Zomwe Zing'onozing'ono Zamtsempha

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Kukhazikika kwa msana

Kukhazikika kwa msana

Kukhazikika kwa msana ndi kusagwedezeka kwa msana kumagwedezeka pambali, makamaka muzipatala zam'chipatala ndi malo opangira maphunziro. Pambuyo pa makalasi angapo a Pilates, mungaganize kuti kusowa kwa msana wanu kumachokera kumalo anu am'mimba ndi / kapena momwe mphamvu yanu ndi misana yanu ilili.

Koma icho ndi gawo chabe la chithunzicho. Kukhazikika kwa msana kungagwirizane ndi imodzi, ziwiri kapena zitatu "zochepa" zomwe zimakhudza msana wanu nthawi zonse. Izi ndizo: mzere wa msana ndi mitsempha yake, dongosolo lanu la mitsempha, lomwe limayendetsa gulu la msana, ndipo ndithudi, minofu yanu, yomwe imayambitsa msana. Pamene imodzi mwazigawozi zimatha kuwonongeka, nenani kuwonongeka kwa msinkhu wa zaka, fractures, kuvulala kwa iatrogenic, kapena ngakhale mapepala a m'mimba (izi ndizowonjezereka, mndandanda wazitsulo). Kusayenerera kumeneku kungabweretse msinkhu wosasunthika, womwe ukhoza kukhala ndi mavuto olemera okha, osatchula kulemetsa kwa katundu kunja komwe mumaphatikizapo ponyamula ana, kutenga zakudya ndi zina zotero.

Tawonani momwe kukhazikika kwa msana kungakhale chifukwa cha nambala iliyonse yowonjezera yomwe ingawonongeke. Izi zikutanthauza kuti njira yochizira kapena kuyigwiritsira ntchitoyo idzakhala yosiyana kwambiri, malinga ndi njira ina yomwe ikukhudzidwa ndi zomwe zikuchitika ndi izo. Kupeza matenda a msana kumadalira zizindikiro zooneka bwino (zinthu zomwe zingayesedwe kapena zatsimikiziridwa bwinobwino) ndi zizindikiro (zochitika zenizeni, zomwe zingaphatikizepo kupweteka, zowawa zina ndi zinthu zomwe mumadziwa za momwe msana wanu ukugwirira ntchito).

Tiyeni titengere mbali iliyonseyi ndikudziwitsanso momwe imathandizira kuti msana wanu ukhale wathanzi komanso wopanda ululu pothandizira kuti msana ukhale wokhazikika.

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Mphindi Zam'mimba ndi LIgaments

Mthunzi Wamtsempha

Kuvulala kapena kuwonongeka kwa mzere wa msana wanu ndi chifukwa chofala kwambiri cha kusakhazikika kwa msana monga Biely, et. al. m'nkhani yawo, "Clinical Instability of the Lumbar Spine: Kuzindikira ndi Kulowa." Mzere wa msana ndi nyumba zovuta, zomwe zikutanthauza kuti pali njira zingapo zomwe zingathe kukhalira pansi pano. Taganizirani izi:

Mphepete mwa msana ndi mndandanda wa mafupa osakanikirana 26 omwe ali ndi madontho pakati. Mbali yakutsogolo imakhala ndi matupi osakanikirana omwe ali ndi matayala okhwima pakati. Kumbuyo (mwazinthu zambiri) ndi phokoso la fupa. Mkati mwa mpheteyo muli dzenje, kulola chingwe cha msana - chimbudzi chachikulu cha dongosolo lanu lakati la mitsempha - kudutsa. Pamwamba ndi pansi pa mphete ya bony (kumbali zonse) ndi malo akutali omwe amatchedwa njira, zomwe zimatanthawuza ndi ndondomeko yoyandikana ndi vertebrae. Madera otsegulira awa ndi mbali zonse zomwe zimatchulidwa. Zonsezi, ziwalo zimathandizira kubweretsa umphumphu kwa msana ndi kayendedwe kawo.

Zabwino, et. al. nenani kuti kachilombo ka msana wanu kamangosinthika - kotero kuti ikhoza kukhala gwero la kusakhazikika - ngati chimodzi mwa zotsatirazi chikuwonekera ku mayesero:

Zida:

• Chombo chimodzi kapena zambiri zamasuliridwa (kutanthauza kusuntha kufanana) ndi fupa pamwamba kapena pansi (spondylolisthesis).
• Kuchulukitsa kapena kutambasula, kamene kamapangidwa ndi matenda a chiberekero, ndipo zomwe zingayambitse matendawa.
• Fupa pamphuno kumbuyo kwa thupi lopundula (lotchedwa traction spur .)

MRI

• Makhalidwe apamwamba m'mabuku anu.

CT SCANS

• Kukwapula kuposa 1mm pamagulu anu ammutu pamene mukupotoza msana wanu.
• Kuchuluka kwa nthawi yochepa (pa MRI koma kumagwirizana ndi mayendedwe otsika a discography.)

Mitsempha ya m'mimba

Malinga ndi mitsempha yeniyeni , mitsempha yambiri yomwe imaphimba ndi kuthandizira ziwalo zazing'ono zikhoza kukhala zonyansa. Akamatero, amasonyeza kuthamanga kwambiri - choncho kusakhazikika - mumsana wanu. Zina mwazifukwa zambiri zomwe zimayambitsa makhwala a capsular ligament ndi disc herniation, spondylosis, mavuto ofanana ndi whiplash ndi zina.

Zokhudzana: Kodi Vertebral End Plate ndi chiyani?

_Zotsatira:

_{Zabwino, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Kusamalidwa kwachipatala cha Lumbar Spine: Kuzindikira ndi Kupewera. Zochita za Orthopedic. Vesi 18. Kufikira Jan 2016.}

_{Carragee, E., ndi. al. Discography low-pressure posachedwa pamutu nkhani zosadziwika za matenda aakulu opsinjika kwambiri. Mpaka (Phila Pa 1976). 2006 Mar 1; 31 (5): 505-9.}

_{Steilen, D., Hauser, R., Woldin, B., Sawyer, S. Chronic Neck Pain: Kupanga mgwirizano pakati pa Capsular Ligament ndi Cervical Instability. Tsegulani Orthop J. 2014; 8: 326-345.}

_{Stemper, BD, Yoganandan, N., Pintal, FA, Rao, RD, Kupweteka kwapakati pa mimba kumapangitsa kuti chiberekero chisasinthe. Med Eng Phys. 2006 Jul;}

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Mitundu ya m'mimba

Minofu, Active Spinal Sub System

Minofu ndi injini zamagetsi zomwe zimayambitsa msana wanu. Mbali ya ntchito yawo ikuphatikizapo kupereka chitsimikizo ndi kukhazikika, komanso.

Kutha msinkhu kumakhoza kukhala chifukwa cha kufooketsa kapena kuwononga minofu yomwe imathandiza msana, monga multifidus kapena m'mimba yopingasa. Ultrasound ingasonyeze kuwonongeka (chomwe chiri chizindikiro cha kufooka) kwa minofu yakuya yamkati, pamene electormyography (EMG) imagwiritsidwa ntchito pozindikira kusintha kwa minofu.

Dziwani zambiri za misampha yanu yammbuyo:

• Mitundu ya Paraspinal
• Mitsempha Yothamangira Kwambiri
• Mndandanda Wamtundu wa Mitsempha Yatsitsimutso Yoyamba
• Mbali Yakuya Mitundu Yatsitsimutso Yoyamba
• Mitsempha Yakutembenuka Kwambiri

_Chitsime:

_{Zabwino, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Kusamalidwa kwachipatala cha Lumbar Spine: Kuzindikira ndi Kupewera. Zochita za Orthopedic. Vesi 18. Kufikira Jan 2016.}

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Nervous System

The Neural Control Spinal Subsystem

Njira yachitatu yapansi yapansi yomwe imakhudza bata ndi dongosolo lamanjenje. Ndondomeko ya mitsempha imayankha kulandira mauthenga okhudza malo a mafupa ndi msinkhu wa msana ndi kupanga zofuna kuti zisamuke. Maganizo amenewa amatumizidwa ku minofu, kuwasonyeza kuti agwirizane. Mitsempha ya mitsempha imatha mphamvu zamtsempha ndipo imapereka bata.

Kotero ngati minofu yanu imachedwetsa mgwirizano kapena amachititsa mwambo wodabwitsa, mwina mungasokonezeke ndi dongosolo la neural control. Zinthu ziwirizi zikhoza kuzindikiridwa ndi mayeso a EMG. Kusokonezeka uku kungayambitse kusintha kwa kayendedwe ka msana, komwe kungawonedwe ndi diso lophunzitsidwa (kapena ndi makina oyendetsa mawonekedwe).

Kusokonezeka kwazomwe mumayendetsedwe kazitsulo zingathenso kudziwika ndi kuphunzira kwa mitsempha yophatikizapo mitsempha (NCS). Kawirikawiri NCS imachitidwa limodzi ndi EMG kuti izindikire kusokonezeka kwa minofu kapena kuwonongeka kwa minofu.

Mukafika pamtunda, simungathe kusokoneza mbali imodzi yamagulu a m'mphepete mwa mzake, nenani, ndi. al. M'malo mwake, kusasinthika kwa matenda ndizovuta kugwira ntchito zambiri. Amanena kuti odwala ena amayamba njira zothana ndi vutoli (monga kupanga njira zatsopano zamagetsi zomwe zimagwira ntchito yolimbitsa thupi) pamene ena samatero. "Osati copers," monga momwe Amakhalira, ndi. al. Awatchule iwo amatha kubwera ndi zizindikiro za zizindikiro za msana.

_Chitsime:

_{Zabwino, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Kusamalidwa kwachipatala cha Lumbar Spine: Kuzindikira ndi Kupewera. Zochita za Orthopedic. Vesi 18. Kufikira Jan 2016.}