Cibiyar Nazarin Chiropractic ta Baya. Binciken farko na chiropractic don cututtuka na musculoskeletal zai kasance yana da sassa hudu: shawarwari, tarihin shari'a, da jarrabawar jiki. Ana iya yin nazarin dakin gwaje-gwaje da gwajin X-ray. Ofishin mu yana ba da ƙarin Ƙimar Lafiyar Aiki da Haɗin kai don kawo ƙarin haske game da gabatarwar ilimin halin ɗan adam.
Shawarwari:
Mai haƙuri zai sadu da chiropractor wanda zai tantance da kuma tambayar taƙaitaccen bayani game da ƙananan ciwon baya, kamar:
Tsawon lokaci da yawan bayyanar cututtuka
Bayanin alamomin (misali konewa, buguwa)
Yankunan zafi
Me ke kara jin zafi (misali zaune, mikewa)
Abin da ke sa ciwon ya fi muni (misali tsaye, dagawa).
Tarihin shari'a. Mai chiropractor yana gano yanki (s) na gunaguni da yanayin ciwon baya ta hanyar yin tambayoyi da ƙarin koyo game da wurare daban-daban na tarihin mai haƙuri, ciki har da:
Family tarihi
Abubuwan ci abinci
Tarihin da ya gabata na wasu jiyya (chiropractic, osteopathic, likita da sauran su)
Tarihin sana'a
Tarihin zamantakewa
Sauran wuraren da za a bincika, galibi bisa la'akari da martani ga tambayoyin da ke sama.
Gwajin jiki: Za mu yi amfani da hanyoyi daban-daban don ƙayyade sassan kashin baya waɗanda ke buƙatar jiyya na chiropractic, ciki har da amma ba'a iyakance ga fasaha da fasaha na motsi ba wanda ke ƙayyade sassan kashin baya waɗanda suke hypo mobile (an ƙuntata a cikin motsi) ko gyarawa. Dangane da sakamakon binciken da ke sama, mai chiropractor na iya amfani da ƙarin gwaje-gwajen bincike, kamar:
X-ray don nemo subluxations (canzawar matsayi na vertebra)
Na'urar da ke gano yawan zafin jiki na fata a cikin yanki na paraspinal don gano wuraren kashin baya tare da bambancin zafin jiki mai mahimmanci wanda ke buƙatar magudi.
Binciken Laboratory: Idan an buƙata kuma muna amfani da ka'idojin bincike iri-iri don tantance cikakken hoton majiyyaci. Mun haɗu tare da manyan dakunan gwaje-gwaje a cikin birni don ba wa majiyyatan mu mafi kyawun hoto na asibiti da magunguna masu dacewa.
How do healthcare professionals in a chiropractic clinic provide a clinical approach to preventing medical errors for individuals in pain?
Gabatarwa
Medical errors resulted in 44,000–98,000 hospitalized American deaths annually, and many more caused catastrophic injuries. (Kohn et al., 2000) This was more than the number of people who died annually from AIDS, breast cancer, and auto accidents at the time. According to later research, the actual number of deaths may be closer to 400,000, placing medical errors as the third most common cause of death in the US. Frequently, these mistakes are not the product of medical professionals who are inherently bad; rather, they are the outcome of systemic issues with the health care system, such as inconsistent provider practice patterns, disjointed insurance networks, underutilization or absence of safety protocols, and uncoordinated care. Today’s article looks at the clinical approach to preventing a medical error in a clinical setting. We discuss associated medical providers specializing in various pretreatments to aid individuals suffering from chronic issues. We also guide our patients by allowing them to ask their associated medical providers very important and intricate questions. Dr. Alex Jimenez, DC, only utilizes this information as an educational service. Disclaimer
Defining Medical Errors
Determining what medical error is the most crucial step in any conversation about preventing medical errors. You might assume this is a very easy chore, but that is only until you delve into the vast array of terminology utilized. Many terms are used synonymously (sometimes mistakenly) since some terminology is interchangeable, and occasionally, the meaning of a term depends on the specialty being discussed.
Even though the healthcare sector stated that patient safety and eliminating or reducing medical errors were priorities, Grober and Bohnen noted as recently as 2005 that they had fallen short in one crucial area: determining the definition of “perhaps the most fundamental question… What is a medical error? A medical error is a failure to complete a planned action in a medical setting. (Grober & Bohnen, 2005) However, none of the terms that one would often identify expressly with a medical error—patients, healthcare, or any other element—are mentioned in this description. Despite this, the definition offers a solid framework for further development. As you can see, that specific definition consists of two parts:
An execution error: A failure to complete a planned action as intended.
A planning error: is a technique that, even with perfect execution, does not produce the desired results.
The concepts of faults of execution and planning errors are insufficient if we are to define a medical error adequately. These may occur anywhere, not only at a medical establishment. The component of medical management must be added. This brings up the idea of unfavorable occurrences, known as adverse events. The most common definition of an adverse event is unintentional harm to patients brought about by medical therapy rather than their underlying disease. This definition has gained international acceptance in one way or another. For example, in Australia, the term incidents are defined as in which harm resulted in a person receiving health care. These consist of infections, injury-causing falls, and issues with prescription drugs and medical equipment. Certain unfavorable occurrences might be avoidable.
Common Types of Medical Errors
The only issue with this notion is that not all negative things happen accidentally or intentionally. Because the patient may ultimately benefit, an expected but tolerated adverse event may occur. During chemotherapy, nausea and hair loss are two examples. In this instance, refusing the recommended treatment would be the only sensible approach to prevent the unpleasant consequence. We thus arrive at the concept of preventable and non-preventable adverse occurrences as we further refine our definition. It isn’t easy to categorize a choice to tolerate one impact when it is determined that a favorable effect will occur simultaneously. But purpose alone isn’t necessarily an excuse. (Patient Safety Network, 2016, para.3) Another example of a planned mistake would be a right foot amputation due to a tumor on the left hand, which would be accepting a known and predicted unfavorable event in the hopes of a beneficial consequence where none has ever arisen before. There is no evidence to support the anticipation of a positive outcome.
Medical errors that cause harm to the patient are typically the focus of our research. Nonetheless, medical mistakes can and do occur when a patient is not harmed. The occurrence of near misses could provide invaluable data when planning how to reduce medical errors in a healthcare facility. Still, the frequency of these events compared to the frequency clinicians report them needs to be investigated. Near misses are medical errors that could have caused harm but did not to the patient, even if the patient is doing well. (Martinez et al., 2017) Why would you acknowledge something that could potentially result in legal action? Consider the scenario where a nurse, for whatever reason, had just been looking at photographs of different medications and was about to provide a medication. Maybe something lingers in her memory, and she decides that’s not how a specific medication looks. Upon checking, she found that the incorrect medicines had been administered. After checking all the paperwork, she fixes the mistake and gives the patient the right prescription. Would it be possible to avoid an error in the future if the administration record included photographs of the proper medication? It is easy to forget that there was a mistake and a chance for harm. That fact remains true regardless of whether we were fortunate enough to find it in time or suffer any negative consequences.
Errors of Outcomes & Process
We need complete data to develop solutions that improve patient safety and decrease medical errors. At the very least, when the patient is in a medical facility, everything that can be done to prevent harm and put them in danger should be reported. Many doctors have determined that using the phrases errors and adverse events was more comprehensive and suitable after reviewing mistakes and adverse events in health care and discussing their strengths and weaknesses in 2003. This combined definition would increase data gathering, including mistakes, close calls, near misses, andactive and latent errors. Additionally, the term adverse events includes terms that usually imply patient harm, such as medical injury and iatrogenic injury. The only thing that remains is determining whether a review board is a suitable body to handle the separation of preventable and non-preventable adverse events.
A sentinel event is an occurrence where reporting to the Joint Commission is required. The Joint Commission states that a sentinel event is an unexpected occurrence involving a serious physical or psychological injury. (“Sentinel Events,” 2004, p.35) There isn’t a choice, as it needs to be documented. Most healthcare facilities, however, do keep their records outlining sentinel incidents and what to do in the event of one to guarantee that the Joint Commission standards are met. This is one of those situations when it’s better to be safe than sorry. Since “serious” is a relative concept, there may be some wriggle room when defending a coworker or an employer. On the other hand, reporting a sentinel event incorrectly is better than failing to report a sentinel event. Failing to disclose can have serious consequences, including career termination.
When considering medical errors, people frequently make the mistake of focusing just on prescription errors. Medication errors are undoubtedly frequent and involve many of the same procedural flaws as other medical errors. Breakdowns in communication, mistakes made during prescription or dispensing, and many other things are possible. But we would be gravely misjudging the issue if we assumed that drug errors are the only cause of harm to a patient. One major challenge in classifying the different medical errors is determining whether to classify the error based on the procedure involved or the consequence. It is acceptable to examine those classifications here, given numerous attempts have been made to develop working definitions that incorporate both the process and the outcome, many of which are based on Lucian Leape’s work from the 1990s.
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Analyzing & Preventing Medical Errors
Operative and nonoperative were the two main categories of adverse events that Leape and his colleagues distinguished in this study. (Leape et al., 1991) Operative problems included wound infections, surgical failures, non-technical issues, late complications, and technical difficulties. Nonoperative: headings such as medication-related, misdiagnosed, mistreated, procedure-related, fall, fracture, postpartum, anesthesia-related, neonatal, and a catch-all heading of the system were included under this category of adverse occurrences. Leape also classified errors by pointing out the point of process breakdown. He also categorized these into five headings, which include:
System
Performance
Drug Jiyya
bincike
M
Many process faults fall under more than one topic, yet they all help to pinpoint the exact cause of the issue. If more than one physician was engaged in determining the precise areas that need improvement, then additional questioning might be required.
Technically, a medical error can be made by any staff member at a hospital. It is not limited to medical professionals like physicians and nurses. An administrator may unlatch a door, or a cleaning crew member could leave a chemical within a child’s grasp. What matters more than the identity of the perpetrator of the mistake is the reason behind it. What before it? And how can we make sure that doesn’t occur again? After gathering all the above data and much more, it’s time to figure out how to prevent similar errors. As for sentinel events, the Joint Commission has mandated since 1997 that all of these incidents undergo a procedure called Root Cause Analysis (RCA). However, using this procedure for incidents that need to be reported to outside parties would need to be corrected.
What Is A Root Cause Analysis?
RCAs “captured the details as well as the big picture perspective.” They make evaluating systems easier, analyzing whether remedial action is necessary, and tracking trends. (Williams, 2001) What precisely is an RCA, though? By examining the events that led to the error, an RCA can focus on events and processes rather than reviewing or placing blame on specific people. (AHRQ,2017) This is why it is so crucial. An RCA frequently makes use of a tool called the Five Whys. This is the process of continuously asking yourself “why” after you believe you have determined the cause of an issue.
The reason it’s called the “five whys” is because, while five is an excellent starting point, you should always question why until you identify the underlying cause of the problem. Asking why repeatedly could reveal many process faults at different stages, but you should keep asking why about every aspect of the issue until you run out of other things that could be adjusted to provide a desirable result. However, different tools besides this one can be utilized in a root cause investigation. Numerous others exist. RCAs must be multidisciplinary and consistent and involve all parties involved in the error to avoid misunderstandings or inaccurate reporting of occurrences.
Kammalawa
Medical errors in healthcare institutions are frequent and mostly unreported events that seriously threaten patients’ health. Up to a quarter of a million individuals are thought to pass away each year as a result of medical blunders. These statistics are unacceptable in a time when patient safety is supposedly the top priority, but not much is being done to alter practices. If medical errors are accurately defined and the root cause of the problem is found without assigning blame to specific staff members, this is unnecessary. Essential changes can be made when fundamental causes of system or process faults are correctly identified. A consistent, multidisciplinary approach to root cause analysis that uses frameworks like the five whys to delve down until all issues and defects are revealed is a helpful tool. Although it is now necessary for the wake of sentinel events, the Root Cause Analysis may and should be applied to all mistake causes, including near misses.
Kohn, L. T., Corrigan, J., Donaldson, M. S., & Institute of Medicine (U.S.). Committee on Quality of Health Care in America. (2000). To err is human : building a safer health system. National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, L. L., Brennan, T. A., Laird, N., Lawthers, A. G., Localio, A. R., Barnes, B. A., Hebert, L., Newhouse, J. P., Weiler, P. C., & Hiatt, H. (1991). The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, L. S., Hu, Y. Y., Desai, S. P., & Shapiro, J. (2017). Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Ga mutanen da ke fama da ciwon baya da matsaloli, shin sanin yadda ake ingantawa da kula da lafiyar diski na intervertebral zai iya taimakawa wajen rage alamun bayyanar cututtuka?
Intervertebral Disc Lafiya
Rukunin kashin baya ya ƙunshi ƙasusuwa masu motsi 24 da ƙasusuwa 33 da ake kira vertebrae. An jera ƙasusuwan kashin baya a saman juna. Faifan intervertebral shine abu mai kwantar da hankali tsakanin ƙasusuwan da ke kusa. (Dartmouth. 2008)
kasusuwa
Kasusuwan kashin baya kadan ne da zagaye a wani yanki da ake kira jikin kashin baya. A baya akwai zobe na kasusuwa wanda daga gare shi ke shimfidawa kuma ana samar da baka da hanyoyi. Kowane tsari yana da dalilai ɗaya ko fiye kuma ya haɗa da: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)
Tabbatar da kashin baya.
Samar da sarari don nama mai haɗawa da tsokoki na baya don haɗawa.
Samar da rami don kashin baya don wucewa ta cikin tsabta.
Samar da sarari inda jijiyoyi ke fita da reshe zuwa dukkan sassan jiki.
Structure
Faifan intervertebral shine matashin da ke zaune tsakanin kashin baya. Tsarin kashin baya yana ba shi damar motsawa ta hanyoyi daban-daban:
Juyawa ko lankwasawa
Extension ko arching
Juyawa da juyawa ko murɗawa.
Ƙarfi masu ƙarfi suna aiki akan ginshiƙan kashin baya don samar da waɗannan ƙungiyoyi. Fayil na intervertebral yana ɗaukar girgiza yayin motsi kuma yana kare kashin baya da kashin baya daga rauni da/ko rauni.
Ability
A waje, ƙaƙƙarfan kyallen igiyar igiyar igiya suna samar da wani yanki da ake kira annulus fibrosis. Annulus fibrosis yana ƙunshe da kuma kare kayan gel mai laushi a tsakiya, tsakiya pulposus. (YS Nosikova et al., 2012) Ƙwaƙwalwar ƙwayar ƙwayar cuta tana ba da shayarwa, sassauci, da sassauci, musamman ma matsa lamba yayin motsi na kashin baya.
makanikai
Nucleus pulposus wani abu ne mai laushi mai laushi wanda yake a tsakiyar diski wanda ke ba da damar elasticity da sassauci a ƙarƙashin ƙarfin damuwa don ɗaukar matsawa. (Nedresky D, Reddy V, Singh G. 2024) Ayyukan swivel yana canza karkatarwa da juyawa na vertebra a sama da ƙasa, yana haifar da tasirin motsi na kashin baya. Fayafai suna jujjuya don mayar da martani ga jagorancin kashin baya yana motsawa. Ƙwaƙwalwar ƙwayar cuta ana yin ta ne mafi yawa daga ruwa, wanda ke motsawa a ciki da waje ta ƙananan pores, yana aiki a matsayin hanya tsakanin vertebra da kashin diski. Matsayin jiki wanda ke ɗaukar kashin baya, kamar zama da tsaye, tura ruwa daga diski. Kwanciya a baya ko a matsayi na baya yana sauƙaƙe dawo da ruwa cikin diski. Yayin da jiki ke tsufa, fayafai suna rasa ruwa/bushewa, yana haifar da lalata diski. Fayilolin intervertebral ba su da wadatar jini, wanda ke nufin cewa don diski ya sami abinci mai mahimmanci da kuma kawar da sharar gida, dole ne ya dogara da zagayawa na ruwa don samun lafiya.
care
Wasu hanyoyin kiyaye lafiyar diski na intervertebral sun haɗa da:
Kula da matsayi.
Canza matsayi akai-akai cikin yini.
Motsa jiki da motsi.
Aiwatar da ingantattun injiniyoyi na jiki zuwa ayyukan jiki.
Barci akan katifa mai tallafi.
Shan ruwa mai yawa.
Cin lafiya.
Kula da nauyin lafiya.
Shan barasa a matsakaici.
Barin shan taba.
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. Ƙungiyar mu na chiropractic, tsare-tsaren kulawa, da kuma ayyuka na asibiti sun kasance na musamman da kuma mayar da hankali kan raunin da ya faru da kuma cikakken tsarin dawowa. Yankunan aikinmu sun haɗa da Lafiya & Gina Jiki, Acupuncture, Raɗaɗi na yau da kullun, Rauni na mutum, Kulawa da Hatsari na Auto, Raunin Aiki, Rauni na Baya, Rashin Ciwon Baya, Ciwon Wuya, Ciwon kai na Migraine, Rauni na Wasanni, Sciatica mai tsanani, Scoliosis, Complex Herniated Discs, Fibromyalgia , Jin zafi na yau da kullum, Rauni mai rikitarwa, Gudanar da damuwa, Jiyya na Magunguna na Aiki, da kuma ka'idojin kulawa a cikin iyaka. Idan ana buƙatar wasu jiyya, za a tura mutane zuwa asibiti ko likitan da ya fi dacewa da raunin su, yanayinsu, da/ko rashin lafiya.
Ga mutanen da ke fuskantar al'amurran musculoskeletal da alamun ciwo, za su iya koyo game da kwayoyin halitta da kuma yadda ya shafi motsi, horo na jiki, da aiki, taimakawa wajen maganin rauni da rigakafi?
Biomechanics
Biomechanics yana nazarin duk nau'ikan rayuwa da ayyukan injin su. Mutane da yawa suna tunanin biomechanics a wasanni da wasan motsa jiki, amma biomechanics yana taimakawa ƙirƙira da haɓaka fasahohi, kayan aiki, da dabarun gyara rauni. (Tung-Wu Lu, Chu-Fen Chang 2012) Masana kimiyya, likitocin magunguna, likitocin motsa jiki, chiropractors suna amfani da juyin kula da horo da dabaru don inganta sakamako na horo.
Motsa Jiki
Biomechanics yana nazarin motsi na jiki, ciki har da yadda tsokoki, kasusuwa, tendons, da ligaments ke aiki tare, musamman ma lokacin da motsi ba shi da kyau ko daidai. Yana daga cikin babban fannin kinesiology, musamman mai da hankali kan injiniyoyi na motsi da kuma nazarin yadda duk sassan jikin mutum ke aiki tare don yin motsa jiki da na yau da kullun. (José M Vilar et al., 2013) Injiniyoyin halittu sun haɗa da:
Tsarin kashi da tsokoki.
Ikon motsi.
Makanikai na kewaya jini, aikin koda, da sauran ayyuka.
Nazarin dakarun da tasirin waɗannan dakarun akan kyallen takarda, ruwa, ko kayan da aka yi amfani da su don ganewa, jiyya, ko bincike. (Jose I. Priego-Quesada 2021)
Wasanni
Wasanni biomechanics yana nazarin motsi a motsa jiki, horo, da wasanni, wanda ya haɗa da ilimin lissafi da dokokin kanikanci. Misali, biomechanics na takamaiman motsa jiki yana kallon:
Matsayin jiki.
Motsi na ƙafafu, kwatangwalo, gwiwoyi, baya, kafadu, da hannaye.
Sanin madaidaicin tsarin motsi yana taimakawa wajen yin mafi yawan motsa jiki yayin hana raunin da ya faru, gyara kuskuren nau'i, sanar da ka'idojin horo, da kuma ƙara sakamako mai kyau. Fahimtar yadda jiki ke motsawa da kuma dalilin da yasa yake motsawa yadda yake taimakawa masu sana'a na kiwon lafiya su hana da kuma magance raunuka, rage alamun ciwo, da inganta aikin.
Kayan aiki
Ana amfani da kwayoyin halitta a cikin haɓaka kayan aikin jiki da na wasanni don inganta aikin. Misali, ana iya tsara takalmi don kyakkyawan aiki don skateboarder, mai tsere mai nisa, ko ɗan wasan ƙwallon ƙafa. Hakanan ana nazarin saman wasan don wannan dalili, kamar yadda taurin saman turf ɗin wucin gadi ke shafar wasan motsa jiki. (Jose I. Priego-Quesada 2021)
mutane
Biomechanics na iya nazarin motsin mutum don ƙarin ingantacciyar motsi yayin horo da wasanni.
Misali, ana iya yin fim ɗin tafiyar mutum ko motsi tare da shawarwari kan abin da zai canza don ingantawa.
raunin
Kimiyya tana nazarin abubuwan da ke haifar, jiyya, da rigakafin raunin neuromusculoskeletal.
Binciken na iya yin nazarin sojojin da ke haifar da raunuka da kuma ba da bayanai ga kwararrun likitocin kan yadda za a rage haɗarin rauni.
Training
Biomechanics yana nazarin dabarun wasanni da tsarin horo don haɓaka hanyoyin inganta inganci.
Wannan na iya haɗawa da bincike kan sakawa, saki, bi-bi, da sauransu.
Yana iya yin nazari da taimakawa ƙirƙira sabbin dabarun horarwa bisa buƙatun injinan wasan, da nufin haifar da mafi kyawu. yi.
Misali, ana auna kunna tsokar a cikin hawan keke ta amfani da electromyography da kinematics, wanda ke taimaka wa masu bincike bincikar abubuwa kamar matsayi, abubuwan da aka gyara, ko ƙarfin motsa jiki waɗanda ke shafar kunnawa. (Jose I. Priego-Quesada 2021)
motsi
A cikin biomechanics, ana kiran motsin jiki daga matsayi na jiki:
Tsaye tsaye, tare da kallon gaba
Makamai a tarnaƙi
Dabino suna fuskantar gaba
Ƙafafun sun yi nisa kaɗan kaɗan, yatsun gaba.
Jiragen saman jikin mutum guda uku sun hada da:
Sagittal - matsakaici - Rarraba jiki zuwa rabi na dama da hagu shine sagittal / tsakiyar jirgin sama. Flexion da tsawo suna faruwa a cikin jirgin sagittal.
Gaban gaba - Jirgin gaba yana raba jiki zuwa gaba da baya amma kuma ya haɗa da sacewa, ko matsar da wani gaɓoɓi daga tsakiya, da ƙaddamarwa, ko matsawa ga tsakiya a cikin jirgin gaba.
Juyawa - a kwance. – An raba sassan jiki na sama da na kasa da jirgin sama mai karkata/tsaye. Motsi-juyawa suna faruwa a nan. (Majalisar Amurka akan Motsa jiki 2017)
Motsa jiki a cikin dukkan jirage uku yana faruwa tare da ayyukan yau da kullun. Wannan shine dalilin da ya sa ana ba da shawarar yin motsa jiki a cikin kowane jirgin sama na motsi don ƙarfafa ƙarfi, aiki, da kwanciyar hankali.
Kayayyakin aiki,
Ana amfani da kayan aiki iri-iri don nazarin biomechanics. Yawancin lokaci ana yin nazari ta amfani da na'urar da aka sani da electromyography ko EMG. Ana sanya na'urori masu auna firikwensin akan fata kuma suna auna adadin da digiri na kunna fiber tsoka a cikin wasu tsokoki yayin ayyukan gwaji. EMGs na iya taimakawa:
Masu bincike sun fahimci abin da motsa jiki ya fi wasu tasiri.
Masu kwantar da hankali sun san ko tsokoki na marasa lafiya suna aiki yadda ya kamata kuma suna aiki.
Dynamometers wani kayan aiki ne wanda ke taimakawa auna ƙarfin tsoka.
Suna auna ƙarfin ƙarfin da aka samar yayin ƙaddamarwar tsoka don ganin ko tsokoki suna da ƙarfi sosai.
Ana amfani da su don auna ƙarfin riko, wanda zai iya zama alamar ƙarfin gabaɗaya, lafiya, da tsawon rai. (Li Huang et al., 2022)
Bayan Gyarawa: Chiropractic da Haɗin Kiwon Lafiya
References
Lu, TW, & Chang, CF (2012). Biomechanics na motsin ɗan adam da aikace-aikacen sa na asibiti. Jaridar Kaohsiung na Kimiyyar Kiwon Lafiya, 28(2 Suppl), S13-S25. doi.org/10.1016/j.kjms.2011.08.004
Vilar, JM, Miró, F., Rivero, MA, & Spinella, G. (2013). Biomechanics. BioMed Research International, 2013, 271543. doi.org/10.1155/2013/271543
Priego-Quesada JI (2021). Exercise Biomechanics da Physiology. Rayuwa (Basel, Switzerland), 11 (2), 159. doi.org/10.3390/life11020159
Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Dogaro da ingancin na'urorin hannu biyu lokacin da manya mazaunan al'umma masu shekaru sama da 50 ke amfani da su. BMC Geriatrics, 22(1), 580. doi.org/10.1186/s12877-022-03270-6
Mutanen da suka shiga cikin rauni na baya na iya haifar da ƙwayar ƙwayar cuta ta synovial a matsayin hanya don kare kashin baya wanda zai iya haifar da bayyanar cututtuka da jin dadi. Shin sanin alamun zai iya taimakawa ma'aikatan kiwon lafiya su samar da cikakken tsarin kulawa don rage ciwo, hana mummunan yanayin da sauran yanayin kashin baya?
Kashin baya Synovial Cysts
Cysts synovial na kashin baya sune jakunkuna masu cike da ruwa mara kyau waɗanda ke tasowa a cikin mahaɗin kashin baya. Suna samuwa ne saboda raunin kashin baya ko rauni. Cysts na iya samuwa a ko'ina a cikin kashin baya, amma yawancin suna faruwa a yankin lumbar / ƙananan baya. Yawanci suna haɓakawa a cikin haɗin gwiwa na facet ko haɗin gwiwa waɗanda ke kiyaye ƙasusuwan kashin baya / kashin baya.
Alamun
A mafi yawan lokuta, cysts na synovial ba sa haifar da bayyanar cututtuka. Duk da haka, likita ko ƙwararrun za su so su saka idanu don alamun cututtukan diski na degenerative, stenosis na kashin baya, ko ciwon cauda equina. Lokacin da alamun bayyanar cututtuka suka bayyana, yawanci suna haifar da radiculopathy ko jijiyar jijiyoyi, wanda zai iya haifar da ciwon baya, rauni, rashin tausayi, da kuma zafi mai zafi wanda ya haifar da haushi. Mummunan bayyanar cututtuka ya dogara da girman da wuri na cyst. Synovial cysts zai iya rinjayar gefe ɗaya na kashin baya ko duka biyu kuma zai iya samuwa a wani yanki na kashin baya ko a matakai masu yawa.
Tasirin Zai Iya Haɗawa
Alamun Radiculopathy na iya tasowa idan cyst ko kumburi da cyst ya haifar ya shiga cikin hulɗa da tushen jijiya na kashin baya. Wannan na iya haifar da sciatica, rauni, rashin ƙarfi, ko wahalar sarrafa wasu tsokoki.
Neurogenic claudication / impingement da kumburi na kashin baya jijiyoyi na iya haifar da cramping, zafi, da / ko tingling a cikin ƙananan baya, kafafu, hips, da buttocks. (Martin J. Wilby et al., 2009)
Idan kashin baya yana da hannu, yana iya haifar da shi myelopathy /matsananciyar kashin baya wanda zai iya haifar da rashin ƙarfi, rauni, da matsalolin daidaitawa. (Dong Shin Kim et al., 2014)
Alamun da ke da alaƙa da cauda equina, ciki har da matsalolin hanji da/ko mafitsara, raunin ƙafafu, da ciwon sirdi/rashin jin daɗi a cinya, gindi, da perineum, na iya gabatarwa amma suna da wuya, kamar yadda cysts synovial a tsakiyar baya da wuyansa. Idan cysts na thoracic da na mahaifa suna tasowa, za su iya haifar da bayyanar cututtuka irin su numbness, tingling, zafi, ko rauni a yankin da abin ya shafa.
Sanadin
Cysts synovial na kashin baya ana haifar da su ta hanyar sauye-sauye na lalacewa kamar osteoarthritis wanda ke tasowa a cikin haɗin gwiwa a kan lokaci. Tare da lalacewa na yau da kullum, guringuntsi na haɗin gwiwa na facet / kayan da ke cikin haɗin gwiwa wanda ke ba da kariya, shimfidar wuri mai laushi, raguwa mai raguwa, da shayarwa ya fara ɓacewa. Yayin da tsari ya ci gaba, synovium zai iya haifar da cyst.
Traumas, manya da ƙanana, suna da kumburi da lalacewa a kan gidajen abinci wanda zai iya haifar da samuwar cyst.
Kusan kashi ɗaya bisa uku na mutanen da ke da ƙwayar ƙwayar cuta ta kashin baya suma suna da spondylolisthesis.
Wannan yanayin shine lokacin da kashin baya ya zame daga wuri ko kuma ya fita daga jeri akan kashin baya a kasa.
Alama ce ta rashin kwanciyar hankali.
Rashin zaman lafiya zai iya faruwa a kowane yanki na kashin baya, amma L4-5 sune matakan da aka fi sani.
Wannan ɓangaren kashin baya yana ɗaukar mafi yawan nauyin jiki na sama.
Idan rashin zaman lafiya ya faru, cyst zai iya tasowa.
Duk da haka, cysts na iya samuwa ba tare da rashin kwanciyar hankali ba.
Hakanan ana iya ba da shawarar jiyya ta jiki ko aikin aikin.
Yin amfani da lokaci-lokaci na kan-da-counter nonsteroid anti-inflammatories / NSAIDs kamar ibuprofen da naproxen na iya taimakawa wajen rage zafi na lokaci-lokaci.
Hanyoyin Mara lafiya
Ga cysts da ke haifar da ciwo mai tsanani, rashin ƙarfi, rauni, da sauran batutuwa, ana iya ba da shawarar hanyar da za a zubar da ruwa / sha'awar daga cyst.
Ɗaya daga cikin binciken ya gano cewa yawan nasarar ya bambanta daga kashi 0 zuwa kashi 50.
Epidural corticosteroid injections na iya rage kumburi kuma zai iya zama zaɓi don rage zafi.
Ana ba marasa lafiya shawarar karɓar fiye da allura uku a kowace shekara.
Zaɓuɓɓukan tiyata
Don lokuta masu tsanani ko masu dagewa, likita na iya ba da shawarar tiyata don cire cyst da ƙasusuwan da ke kewaye don rage matsa lamba akan tushen jijiya. Zaɓuɓɓukan tiyata sun bambanta daga ƙananan hanyoyin endoscopic masu cin zarafi zuwa manyan, buɗe tiyata. Mafi kyawun zaɓin tiyata ya bambanta dangane da tsananin yanayin da kuma ko rashin lafiyar da ke tattare da ita. Zaɓuɓɓukan tiyata sun haɗa da:
Laminectomy - Cire tsarin kasusuwa wanda ke karewa da kuma rufe canal / lamina na kashin baya.
Facetectomy - Cire wani ɓangare na haɗin gwiwa na facet da ya shafa inda aka samo synovial cyst, yawanci yana bin laminectomy ko hemilaminectomy.
fena facet gidajen abinci da vertebra - Rage motsi na kashin baya a yankin da aka ji rauni.
Yawancin mutane suna samun taimako na gaggawa nan da nan bayan laminectomy ko hemilaminectomy.
Fusion na iya ɗaukar watanni shida zuwa tara don warke gaba ɗaya.
Idan an yi tiyata ba tare da haɗuwa ba inda cyst ya samo asali, ciwon zai iya dawowa, kuma wani cyst zai iya samuwa a cikin shekaru biyu.
Matsalolin tiyata sun haɗa da kamuwa da cuta, zubar jini, da rauni ga kashin baya ko tushen jijiya.
Yadda Na Sami Motsina Baya Tare da Chiropractic
References
Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Yaduwa da kuma pathogenesis na cysts na synovial a cikin flavum na ligamentum a cikin marasa lafiya da lumbar spinal stenosis da radiculopathy. Kashin baya, 34 (23), 2518-2524. doi.org/10.1097/BRS.0b013e3181b22bd0
Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). M myelopathy mai tsanani wanda ya haifar da cyst synovial na mahaifa. Jaridar Korean Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55
Epstein, NE, & Baisden, J. (2012). Bincike da kuma kula da cysts na synovial: Ingancin tiyata tare da buri na cyst. M, 3 (Budil 3), S157-S166. doi.org/10.4103/2152-7806.98576
Ƙafafun mutane za su yi zafi lokacin tafiya ko gudu; duk da haka, ƙone ƙafafu na iya zama alamar yanayin kiwon lafiya kamar ƙafar 'yan wasa ko raunin jijiya ko lalacewa. Shin sanin waɗannan alamomin na iya taimakawa wajen gano mafita don sauƙaƙawa da warkar da yanayin da ke ciki?
Ƙafafun Ƙona
Masu tafiya da masu gudu sukan fuskanci zafi a ƙafafunsu. Wannan dabi'a ce daga ƙarar wurare dabam dabam, bugun zuciya, ɗumi ko zafi na gefen titi, da shimfidar shimfidar wuri. Amma ƙafafu na iya fuskantar wani zafi ko zafi na rashin al'ada. Yawancin lokaci, yawan zafi yana haifar da safa da takalma da gajiya bayan dogon motsa jiki. Matakan kula da kai na farko sun haɗa da gwada sabbin takalma na musamman ko gyare-gyaren motsa jiki. Idan kona ƙafafu ya ci gaba ko kuma akwai alamun kamuwa da cuta, tingling, numbness, ko ciwo, ya kamata mutane su ga mai kula da lafiyar su. (Mayo Clinic. 2018)
takalma
Takalmin da yadda ake saka su na iya zama sanadin.
Na farko, dubi kayan takalma. Suna iya zama takalma da/ko insoles waɗanda ba sa yaɗa iska. Suna iya yin zafi da gumi ba tare da ingantaccen yanayin yanayin iska a kusa da ƙafafu ba.
Lokacin zabar takalma masu gudu, yi la'akari da kayan aikin raga wanda ke ba da damar iska don kiyaye ƙafafu a sanyi.
Yi la'akari da shigar da takalma masu girman da suka dace, yayin da ƙafafu suna kumbura lokacin gudu ko tafiya.
Idan takalman sun yi ƙanƙanta, iska ba za ta iya yawo ba, yana haifar da ƙarin juzu'i tsakanin ƙafa da takalma.
Takalmin da suka yi girma kuma na iya ba da gudummawa ga gogayya yayin da ƙafafu ke yawo da yawa.
Insoles kuma na iya ba da gudummawa.
Wasu insoles na iya sa ƙafafu su yi zafi, ko da takalma suna numfashi.
Musanya insoles daga wani takalmi don ganin ko suna ba da gudummawa, kuma idan haka ne, duba cikin sabbin insoles.
Nasihu don taimakawa hana zafi ƙafa:
Maganin shafawa
Yi amfani da kirim mai hana blister/haɓaka kirim don shafawa da kare ƙafafu.
Wannan zai rage gogayya da hana blisters.
Lace Da Kyau
Mutane da yawa suna iya matse takalmin sosai, suna takurawa wurare dabam dabam, ko kuma suna harzuka jijiyoyi a saman ƙafar ƙafa.
Ya kamata daidaikun mutane su iya zamewa yatsa ɗaya ƙarƙashin kullin.
Ka tuna cewa ƙafafu za su kumbura yayin tafiya ko gudu
Mutane na iya buƙatar sassauta igiyoyinsu bayan dumama.
Ana ba da shawarar ɗaiɗaikun su koyi dabarun lacing waɗanda za su tabbatar da cewa ba su da matsewa a kan wuraren da ba su da hankali.
Cushioning
Gajiya daga dogon motsa jiki ko tsawon kwanaki a tsaye / motsi na iya haifar da ƙonewa ƙafafu.
Mutane na iya buƙatar ƙarin ƙulla a cikin takalma.
Nemo aiki da takalma na motsa jiki waɗanda suka kara daɗaɗɗa.
Aljihun Takalmi
Mutane na iya samun rashin lafiyan halayen ko hankali ga masana'anta, adhesives, rini, ko wasu sinadarai. (Cleveland Clinic. 2023) Sinadaran da ake amfani da su wajen samarwa sun bambanta don fata idan aka kwatanta da masana'anta kuma sun bambanta da iri da masana'anta.
Har ila yau rashin lafiyar kayan takalma na iya haifar da konewa, ƙaiƙayi, da kumburi.
Ana ba da shawarar a lura ko bayyanar cututtuka na faruwa ne kawai lokacin saka takamaiman takalma.
Shawarwari shine a gwada nau'ikan nau'ikan da nau'ikan takalma.
Socks
Tushen safa na iya zama mai ba da gudummawa ga ƙafafu masu zafi ko kona. Matakan da za a ɗauka na iya haɗawa da:
Ka guji auduga
Auduga fiber ne na halitta amma ba a ba da shawarar yin tafiya da gudu ba saboda yana riƙe gumi wanda zai iya kiyaye ƙafafu.
Ana ba da shawarar yin amfani da safa da aka yi da Cool-Max da sauran filaye na wucin gadi waɗanda ke kawar da gumi da kwantar da su.
Wool
Hakanan safa na ulu na iya haifar da ƙaiƙayi da ƙonawa.
Yi la'akari da safa na wasan motsa jiki da aka yi daga ulu marar ƙura.
mindfulness
Mutane na iya zama masu kula da wasu yadudduka ko rini a cikin safa.
Kula da wane safa ne ke haifar da alamun zafi ko ƙone ƙafa.
Hakanan daidaikun mutane na iya zama masu kula da samfuran wanki kuma ana ba su shawarar gwada wata alama ko nau'in daban.
Yanayin lafiya
Baya ga takalma da safa, yanayin likita na iya haifar da ba da gudummawa ga alamu.
Kafar Dan Wasa
Ƙafar ɗan wasa cuta ce ta fungal.
Mutane na iya jin zafi mai zafi a yankin da abin ya shafa.
Yawanci, yana da ƙaiƙayi, ja, ƙwanƙwasa, ko tsagewa.
Juya takalma.
Naman gwari yana girma a wurare masu laushi, saboda haka, ana bada shawara don juya takalma don ba da damar su bushe tsakanin motsa jiki.
A wanke ƙafafu da bushewa bayan tafiya ko gudu.
Gwada maganin gida da kan-da-counter, foda, da magunguna don maganin ƙafar 'yan wasa.
gefe Neuropathy
Mutanen da ke fama da ƙone ƙafafu akai-akai baya ga lokacin da suke motsa jiki na iya zama saboda lalacewar jijiya da aka sani da neuropathy na gefe. (Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. 2023) Alamun neuropathy na gefe sun haɗa da fil da allura, ƙumburi, kaska, tingling, da / ko ƙonawa.
jarrabawa
Ciwon sukari yana daya daga cikin abubuwan da ke haifar da neuropathy na gefe.
Ciwon sukari na iya zuwa a kowane zamani.
Mutane suna buƙatar koyon yadda za su kare ƙafafunsu, kamar yadda aka ba da shawarar motsa jiki don ciwon sukari.
Sauran yanayi waɗanda zasu iya haifar da neuropathy na gefe sun haɗa da:
Rashin bitamin B-12
Abun alkama
Rashin daidaituwa na wurare dabam dabam
AIDS
Guba mai nauyi
Massage da Motsi
Yin tausa ƙafafu kuma yana ƙaruwa.
Motsa jiki kamar tafiya ana ba da shawarar don neuropathy na gefe yayin da yake inganta wurare dabam dabam zuwa ƙafafu.
Wasu dalilai
Hakanan ana iya haifar da alamun ta wasu yanayi da suka haɗa da: (Cleveland Clinic. 2023)
Cutar Nerve
Canje-canje na lalacewa a cikin kashin baya ko rauni na baya zai iya haifar da rauni / lalacewa ga jijiyoyi wanda zai iya haifar da ciwo, tingling, da ƙumburi a cikin ƙafafu.
Tarsal Tunnel Syndrome
Matsi na jijiyar tibial na baya a cikin ƙananan ƙafarku na iya haifar da tingling da konewa a ƙafafunku.
Neuroma ta Morton
Neuroma na Morton, wanda ke haifar da nama mai kauri, na iya haifar da ciwo da konewa a gindin yatsun kafa.
Cututtuka na Autoimmune
Cututtuka irin su sclerosis da yawa ko Lupus kuma na iya haifar da ƙonewa ƙafafu.
Kai Care
gyare-gyare ko ƙari ga abubuwan yau da kullun da halaye na iya taimakawa.
Kada ka yi tafiya ko gudu da tsofaffin takalma.
Kare ƙafafu ta hanyar amfani da safa na dama, foda, da man shafawa, da kuma rufe duk wuraren da shafa da gogayya ke faruwa.
Nan da nan canza daga takalma da safa bayan motsa jiki, ba da damar bushewar iska sosai.
Wannan zai taimaka rage haɗarin ci gaban naman gwari na ƙafar ɗan wasa.
Jiƙa ƙafafu cikin ruwa mai sanyi. Kada ku yi amfani da kankara, saboda yana iya lalata fata.
Jiƙa ƙafafu a cikin Epsom gishiri don rage zafi da kumburi da bushewar blisters.
Kaɗa ƙafafu bayan motsa jiki.
Juya takalma da safa tsakanin lokutan motsa jiki da lokacin rana.
Gwada takalma daban-daban, safa, da insoles.
Yin aiki fiye da kima na iya cutar da bayyanar cututtuka.
Gwada yin gini a hankali akan nesa yayin lura da alamun.
Duba likita ko ƙwararren mai ba da lafiya idan bayyanar cututtuka ci gaba kuma ba a haɗa su da tafiya ko motsa jiki.
Shin magungunan musculoskeletal za su iya bi da mutanen da ke fama da ciwo na sama don kawar da ciwo, inganta matsayi, da ƙarfafa tsokoki a wuyansa, kafadu da kirji?
Upper Crossed Syndrome
Upper crossed syndrome wani yanayi ne wanda tsokoki na kafadu, wuyansa, da ƙirji suka zama masu rauni da matsewa, kuma yawanci ana kawo su daga yin yanayin rashin lafiya. Alamomin cutar sun haɗa da:
Ƙunƙarar wuya da jan hankali.
Tashin baki da/ko matsewa
Tashin baya na sama, rashin sassauƙa, taurin kai, da raɗaɗi.
Wuya, kafada, da ciwon baya na sama.
Maganin ciwon hawan jini
Zagaye kafadu
Hukunce-hukuncen kashin baya
Upper Crossed Syndrome da Matsayi
Yanayin yana rinjayar yanayin lafiya ta hanyar ƙirƙirar rashin daidaito tsokoki tsakanin babba baya da kirji.
Tsuntsayen gajerun tsokoki a cikin ƙirji na sama suna miƙewa da yawa kuma suna kasancewa cikin yanayin kwangilar ɗan kwangila suna jan tsokoki na baya.
Wannan yana haifar da tsokoki na baya na sama, kafadu, da wuya su ja da rauni.
Sakamakon shi ne dunƙule baya, kafaɗun gaba, da wuyan wuya.
Ƙayyadaddun tsokoki da aka shafa sun hada da trapezius da levator scapula / gefen tsokoki na wuyansa. (Asibitin tiyata na musamman. 2023)
Ana iya ba wa mutane shawara ta hanyar ƙungiyar maganin chiropractic don kauce wa kwanciyar hankali da yawa da kuma iyakancewa ko kauce wa ayyukan da za su iya haifar da ciwo ko kara bayyanar cututtuka. (Cedar - Sinai. 2022)
Nazarin ya nuna magudi na kashin baya na chiropractic yadda ya kamata ya rage wuyansa, kashin baya, da ƙananan ciwon baya. (Gevers-Montoro C, et al., 2021)
Ƙara ko rage yawan motsa jiki kamar yadda ƙungiyar jiyya ta ba da shawarar.
Yin amfani da fakitin kankara ko zafi don rage zafi da haɓaka wurare dabam dabam don haɓaka gyaran tsoka da warkarwa.
Yin amfani da man shafawa ko gels mai zafi.
Marasa amfani da kan-da-counter - NSAIDs, kamar Advil ko Motrin da Aleve.
Masu shakatawa na tsoka don rage tashin hankali na ɗan gajeren lokaci.
Haɓaka Rayuwarku
References
Asibitin tiyata na musamman. Matsa tare da manufar yaƙar manyan cututtuka na sama da na ƙasa.
Cibiyar Nazarin Arthritis ta Kasa da Cututtukan Musculoskeletal da Skin. Ciwon baya.
Seidi, F., Bayattork, M., Minoonejad, H., Andersen, LL, & Page, P. (2020). Cikakken tsarin motsa jiki na gyaran gyare-gyare yana inganta daidaitawa, kunna tsoka, da tsarin motsi na maza masu fama da ciwo na sama: gwaji mai sarrafawa bazuwar. Rahoton Kimiyya, 10 (1), 20688. doi.org/10.1038/s41598-020-77571-4
Bae, WS, Lee, HO, Shin, JW, & Lee, KC (2016). Tasirin motsa jiki na tsakiya da ƙananan trapezius ƙarfin motsa jiki da levator scapulae da trapezius na sama na motsa jiki a cikin ciwo mai tsanani. Jaridar Kimiyyar Jiki, 28 (5), 1636-1639. doi.org/10.1589/jpts.28.1636
Cibiyar Kula da Cututtukan Jijiya da bugun jini ta ƙasa. Ciwon baya.
Cedar - Sinai. Ciwon baya da wuya.
Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru. Ƙididdiga a cikin binciken ciwo (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921
Ƙunƙarar tsokoki/glutes sun ƙunshi gindi. Ƙungiya ce mai ƙarfi wacce ta ƙunshi tsoka guda uku. Gluteus maximus, gluteus medius, da gluteus minimus. Ƙunƙarar tsokoki na taimakawa wajen yin aiki na jiki da motsi na yau da kullum kamar tafiya, tsaye, da zama kuma suna taimakawa wajen hana raunin da ya faru a tsakiya, baya, tsokoki na ciki, da sauran tsokoki masu goyon baya da kyallen takarda. Mutane da yawa na iya haɓaka rashin daidaituwar glute inda ɗaya gefen ya zama mafi rinjaye kuma yana kunna fiye ko ya fi ɗayan. Rashin daidaituwa wanda ba a magance shi ba zai iya haifar da ƙarin rashin daidaituwa na tsoka, matsalolin matsayi, da batutuwa masu zafi. Rauni Medical Chiropractic da Aiki Clinical Medicine na iya haɓaka tsarin kulawa na musamman don sauƙaƙa alamun bayyanar cututtuka da dawo da daidaitawa, daidaito, da lafiya.
Glute Muscle Rashin Ma'auni
Ƙarfafa, glutes masu lafiya suna inganta kwanciyar hankali na lumbopelvic da launi, ma'ana suna kiyaye ƙananan baya da ƙashin ƙugu a daidaitattun daidaituwa don hana damuwa da rauni. Rashin daidaituwa na Glute yana faruwa lokacin da gefe ɗaya na glutes ya fi girma, ya fi karfi, ko fiye da rinjaye. Rashin ma'auni na Glute na kowa ne kuma wani ɓangare na tsarin jikin ɗan adam na yau da kullun, saboda jikin ba shi da daidaito. Canjawa da amfani da mafi rinjaye wajen ɗaukar nauyi ko ɗaukar abubuwa al'ada ne, don haka gefe ɗaya yana girma. Kamar yadda mutum ya fi son hannu ɗaya, hannu, da ƙafa fiye da wani, ɗayan gefen glute zai iya yin aiki tuƙuru kuma ya ƙara ƙarfi.
Sanadin
Akwai dalilai da yawa na rashin daidaituwar tsoka, ciki har da:
Bambance-bambancen dabi'a- Kowa yana da nau'in tsoka mai siffa na musamman, abubuwan haɗin kai, da hanyoyin jijiya. Waɗannan bambance-bambancen na iya sa gefe ɗaya na glutes ya zama mafi rinjaye ko ƙarfi.
Matsayi mara lafiya.
Alamun ciwon baya na iya sa mutane su ɗauki matsayi marasa kyau da matsayi, kamar jingina a gefe ɗaya.
Raunin da ya riga ya kasance.
Rashin isassun gyare-gyare daga raunin da ya gabata.
Raunin jijiya.
Ƙunƙarar ƙafar ƙafar ƙafa na iya haifar da raguwar kunna glute.
Horon da bai dace ba
Bambance-bambancen tsayin ƙafafu
Atrophy
Yanayin kashin baya
Aikin yi
Abubuwan wasanni na iya ba da fifikon gefe ɗaya na jiki akan ɗayan.
Juyawa Jiki
Lokacin da ciwo ya bayyana a cikin wani yanki na jiki, ana aika sigina don lura da sauran tsokoki don yin kwangila / ƙarfafawa azaman tsarin kariya don hana ƙarin rauni. Wadannan canje-canje suna canza yanayin motsi, suna haifar da rashin daidaituwa na tsoka a cikin glutes da sauran wurare. Mutanen da ba su gyara ba daga rauni da kyau za a iya barin su da rashin daidaituwa.
Taimakon Chiropractic da Maidowa
Wannan yanayin yana buƙatar magancewa don hana ƙarin raunuka da al'amurran da suka shafi matsayi. Magani ya bambanta dangane da mutum da girman matsalar. Tsarin magani don hanawa da haɓaka wasu nau'ikan rashin daidaituwa na glute na iya haɗawa da masu zuwa.
Maganin warkewa zai kwantar da tsokoki kuma ya kara yawan jini.
Gyaran chiropractic don daidaita kashin baya da jiki.
Za a samar da shimfidawa da motsa jiki masu niyya don kiyaye jeri.
Horon Unilateral ko horar da wani bangare na jiki a lokaci guda zai iya taimakawa wajen ginawa da karfafa bangaren rauni.
Ƙarfafa mahimmanci na iya yin aiki da bambance-bambance a bangarorin biyu na jiki.
Hanyar Chiropractic don Taimakon Raɗaɗi
References
Bini, Rodrigo Rico, and Alice Flores Bini. "Kwantanta tsayin layin alba da haɗin gwiwar tsokoki yayin motsa jiki na asali da ƙananan baya." Jaridar Aikin Jiki da Jikin Jiki Vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006
Buckthorpe, Matta, et al. "KWANCI DA MAGANIN GLUTEUS MAXIMUS RAUNI - BAYANIN CLINICAL." Jarida ta kasa da kasa na motsa jiki na motsa jiki vol. 14,4 (2019): 655-669.
Liu R, Wen X, Tong Z, Wang K. Damuwar Musculoskelet na BMC. 2012; 13 (1): 101. doi:10.1186/1471-2474-13-101
Lin CI, Khajoei M, Engel T, et al. Sakamakon rashin kwanciyar hankali na yau da kullum akan ayyukan tsoka a cikin ƙananan ƙafafu. Li Y, ed. PLoS DAYA. 2021;16 (2): e0247581. doi:10.1371/jarida.pone.0247581
Pool-Goudzwaard, AL et al. "Rashin isasshen kwanciyar hankali na lumbopelvic: na asibiti, anatomical da biomechanical tsarin kula da 'ƙayyadadden' ƙananan ciwon baya." Maganin hannu vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311
Vazirian, Milad, et al. "Lumbopelvic rhythm a lokacin motsi na gangar jikin a cikin jirgin sama na sagittal: nazarin hanyoyin auna kinematic da halayen halayen." Jiki da Gyaran Jiki vol. 3 (2016): 5. doi: 10.7243/2055-2386-3-5
IFM's Find A Practitioner tool is the most referral network in the Functional Medicine, halitta don taimaka wa marasa lafiya gano Aiki Magunguna a ko'ina cikin duniya. IFM Certified Practitioners an jera farko a cikin sakamakon bincike, da aka ba su ilimi mai yawa a cikin Magungunan Aiki
Ability
