantance yadda sciatica galibi ke da alaƙa da abubuwan muhalli waɗanda ke haifar da rashin ƙarfi a cikin jiki. Har ila yau, muna sanar da jagorar marasa lafiya game da yadda nau'o'in jiyya daban-daban ba na tiyata ba zasu iya taimakawa wajen rage sciatica da alamun da suka dace. Muna kuma ƙarfafa majinyatan mu da su tambayi ma'aikatan lafiyar su tambayoyi da yawa masu rikitarwa da mahimmanci game da haɗa nau'ikan hanyoyin kwantar da hankali marasa tiyata a matsayin wani ɓangare na ayyukansu na yau da kullun don rage dama da tasirin sciatica daga dawowa. Dr. Jimenez, DC, ya haɗa da wannan bayanin azaman sabis na ilimi. Disclaimer.
Fahimtar Sciatica
Kuna yawan jin zafi mai zafi wanda ke tafiya ƙasa ɗaya ko biyu ƙafafu lokacin da kuke zaune na dogon lokaci? Sau nawa ka fuskanci tingling sensations wanda ya sa ka girgiza kafa don rage tasirin? Ko kun lura cewa shimfiɗa ƙafafu yana haifar da sauƙi na ɗan lokaci? Duk da yake waɗannan alamun bayyanar cututtuka na ciwo na iya rinjayar ƙananan ƙafafu, mutane da yawa na iya tunanin cewa ƙananan ciwon baya ne, amma a gaskiya, shi ne sciatica. Sciatica wani yanayi ne na musculoskeletal na kowa wanda ke shafar mutane da yawa a duniya ta hanyar haifar da ciwo ga jijiyar sciatic da haskakawa zuwa kafafu. Jijiya na sciatic yana da mahimmanci wajen samar da aikin motsa jiki kai tsaye da kai tsaye ga tsokoki na ƙafa. (Davis et al., 2024) Lokacin da aka matsa jijiyar sciatic, mutane da yawa sun bayyana cewa ciwo zai iya bambanta da tsanani, tare da bayyanar cututtuka irin su tingling, numbness, da raunin tsoka wanda zai iya rinjayar ikon mutum na tafiya da aiki.
Duk da haka, wasu daga cikin tushen tushen da ke haifar da ci gaban sciatica na iya taka rawa a cikin abin da ke haifar da ciwo a cikin ƙananan ƙafa. Yawancin abubuwan da ke cikin jiki da na muhalli sau da yawa suna hade da sciatica, haifar da tushen tushen jijiya na lumbar akan jijiyar sciatic. Abubuwa kamar yanayin rashin lafiya mara kyau, damuwa na jiki, da aikin sana'a suna da alaƙa da haɓakar sciatica kuma suna iya tasiri na yau da kullum na mutum. (Gimenez-Campos et al., 2022) Bugu da ƙari, wasu daga cikin tushen abubuwan da ke haifar da sciatica na iya haɗawa da yanayin musculoskeletal kamar diski na herniated, kasusuwa na kasusuwa, ko stenosis na kashin baya, wanda zai iya daidaitawa tare da waɗannan abubuwan da suka dace da muhalli wanda zai iya rage yawan motsin mutane da ingancin rayuwa. (Zhou et al., 2021) Wannan yana sa mutane da yawa su nemi magunguna don kawar da ciwon sciatica da alamun da suka dace. Yayin da ciwon da ke haifar da sciatica zai iya bambanta, mutane da yawa sukan nemi magungunan marasa magani don rage rashin jin daɗi da jin zafi daga sciatica. Wannan yana ba su damar haɗa ingantattun mafita don sarrafa sciatica.
Bayan Gyarawa: Chiropractic & Haɗin Kiwon Lafiya- Bidiyo
Kulawar Chiropractic Don Sciatica
Lokacin da yazo da neman magungunan da ba a yi amfani da su ba don rage sciatica, maganin da ba a yi amfani da shi ba zai iya rage tasirin zafi yayin da yake taimakawa wajen dawo da aikin jiki da motsi. A lokaci guda, magungunan da ba na tiyata ba an keɓance su ga ciwon mutum kuma ana iya haɗa su cikin al'adar mutum. Wasu jiyya marasa aikin tiyata kamar kulawar chiropractic suna da kyau a rage sciatica da alamun cututtuka masu alaƙa. Kulawa na chiropractic wani nau'i ne na maganin da ba a yi amfani da shi ba wanda ke mayar da hankali ga maido da motsi na jiki yayin inganta aikin jiki. Kulawa na chiropractic yana amfani da fasaha na inji da na hannu don sciatica don daidaita kashin baya kuma ya taimaka wa jiki ya warke ta hanyar halitta ba tare da tiyata ko magani ba. Kulawa na chiropractic zai iya taimakawa wajen rage matsa lamba na intradiscal, ƙara girman sararin diski na intervertebral, da kuma inganta kewayon motsi a cikin ƙananan sassan. (Gudavalli et al., 2016) Lokacin da ake magana da sciatica, kulawar chiropractic zai iya rage matsalolin da ba dole ba a kan jijiyar sciatic kuma yana taimakawa wajen rage haɗarin sake faruwa ta hanyar jiyya a jere.
Tasirin Kulawar Chiropractic Ga Sciatica
Wasu daga cikin tasirin kulawar chiropractic don rage sciatica na iya ba da hankali ga mutum yayin da masu aikin chiropractors ke aiki tare da masu samar da kiwon lafiya masu haɗin gwiwa don tsara tsarin da aka keɓance don sauƙaƙe alamun bayyanar cututtuka. Mutane da yawa waɗanda ke amfani da kulawar chiropractic don rage tasirin sciatica na iya haɗawa da farfadowa na jiki don ƙarfafa tsokoki masu rauni. kewaye ƙananan baya, shimfiɗa don inganta sassauci kuma ku kasance da hankali ga abubuwan da ke haifar da ciwon sciatic a cikin ƙananan ƙafar su. Kulawa na chiropractic na iya jagorantar mutane da yawa akan ergonomics masu dacewa, da kuma motsa jiki daban-daban don rage yiwuwar dawowar sciatica yayin bayar da sakamako mai kyau ga ƙananan jiki.
Acupuncture don Sciatica
Wani nau'i na maganin da ba a yi amfani da shi ba wanda zai iya taimakawa wajen rage ciwo-kamar tasirin sciatica shine acupuncture. A matsayin mahimmin sashi a cikin magungunan gargajiya na kasar Sin, maganin acupuncture ya ƙunshi ƙwararrun ƙwararrun sanya allura masu sirara masu ƙarfi a takamaiman wurare a jiki. Idan ya zo ga rage sciatica, maganin acupuncture na iya haifar da tasirin analgesic akan acupoints na jiki, daidaita microglia, da daidaita wasu masu karɓa tare da hanyar jin zafi zuwa tsarin jin tsoro. (Zhang et al., 2023) Acupuncture far mayar da hankali a kan maido da jiki na halitta makamashi kwarara ko Qi don inganta waraka.
Tasirin Acupuncture Ga Sciatica
Game da tasirin maganin acupuncture akan rage sciatica, maganin acupuncture zai iya taimakawa wajen rage siginar jin zafi da sciatica ke samarwa ta hanyar canza siginar kwakwalwa da kuma sake mayar da motar da ta dace ko abin da ke damun yankin da abin ya shafa. (Yu et al., 2022) Bugu da ƙari, maganin acupuncture zai iya taimakawa wajen samar da jin zafi ta hanyar sakin endorphins, mai jin zafi na jiki na jiki, zuwa ƙayyadaddun acupoint wanda ya dace da jijiyar sciatic, rage kumburi a kusa da jijiyar sciatic, don haka rage matsa lamba da zafi da kuma taimakawa wajen inganta aikin jijiya. Dukansu kulawar chiropractic da acupuncture suna ba da zaɓuɓɓukan magani masu mahimmanci waɗanda ba za su iya ba da taimako a cikin tsarin warkaswa da rage ciwo da sciatica ke haifarwa. Lokacin da mutane da yawa ke fama da sciatica kuma suna neman mafita masu yawa don rage tasirin zafi, waɗannan jiyya guda biyu waɗanda ba a yi amfani da su ba na iya taimakawa mutane da yawa magance abubuwan da ke haifar da sciatica, haɓaka tsarin warkarwa na jiki, da kuma taimakawa wajen ba da taimako mai mahimmanci daga. zafi.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Bita na yau da kullun da meta-bincike na tasiri da abubuwan da suka faru na gabapentin da pregabalin don ciwon sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Inganci da aminci na acupuncture far don sciatica: nazari na yau da kullun da meta-bincike na hanyoyin sarrafawa bazuwar. Neurosci na gaba, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Ga mutanen da ke fama da ciwon pelvic, zai iya zama rashin lafiya na jijiyar pudendal da aka sani da pudendal neuropathy ko neuralgia wanda ke haifar da ciwo mai tsanani. Ana iya haifar da yanayin ta hanyar kama jijiya na pudendal, inda jijiyar ta zama matse ko lalacewa. Shin sanin alamun bayyanar cututtuka na iya taimakawa ma'aikatan kiwon lafiya daidai ganewar yanayin da kuma samar da ingantaccen tsarin kulawa?
Pudendal Neuropathy
Jijiya ta pudendal ita ce babbar jijiyar da ke hidima ga perineum, wanda shine yanki tsakanin dubura da al'aura - maƙarƙashiya a cikin maza da vulva a cikin mata. Jijiya na pudendal yana gudana ta tsokoki / gindi da kuma cikin perineum. Yana ɗaukar bayanan azanci daga al'aurar waje da fata a kusa da dubura da perineum kuma yana watsa siginar motsi / motsi zuwa tsokoki daban-daban na ƙashin ƙugu. (Origoni, M. et al., 2014) Pudendal neuralgia, wanda kuma ake magana a kai a matsayin neuropathy na pudendal, cuta ce ta jijiyar ƙwayar cuta wanda zai iya haifar da ciwo mai tsanani.
Sanadin
Ciwon pelvic na yau da kullun daga neuropathy na pudendal na iya haifar da kowane ɗayan waɗannan (Kaur J. et al., 2024)
Zama mai yawa akan filaye masu wuya, kujeru, kujerun keke, da sauransu. Masu keke sukan haifar da tarkon jijiyoyi.
Raunin ga gindi ko ƙashin ƙugu.
Haihuwa.
Ciwon sukari neuropathy.
Samfuran ƙasusuwa waɗanda ke turawa a kan jijiya ta pudendal.
Kauri na ligaments a kusa da jijiyar pudendal.
Alamun
Za a iya siffanta ciwon jijiya na Pudendal a matsayin soka, takurawa, konewa, tausasawa, ko fil da allura kuma yana iya gabatarwa (Kaur J. et al., 2024)
A cikin perineum.
A cikin dubura yankin.
A maza, jin zafi a cikin maƙogwaro ko azzakari.
A cikin mata, jin zafi a cikin labia ko vulva.
Yayin saduwa.
Lokacin fitsari.
Yayin motsin hanji.
Lokacin zaune kuma ya tafi bayan ya tashi.
Domin sau da yawa bayyanar cututtuka suna da wuyar ganewa, pudendal neuropathy na iya sau da yawa da wuya a bambanta da sauran nau'in ciwon pelvic na yau da kullum.
Ciwon Cyclist Syndrome
Tsawon zama a kan kujerar keke na iya haifar da matsewar jijiyar pelvic, wanda zai iya haifar da ciwo mai tsanani. Yawan ciwon neuropathy na pudendal (ciwon pelvic na yau da kullum wanda ke haifar da tarko ko matsawa na jijiyar pudendal) ana kiransa da Ciwon Cyclist. Zama akan wasu kujerun keke na dogon lokaci yana sanya matsi mai mahimmanci akan jijiyar pudendal. Matsi na iya haifar da kumburi a kusa da jijiyar, wanda ke haifar da ciwo kuma, a kan lokaci, zai iya haifar da raunin jijiya. Ƙunƙarar jijiyoyi da kumburi na iya haifar da ciwo da aka kwatanta da konewa, konewa, ko fil da allura. (Durante, JA, da Macintyre, IG 2010) Ga mutanen da ke da ciwon neuropathy na pudendal wanda ke haifar da hawan keke, alamu na iya bayyana bayan tsawan hawan keke kuma wani lokacin watanni ko shekaru bayan haka.
Ɗauki hutu aƙalla 20-30 seconds bayan kowane minti 20 na hawa.
Yayin hawan, canza matsayi akai-akai.
Tsaya zuwa feda lokaci-lokaci.
Ɗauki lokaci tsakanin zaman hawan hawa da tsere don hutawa da shakatawa da jijiyoyi na ƙashin ƙugu. 3-10 kwanakin hutu na iya taimakawa wajen farfadowa. (Durante, JA, da Macintyre, IG 2010)
Idan alamun ciwon ƙashin ƙugu da kyar suka fara tasowa, huta kuma ka ga ma'aikacin lafiya ko ƙwararre don dubawa.
wurin zama
Yi amfani da wurin zama mai laushi, mai faɗi tare da ɗan gajeren hanci.
Samun matakin wurin zama ko karkatar da ɗan gaba.
Wuraren zama tare da ramukan yankewa suna sanya ƙarin matsa lamba akan perineum.
Idan numbness ko zafi ya kasance, gwada wurin zama ba tare da ramuka ba.
Gyaran Keke
Daidaita tsayin wurin zama don haka gwiwa ta dan karkata a kasan bugun feda.
Nauyin jiki yakamata ya tsaya akan kasusuwan zaune/ tuberosities na ischial.
Tsayawa tsayin sandar hannu a ƙasan wurin zama na iya rage matsi.
Ya kamata a guji matsananciyar matsayar bike na Triathlon.
Madaidaicin matsayi ya fi kyau.
Kekunan tsaunuka sun kasance suna da alaƙa da ƙarin haɗarin rashin ƙarfi fiye da kekunan hanya.
Shorts
Saka guntun wando na keke.
jiyya
Mai ba da lafiya zai iya amfani da haɗin jiyya.
Za a iya bi da ciwon neuropathy tare da hutawa idan dalilin ya wuce yawan zama ko hawan keke.
Shirye-shiryen gyaran jiki, gami da mikewa da motsa jiki da aka yi niyya, na iya sakin tarkon jijiya.
gyare-gyare na chiropractic zai iya daidaita kashin baya da ƙashin ƙugu.
Dabarar sakin aiki mai aiki / ART ta ƙunshi yin amfani da matsa lamba ga tsokoki a cikin yanki yayin da yake shimfiɗawa da kuma ɗagawa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
Tushen jijiyoyi na iya taimakawa rage radadin da aka samu sakamakon kama jijiya. (Kaur J. et al., 2024)
Ana iya ba da wasu masu shakatawa na tsoka, antidepressants, da anticonvulsants, wani lokaci a hade.
Rauni Medical Chiropractic da Ayyukan Magungunan Kulawa na Kulawa na Clinical tsare-tsaren kulawa da sabis na asibiti sun ƙware kuma suna mai da hankali kan raunin da ya faru da cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya da abinci mai gina jiki, Ciwon Ciki na yau da kullun, Rauni na mutum, Kulawa da Hatsari na Auto, Rauni na Aiki, Raunin Baya, Ƙarƙashin Ciwon Baya, Ciwon Wuya, Ciwon kai na Migraine, Rauni na wasanni, sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Raunuka masu rikitarwa, Gudanar da damuwa, da Jiyya na Magunguna. Idan mutum yana buƙatar wasu magani, za a tura su zuwa asibiti ko likita mafi dacewa da yanayin su, kamar yadda Dokta Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko.
Ciki da Sciatica
References
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Hanyoyin neurobiological na ciwon pelvic. BioMed bincike na kasa da kasa, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Ciwon jijiya na Pudendal a cikin ɗan wasan Ironman: rahoton shari'a. Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Bincike, Gyarawa da Dabarun Rigakafi don Pudendal Neuropathy a cikin Cyclists, Bita na Tsari. Mujallar ilimin halittar jiki da kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Ga mutanen da suka ƙare duk sauran zaɓuɓɓukan magani don ƙananan ciwon baya da kuma tushen jijiya, shin tiyata na laser laser zai iya taimakawa wajen rage matsawar jijiyoyi da kuma samar da jin zafi na dindindin?
Laser Surgery
Yin tiyatar kashin baya na Laser hanya ce ta fiɗa kaɗan wacce ke amfani da Laser don yankewa da cire sassan kashin baya waɗanda ke danne jijiyoyi kuma suna haifar da ciwo mai tsanani. Hanya mafi ƙanƙanta sau da yawa yakan haifar da ƙarancin ciwo, lalacewar nama, da farfadowa da sauri fiye da mafi yawan tiyata.
Ta yaya Yana Works
Ƙananan hanyoyi masu haɗari suna haifar da ƙarancin tabo da lalacewa ga tsarin da ke kewaye da su, sau da yawa rage alamun ciwo da ɗan gajeren lokacin dawowa. (Stern, J. 2009) Ana yin ƙananan ɓarna don samun damar sifofin ginshiƙan kashin baya. Tare da aikin tiyata na baya-baya, ana yin babban ɓangarorin ƙasa a baya don samun dama ga kashin baya. Tiyatar ta bambanta da sauran tiyata a cikin cewa ana amfani da katako na Laser, maimakon sauran kayan aikin tiyata don yanke sassa a cikin kashin baya. Duk da haka, ƙaddamarwar farko ta cikin fata ana yin ta ne da ƙwanƙolin fiɗa. Laser taƙaitaccen bayani ne don Ƙara Hasken Ƙarfafawa ta hanyar Emission of Radiation. Laser na iya haifar da zafi mai tsanani don yanke ta cikin kyallen takarda, musamman waɗanda ke da babban abun ciki na ruwa, kamar fayafai na kashin baya. (Stern, J. 2009) Don yawancin tiyata na kashin baya, ba za a iya amfani da laser don yanke ta kashi ba yayin da yake haifar da tartsatsin gaggawa wanda zai iya lalata tsarin da ke kewaye. Maimakon haka, ana amfani da tiyata na laser da farko don yin discectomy, wanda shine fasaha na tiyata wanda ke kawar da wani yanki na bulging ko herniated diski wanda ke turawa a kan tushen jijiya da ke kewaye da shi, yana haifar da matsawa na jijiyoyi da ciwon sciatic. (Stern, J. 2009)
Hadarin tiyata
Yin tiyatar kashin baya na Laser na iya taimakawa wajen warware dalilin datse tushen jijiya, amma akwai ƙarin haɗarin lalacewa ga tsarin da ke kusa. Hadarin da ke da alaƙa sun haɗa da: (Brouwer, PA et al., 2015)
kamuwa da cuta
Bleeding
Ruwan jini
Alamomin da suka rage
Alamun dawowa
Ƙarin lalacewar jijiya
Lalacewa ga membrane a kusa da kashin baya.
Bukatar ƙarin tiyata
Laser katako ba daidai ba ne kamar sauran kayan aikin tiyata kuma yana buƙatar ƙwarewa da sarrafawa don guje wa lalacewa ga kashin baya da tushen jijiya. (Stern, J. 2009) Saboda lasers ba zai iya yanke ta kashi ba, ana amfani da sauran kayan aikin tiyata a kusa da kusurwoyi da kuma a kusurwoyi daban-daban saboda sun fi dacewa kuma suna ba da izini mafi girma. (Atlantic Brain da Spine, 2022)
Nufa
Ana yin tiyatar kashin baya na Laser don cire tsarin da ke haifar da matse tushen jijiya. Tushen tushen jijiya yana da alaƙa da yanayi masu zuwa (Cleveland Clinic. 2018)
Fayafai masu fashewa
Harsiated fayafai
Sciatica
Ƙwararriyar cututtuka
Ciwon mararsa
Tushen jijiyoyi waɗanda suka ji rauni ko lalacewa kuma suna aika siginar ciwo na yau da kullun za a iya shafe su tare da tiyata na laser, wanda aka sani da zubar da jijiya. Laser yana ƙonewa kuma yana lalata zaruruwan jijiya. (Stern, J. 2009) Saboda tiyatar kashin baya na Laser yana da iyakancewa wajen magance wasu cututtuka na kashin baya, yawancin hanyoyin da ba su da yawa ba sa amfani da Laser. (Atlantic Brain da Spine. 2022)
Shiri
Ƙungiyar tiyata za ta ba da ƙarin cikakkun bayanai game da abin da za a yi a cikin kwanaki da sa'o'i kafin tiyata. Don inganta ingantacciyar waraka da samun sauƙi mai sauƙi, ana ba da shawarar cewa majiyyaci ya ci gaba da aiki, ya ci abinci mai kyau, kuma ya daina shan taba kafin aikin. Mutane na iya buƙatar dakatar da shan wasu magunguna don hana zubar jini da yawa ko hulɗa tare da maganin sa barci yayin aikin. Sanar da mai ba da lafiya game da duk takardun magani, magungunan kan-da-counter, da kari da ake sha.
Yin tiyatar kashin baya na Laser hanya ce ta marasa lafiya a asibiti ko cibiyar fiɗa. Mai yiwuwa majiyyaci zai koma gida a ranar da aka yi aikin. (Cleveland Clinic. 2018) Marasa lafiya ba za su iya tuƙi zuwa ko daga asibiti kafin ko bayan tiyata, don haka shirya ’yan uwa ko abokai don ba da sufuri. Rage damuwa da ba da fifiko ga lafiyayyen tunani da jin daɗin rai yana da mahimmanci don rage kumburi da taimakawa dawo da. Mafi koshin lafiya mara lafiya ya shiga aikin tiyata, sauƙin farfadowa da gyara zai kasance.
tsammanin
Majiyyaci da ma'aikatan kiwon lafiya ne za su yanke shawarar tiyata kuma a tsara su a asibiti ko cibiyar fiɗa. Shirya abokin ko dangi don tuƙi zuwa tiyata da gida.
Kafin tiyata
Za a kai majinyacin zuwa dakin da za a yi masa tiyata a nemi ya canza zuwa riga.
Mai haƙuri zai yi ɗan gajeren gwajin jiki kuma ya amsa tambayoyi game da tarihin likita.
Mara lafiyar yana kwance akan gadon asibiti, kuma wata ma'aikaciyar jinya ta saka IV don isar da magunguna da ruwa.
Tawagar masu aikin tiyata za su yi amfani da gadon asibiti don jigilar mara lafiya ciki da waje da dakin tiyata.
Tawagar tiyata za ta taimaka wa majiyyaci wajen hawa teburin aiki, kuma za a yi wa mara lafiyar maganin sa barci.
Mai haƙuri na iya karɓa maganin rigakafi na gaba ɗaya, wanda zai sa majiyyaci barci don aikin tiyata, ko maganin sa barci na yanki, allura a cikin kashin baya don rage yankin da abin ya shafa. (Cleveland Clinic. 2018)
Tawagar masu aikin tiyata za su bakara fata a inda za a yi yankan.
Za a yi amfani da maganin antiseptik don kashe ƙwayoyin cuta da kuma hana haɗarin kamuwa da cuta.
Da zarar an tsabtace jiki, za a rufe jiki da rigar lilin da aka haɗe don kiyaye tsabtar wurin tiyata.
Lokacin Tiyata
Don discectomy, likitan fiɗa zai yi ɗan ƙaramin yanki ƙasa da inci ɗaya a tsayi tare da ƙwanƙwasa tare da kashin baya don samun damar tushen jijiya.
Kayan aikin tiyata da ake kira endoscope shine kamara da aka saka a cikin yanka don duba kashin baya. (Brouwer, PA et al., 2015)
Da zarar ɓangaren diski mai matsala wanda ke haifar da matsawa yana samuwa, ana saka Laser don yanke ta cikinsa.
An cire ɓangaren diski da aka yanke, kuma an ɗaure wurin da aka yanka.
Bayan Tiyata
Bayan tiyata, an kawo majiyyaci zuwa dakin farfadowa, inda ake kula da alamun mahimmanci yayin da tasirin maganin sa barci ya ƙare.
Da zarar an daidaita, majiyyaci na iya komawa gida sa'o'i ɗaya ko biyu bayan aikin.
Likitan fiɗa zai ƙayyade lokacin da mutum ya bayyana don ci gaba da tuƙi.
farfadowa da na'ura
Bayan discectomy, mutum zai iya komawa bakin aiki a cikin ƴan kwanaki zuwa wasu makonni, ya danganta da tsananin, amma yana iya ɗaukar watanni uku kafin ya koma ayyukan yau da kullun. Tsawon farfadowa zai iya kasancewa daga makonni biyu zuwa hudu ko ƙasa da haka don ci gaba da aikin zaman gida ko makonni takwas zuwa 12 don aikin da ya fi buƙatar jiki wanda ke buƙatar ɗaukar nauyi. (Jami'ar Wisconsin Makarantar Magunguna da Kiwon Lafiyar Jama'a, 2021) A cikin makonni biyu na farko, za a ba wa majiyyaci ƙuntatawa don sauƙaƙe warkar da kashin baya har sai ya sami kwanciyar hankali. Ƙuntatawa na iya haɗawa da: (Jami'ar Wisconsin Makarantar Magunguna da Kiwon Lafiyar Jama'a, 2021)
Babu lankwasawa, karkatarwa, ko ɗagawa.
Babu wani motsa jiki mai ƙarfi, gami da motsa jiki, aikin gida, aikin yadi, da jima'i.
Babu barasa a farkon matakin farfadowa ko yayin shan magungunan ciwon narcotic.
Babu tuƙi ko sarrafa abin hawa har sai an tattauna da likitan fiɗa.
Mai ba da kiwon lafiya na iya ba da shawarar fannin jiki don shakatawa, ƙarfafawa, da kuma kula da lafiyar musculoskeletal. Jiyya na iya zama sau biyu zuwa uku a mako-mako har tsawon makonni hudu zuwa shida.
Kula da kyawawan halaye da koyon yadda ake jurewa da sarrafa damuwa.
Kula da ruwan jiki.
Bin tsarin motsa jiki kamar yadda likitan jiki ya tsara.
Yin aiki mai kyau tare da zama, tsaye, tafiya, da barci.
Tsayawa aiki da iyakance adadin lokacin da aka kashe a zaune. Yi ƙoƙarin tashi da tafiya kowane sa'o'i ɗaya zuwa biyu a cikin yini don kasancewa cikin aiki da kuma hana zubar jini. A hankali ƙara adadin lokaci ko nisa yayin da ake ci gaba da farfadowa.
Kar a tura yin yawa da wuri. Yin aiki da yawa zai iya ƙara ciwo da jinkirta dawowa.
Koyon ingantattun dabarun ɗagawa don amfani da cibiya da tsokoki na ƙafa don hana ƙara matsa lamba akan kashin baya.
Tattauna zaɓuɓɓukan magani don sarrafa alamun bayyanar cututtuka tare da mai ba da kiwon lafiya ko ƙwararru don sanin ko aikin tiyata na laser ya dace. Rauni Medical Chiropractic da Ayyukan Magungunan Kulawa na Kulawa na Clinical tsare-tsaren kulawa da sabis na asibiti sun ƙware kuma suna mai da hankali kan raunin da ya faru da cikakken tsarin dawowa. Dr. Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko. Muna mai da hankali kan maido da ayyukan jiki na yau da kullun bayan rauni da raunin nama mai laushi ta amfani da Ka'idojin Chiropractic na Musamman, Shirye-shiryen Lafiya, Ayyuka da Tsarin Abinci mai gina jiki, Ƙarfafawa da Motsawa Fitness Training, da Tsarin Gyarawa ga duk shekaru daban-daban. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Jin zafi na yau da kullun, Rauni na mutum, Kulawa da Hatsari na Auto, Raunin Aiki, Rauni na Baya, Ciwon Baya, Ciwon Wuya, Ciwon kai na Migraine, Raunukan wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Rauni mai rikitarwa, Gudanar da Damuwa, Jiyya na Magungunan Aiki, da ka'idojin kulawa a cikin iyaka.
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Ƙarƙashin diski na laser na yau da kullun tare da microdiscectomy na al'ada a cikin sciatica: gwaji mai sarrafa bazuwar. Jaridar kashin baya: Jaridar hukuma ta Arewacin Amurka Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spine.2015.01.020
Jami'ar Wisconsin Makarantar Magunguna da Kiwon Lafiyar Jama'a. (2021). Umarnin Kula da Gida Bayan Lumbar Laminectomy, Decompression ko Surgery Discectomy. patient.uwhealth.org/healthfacts/4466
Mutane na iya gano dunƙule, dunƙule, ko nodule a ƙarƙashin fata a kusa da ƙananan baya, hips, da sacrum wanda zai iya haifar da ciwo ta hanyar matsawa jijiyoyi da lalata fascia. Shin sanin yanayin da ke da alaƙa da su da alamun su na iya taimaka wa masu ba da kiwon lafiya su ƙayyade ainihin ganewar asali da haɓaka tsarin kulawa mai kyau a gare su?
Ciwon Kumburi, Nodules A Kewaye da Ƙasashen Baya, Hips, da Sacrum
Jama'a masu raɗaɗi a ciki da kewayen kwatangwalo, da sacrum, kuma kasan baya shine kullun kitse ko lipomas, fibrous nama, ko wasu nau'ikan nodules waɗanda ke motsawa lokacin da aka danna. Wasu masu ba da kiwon lafiya da chiropractors, musamman, suna amfani da kalmar marasa magani baya beraye (A cikin 1937, an yi amfani da kalmar don bayyana lumps hade da episacroiliac lipoma) don bayyana kullun. Wasu ƙwararrun ƙwararrun kiwon lafiya suna jayayya akan kiran talakawan beraye saboda bai takamaimai ba kuma yana iya haifar da kuskure ko magani mara kyau.
Yawancin suna nunawa a cikin ƙananan baya da yankin hip.
A wasu lokuta, suna fitowa ko herniate ta hanyar lumbodorsal fascia ko cibiyar sadarwa na nama mai haɗi wanda ke rufe zurfin tsokoki na ƙananan baya da na tsakiya.
Sauran kullutu na iya tasowa a cikin nama a ƙarƙashin fata.
A yau, yawancin yanayi suna da alaƙa da kullun berayen baya, gami da:
Iliac crest ciwo ciwo
Multifidus triangle ciwo
Lumbar fascial mai herniation
Lumbosacral (sacrum) mai herniation
Episacral lipoma
Sharuɗɗa masu alaƙa
Ciwon Ciwon Iliac Crest
Har ila yau, an san shi da ciwon iliolumbar, ciwo mai zafi na iliac crest yana tasowa lokacin da hawaye a cikin ligament ya faru.
Ƙungiyar ligament ta haɗa na huɗu da na biyar na lumbar vertebrae tare da ilium a gefe ɗaya. (Dąbrowski, K. Ciszek, B. 2023)
Dalilan sun hada da:
Yaga ligament daga maimaita lankwasawa da karkatarwa.
Ragewa ko karaya na kashin ilium wanda faɗuwa ko haɗarin abin hawa ya haifar.
Multifidus Triangle Syndrome
Multifidus triangle ciwo yana tasowa lokacin da tsokoki na multifidus tare da kashin baya ya raunana kuma ya rage aiki ko iyawa.
Wadannan tsokoki na iya atrophy, kuma intramuscular m nama iya maye gurbin tsoka.
Ƙunƙarar tsokoki na rage kwanciyar hankali na kashin baya kuma zai iya haifar da ƙananan ciwon baya. (Seyedhoseinpoor, T. et al., 2022)
Lumbar Facial Fat Herniation
Lumbodorsal fascia wani bakin ciki ne na fibrous membrane wanda ke rufe zurfin tsokoki na baya.
Lumbar fascial kit herniation wani nau'i ne mai raɗaɗi mai raɗaɗi wanda ke fitowa ko kuma ta shiga ta cikin membrane, yana kama da kumburi, kuma yana haifar da ciwo.
A halin yanzu ba a san abubuwan da ke haifar da wannan nau'in herniation ba.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral ya bayyana inda kashin baya na lumbar ya hadu da sacrum.
Lumbosacral fat herniation wani taro ne mai raɗaɗi kamar lumbar fuska da fuska a wani wuri daban-daban a kusa da sacrum.
A halin yanzu ba a san abubuwan da ke haifar da wannan nau'in herniation ba.
Episacral Lipoma
Episacral lipoma ƙaramin nodule ne mai raɗaɗi a ƙarƙashin fata wanda ke tasowa da farko a saman saman gefen ƙashin ƙashin ƙashin ƙugu. Wadannan kullun suna faruwa ne lokacin da wani yanki na kushin kitse na dorsal ya fito ta hanyar hawaye a cikin thoracodorsal fascia, nama mai haɗi wanda ke taimakawa wajen riƙe tsokoki na baya a wuri. (Erdem, HR et al., 2013)Ma'aikacin kiwon lafiya na iya tura mutum zuwa likitan kashin baya ko likitan kashin baya don wannan lipoma. Hakanan mutum zai iya samun jin zafi daga mai ilimin tausa wanda ya saba da yanayin. (Erdem, HR et al., 2013)
Alamun
Sau da yawa ana iya ganin kullun baya a ƙarƙashin fata. Yawanci suna da tausayi ga taɓawa kuma suna iya yin zama a kujera ko kwance a baya da wuya, kamar yadda sukan bayyana a kan kasusuwa na hip da sacroiliac yankin. (Bicket, MC et al., 2016nodules na iya:
Kasance m ko m.
Yi jin daɗi na roba.
Matsa a ƙarƙashin fata lokacin da aka danna.
Sanadin zafi mai tsanani, mai tsanani.
Ciwo yana haifar da matsa lamba akan dunƙule, wanda ke matsawa jijiyoyi.
Lalacewa ga fascia mai tushe kuma na iya haifar da alamun zafi.
ganewar asali
Wasu mutane ba sa gane cewa suna da nodules ko lumps har sai an matsa lamba. Chiropractors da masu aikin tausa sau da yawa suna samun su yayin jiyya amma ba sa tantance ci gaban kitse mara kyau. Mai chiropractor ko mai ilimin tausa zai tura majiyyaci ga ƙwararren likitan fata ko ƙwararren likita wanda zai iya yin nazarin hoto da biopsy. Ƙayyade abin da ƙullun na iya zama ƙalubale saboda ba su da takamaiman. Ma'aikatan kiwon lafiya wani lokaci suna bincikar nodules ta hanyar allurar su da maganin sa barcin gida. (Bicket, MC et al., 2016)
Binciken Daban-daban
Tushen mai na iya zama kowane adadin abubuwa, kuma iri ɗaya ya shafi tushen ciwon jijiya. Ma'aikacin kiwon lafiya na iya ƙara bincikar cutar ta hanyar yanke wasu dalilai, waɗanda zasu iya haɗawa da:
Sebaceous Cysts
Kasuli mai laushi, mai cike da ruwa tsakanin yadudduka na fata.
Murcutaneous Kucayyar
Tarin mugunya a ƙarƙashin fata.
Yawancin lokaci mai zafi.
Yana iya zama kumburi.
Sciatica
Radiating jijiya zafi saukar da daya ko biyu kafafu da aka lalacewa ta hanyar herniated faifai, kasusuwa spur, ko spasming tsokoki a cikin ƙananan baya.
Liposarcoma
Ciwace-ciwacen ciwace-ciwace na iya bayyana wani lokaci azaman tsiro mai kitse a cikin tsokoki.
Liposarcoma yawanci ana gano shi ta hanyar biopsy, inda aka cire wasu nama daga nodule kuma a bincika ƙwayoyin cutar kansa. (Johns Hopkins Medicine. 2024)
Hakanan ana iya yin gwajin MRI ko CT don tantance ainihin wurin nodule.
Lipomas masu raɗaɗi kuma suna haɗuwa da fibromyalgia.
Jiyya
Nodules na baya yawanci ba su da kyau, don haka babu dalilin cire su sai dai idan suna haifar da ciwo ko matsalolin motsi (Cibiyar Nazarin Orthopedic ta Amurka: OrthoInfo. 2023). Duk da haka, ya kamata a bincika su don tabbatar da cewa ba su da ciwon daji. Jiyya yawanci ya ƙunshi alluran maganin sa barci, irin su lidocaine ko corticosteroids, da kuma masu rage radadin kan-da-counter kamar NSAIDs.
Surgery
Idan zafi ya yi tsanani, ana iya ba da shawarar cirewar tiyata. Wannan ya haɗa da yanke taro da gyara fascia don samun taimako mai dorewa. Koyaya, ƙila ba za a ba da shawarar cirewa ba idan akwai nodules da yawa, saboda wasu mutane na iya samun ɗaruruwa. Liposuction na iya yin tasiri idan ƙullun sun fi ƙanƙanta, sun fi girma, kuma sun ƙunshi ƙarin ruwa. (Likitan Iyali na Amurka. 2002) Matsalolin cirewar fiɗa na iya haɗawa da:
Gyarawa
Zamawa
Tsarin fata mara daidaituwa
kamuwa da cuta
Karin Magani da Madadin
Jiyya na Kyauta da Madadin Magunguna kamar acupuncture, busassun buƙatun, da magudin kashin baya na iya taimakawa. Yawancin masu chiropractors sun yi imanin cewa nodules na baya za a iya samun nasarar magance su tare da ƙarin hanyoyin kwantar da hankali da madadin. Hanyar gama gari tana amfani da acupuncture da magudin kashin baya a hade. Wani bincike na shari'a ya ruwaito cewa allurar rigakafi da ke biye da buƙatun buƙatun, wanda yayi kama da acupuncture, ya inganta jin zafi. (Bicket, MC et al., 2016)
Rauni Medical Chiropractic da Aikin Magungunan Magungunan Kwarewa na ƙwararrun hanyoyin kwantar da hankali da kuma hanyoyin gyaran gyare-gyare na aikin da aka mayar da hankali kan maido da ayyukan jiki na yau da kullun bayan rauni da raunin nama mai laushi da cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Jin zafi na yau da kullun, Rauni na mutum, Kula da Hatsari na Auto, Rauni na Aiki, Raunin Baya, Ciwon Ƙarƙashin Baya, Ciwon Wuya, Ciwon kai na Migraine, Raunukan wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Rauni mai rikitarwa, Gudanar da Damuwa, Jiyya na Magungunan Aiki, da ka'idojin kulawa a cikin iyaka. Idan mutum yana buƙatar wasu magani, za a tura su zuwa asibiti ko likita mafi dacewa da yanayin su, kamar yadda Dokta Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko.
Bayan Sama
References
Dąbrowski, K., & Ciszek, B. (2023). Anatomy da ilimin halittar jiki na ligament iliolumbar. Tiyata da aikin jiki na rediyo: SRA, 45(2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Canje-canje na ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta: nazari na yau da kullum da meta-bincike. Jaridar kashin baya: Jaridar hukuma ta Arewacin Amurka Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spine.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Mujallar Turkawa Society of Algology, 25(2), 83-86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Mafi Kyawun Shirye-shiryen "Back Mice" da Maza: Rahoton Shari'a da Nazarin Adabin Episacroiliac Lipoma. Likitan ciwo, 19 (3), 181-188.
Lokacin da sciatica ko wasu radiating jijiya zafi gabatar, iya koyo don bambanta tsakanin ciwon jijiya da kuma daban-daban na jin zafi taimaka mutane gane lokacin da kashin baya jijiya Tushen ya yi fushi ko matsa ko mafi tsanani matsaloli da bukatar likita?
Kowane bangare yana da tushen jijiya a dama da hagu wanda ke ba da injina da ayyukan azanci ga gaɓoɓi.
Reshen sadarwa na gaba da na baya sun haɗu don samar da jijiyoyi na kashin baya waɗanda ke fita daga canal na kashin baya.
Sassan kashin baya na 31 suna haifar da jijiyoyi 31 na kashin baya.
Kowannensu yana watsa shigarwar jijiya mai hankali daga takamaiman yanki na fata a wancan gefe da yanki na jiki.
Waɗannan yankuna ana kiransu dermatome.
Ban da jijiya na kashin baya na farko na mahaifa, dermatomes suna wanzuwa ga kowane jijiyar kashin baya.
Jijiyoyin kashin baya da dermatoma masu alaƙa suna samar da hanyar sadarwa a duk faɗin jiki.
Manufar Dermatomes
Dermatomes sune wuraren jiki/ fata tare da shigar da hankali da aka ba wa jijiyoyi na kashin baya. Kowane tushen jijiya yana da dermatome mai alaƙa, kuma rassa daban-daban suna ba da kowane dermatome daga tushen jijiya ɗaya. Dermatomes hanyoyi ne ta inda bayanai masu ban sha'awa a cikin fata ke watsa sigina zuwa kuma daga tsarin juyayi na tsakiya. Hankalin da ake jin jiki, kamar matsa lamba da zafin jiki, ana yada su zuwa tsarin kulawa na tsakiya. Lokacin da tushen jijiya na kashin baya ya zama matsa lamba ko fushi, yawanci saboda ya shiga cikin wani tsari, yana haifar da radiculopathy. (Cibiyoyin Kiwon Lafiya na Ƙasa: Cibiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. 2020).
Radiculopathy
Radiculopathy yana bayyana alamun bayyanar cututtuka da ke haifar da jijiyar da aka dade tare da kashin baya. Alamu da jin daɗi sun dogara ne akan inda aka tsinke jijiyar da girman matsi.
mahaifa
Wannan ciwo ne na raɗaɗi da / ko na'urar jijiya lokacin da aka matsa tushen jijiya a cikin wuyansa.
Yana sau da yawa yana ba da ciwon da ke gangarowa hannu ɗaya.
Hakanan ma daidaikun mutane na iya samun jin daɗin wutar lantarki kamar fil da allura, firgita, da ƙonawa, da kuma alamun motsi kamar rauni da rauni.
lumbar
Wannan radiculopathy yana haifar da matsawa, kumburi, ko rauni ga jijiyar kashin baya a cikin ƙananan baya.
Hankali na ciwo, rashin jin daɗi, tingling, lantarki ko jin zafi, da alamun motsi kamar raunin tafiya ƙasa ɗaya kafa ɗaya ne na kowa.
ganewar asali
Wani ɓangare na gwajin jiki na radiculopathy yana gwada dermatomes don jin daɗi. Mai aikin zai yi amfani da takamaiman gwaje-gwaje na hannu don tantance matakin kashin baya wanda alamun suka samo asali. Gwaje-gwaje na hannu sau da yawa suna tare da gwaje-gwajen hoto na bincike kamar MRI, wanda zai iya nuna rashin daidaituwa a cikin tushen jijiya na kashin baya. Cikakken nazarin jiki zai ƙayyade idan tushen jijiya na kashin baya shine tushen alamun.
Magance Dalilai masu Mahimmanci
Yawancin cututtuka na baya za a iya bi da su tare da magungunan ra'ayin mazan jiya don samar da ingantaccen jin zafi. Don faifan diski mai rauni, alal misali, ana iya ba wa ɗaiɗai shawarar su huta kuma su ɗauki maganin hana kumburin da ba na istiroidal ba. Acupuncture, jiyya na jiki, chiropractic, raunin da ba a yi ba, ko decompression hanyoyin kwantar da hankali za a iya kuma rubuta. Don ciwo mai tsanani, ana iya ba wa daidaikun mutane allurar steroid na epidural wanda zai iya ba da jin zafi ta hanyar rage kumburi. (Cibiyar Nazarin Orthopedic ta Amurka: OrthoInfo. 2022) Don ƙwanƙwasa na kashin baya, mai badawa zai iya fara mayar da hankali kan farfadowa na jiki don inganta lafiyar gaba ɗaya, ƙarfafa ciki da tsokoki na baya, da kuma kiyaye motsi a cikin kashin baya. Magunguna masu raɗaɗi, ciki har da NSAIDs da corticosteroid injections, na iya rage kumburi da kuma rage zafi. (Kwalejin Rheumatology ta Amurka. 2023) Masu ilimin motsa jiki na jiki suna ba da magunguna daban-daban don rage alamun bayyanar cututtuka, ciki har da aikin hannu da na'ura mai kwakwalwa da ƙwaƙwalwa. Ana iya ba da shawarar tiyata don lokuta na radiculopathy waɗanda ba su da amsa ga jiyya na mazan jiya.
Rauni Medical Chiropractic da Ayyukan Magungunan Kulawa na Kulawa na Clinical tsare-tsaren kulawa da sabis na asibiti sun ƙware kuma suna mai da hankali kan raunin da ya faru da cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Jin zafi na yau da kullun, Rauni na mutum, Kula da Hatsari na Auto, Rauni na Aiki, Raunin Baya, Ciwon Ƙarƙashin Baya, Ciwon Wuya, Ciwon kai na Migraine, Raunukan wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ciwo, Rauni mai rikitarwa, Gudanar da Damuwa, Jiyya na Magungunan Aiki, da ka'idojin kulawa a cikin iyaka. Muna mayar da hankali kan maido da ayyukan jiki na yau da kullun bayan rauni da raunin nama mai laushi ta amfani da Ka'idojin Chiropractic na Musamman, Shirye-shiryen Lafiya, Ayyuka da Haɗin Gina Jiki, Ƙarfafawa, da Koyarwar Fitness na Motsi, da Tsarin Gyarawa ga duk shekaru daban-daban. Idan mutum yana buƙatar wani magani, za a tura shi zuwa asibiti ko likita wanda ya fi dacewa da yanayin su. Dr. Jimenez ya haɗu tare da manyan likitocin tiyata, ƙwararrun likitoci, masu bincike na likita, masu kwantar da hankali, masu horarwa, da masu samar da gyaran gyare-gyare na farko don kawo El Paso, manyan magungunan asibiti, ga al'ummarmu.
Mayar da Motsin ku: Kulawar Chiropractic Don farfadowa da Sciatica
Ga mutanen da ke fama da ciwon kai na ƙaura, za su iya haɗawa da jiyya na jiki don taimakawa rage ciwo, inganta motsi, da sarrafa hare-haren gaba?
Maganin Jiki na Migraine
Ciwon kai na Cervicogenic na migraine na iya haifar da ciwo, ƙayyadaddun motsi, ko alamun rikicewa kamar dizziness ko tashin zuciya. Suna iya samo asali daga wuyansa ko kashin mahaifa kuma a kira su ciwon kai na cervicogenic. Ƙungiyar kwantar da hankali ta jiki na chiropractic zai iya tantance kashin baya kuma ya ba da jiyya da ke taimakawa wajen inganta motsi da rage ciwo. Mutane da yawa na iya amfana daga yin aiki tare da ƙungiyar motsa jiki ta migraine don yin jiyya don takamaiman yanayi, da sauri da aminci don kawar da ciwo da komawa zuwa matakin da suka gabata.
Cervical Spine Anatomy
Wuyan yana kunshe da ƙwararrun kashin mahaifa guda bakwai. Kashin mahaifar mahaifa yana kare kashin baya kuma ya ba da damar wuyan ya motsa ta:
Flexion
tsawo
juyawa
Lankwasawa gefe
Ƙwayoyin mahaifa na sama suna taimakawa wajen tallafawa kwanyar. Akwai haɗin gwiwa a kowane gefe na matakin mahaifa. Ɗaya yana haɗi zuwa bayan kwanyar kuma yana ba da damar motsi. Wannan yanki na suboccipital gida ne ga tsokoki da yawa waɗanda ke goyan bayan kai kuma suna motsa kai, tare da jijiyoyi waɗanda ke tafiya daga wuyan wuyansu ta wurin yankin suboccipital zuwa kai. Jijiya da tsokoki a wannan yanki na iya zama tushen ciwon wuyan wuya da / ko ciwon kai.
Alamun
Motsi na kwatsam na iya haifar da bayyanar cututtuka na migraine na cervicogenic, ko kuma suna iya zuwa a yayin da ake ci gaba da wuyan wuyansa. (Shafi na P. 2011) Alamomin cutar sau da yawa ba su da ƙarfi kuma ba su da ƙarfi kuma suna iya ɗaukar sa'o'i da yawa zuwa kwanaki. Alamomin ciwon kai na cervicogenic migraine na iya haɗawa da:
Ciwo a bangarorin biyu na bayan kai.
Ciwo a bayan kai wanda ke haskaka kafada ɗaya.
Jin zafi a gefe ɗaya na wuyan sama wanda ke haskakawa zuwa haikalin, goshi, ko ido.
Ciwo a gefe ɗaya na fuska ko kunci.
Rage motsi a wuyansa.
Hankali ga haske ko sauti
Tashin zuciya
Dizziness ko vertigo
ganewar asali
Kayan aikin likita na iya amfani da su sun haɗa da:
X-ray
MRI
CT dubawa
Gwajin jiki ya haɗa da kewayon motsin wuyan wuyansa da bugun wuyan wuya da kwanyar.
Ciwon jijiyoyi da allurai.
Nazarin hoto na wuya kuma na iya nuna:
Lesion
Kumburi ko herniated diski
Ragewar diski
Canje-canje na Arthritis
Maganin ciwon kai na Cervicogenic yawanci ana yin shi tare da gefe ɗaya, ciwon kai wanda ba shi da rauni da kuma asarar motsi na wuyansa. (Kwamitin Rarraba ciwon kai na Ƙungiyar Ciwon Kai ta Duniya. 2013) Ma'aikacin kiwon lafiya na iya mayar da mutum zuwa jiyya na jiki don magance ciwon kai na cervicogenic da zarar an gano shi. (Rana MV 2013)
jiki Far
Lokacin da aka fara ziyartar likitan kwantar da hankali, za su shiga cikin tarihin likita da yanayi, kuma za a yi tambayoyi game da farawar ciwo, halayen alamun, magunguna, da kuma binciken bincike. Har ila yau, mai ilimin hanyoyin kwantar da hankali zai yi tambaya game da jiyya na baya da kuma duba tarihin likita da tiyata. Abubuwan kimantawa na iya haɗawa da:
Palpation na wuyansa da kwanyar
Ma'auni na wuyansa kewayon motsi
Ma'aunin ƙarfi
Kima na baya
Da zarar an kammala kimantawa, mai ilimin hanyoyin kwantar da hankali zai yi aiki tare da mutum don haɓaka tsarin kulawa da keɓaɓɓen da kuma burin gyarawa. Akwai magunguna iri-iri.
Darasi
Ayyukan motsa jiki don inganta motsin wuyansa da rage matsa lamba akan jijiyoyi na mahaifa za a iya rubuta su kuma zai iya haɗawa. (Park, SK et al., 2017)
Juyawar mahaifa
Juyawar mahaifa
Lankwasawa gefen mahaifa
Janyewar mahaifa
Mai ilimin hanyoyin kwantar da hankali zai horar da mutum don yin motsi a hankali kuma a hankali kuma ya guje wa motsin kwatsam ko matsi.
Gyaran baya
Idan matsayi na gaba ya kasance, kashin baya na mahaifa na sama da yankin suboccipital na iya danne jijiyoyi da ke tafiya sama da bayan kwanyar. Gyaran matsayi na iya zama dabara mai tasiri don magani kuma yana iya haɗawa da:
Yin atisayen motsa jiki da aka yi niyya.
Yin amfani da matashin kai mai goyan baya don barci.
Amfani da goyan bayan lumbar lokacin zaune.
Kinesiology taping na iya taimakawa wajen haɓaka wayewar kai game da baya da matsayi na wuyansa da haɓaka fahimtar gaba ɗaya.
Zafi/ Kankara
Za a iya shafa zafi ko kankara a wuya da kwanyar don taimakawa rage zafi da kumburi.
Zafi na iya taimakawa wajen shakata matsewar tsokoki da inganta wurare dabam dabam kuma ana iya amfani da su kafin yin miƙar wuya.
massage
Idan m tsokoki suna iyakance motsi na wuyansa kuma suna haifar da ciwon kai, tausa zai iya taimakawa wajen inganta motsi.
Wata dabara ta musamman da ake kira sakin suboccipital tana sassauta tsokoki waɗanda ke haɗa kwanyar zuwa wuyansa don ingantacciyar motsi da raguwar jijiyoyi.
Hannun Hannu da Gogaggun Makanikai
Wani ɓangare na shirin gyaran jiki na ƙaura na iya haɗawa da injiniyanci ko haɗin gwiwar hannu don ƙaddamar da fayafai na wuyansa da haɗin gwiwa, inganta motsi a cikin wuyansa, da rage jin zafi.
Ana iya amfani da haɗin gwiwa don inganta motsin wuyansa da sarrafa ciwo. (Paquin, JP 2021)
Imuarfafa lantarki
Ƙarfafa wutar lantarki, kamar electro-acupuncture ko transcutaneous neuromuscular lantarki motsa jiki, za a iya amfani da a kan wuyan tsokoki don rage zafi da inganta ciwon kai bayyanar cututtuka.
Therapy Duration
Yawancin zaman jiyya na jiki na ƙaura don ciwon kai na cervicogenic yana wuce kimanin makonni hudu zuwa shida. Mutane na iya samun sauƙi a cikin ƴan kwanaki na fara jiyya, ko bayyanar cututtuka na iya zuwa su tafi cikin matakai daban-daban na makonni. Wasu kwarewa sun ci gaba da ciwon ciwon kai na migraine na tsawon watanni bayan fara magani da kuma amfani da dabarun da suka koya don taimakawa wajen sarrafa alamun.
Rauni Medical Chiropractic da Aiki Clinical Medicine ƙware a cikin ci gaba hanyoyin kwantar da hankali da kuma aikin gyara hanyoyin mayar da hankali a kan mayar da al'ada ayyuka na jiki bayan rauni da taushi nama rauni. Muna amfani da Ƙa'idodin Chiropractic na Musamman, Shirye-shiryen Lafiya, Ayyuka da Gina Jiki na Haɗewa, Ƙarfafawa da Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙadda ) na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa da Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa na Ƙarfafawa ga dukan shekaru. Shirye-shiryen mu na halitta suna amfani da ikon jiki don cimma takamaiman maƙasudai. Mun haɗu da manyan likitocin birni, masu kwantar da hankali, da masu horarwa don samar da ingantattun jiyya waɗanda ke ƙarfafa majinyatan mu don kula da mafi kyawun rayuwar rayuwa da rayuwa mai aiki tare da ƙarin kuzari, ɗabi'a mai kyau, ingantaccen bacci, da ƙarancin zafi. .
Maganin Chiropractic Ga Migraines
References
Shafi na P. (2011). Ciwon kai na Cervicogenic: hanyar da aka ba da shaida ga kulawar asibiti. Mujallar kasa da kasa na motsa jiki na motsa jiki, 6 (3), 254-266.
Kwamitin Rarraba ciwon kai na Ƙungiyar Ciwon Kai ta Duniya (IHS) (2013). Rarraba Cututtukan Ciwon Kai na Duniya, bugu na 3 (Sigar beta). Cephalalgia : Mujallar ciwon kai na duniya, 33(9), 629-808. doi.org/10.1177/0333102413485658
Rana MV (2013). Gudanarwa da magance ciwon kai na asalin cervicogenic. Dakunan shan magani na Arewacin Amurka, 97(2), 267-280. doi.org/10.1016/j.mcna.2012.11.003
Park, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Tasirin ƙaddamarwa na mahaifa da cranio-cervical flexion exercises a kan sifofin tsoka na mahaifa da kuma matsayi na marasa lafiya da ciwon kai na cervicogenic. Jaridar Kimiyyar Jiki, 29 (10), 1836-1840. doi.org/10.1589/jpts.29.1836
Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Hanyoyin haɗin gwiwar SNAG tare da motsa jiki na gida na SNAG don maganin ciwon kai na cervicogenic: nazarin matukin jirgi. The Journal of manual & manipulative far, 29(4), 244-254. doi.org/10.1080/10669817.2020.1864960
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