Ƙungiyar Rauni ta Keɓaɓɓen Clinic Back. Raunin da ya faru daga hatsari ba zai iya haifar da lahani na jiki kawai a gare ku ko ƙaunataccen ba, kasancewa cikin yanayin rauni na sirri na iya zama yanayi mai rikitarwa da damuwa don kulawa. Wadannan nau'o'in yanayi suna da rashin alheri da yawa kuma lokacin da mutum ya fuskanci ciwo da rashin jin daɗi sakamakon raunin da ya faru daga hatsari ko wani yanayin da ya fi dacewa da raunin da ya faru, gano maganin da ya dace don takamaiman batun su zai iya zama wani kalubale. a kanta.
Dr. Alex Jimenez ya hada da labaran raunin da ya faru na sirri ya nuna nau'o'in raunin da ya faru na mutum, ciki har da hadarin mota da ke haifar da whiplash, yayin da yake taƙaita jiyya daban-daban, irin su kula da chiropractic. Don ƙarin bayani, don Allah jin daɗin tuntuɓar mu a (915) 850-0900 ko rubutu don kiran Dr. Jimenez da kansa a (915) 540-8444.
Wadanda ke fama da wuyan wuyansa, taurin kai, ciwon kai, kafada da ciwon baya na iya fama da rauni na whiplash. Shin sanin alamun whiplash da alamun bayyanar cututtuka na iya taimakawa mutane su gane raunin da kuma taimakawa masu kiwon lafiya su inganta tsarin kulawa mai mahimmanci?
Alamun Whiplash da Alamun
Whiplash rauni ne na wuyan wuya wanda yawanci yakan faru bayan karon abin hawa ko haɗari amma yana iya faruwa tare da kowane rauni wanda ke saurin bulala wuyan gaba da baya. Yana da rauni mai sauƙi zuwa matsakaici na tsokoki na wuyansa. Alamomin whiplash na gama gari da alamun sun haɗa da:
Wasu mutane na iya haifar da ciwo mai tsanani da ciwon kai.
Alamun da jiyya sun dogara ne akan tsananin rauni. Jiyya na iya haɗawa da magungunan jin zafi na kan-da-counter, ƙanƙara da maganin zafi, chiropractic, farfadowa na jiki, da motsa jiki.
Alamomi da Alamomi akai-akai
Motsin bulala na kai ba zato ba tsammani na iya shafar sassa da yawa a cikin wuya. Waɗannan sifofin sun haɗa da:
tsokoki
kasusuwa
gidajen abinci
Tendons
Ligaments
Fayilolin intervertebral
Jirgin jini
Jijiya.
Duk wani ko duk waɗannan na iya shafan rauni ta hanyar rauni na whiplash. (MedlinePlus, 2017)
statistics
Whiplash shine wuyan wuyan wuyansa wanda ke faruwa daga motsi mai saurin wuyan wuyansa. Raunin Whiplash ya kai fiye da rabin raunin da ya faru a kan cunkoson ababen hawa. (Michele Sterling, 2014) Ko da karamin rauni, mafi yawan bayyanar cututtuka sun haɗa da: (Nobuhiro Tanaka et al., 2018)
Neck zafi
Taurin gaba
Tausayin wuya
Iyakance kewayon motsi na wuyansa
Mutane na iya haifar da rashin jin daɗi na wuyansa da zafi ba da daɗewa ba bayan rauni; duk da haka, mafi tsananin zafi da taurin yawanci ba sa faruwa daidai bayan rauni. Alamun suna yin ta'azzara washegari ko sa'o'i 24 bayan haka. (Nobuhiro Tanaka et al., 2018)
Alamomin Farko
Masu bincike sun gano cewa kusan fiye da rabin mutanen da ke da whiplash suna tasowa bayyanar cututtuka a cikin sa'o'i shida na rauni. Kusan kashi 90 cikin 24 na ci gaba da bayyanar cututtuka a cikin sa'o'i 100, kuma 72% suna tasowa bayyanar cututtuka a cikin sa'o'i XNUMX. (Nobuhiro Tanaka et al., 2018)
Whiplash vs. Rauni na Kashin mahaifa na Traumatic Cervical
Whiplash yana kwatanta rauni mai laushi zuwa matsakaicin wuyan wuyansa ba tare da mahimman kwarangwal ko alamun cututtuka ba. Muhimman raunin wuyan wuyansa na iya haifar da raguwa da raguwa na kashin baya wanda zai iya rinjayar jijiyoyi da kashin baya. Da zarar mutum ya haifar da matsalolin jijiyoyi da ke hade da raunin wuyansa, ganewar asali ya canza daga whiplash zuwa rauni na kashin baya na mahaifa. Waɗannan bambance-bambance na iya zama masu ruɗani yayin da suke kan bakan guda ɗaya. Don ƙarin fahimtar tsananin wuyan wuyan wuyan wuyan, tsarin rarrabuwa na Quebec ya raba raunin wuyansa zuwa maki masu zuwa (Nobuhiro Tanaka et al., 2018)
Grade 0
Wannan yana nufin babu alamun wuyansa ko alamun gwajin jiki.
Grade 1
Akwai ciwon wuya da taurin kai.
Abubuwan da aka samu kaɗan daga gwajin jiki.
Grade 2
Yana nuna ciwon wuya da taurin kai
Tausayin wuya
Rage motsi ko wuyan motsi na motsi akan gwajin jiki.
Grade 3
Ya haɗa da ciwon tsoka da taurin kai.
Alamomin Neurologic sun haɗa da:
Lambobi
Tingling
Rauni a cikin hannaye
Ragewar reflexes
Grade 4
Ya haɗa da karaya ko karkatar da ƙasusuwan ginshiƙan kashin baya.
Sauran Alamomin
Sauran alamun whiplash da alamun da za a iya danganta su da rauni amma ba su da yawa ko kuma kawai suna faruwa tare da mummunan rauni sun haɗa da (Nobuhiro Tanaka et al., 2018)
Tashin ciwon kai
Jaw zafi
Matsalar barci
Ciwon kai na Migraine
Difficulty concentrating
Wahalar karatu
Binciken tsoro
Dizziness
Matsalolin tuƙi
Alamun Rare
Mutanen da ke da rauni mai tsanani na iya haifar da bayyanar cututtuka masu wuyar gaske waɗanda sukan nuna rauni na kashin baya na mahaifa kuma sun haɗa da: (Nobuhiro Tanaka et al., 2018)
ɓacin hankali
tremor
Canjin murya
Torticollis - ciwon tsoka mai raɗaɗi wanda ke sa kai ya juya gefe ɗaya.
Zubar da jini a cikin kwakwalwa
matsalolin
Yawancin mutane gabaɗaya suna warkewa daga alamun su a cikin ƴan makonni zuwa ƴan watanni. (Michele Sterling, 2014) Duk da haka, rikice-rikice na whiplash na iya faruwa, musamman tare da rauni mai tsanani na 3 ko 4. Mafi yawan rikice-rikice na rauni na whiplash sun haɗa da ciwo mai tsanani / dogon lokaci da ciwon kai. (Michele Sterling, 2014) Raunin ƙwayar cuta mai rauni na mahaifa zai iya rinjayar kashin baya kuma yana hade da matsalolin ƙwayoyin cuta na yau da kullum, ciki har da rashin ƙarfi, rauni, da wahalar tafiya. (Luc van Den Hauwe et al., 2020)
Jiyya
Yawanci zafi ya fi tsanani a rana mai zuwa fiye da bayan rauni. Jiyya na rauni na musculoskeletal na Whiplash ya dogara ne akan ko yana da mummunan rauni ko kuma mutum ya ci gaba da ciwo na wuyan wuyansa da taurin kai.
Za a iya maganin ciwo mai tsanani tare da magungunan kan-da-counter kamar Tylenol da Advil, waɗanda ke magance ciwon yadda ya kamata.
Advil wani anti-mai kumburi ne wanda ba na steroidal ba wanda za'a iya ɗauka tare da mai rage radadin Tylenol, wanda ke aiki ta hanyoyi daban-daban.
Babban jigon jiyya shine ƙarfafa aiki na yau da kullum tare da shimfiɗawa da motsa jiki. (Michele Sterling, 2014)
Jiki na jiki yana amfani da nau'o'in motsa jiki daban-daban don ƙarfafa tsokoki na wuyansa da kuma rage zafi.
Gyaran gyaran gyare-gyare da kuma raguwa maras tiyata na iya taimakawa wajen daidaitawa da kuma ciyar da kashin baya.
acupuncture zai iya haifar da jiki don saki kwayoyin halitta na halitta wanda ke ba da taimako na jin zafi, taimakawa wajen shakatawa da laushi mai laushi, ƙara yawan wurare dabam dabam, da rage kumburi. Kashin mahaifa na iya komawa zuwa jeri lokacin da taushin kyallen takarda ba su da kumburi da spasming. (Tae-Woong Moon et al., 2014)
Sterling M. (2014). Gudanar da physiotherapy na cututtuka masu alaƙa da whiplash (WAD). Jaridar ilimin lissafi, 60 (1), 5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology da Jiyya na Traumatic Cervical Spine Syndrome: Raunin Whiplash. Ci gaba a cikin Orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Rauni na Kashin Kashin Kashin Kaya da Rauni na Kaya (SCI). A cikin: Hodler J, Kubik-Huch RA, von Schulthess GK, masu gyara. Cututtuka na Kwakwalwa, kai da wuya, Spine 2020-2023: Binciken Bincike [Internet]. Cham (CH): Springer; 2020. Babi na 19. Akwai daga: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Moon, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). Acupuncture don magance cututtukan da ke hade da whiplash: nazari na yau da kullun na gwaje-gwaje na asibiti bazuwar. Madaidaicin shaida da madadin magani: eCAM, 2014, 870271. doi.org/10.1155/2014/870271
Ga mutanen da ke fama da ƙananan ciwon baya na iya fahimtar tsarin jiki da aikin ƙwayar tsoka na multifidus taimakawa wajen rigakafin rauni da kuma ci gaba da tsarin kulawa mai mahimmanci?
Multifidus Muscle
Tsokoki na multifidus suna da tsayi da kunkuntar a kowane gefe na ginshiƙan kashin baya, wanda ke taimakawa wajen daidaita ƙananan yanki na kashin baya ko lumbar. (Maryse Fortin, Luciana Gazzi Macedo 2013) Zama da yawa, yin aiki mara kyau, da rashin motsi na iya ci gaba zuwa ga tsokar multifidus ta raunana ko atrophy, wanda zai haifar da rashin daidaituwa na kashin baya, matsawa na vertebral, da ciwon baya. (Paul W. Hodges, Lieven Danneels 2019)
ilimin tiyata
An san shi da zurfin Layer, shine mafi girman ciki na sassan tsoka uku na baya kuma yana sarrafa motsi na kashin baya. Sauran yadudduka biyu, waɗanda aka sani da na zahiri da na zahiri, suna da alhakin kejin thoracic / kejin haƙarƙari da motsin kafada. (Anouk Agten et al., 2020Multifidus yana da abubuwan haɗin kai a:
Kashin baya na thoracic na tsakiyar baya.
Kashin baya na lumbar baya.
Ƙunƙarar ƙashin ƙugu - tushe na kashin iliac mai siffar fuka-fuki na ƙashin ƙugu.
Sacrum - jerin kasusuwa a gindin kashin baya da aka haɗa da kashin wutsiya.
Lokacin tsaye ko motsi, ƙwayar multifidus tana aiki tare da transversus abdominus da tsokoki na pelvic don daidaita kashin lumbar. (Christine Lynders 2019)
Aikin tsoka
Babban aikin shine daidaita ƙananan baya, amma kuma yana taimakawa wajen ƙaddamar da ƙananan kashin baya a duk lokacin da ya kai ko mikewa. (Jennifer Padwal et al., 2020) Saboda tsoka yana da abubuwan haɗin kai da yawa kuma ana ba da sabis ta wani reshe na jijiyoyi da aka sani da rami na baya, yana ba kowane vertebra damar yin aiki daban-daban kuma mafi inganci.
Wannan yana ba da kariya daga lalacewar kashin baya da kuma ci gaban cututtukan arthritis. (Jeffrey J Hebert et al., 2015)
Ƙwararrun ƙwayar cuta mai yawa tana aiki tare da wasu ƙungiyoyi masu zurfi guda biyu don daidaitawa da motsa kashin baya. (Jeffrey J Hebert et al., 2015)
Tsokar rotatores tana ba da damar jujjuyawar gefe ɗaya, juyawa daga gefe zuwa gefe, da haɓakawa biyu ko lankwasa baya da gaba.
Muscle semispinalis sama da multifidus yana ba da damar tsawo da juyawa na kai, wuyansa, da babba baya.
Muscle multifidus yana tabbatar da ƙarfin kashin baya saboda yana da ƙarin abubuwan da aka haɗe zuwa kashin baya fiye da sauran yadudduka, wanda ya rage sassaucin kashin baya da juyawa amma yana ƙara ƙarfi da kwanciyar hankali. (Anouk Agten et al., 2020)
Raunin baya baya
Ƙarƙashin ƙwayar tsoka mai yawa yana lalata kashin baya kuma yana ba da tallafi kaɗan ga vertebra. Wannan yana ƙara matsa lamba akan tsokoki da haɗin haɗin gwiwa tsakanin da kuma kusa da ginshiƙan kashin baya, yana ƙara haɗarin ƙananan alamun ciwon baya. (Paul W. Hodges, Lieven Danneels 2019) Rashin ƙarfin tsoka da kwanciyar hankali na iya haifar da atrophy ko ɓarna. Wannan na iya haifar da matsawa da sauran matsalolin baya. (Paul W. Hodges et al., 2015Matsalolin baya masu alaƙa da lalacewar tsokar multifidus sun haɗa da (Paul W. Hodges, Lieven Danneels 2019)
Fayafai masu ɓarna - suma masu kumbura ko fayafai.
Ciwon jijiya ko matsawar jijiya.
Sciatica
Ciwon da ake nunawa - ciwon jijiya wanda ya samo asali daga kashin baya da ake ji a wasu wurare.
Osteoarthritis - kumburi da kumburi amosanin gabbai
Spinal osteophytes - kasusuwa spurs
Rashin raunin ciki ko tsokoki na ƙwanƙwasa na iya yin sulhu da ainihin, yana ƙara haɗarin ƙananan ciwon baya da rauni.
Ana ba da shawarar mutane don tuntuɓar mai ilimin hanyoyin kwantar da hankali na jiki da chiropractor wanda zai iya taimakawa wajen haɓaka abin da ya dace magani, gyare-gyare, da kuma shirin ƙarfafawa bisa ga shekaru, rauni, yanayin da ke cikin ƙasa, da kuma iyawar jiki.
Za a iya Taimakon Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙarfafawa zai iya Taimakawa tare da Ciwon Baya?
References
Fortin, M., & Macedo, LG (2013). Multifidus da ƙungiyar tsoka na paraspinal ƙetare sassan sassan marasa lafiya da ƙananan ciwon baya da kuma kula da marasa lafiya: nazari na yau da kullum tare da mayar da hankali kan makanta. Magungunan Jiki, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Dannels, L. (2019). Canje-canje a tsari da aikin tsokoki a cikin low ciwon baya: maki lokaci daban-daban, abubuwan lura, da abubuwan lura. Jaridar Orthopedic da wasanni na motsa jiki, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrugghe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Multifidus na lumbar yana da nau'in nau'in tsoka mai girma na I idan aka kwatanta da spinae mai kafa. Anatomy & Halittar Halitta, 53(2), 143-150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Muhimman Matsayin Ci gaban Abdominis na Transversus a cikin Rigakafi da Kula da Ƙananan Ciwon Baya. Mujallar HSS: Mujallar musculoskeletal na Asibitin don tiyata na musamman, 15(3), 214-220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Bambance-bambancen yanki tsakanin na sama da zurfin lumbar multifidus a cikin marasa lafiya da cututtukan cututtuka na lumbar na yau da kullun. Raunin musculoskeletal BMC, 21(1), 764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kimiyya ta lumbar multle aiki ta hanyar palpation: Dadi da Ingantaccen sabon gwajin asibiti. Jaridar kashin baya: Jaridar hukuma ta Arewacin Amurka Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spine.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Canje-canje na Muscle Multifidus Bayan Rauni na Baya Ana Siffata ta Tsarin Gyaran Nama, Adipose da Tissue Mai Haɗawa, amma Ba Muscle Atrophy: Shaidar Kwayoyin Halitta da Kwayoyin Halitta. Kashin baya, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972
A lokacin faɗuwar mutane sukan miƙa hannayensu kai tsaye don taimakawa karya faɗuwa, wanda zai iya faɗo ƙasa yana haifar da faɗuwar hannu a waje ko rauni na FOOSH. Shin yakamata ma'aikacin kiwon lafiya ya duba mutane idan sun yi imanin cewa babu wani rauni?
Raunin FOOSH
Faduwa yawanci yana haifar da ƙananan raunuka. Raunin FOOSH yana faruwa lokacin faɗuwa da ƙoƙarin karya faɗuwar ta hanyar kai hannu/s. Wannan na iya haifar da rauni na sama kamar rauni ko karaya. Amma wani lokacin, faɗuwa a hannun mutum na iya haifar da munanan raunuka da/ko haifar da al'amurran musculoskeletal na gaba. Mutanen da suka fadi ko suka sami rauni na FOOSH ya kamata su tuntuɓi mai ba da lafiyar su sannan kuma likitan kwantar da hankali ko chiropractor don inganta tsarin kulawa da lafiya don gyarawa, ƙarfafawa, da kuma hanzarta farfadowa.
Bayan Rauni
Ga mutanen da suka fadi kuma suka sauka a hannunsu, wuyan hannu, ko hannu, ga wasu abubuwa don tabbatar da kulawar da ta dace don raunin, gami da:
Bi ka'idar RICE don munanan raunuka
Ziyarci mai ba da lafiya ko asibitin gaggawa na gida
Tuntuɓi likitan motsa jiki
Raunin FOOSH zai iya zama mai tsanani ko kuma ya zama mai tsanani, don haka don kauce wa barin ƙananan al'amura su zama manyan matsaloli, a duba wurin ƙwararren ƙwayar tsoka. Ma'aikatan kiwon lafiya za su sami hoton hoto na wuraren da suka ji rauni da kewaye. Za su yi gwajin jiki don tantance nau'in rauni, kamar sprain ko ciwon tsoka. Rashin samun magani mai dacewa bayan faɗuwa zai iya haifar da ciwo mai tsanani da asarar aiki. (J. Chiu, SN Robinovitch. 1998)
Raunin gama gari
Raunin FOOSH na iya raunata wurare daban-daban. Waɗannan yawanci sun haɗa da wuyan hannu da hannu, amma gwiwar hannu ko kafada kuma na iya ji rauni. Raunin gama gari sun haɗa da:
Karaya
Karyewar wuyan hannu inda ƙarshen kashin hannu ya koma baya.
Karyawar Smith
Karyewar wuyan hannu, mai kama da karaya na Colles, shine inda ƙarshen kashin hannu ke motsawa zuwa gaban wuyan hannu.
Karayar dambe
Karaya na ƙananan ƙasusuwa a hannu.
Yawanci, yana faruwa ne bayan buga wani abu, amma yana iya faruwa daga faɗuwa a hannun hannu.
Rage gwiwar hannu ko karaya
Hannun gwiwar zai iya fita daga haɗin gwiwa ko zai iya karya kashi a gwiwar hannu.
Karyewar kashi
Ƙarfin faɗuwa tare da hannaye da miƙewa na iya tafiya har zuwa kashin ƙugiya, haifar da karaya.
Karaya mai kusanci
Faɗuwa kan raunin hannu da aka miƙe na iya sa kashin hannu ya matse cikin kafaɗa, yana haifar da karaya mai kusanci.
Zame kafada
Kafada na iya fita daga haɗin gwiwa.
Wannan na iya haifar da rotator cuff hawaye ko rauni na labrum.
Ko da kuwa raunin da ya faru, ya kamata mutane su ziyarci ma'aikacin kiwon lafiya don kimanta lalacewar. Idan raunin ya kasance mai tsanani, mai yin aikin zai iya yin daidaitaccen ganewar asali ko bambanci kuma ya samar da tsarin kulawa. (William R. VanWye et al., 2016)
jiki Far
Mutane da yawa za su iya amfana daga jiyya na jiki don taimakawa wajen farfadowa da komawa zuwa matakin aikin su na baya. Maganin jiki ya bambanta dangane da takamaiman rauni, amma gabaɗaya, mai ilimin hanyoyin kwantar da hankali na jiki zai iya taimaka wa mutane su koma aiki bayan faɗuwa a kan hannun da aka miƙa. (William R. VanWye et al., 2016) Magani na gama gari na iya haɗawa da:
Jiyya da hanyoyi don rage zafi, kumburi, da kumburi.
Umarni kan yadda ake saka majajjawar hannu da kyau.
Motsa jiki da shimfidawa don haɓaka kewayon motsi, ƙarfi, da motsin aiki.
Ma'auni motsa jiki.
Sarrafa tabo idan tiyata ya zama dole.
The far tawagar za ta tabbatar da dace magani Ana amfani da shi don dawowa cikin sauri da aminci ga ayyukan yau da kullun.
Maganin Chiropractic don Waraka Bayan Cutar
References
Chiu, J., & Robinovitch, SN (1998). Hasashen tasirin tasiri na sama a lokacin faɗuwa a hannun da aka miƙa. Jaridar Biomechanics, 31 (12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7
VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Binciken mai ilimin likitancin jiki da ganewar asali don ciwo mai rauni-farko da ciwon gwiwar gwiwar hannu: Rahoton shari'a. Ka'idar ilimin motsa jiki da aiki, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798
Mutane ba za su gane cewa suna da haƙarƙari mai fashe ba har sai bayyanar cututtuka kamar zafi lokacin shan numfashi mai zurfi ya fara nunawa. Shin sanin alamomi da abubuwan da ke haifar da fashe ko karyewar hakarkarin zai iya taimakawa wajen gano cutar da magani?
Karkakkun Hakarkari
Haƙarƙari mai karye/karye yana kwatanta duk wani karyewar kashi. Haƙarƙari mai fashe nau'in karyewar haƙarƙari ne kuma ya fi kwatanci fiye da gano cutar haƙarƙari da aka samu wani sashi. Duk wani mummunan tasiri ga ƙirji ko baya na iya haifar da tsagewar haƙarƙari, gami da:
fadowa
Hadarin mota
Wasanni rauni
Tari mai tashin hankali
Babban alamar shine zafi lokacin shakarwa.
Raunin yakan warke cikin makonni shida.
Alamun
Karancin hakarkarin yawanci ana haifar da faɗuwa, rauni ga ƙirji, ko tari mai tsanani. Alamomin sun hada da:
Kumburi ko taushi a kusa da wurin da aka ji rauni.
Ciwon ƙirji lokacin numfashi/shakar numfashi, atishawa, dariya, ko tari.
Ciwon ƙirji tare da motsi ko lokacin kwanciya a wasu wurare.
Yiwuwar rauni.
Ko da yake da wuya, haƙarƙarin da ya fashe zai iya haifar da rikitarwa kamar ciwon huhu.
Duba ma'aikacin kiwon lafiya nan da nan idan kuna fuskantar wahalar numfashi, matsanancin ciwon ƙirji, ko tari mai tsayi tare da gamsai, zazzabi mai zafi, da/ko sanyi.
iri
A mafi yawan lokuta, haƙarƙari yakan karye a wuri ɗaya, yana haifar da karaya wanda bai cika ba, wanda ke nufin tsagewa ko karyewa wanda baya ratsa kashi. Sauran nau'ikan karaya na haƙarƙari sun haɗa da:
Karaya da Matsuguni da Mara Matsala
Cikakkun hakarkarin da suka karye na iya ko ba za su bar wurin ba.
Idan haƙarƙari ya motsa, ana kiran wannan da a karaya daga haƙarƙari kuma yana iya huda huhu ko lalata wasu kyallen takarda da gabobin jiki. (Yale Medicine. 2024)
Haƙarƙari da ya tsaya a wuri yawanci yana nufin haƙarƙarin ba ya karye gaba ɗaya cikin rabi kuma an san shi da a karyewar hakarkarin da ba a raba shi ba.
Falon Kirji
Wani sashe na haƙarƙari na iya karyewa daga ƙashi da tsoka da ke kewaye, kodayake wannan yana da wuya.
Idan hakan ya faru, hakarkarin zai rasa kwanciyar hankali, kuma kashi zai yi motsi da yardar kaina yayin da mutum yake shaka ko fitar da numfashi.
Ana kiran wannan sashin haƙarƙari da aka karye da ɓangaren flail.
Wannan yana da haɗari saboda yana iya huda huhu da haifar da wasu matsaloli masu tsanani, kamar ciwon huhu.
Sanadin
Abubuwan da ke haifar da tsagewar hakarkarinsu sun haɗa da:
Hadarin mota
Hadarin da ke tafiya a kafa
Falls
Tasiri raunuka daga wasanni
Yawan yawan amfani da damuwa da aiki ko wasanni ke haifarwa
Tari mai tsanani
Mutane da yawa za su iya samun karaya daga ƙananan rauni saboda ci gaba da asarar ma'adanai na kashi. (Christian Liebsch et al., 2019)
Alamar Ƙarƙashin Ƙarya
Karayar haƙarƙari ita ce mafi yawan nau'in karayar kashi.
Suna lissafin 10% zuwa 20% na duk raunin raunin da aka gani a cikin dakunan gaggawa.
A cikin lokuta inda mutum ya nemi kulawa don raunin da ya faru a ƙirjin, 60% zuwa 80% ya haɗa da karaya. (Christian Liebsch et al., 2019)
ganewar asali
Ana gano haƙarƙarin da ya fashe tare da gwajin jiki da gwaje-gwajen hoto. Yayin jarrabawar, ma'aikacin kiwon lafiya zai saurari huhu, ya danna maƙarƙashiya a hankali, kuma ya kalli yayin da haƙarƙarin ke motsawa. Zaɓuɓɓukan gwajin hoto sun haɗa da: (Sarah Majercik, Fredric M. Pieracci 2017)
Harkokin X – Waɗannan su ne don gano haƙarƙari ko fashe kwanan nan.
CT Scan - Wannan gwajin hoto ya ƙunshi haskoki X da yawa kuma yana iya gano ƙananan fasa.
MRI - Wannan gwajin hoto don kyallen takarda ne masu laushi kuma sau da yawa yana iya gano ƙananan karya ko lalacewar guringuntsi.
Binciken Kashi - Wannan gwajin hoto yana amfani da na'urar ganowa ta rediyo don ganin tsarin ƙasusuwa kuma yana iya nuna ƙananan karaya.
Jiyya
A da, ana amfani da magani don haɗa ƙirji tare da bandeji da aka sani da bel na haƙarƙari. Ba kasafai ake amfani da waɗannan ba a yau saboda suna iya hana numfashi, ƙara haɗarin ciwon huhu ko ma faɗuwar huhu. (L. May, C. Hillermann, S. Patil 2016). Haƙarƙari mai fashe karaya ce mai sauƙi wanda ke buƙatar abubuwa masu zuwa:
sauran
Magungunan kan-da-counter ko magunguna na iya taimakawa wajen sarrafa alamun ciwo.
Magungunan anti-inflammatory marasa steroidal - NSAIDs kamar ibuprofen ko naproxen ana bada shawarar.
Idan hutun ya yi yawa, ana iya ba wa daidaikun mutane magani mafi ƙarfi dangane da tsanani da yanayin da ke ciki.
Jiyya na jiki zai iya hanzarta tsarin warkarwa kuma yana taimakawa wajen kiyaye kewayon motsi na bangon kirji.
Ga marasa lafiya waɗanda ba su da ƙarfi da tsofaffi, jiyya na jiki na iya taimakawa mai haƙuri tafiya da daidaita wasu ayyuka.
Mai ilimin hanyoyin kwantar da hankali na jiki zai iya horar da mutum don canja wuri tsakanin gado da kujeru lafiya yayin da yake kula da duk wani motsi ko matsayi wanda ke sa ciwo ya fi muni.
Likitan jiki zai rubuta gwaje-gwaje don kiyaye jiki a matsayin karfi da rauni kamar yadda zai yiwu.
Misali, juzu'i na gefe na iya taimakawa haɓaka kewayon motsi a cikin kashin thoracic.
A lokacin farkon matakai na farfadowa, ana bada shawarar yin barci a matsayi mai tsayi.
Kwance zai iya ƙara matsa lamba, haifar da ciwo kuma yana yiwuwa ya kara rauni.
Yi amfani da matashin kai da ƙwanƙwasa don taimakawa goyan bayan zama a kan gado.
Abin da zai iya jin kamar haƙarƙari mai fashe yana iya zama irin wannan yanayin, wanda shine dalilin da ya sa yana da mahimmanci a bincika. Sauran yiwuwar bayyanar cututtuka na iya haɗawa da:
Karan haƙarƙari - Wannan yana faruwa lokacin da haƙarƙari ba su fashe ba, amma ƙananan tasoshin jini da ke kewaye da yankin sun fashe kuma su shiga cikin kyallen da ke kewaye. (Sarah Majercik, Fredric M. Pieracci 2017)
Filayen hakarkari – Wannan shi ne lokacin da haƙarƙarin guringuntsi ya ke hawaye kuma ya karye, yana sa shi zamewa daga matsayi. (Sarah Majercik, Fredric M. Pieracci 2017)
Janye tsoka – Wani nau’in tsoka, ko tsokar da aka ja, yana faruwa ne lokacin da tsokar ta yi yawa, wanda zai iya haifar da tsagewa. Hakarkarin ba ya shafa, amma yana iya jin kamar suna. (Sarah Majercik, Fredric M. Pieracci 2017)
gaggawa
Mafi yawan rikitarwa shine rashin iya ɗaukar dogon numfashi saboda zafi. Lokacin da huhu ba zai iya yin numfashi sosai ba, mucous da danshi na iya haɓakawa kuma su haifar da kamuwa da cuta kamar ciwon huhu. (L. May, C. Hillermann, S. Patil 2016). Karyewar haƙarƙari kuma na iya lalata wasu kyallen takarda ko gabobin, ƙara haɗarin rugujewar huhu/pneumothorax ko zubar jini na ciki. Ana ba da shawarar a nemi kulawar likita nan da nan idan bayyanar cututtuka ta tasowa kamar:
Rawancin numfashi
Dama mai wuya
Launi mai ja na fata wanda rashin iskar oxygen ke haifarwa
Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Siffofin raunin haƙarƙari na serial bayan raunin ƙirjin ƙirji: Nazarin lokuta 380. PloS 14, 12 (0224105), eXNUMX. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Gudanar da karaya. BJA Ilimi. Juzu'i na 16, fitowa ta 1. Shafi na 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Ga daidaikun mutane cikin wasanni, masu sha'awar motsa jiki, da waɗanda ke yin ayyukan motsa jiki, raunin musculoskeletal na kowa. Shin yin amfani da tef ɗin kankara zai iya taimakawa a lokacin farkon ko m lokaci na rauni rage kumburi da kumburi don hanzarta farfadowa da dawo da ayyukan da wuri?
Tef ɗin Kankara
Bayan raunin musculoskeletal, ana ba da shawarar mutane su bi R.I.C.E. hanya don taimakawa rage kumburi da kumburi. R.I.C.E. shine gagaratun Hutu, Kankara, Matsi, da Tsawa. (Michigan Medicine. Jami'ar Michigan. 2023) Sanyi yana taimakawa wajen rage zafi, ƙananan zafin jiki, da rage kumburi a kusa da wurin da aka samu rauni. Ta hanyar sarrafa kumburi tare da kankara da matsawa da wuri bayan rauni, daidaikun mutane na iya kula da yanayin da ya dace na motsi da motsi a kusa da sashin jikin da ya ji rauni. (Jon E. Block. 2010) Akwai hanyoyi daban-daban don shafa kankara ga rauni.
Jakunkunan kankara da aka siyo da kayan sanyi.
Jiƙa sashin jikin da ya ji rauni a cikin magudanar ruwa mai sanyi ko baho.
Yin fakitin kankara mai sake amfani da su.
Ana iya amfani da bandeji mai matsawa tare da kankara.
Tef ɗin Kankara bandeji ne na matsawa wanda ke ba da maganin sanyi gaba ɗaya. Bayan wani rauni, yin amfani da shi zai iya taimakawa rage zafi da kumburi a lokacin mummunan lokaci na warkarwa. (Matiyu J. Kraeutler et al., 2015)
Yadda Tef ke Aiki
Tef ɗin bandeji mai sassauƙa ne wanda aka sanya shi tare da gel mai sanyaya warkewa. Lokacin da aka yi amfani da sashin jiki da aka ji rauni kuma an fallasa shi zuwa iska, gel ɗin yana kunna, yana haifar da jin sanyi a kusa da yankin. Sakamakon magani na warkewa na iya ɗaukar sa'o'i biyar zuwa shida. Haɗe tare da bandeji mai sassauƙa, yana ba da maganin kankara da matsawa. Ana iya amfani da tef ɗin kankara kai tsaye daga cikin kunshin amma kuma ana iya adana shi a cikin firiji don ƙara tasirin sanyi. Dangane da umarnin mai yin, ba za a adana tef ɗin a cikin injin daskarewa ba saboda wannan na iya sa ya yi wuya a naɗe yankin da ya ji rauni.
Abũbuwan amfãni
Fa'idodin sun haɗa da:
Easy don amfani
Samfurin yana da sauƙin amfani.
Fitar da tef ɗin, kuma fara nannade shi a kusa da sashin jikin da ya ji rauni.
Fasteners Ba a Bukatar
Kundin yana manne da kansa, don haka tef ɗin ya tsaya a wurin ba tare da amfani da shirye-shiryen bidiyo ko ɗamara ba.
Sauƙin Yanke
Madaidaicin nadi yana da inci 48 tsayi da inci 2 faɗi.
Yawancin raunin da ya faru na buƙatar isa ya kewaye yankin da aka ji rauni.
Almakashi ya yanke ainihin adadin da ake buƙata, kuma a adana sauran a cikin jakar da za a iya rufewa.
Reusable
Bayan mintuna 15 zuwa 20 na aikace-aikacen, ana iya cire samfurin cikin sauƙi, a naɗe shi, a adana shi a cikin jaka, kuma a sake amfani da shi.
Ana iya amfani da tef ɗin sau da yawa.
Tef ɗin ya fara rasa ingancin sanyaya bayan amfani da yawa.
Fir
Ba a buƙatar sanya tef ɗin a cikin mai sanyaya lokacin tafiya.
Yana da sauƙin ɗauka kuma cikakke don aikace-aikacen kankara mai sauri da matsawa nan da nan bayan rauni.
Zai iya rage zafi da kumburi kuma a ajiye shi a wurin aiki.
disadvantages
Kadan daga cikin illolin sun haɗa da:
Chemical warin
Gel a kan m kunsa zai iya samun warin magani.
Ba shi da ƙarfi sosai kamar kirim mai zafi, amma warin sinadarai na iya damun wasu mutane.
Maiyuwa Ba Sanyi Ya Isa ba
Tef ɗin yana aiki don jin zafi na gaggawa da kumburi, amma maiyuwa bazai yi sanyi isa ga mai amfani ba lokacin da aka yi amfani da shi daga fakitin a zafin jiki.
Duk da haka, ana iya sanya shi a cikin firiji don ƙara yawan sanyi kuma yana iya samar da sakamako mai kwantar da hankali, musamman ga wadanda ke fama da tendinitis ko bursitis.
Dankowa na iya zama mai jan hankali
Tef ɗin na iya ɗan ɗan ɗanɗano wa wasu.
Wannan abu mai mannewa zai iya zama ɗan ƙaramin bacin rai.
Duk da haka, yana jin kawai lokacin da ake shafa shi.
Ana iya barin wasu gyale na gel a baya idan an cire su.
Tef ɗin kankara kuma na iya manne wa tufafi.
Ga daidaikun mutane masu neman saurin kwantar da hankali, kan tafiya don sassan jikin da suka ji rauni ko masu raɗaɗi, kankara tef zai iya zama zaɓi. Zai iya zama da kyau a kasance a hannu don samar da matsawa mai sanyaya idan ƙananan rauni ya faru yayin shiga cikin wasanni ko ayyukan jiki da kuma sauƙi don amfani da yawa ko raunin raunin da ya faru.
Block J. E. (2010). Cold da matsawa a cikin kula da raunuka na musculoskeletal da hanyoyin aiki na orthopedic: bita na labari. Bude mujallar samun damar maganin wasanni, 1, 105-113. doi.org/10.2147/oajsm.s11102
Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, EC (2015). Cryotherapy mai rikitarwa tare da kankara-mai yiwuwa, binciken da bazuwar kan ciwon bayan tiyata a cikin marasa lafiya da ke jure wa arthroscopic rotator cuff gyara ko raguwar subacromial. Jaridar kafada da tiyatar gwiwar hannu, 24(6), 854-859. doi.org/10.1016/j.jse.2015.02.004
Ƙunƙarar gwiwar hannu wani rauni ne na kowa a cikin manya da yara kuma sau da yawa yana faruwa tare da karaya da raunin jijiyoyi da nama. Shin jiyya na jiki zai iya taimakawa wajen tallafawa farfadowa da tabbatar da kewayon motsi?
Raunin Hannun Hannun da aka Rage
Ragewar gwiwar gwiwar hannu gabaɗaya na faruwa ne sakamakon rauni lokacin da ƙashin gwiwar hannu ba ya haɗawa. Mutanen da ke faɗowa kan miƙon hannu shine mafi yawan abin da ke haifar da rauni. (James layson, Ben J. Mafi kyawun 2023) Masu ba da lafiya za su yi ƙoƙari su sake komawa gwiwar gwiwar hannu ta amfani da raguwa mai rufaffiyar. Mutane na iya buƙatar tiyata idan ba za su iya ƙaura wurin gwiwar gwiwar hannu ta amfani da rufaffiyar raguwa ba.
Ayyukan hinge yana ba da damar lankwasawa da daidaita hannu.
Ball-da-socket hadin gwiwa
Ayyukan ball-da-socket yana ba ka damar juya tafin hannunka don fuskantar sama ko fuskantar ƙasa.
Raunin gwiwar hannu da aka rabu zai iya lalata ƙasusuwa, tsokoki, jijiya, da kyallen takarda. (Cibiyar Nazarin Orthopedic ta Amurka. 2021) Da tsawon gwiwar gwiwar hannu ya kasance daga haɗin gwiwa, ƙarin lalacewa zai iya faruwa. Matsalolin gwiwar hannu ba kasafai ake sake saita su a cikin gidajensu da kansu ba kuma kwararrun ma'aikatan kiwon lafiya suna ba da shawarar a kimanta su don hana lalacewa ta dindindin ga jijiyoyi ko aiki.
Ba a ba da shawarar yin ƙoƙarin sake saita gwiwar gwiwar hannu da kanku ba.
Ma'aikacin kiwon lafiya zai yi aiki don mayar da haɗin gwiwa da kuma tabbatar da daidaitattun daidaito.
Kafin sake saiti, za su yi gwajin jiki don tantance yanayin jini da duk wani lahani na jijiya.
Dangane da raunin da ya faru, mai bada zai iya yin odar CT scan ko MRI don tabbatar da cewa babu lalacewa ga jijiyoyi ko haɗin gwiwa. (Radiopaedia. 2023)
Rage rufaffiyar yana nufin cewa za a iya komawa gwiwar gwiwar hannu ba tare da tiyata ba.
Kafin raguwar rufaffiyar, mai bada sabis na kiwon lafiya zai ba da magunguna don taimakawa wajen shakatawa da kuma magance ciwo. (Medline Plus. 2022)
Da zarar an koma wurin da ya dace, ma'aikacin kiwon lafiya yana amfani da splint (yawanci a kusurwar 90-digiri na sassauya) don kiyaye gwiwar hannu a wurin. (James layson, Ben J. Mafi kyawun 2023)
Manufar ita ce hana tsawaita gwiwar hannu, wanda zai iya haifar da sake tarwatsewa.
Ci gaba na iya zama ƙalubale ga daidaikun mutane a bayan jimlar maye gurbin ƙafar ƙafa. Ta yaya maganin jiki zai iya taimakawa wajen farfadowa da dawo da aikin kafa?
Jimlar Ankle sauyawa Post Tiyata Jiki
Jimlar tiyata maye gurbin idon sawu babbar hanya ce da ke ɗaukar lokaci don murmurewa. Jimillar tiyata maye gurbin idon sawu ko arthroplasty na iya amfanar mutane da su Ciwon idon sawu na kullum ko nakasa. Wannan hanya na iya inganta haɓakar ciwon gaba ɗaya na mutum da aiki tare da lokaci. Jiyya na jiki yana da mahimmanci don dawo da motsi a cikin idon kafa da kuma dawo da cikakken motsi. Mai ilimin hanyoyin kwantar da hankali zai yi aiki tare da mutum don sarrafa ciwo da kumburi, mayar da motsi na ƙafar ƙafar ƙafa, horar da tafiya a kan tafiya da ma'auni, da sake gina karfi a cikin kafa. Wannan zai taimaka haɓaka damar samun nasara mai nasara bayan tiyata.
Jimlar Maye gurbin Ƙwallon ƙafa
Ƙungiyar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafa ce ta ƙasa inda shinbone/tibia ya hadu da kashin talus a saman kafa. Abin da zai iya faruwa shi ne shimfidar wuri mai santsi/articular wanda ke rufe ƙarshen waɗannan ƙasusuwan ya fara raguwa ko lalacewa. Yayin da lalacewa ke ci gaba, zai iya haifar da ciwo mai mahimmanci, nakasa, da wahalar tafiya. (Cleveland Clinic. 2021) Wannan shi ne inda ƙwararren zai iya ba da shawarar maye gurbin sawun gaba ɗaya don sakamako mafi kyau. Ana iya taimaka wa yanayi daban-daban ta wannan hanya, gami da:
A lokacin aikin maye gurbin idon sawu, likitan kasusuwa yana cire ɓangarorin da suka lalace na tibia da ƙasusuwan talus kuma ya maye gurbinsu da abin rufe fuska. Hakanan ana kiyaye ɓangaren polyethylene tsakanin sifofin biyu don tallafawa motsi mai laushi na sabon ƙarshen haɗin gwiwa. (Babban Asibitin Massachusetts. N.D.) Bayan tsarin, yawanci ana sanya mutane a cikin takalmin kariya ko splint. Mai ba da lafiya zai ba da shawarar tsayawa daga kafa don makonni 4 zuwa 8 don ba da damar warkarwa.
jiki Far
Ana fara aikin jiyya na marasa lafiya da yawa makonni bayan aikin idon sawu. (UW Health Orthopedics da Gyara. 2018) Jiyya na jiki na iya ɗaukar watanni biyar ko fiye, dangane da tsananin yanayin da rauni. Mai ilimin hanyoyin kwantar da hankali zai mayar da hankali kan yankuna daban-daban don samun sakamako mafi kyau. (Cort D. Lawton et al., 2017)
Ciwo da Kumburi Control
Ciwo da kumburin bayan tiyata na al'ada ne bayan an maye gurbin sawun gabaɗaya. Ba sabon abu ba ne idan idon sawun ya kumbura ko da watanni shida zuwa 12 bayan tiyatar. (UW Health Orthopedics da Gyara. 2018) Likitan fiɗa zai rubuta magunguna don taimakawa wajen magance rashin jin daɗi da wuri, kuma maganin jiki kuma yana taka muhimmiyar rawa wajen magance alamun. Magungunan da ake amfani da su na iya haɗawa da:
Ƙarfafawar wutar lantarki - ƙananan bugun wutar lantarki da ake amfani da su a tsokoki.
Ice
Vasopneumatic matsawa, inda aka yi amfani da wani inflatable hannun riga don haifar da matsa lamba a kusa da yankin, yawanci amfani a farkon jiyya na jiki don rage zafi ko kumburi.
Sauran hanyoyin, irin su motsa jiki da motsa jiki, an haɗa su tare da wasu jiyya.
Kewayon Motsi
Da wuri bayan hanya, idon zai kasance mai tauri da tauri. Wannan ya faru ne saboda dalilai da yawa, ciki har da kumburi da kumburi bayan tiyata da kuma lokacin da aka kashe a cikin taya.
Mai ilimin hanyoyin kwantar da hankali zai yi amfani da dabaru daban-daban don inganta yanayin motsi na haɗin gwiwa don juyawa da sassauƙa.
Mai ilimin hanyoyin kwantar da hankali na jiki na iya yin amfani da miƙewa da ƙarfi wanda wani ƙarfi na waje ke jawo shi kamar mai ilimin hanyoyin kwantar da hankali ko ƙungiyar juriya) don taimakawa haɓaka motsi.
Bayan makonni da yawa na raguwar motsi da rashin ɗaukar kowane nauyi akan idon sawun, tsokoki da ke kewaye da idon sawun sun sau da yawa atrophied / raunana, wanda zai iya tasiri ma'auni.
Lokacin da mutum zai iya fara sanya nauyi a kan kafa, mai ilimin hanyoyin kwantar da hankali zai yi amfani da ƙwarewa / ma'anar horon matsayi na jiki don inganta kwanciyar hankali. (UW Health Orthopedics da Gyara. 2018)
Za a ƙara darussan ma'auni a cikin shirin gida kuma za su ci gaba daga mako zuwa mako.
ƙarfin
Tsokoki a cikin kafa, idon kafa, da ƙafa sun zama masu rauni daga tiyata da kuma lokacin da aka kashe a cikin splint ko takalma. Waɗannan sifofin suna da muhimmiyar rawa wajen daidaitawa, iyawar tsayawa, tafiya, da hawa ko saukar da matakala.
Maido da ƙarfi da ƙarfin waɗannan tsokoki shine muhimmin maƙasudin gyarawa.
A cikin makonni na farko, mai ilimin hanyoyin kwantar da hankali zai mayar da hankali kan motsa jiki mai sauƙi.
Isometrics da sauƙi kunna tsokoki amma kauce wa fushi da wurin tiyata.
Yayin da lokaci ya wuce kuma ana ba da izinin ɗaukar nauyi, waɗannan motsi masu laushi ana maye gurbinsu da ƙarin ƙalubale, kamar makada na juriya da motsa jiki na tsaye, don haɓaka ƙarfin ƙarfi.
Yin Maganin Ƙunƙarar Ƙaura tare da Kulawa na Chiropractic
Lawton, C. D., Butler, BA, Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Jimlar ƙwanƙwasa ƙwanƙwasa gwiwa tare da arthrodesis na idon sawu- kwatancen sakamako a cikin shekaru goma da suka gabata. Journal of orthopedic tiyata da bincike, 12(1), 76. doi.org/10.1186/s13018-017-0576-1
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
