Chiropractic ndi mtundu wa chithandizo chamankhwala chomwe chimakhudza mgwirizano pakati pa thupi, makamaka msana, ndi ntchito.
Kafukufuku wamatenda amagwiritsidwa ntchito pochizira matenda a minofu, mavuto a:
- minofu
- ziwalo
- mafupa
- Mankhwala ofanana (monga karoti, ligaments, ndi tendon)
Liwu lakuti "chiropractic" limaphatikizapo mawu achigriki cheir (dzanja) ndi praxis (zochita) ndipo amatanthauza "zopangidwa ndi manja." Chiropractic ndi njira ina yachipatala ndipo imatenga njira yosiyana ndi mankhwala ochiritsira pakudziwa, kusankha, ndi kuchiza mavuto azachipatala.
Madokotala a chiropractic, omwe amachitchedwanso kuti tizilombo toyambitsa matenda kapena tizilombo toyambitsa matenda, amagwiritsira ntchito mankhwala omwe amachititsa kuti azigwiritsa ntchito njira zochizira. Kugwiritsidwa ntchito ndikuthamangitsanso gulu losagwirizana. Kusintha kwake kumatchulidwa mu chiropractic.
Mfundo zazikulu za chiropractic zikhoza kufotokozedwa monga:
- thupi liri ndi mphamvu yodzichiritsira yokha
- matupi a thupi (makamaka a msana) ndipo ntchito yake ndi yogwirizana, ndipo ubalewu umakhudza thanzi
- Thandizo la chiropractic limaperekedwa ndi cholinga chokhazikitsa chiyanjano ichi pakati pa kapangidwe ka ntchito ndi kuthandiza thupi pamene limachiza
Kodi Mankhwala Odziwika Ndi Otani?
Mankhwala ovomerezeka ndi mankhwala monga ogwira ntchito madigiri ndi othandizira ena ogwirizana monga:
- MD (Dokotala wa Mankhwala)
- KODI (Dokotala wa Osteopathic Medicine, mawonekedwe a mankhwala ochiritsira)
- odwala matupi
- akatswiri a maganizo
- anamwino olembetsa
Mauthenga ena a mankhwala ochiritsira ndi awa:
- mankhwala osokoneza bongo
- Western mankhwala
- mankhwala ochiritsira
- mankhwala ovomerezeka
- nthawi zonse mankhwala
- biomedicine
Kodi Mankhwala Okwanira Ndi Omwe Amawonjezera (CAM) Ndi Chiyani?
Njira zothandizira zaumoyo ndi zinthu zomwe sizinaganizidwe kuti ndi mbali ya mankhwala ochiritsira amatchedwa mankhwala othandizira ndi othandizira (CAM).
- Mankhwala othandizira amagwiritsidwa ntchito limodzi ndi mankhwala ochiritsira.
- Mankhwala ochiritsira amagwiritsidwa ntchito mmalo mwa mankhwala ochiritsira.
Mbiri ya Chiropale
Chiropractic ndi mawonekedwe a msana, zomwe ndi chimodzi mwa zizolowezi zakale za machiritso. Kugwidwa kwa msana kunanenedwa ndi Hippocrates ku Greece wakale.
Mu 1895, Daniel David Palmer anayambitsa ntchito yamakono yamakono ku Davenport, Iowa. Palmer anali wodzidziritsa wodziwa machiritso ndipo anali wophunzira wa machiritso a machiritso a tsikulo. Iye adawona kuti thupi liri ndi mphamvu ya machiritso achilengedwe yomwe iye ankakhulupirira inali kuyang'aniridwa ndi dongosolo lamanjenje. Anakhulupiriranso kuti kugonjetsa, kapena kusokonekera kwa msana (lingaliro lomwe kale linalipo mu mafupa a bonesetter ndi osteopathic), kusokoneza kapena kusokoneza "kuthamanga kwa mitsempha." Palmer analangiza kuti ngati limba sililandira malingaliro ake mwachibadwa ku mitsempha, ikhoza kukhala matenda. Kulingalira uku kunamupangitsa kukhala ndi ndondomeko kuti "asinthe" mavitenda, mafupa a mzere wa msana, ndi cholinga chokonzekera kugwirizana.
Pali kusiyana pakati pa zikhulupiliro ndi njira zogwira ntchito za chiropractic. Akatswiri ena a chiropractors akupitiriza kuona kuti kugwirizana kwapadera ndikofunika kwambiri pa chithandizo chamankhwala.
Komabe, akatswiri ena ochizira matendawa saganiziranso mfundo yotsutsana ngati mutu wokhudzana ndi thanzi labwino kapena matenda kapena chifukwa chochita. Mfundo zina zokhudzana ndi mmene chiropractic chingagwire ntchito zakhazikitsidwa.
Ntchito
Mu 1997, akuti anthu a ku America anapanga pafupi 192 miliyoni kukachezera chaka kwa asing'anga. Pa maulendo oposa 88 miliyoni a maulendowa adayenera kupweteka mmbuyo kapena kupweteka kwa m'khosi. Mu kafukufuku wina waposachedwapa, oposa 40 peresenti ya odwala omwe akulandira chithandizo chamankhwala anali kuchiritsidwa chifukwa cha mavuto ambuyo kapena otsika. Oposa theka la anthu omwe anafunsidwawo ananena kuti zizindikiro zawo zinali zosatha. Zinthu zomwe anthu ambiri amachiritsidwa ndi:
- ululu wammbuyo
- ululu wa m'khosi
- mutu
- zovulaza masewera
- vuto lobwerezabwereza
Odwala amafunanso chithandizo cha ululu wokhudzana ndi zinthu zina, monga nyamakazi.
Kupweteka kumbuyo kwenikweni ndi vuto lachipatala, lomwe limapezeka pakati pa theka la anthu chaka chilichonse. Anthu ambiri amamva kupweteka kwapweteka kwambili kamodzi pa moyo wawo.
Ndemanga zingapo zaposachedwapa pa ululu wochedwa kubwerera m'mbuyo zakhala zikusonyeza kuti nthawi zambiri ululu wowawa kumbuyo umakhala bwino masabata angapo, ziribe kanthu mankhwala omwe amagwiritsidwa ntchito. Kaŵirikaŵiri, chifukwa cha kupweteka kwakumbuyo sichidziwika, ndipo chimasiyana kwambiri ndi momwe anthu amaonera ndi momwe akatswiri amadziwira. Izi zimapangitsa ululu wammbuyo kukhala wovuta kuti uphunzire.
Kodi Chiropractors Ndi Chiyani?
Ngati mutakhala wodwala chiropractic, panthawi yanu yoyamba, chiropractoryo idzatenga mbiri yanu. Adzayesa kuunika, ndikugogomezera msana, ndipo mwina mayeso ena kapena mayesero monga x-ray. Ngati atsimikiza kuti ndiwe woyenerera kwa mankhwala achiropractic, adzalandira ndondomeko ya mankhwala.
Pamene mankhwala akuchizira amakuchitirani inu, akhoza kuchita chimodzi kapena zambiri kusintha. Kusintha (komwe kumatchedwanso kuti mankhwala opondereza) ndi mankhwala othandizira kapena mankhwala omwe amaperekedwa ndi manja. Chifukwa chachikulu cha msana, kusintha kwa chiropractic kumaphatikizapo kugwiritsidwa ntchito, mwadzidzidzi ku mgwirizano. Zachitika kuti zowonjezera kayendetsedwe kake ndi kayendedwe kabwino m'deralo. Ophunzira ena a zaumoyo amagwiranso ntchito zosiyanasiyana, kuphatikizapo:
- odwala matupi
- madokotala madokotala
- orthopedists (Doctor of Medicine MD) kapena Osteopathic Physician (DO) yemwe ndi dokotala wa opaleshoni yemwe amadziwika kwambiri ndi vuto la minofu)
- akatswiri azachipatala
- madokotala a mankhwala osteopathic
- madokotala a mankhwala a naturopathic (njira ina yachipatala, yomwe imadziŵikanso kuti naturopathy, imene akatswiri amagwira ntchito ndi mphamvu zachilengedwe m'thupi, ndi cholinga chothandizira thupi kuti lichiritsidwe ndi matenda ndi kupeza thanzi labwino)
- kupaka masewera
Ku United States, tizilombo toyambitsa matenda amachititsa mankhwala opitirira 90 peresenti.
Ndikofunika kudziwitsa anthu onse omwe ali ndi chithandizo chamankhwala za mankhwala omwe mukuwagwiritsa ntchito, kuphatikizapo chiropractic. Izi zidzathandiza aliyense wopereka chitsimikizo kuti mbali zonse za chisamaliro chanu zogwirira ntchito pamodzi.
Ambiri amachiritsira amagwiritsa ntchito mankhwala ena kuphatikizapo kusintha, monga:
- Kuwongolera (njira yomwe mgwirizano umasunthira mopitirira muyendo wake wonse)
- kuchiritsa misala
- kutentha ndi ayezi
- ultrasound
- kuyambitsa magetsi
- zochita zolimbitsa thupi
- maginito
- kupereka uphungu wokhudza zakudya, kulemetsa, ndi zina zomwe zimayambitsa moyo
- zakudya zowonjezera
- sing'anga
- kuwombera
Maphunziro
Maphunziro a chiropractic ndi pulogalamu ya maphunziro a zaka 4 yomwe ili ndi maphunziro onse komanso zamaphunziro. Ntchito yosachepera 3 yokonzekera koleji ikufunika kuti munthu alowe ku sukulu za chiropractic. Ophunzira omwe amaliza maphunziro amalandira digiri ya Doctor of Chiropractic (DC) ndipo amaloledwa kutenga mayeso a boma kuti azichita. Masukulu ena amaperekanso maphunzilo apamwamba, kuphatikizapo mapulogalamu apakati a zaka ziwiri mpaka 3 apadera.
Maphunziro a chiropractic akuphatikizapo:
- Kuchita masewera olimbitsa thupi m'thupi, thupi, tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, matenda, zakudya, thanzi labwino, ndi zina zambiri
- Mfundo ndi chizolowezi cha chiropractic
- Njira zopenda ndi njira
- Zomwe mwadzidzidzi pakusamalira odwala
Bungwe la Chiropractic Education, bungwe lovomerezeka ndi Dipatimenti Yophunzitsa ku United States, ndilo lovomerezeka bungwe la makoleji a chiropractic ku United States.
Kodi Boma Limalamulira Chiropractic?
Chiropractic practice ikulamuliridwa payekha ndi boma lililonse ndi District of Columbia. Madera ambiri amafuna kuti akatswiri a chiropractors azipeza ndalama zopitirizira maphunziro kuti azikhala ndi malayisensi. Chiwerengero cha odwala matenda a chiropractors chimasiyana ndi boma - kuphatikizapo kuyesa ma laboratory kapena njira zothandizira, kupatsa kapena kugulitsa zakudya zowonjezera zakudya, komanso kugwiritsa ntchito njira zina za machiritso monga machiritso kapena kutupa kwa thupi. Mankhwala oletsa tizilombo sali ndi chilolezo mudziko lirilonse kuti achite opaleshoni yaikulu kapena amapereka mankhwala.
Kodi Ndondomeko za Inshuwalansi Zaumoyo Zimapereka Chithandizo cha Chiropractic Treatment?
Poyerekeza ndi mankhwala a CAM onse (zochepa zomwe zimabwezeredwa), kufotokoza kwa chiropractic ndi mapulani a inshuwalansi ndi kwakukulu. Kuyambira m'chaka cha 2002, mabungwe operekera thanzi (50%) omwe amapanga chithandizo chamankhwala, ndi opitirira 50 peresenti ya ndondomeko zothandizira anthu payekha. Mankhwala oletsa tizilombo amatha kupereka ndalama ku Medicare, ndipo maiko oposa khumi ndi awiri amatha kuchiritsa mankhwalawa pansi pa Medicaid.
Ngati muli ndi inshuwalansi ya thanzi, onani ngati chithandizo cha chiropractic chikuphimbidwa musanapange mankhwala. Malingaliro anu angafunike kuti chisamaliro chivomerezedwe pasadakhale, kuchepetsa chiwerengero cha maulendo omwe atsekedwa, ndi / kapena kuti muyese kugwiritsa ntchito chiropractors mkati mwa intaneti.
Zotsatira Zotsatira
Odwala akhoza kukhala ndi zotsatira zoyipa kuchokera kuchipatala. Zotsatira zake zingaphatikizepo mavuto osakhalitsa m'mbali za thupi zomwe zinachitidwa, kupweteka mutu, kapena kutopa. Zotsatirazi zimakhala zochepa ndipo zimathetsa masiku 1 mpaka 2.
Zokambirana za mavuto aakulu kuchokera ku chiropractic zatsutsana. Palibe pulogalamu yokonzekera yophunzira pa chiwerengero cha mavuto aakulu. Kuchokera pa zomwe tsopano zikudziwika, chiwopsezo chikuwonekera kukhala chochepa kwambiri. Zikuwoneka kuti ndi zapamwamba kwa msana, kapena khosi, kugwiritsidwa ntchito (mwachitsanzo, milandu ya sitiroko yakhala ikudziwika.) Chosowa chosoweka cha nkhawa kuchokera kumsana wam'mbuyo ndi cauda equina syndrome yomwe imapezeka pamene mitsempha ya cauda equina (thumba wa mitsempha ya msana yomwe imadutsa kumapeto kwa msana wamtsempha) imapanikizika ndi kuonongeka. Zizindikiro zikuphatikizapo:
- kufooka kwa mwendo
- Kutaya thupi, chikhodzodzo, ndi / kapena kugonana
- Kusintha kwakumverera pafupi ndi rectum kapena genitalia
Matenda a Cauda equina amachitika kamodzi pa mankhwala mamiliyoni (chiwerengero cha mamiliyoni chikusiyana; kufufuza kumodzi kunayika pa 100 miliyoni).
Kuti mukhale otetezeka, nkofunika kudziwitsa anthu onse omwe ali ndi chithandizo chamankhwala pa chisamaliro chilichonse kapena mankhwala amene mukuwagwiritsa ntchito, kuphatikizapo chiropractic. Izi ndikuthandizira kuonetsetsa kuti mukusamalira bwino (kuti mudziwe zambiri, onani pepala la NCCAM "Kusankha Wothandizira Omwe Amawonjezera Mankhwala").
Zimene Kafukufuku Amanena
Pakalipano, kufufuza kwa sayansi pa chiropractic ndi kupweteka kwa msana kwatsimikizira ngati, komanso bwino, chisamaliro cha chiropractic chimathandiza kuthetsa ululu ndi zizindikiro zina zomwe anthu ali nazo ndi kupweteka kwa msana. Kafukufukuyu nthawi zambiri amayerekezera chiropractic ndi mankhwala ena.
Zonsezi, umboni wafukufuku wawonetsedwa ngati wofooka komanso wosatsimikiziranso kuti mphamvu ya chiropractic imatha kupwetekedwa m'mbuyo.
Mfundo zazikuluzikulu zingakuthandizeni kukumbukira zopezeka pa kafukufuku.
- Mayesero ambiri a zachipatala a chiropractic amafufuza zotsatira za kugwiritsidwa ntchito kwa chiropractic yekha, koma chiropractic chizoloŵezi chimaphatikizapo zambiri kuposa kungodula.
- Zotsatira za mayesero omwe amachitika chimodzimodzi (monga bungwe loyang'anira zosamalira kapena kachipractic college) sizingagwiritsidwe ntchito mokhazikika.
- Akatswiri ofufuza apeza kuti zotsatira za mankhwalawa zimakhala zikugwira ntchito mu chisamaliro cha chiropractic monga njira zina zaumoyo.
Ngakhale kuti kafukufuku wofufuza za chiropractic chithandizo cha kupweteka kwa msana kwakhala ndi khalidwe losagwirizana ndipo sali okwanira kuti amvetsetse bwinobwino. Komabe, chidziŵitso chonse cha deta ndi chakuti kupweteka kwa msana, chiropractic chithandizo ndi mankhwala ochiritsira ndi ofunika kwambiri. Ziri zovuta kufotokozera za mtengo wapatali wa chiropractic pa zochitika zina zamankhwala.
Palinso mikangano ya sayansi yokhudza chiropractic, mkati ndi kunja kwa ntchitoyo. Mwachitsanzo, mu ntchitoyi, pakhala kusagwirizana pa:
- kugwiritsa ntchito njira zakuthupi zakuthupi
- njira zomwe zili zoyenera pazifukwa zina
- lingaliro la kugonjetsa (misalignments ya msana)
Malingaliro akunja a mankhwala ochizira matendawa afunsa kuti:
- kupambana kwa mankhwala a chiropractic
- maziko awo asayansi
- Zowopsa mwazigawo za odwala (mwachitsanzo, kuopsa kwa mitundu yambiri ya kusintha kwa odwala matenda odwala matenda a mitsempha kapena zoopsa za matenda a mitsempha, poyerekezera ndi odwala omwe ali ndi thanzi labwino).
Mfundo Yofunika Kwambiri
Kafukufuku wofufuza pa chiropractic akupitirira. Zotsatira zikuyembekezerekanso kumvetsa chisamaliro cha sayansi cha chiropractic. Malo ofunika kwambiri a kafufuzidwe ndi sayansi yeniyeni ya zomwe zimachitika m'thupi (kuphatikizapo maselo ndi mitsempha) pamene mankhwala enieni a chiropractic amaperekedwa.
> Chitsime:
> NCCAM Publication No. D196