Ko nga tangata takitahi e mate ana i te maihao karekau: Ka taea e te mohio ki nga tohu me nga tohu o te maihao karekau i whati, ka wehea ranei ka taea te rongoa i te kaainga me te wa e kite ai koe i tetahi kaiwhakarato hauora?
tirotiro
Te Maama Maihao Kati
Ko te maihao kapo, e mohiotia ana ko te maihao kua marara, he whara noa ina panaia te pito o te maihao ki te ringa, ka kopeke te hononga. Ka taea e tenei te mamae me te pupuhi i roto i te kotahi, neke atu ranei o nga maihao, nga hononga maihao ranei, ka totoro nga hononga, ka pakaru, ka haehae ranei. (American Society for Surgery of the Hand. 2015) Ka taea e te maihao kapoka te whakaora ma te huka, te okioki, me te whiri. I te nuinga o nga wa ka nui tenei ki te whakaora i roto i te wiki, e rua ranei ki te kore he pakaru, he wehenga ranei. (Carruthers, KH et al., 2016) Ahakoa te mamae, me kaha ki te neke. Heoi, ki te kore e taea e te maihao te wiriwiri, ka whati, ka wetewete ranei, me te hiahia ki nga hihi-X, na te mea he maha nga marama e ora ai te maihao whati, te wehenga tahi ranei.
Treatment
Ko te maimoatanga ko te hukapapa, te whakamatautau, te taapiri, te okioki, te kite i te chiropractor, te osteopath ranei, me te haere tonu o te whakamahi kia hoki mai ai te kaha me te kaha.
Ice
Ko te taahiraa tuatahi ko te whakamau i te whara me te pupuri i te teitei.
Whakamahia he putea tio, he putea huawhenua tio ranei kua takai ki te tauera.
Whakapaia te maihao i roto i te 15 meneti.
Tangohia te tio ka tatari kia hoki mai te maihao ki tona mahana i mua i te hukapapa ano.
Kaua e huka i te maihao kua tukitukia mo te toru 15 meneti te roa i roto i te haora kotahi.
Whakamātauria Ki Te Nekehia Te Maihao Paa
Mena karekau te maihao kare e neke ngawari, ka kino ake ranei te mamae i te wa e ngana ana koe ki te neke, me toro atu koe ki tetahi kaihautu hauora me te mahi X-ray hei tirotiro mo te whati wheua, te wehenga ranei. (American Society for Surgery of the Hand. 2015)
Me ngana ki te neke paku te maihao i muri i te pupuhi, ka mutu te mamae.
Mena he ngawari te whara, me neke te maihao mo te wa poto.
Ripene me te okiokinga
Ki te kore e whati, ki te kore ranei te maihao kua marara, ka taea te whakapiri ki te maihao ki tona taha kia kore ai e neke, e kiia nei ko te buddy taping. (Won SH et al., 2014)
Me whakamahi te riipene tohu rongoa me te kakano i waenga i nga maihao hei aukati i te pupuhi me te makuku i te wa e whakaora ana.
Ka kii mai te kaiaaki hauora ki te whakamau mai i te maihao kia noho tonu te maihao ki te taha o era atu maihao.
Ka taea hoki e te maataki te aukati i te maihao kua pakaru mai i te whara ano.
Te okioki me te whakaora
Me noho tonu te maihao kua tami kia ora ai i te tuatahi, engari ka mutu, me neke me te whakakorikori kia pakari ai, kia ngawari.
Ko nga mahi whakamaarama tinana kua whakaritea hei awhina mo te whakaora.
Ka taea pea e te kaiwhakarato tiaki tuatahi te tuku atu ki tetahi kaiwhakaora tinana kia mohio kei te pai te awhe o te nekehanga me te tohanga o te maihao i a ia e ora ana.
Ka taea hoki e te chiropractor, te osteopath ranei nga tohutohu mo te whakaora i te maihao, te ringa, me te ringaringa ki te mahi noa.
Te Whakamaamaa Te Maihao Kia Hoki Mai
I runga i te nui o te whara, ka mamae pea te maihao me te ringa ka pupuhi mo etahi ra, wiki ranei.
Ka roa pea ka timata te ahua o te ahua.
Kia timata te mahi whakaora, ka hiahia te tangata ki te hoki ki te whakamahi i te tikanga.
Te karo i te whakamahi i te taapi maihao ka ngaro te kaha, ka taea, ka roa te wa, ka ngoikore ake, ka nui ake te tupono o te whara ano.
Mena kei te mau tonu te mamae me te pupuhi, tirohia te kaitoi hauora ki te tirotirohia mo te pakaru, te wehenga, me etahi atu raruraru i te wa e taea ai, i te mea he uaua ake enei patunga ki te tatari mo te wa roa. (Te Whare Wananga o Utah Health, 2021)
I te Injury Medical Chiropractic and Functional Medicine Clinic, ka aro nui matou ki te rongoa i nga whara o nga turoro me nga mate mamae mau tonu me te whakapai ake i te kaha na roto i nga kaupapa ngawari, nekeneke, me nga kaupapa ngawari kua whakaritea ki te tangata takitahi. Ka whakamahia e o maatau kaiwhakarato he huarahi whakauru ki te hanga mahere tiaki whaiaro e uru ana ki te rongoa Mahi, Acupuncture, Electro-Acupuncture, me nga tikanga rongoa rongoa. Ko ta matou whainga ko te whakaora noa i te mamae ma te whakaora i te hauora me te mahi ki te tinana. Mena ka hiahia te tangata ki etahi atu maimoatanga, ka tukuna atu ki te whare haumanu, ki te taote ranei e pai ana mo ratou. Kua mahi tahi a Dr. Jimenez me nga kaitoro o runga, nga tohunga haumanu, nga kairangahau hauora, me nga kaiwhakarato whakaora hou ki te whakarato i nga maimoatanga haumanu tino whai hua.
Carruthers, KH, Skie, M., & Jain, M. (2016). Nga Taonga a Jam o te Maihao: Te Taatauranga me te Whakahaere i nga Injuries ki nga Hononga Interphalangeal puta noa i nga Taakaro Maha me nga taumata o te wheako. Hauora hākinakina, 8(5), 469–478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). Ko te rīpene hoa: he tikanga haumaru mo te rongoa i nga whara o nga maihao me nga waewae? Nga whare haumanu i roto i te pokanga orthopedic, 6(1), 26–31. doi.org/10.4055/cios.2014.6.1.26
He pehea nga tohunga hauora i roto i te whare haumanu chiropractic e whakarato ana i te huarahi haumanu ki te aukati i nga hapa hauora mo nga tangata takitahi e mamae ana?
tirotiro
Kupu Whakataki
Ko nga hapa o te rongoa i mate 44,000-98,000 nga mate o Amerika ki te hohipera i ia tau, me te maha atu o nga whara kino. (Kohn et al., 2000) He nui ake tenei i te tokomaha o nga tangata i mate ia tau i te mate AIDS, te mate pukupuku o te u, me nga aitua motoka i tera wa. E ai ki nga rangahau o muri mai, ko te maha tonu o nga mate ka tata ki te 400,000, ka waiho ko nga hapa rongoa ko te tuatoru o nga take o te mate i te US. I te nuinga o te wa, ehara enei hapa i te hua o nga tohunga ngaio hauora he tino kino; engari, ko nga hua o nga take nahanaha ki te punaha tiaki hauora, penei i te kore riterite o nga tauira mahi a te kaiwhakarato, nga hononga inihua kua wehea, te kore whakamahi, te kore ranei o nga tikanga haumaru, me te tiaki koretake. Ko te tuhinga o tenei ra e titiro ana ki te huarahi haumanu ki te aukati i te hapa hauora i roto i te waahi haumanu. Ka matapakihia e matou nga kaiwhakarato rongoa e whai waahi ana ki nga momo maimoatanga o mua hei awhina i nga tangata e mate ana i nga take roa. Ka arahi ano hoki matou i o matou turoro ma te tuku i a raatau ki te patai ki o raatau kaiwhakarato hauora e hono ana ki nga paatai he tino nui me te uaua. Ko Dr. Alex Jimenez, DC, ka whakamahi noa i enei korero hei ratonga matauranga. Whakakape
Te tautuhi i nga Hapa Hauora
Ko te whakatau he aha te hapa rongoa te mea tino nui i roto i nga korerorero mo te aukati i nga hapa rongoa. Ka whakaaro pea koe he mahi tino ngawari tenei, engari katahi ano ka ruku koe ki te maha o nga kupu e whakamahia ana. He maha nga kupu e whakamahia ana (he pohehe i etahi wa) na te mea he rereke etahi kupu, a, i etahi wa, ko te tikanga o te kupu ka whakawhirinaki ki te tohungatanga e korerohia ana.
Ahakoa i kii te waahanga hauora ko te haumaru o nga turoro me te whakakore, te whakaiti ranei i nga hapa rongoa he kaupapa matua, i kii a Grober raua ko Bohnen i te tau 2005 kua taka ratou ki tetahi waahanga nui: te whakatau i te whakamaramatanga o "te patai tino nui pea ... He aha te mea he hapa hauora? Ko te hapa hauora he kore ki te whakaoti i tetahi mahi kua whakamaheretia i roto i te waahi hauora. (Grober & Bohnen, 2005) Heoi, karekau tetahi o nga kupu ka kitea e te tangata i te nuinga o te wa me te hapa o te rongoa—nga turoro, te tiaki hauora, tetahi atu mea ranei—ka whakahuahia i tenei whakaahuatanga. Ahakoa tenei, ka tukuna e te whakamaramatanga he anga pakari mo te whanaketanga atu. Ka kite koe, e rua nga waahanga o taua whakamaramatanga motuhake:
He hapa mahi: He kore ki te whakaoti i tetahi mahi kua whakaritea i runga i te whakaaro.
He hapa whakamahere: he tikanga e, ahakoa te mahi tino tika, kaore e puta nga hua e hiahiatia ana.
Ko nga ariā o nga hapa o te mahi me nga hapa whakamahere kaore i te rawaka mena ka whakatau tika tatou i tetahi hapa rongoa. Ka puta pea enei ki nga waahi katoa, kaua ki te whare hauora anake. Ko te waahanga o te whakahaere hauora me taapiri. Ma tenei ka puta te whakaaro mo nga ahuatanga kino, e kiia nei he kino kino. Ko te whakamaaramatanga noa o te paahitanga kino ko te kino ohorere ki nga turoro i puta mai i te rongoa rongoa, kaua i o raatau mate. Ko tenei whakamaramatanga kua whakaaetia e te ao i tetahi huarahi. Hei tauira, i Ahitereiria, ko te kupu aitua e whakamaoritia ana na te kino i puta i te tangata ki te manaaki hauora. Kei roto i enei ko nga mate, te hinga i te whara, me nga take ki nga rongoa rongoa me nga taputapu rongoa. Ka taea te karo i etahi ahuatanga kino.
Nga Momo Nga Hapa Hauora
Ko te take anake e pa ana ki tenei whakaaro ehara i te mea ko nga mea kino katoa ka puta pohehe, he whakaaro ranei. Na te mea ka whai hua pea te manawanui, tera pea ka puta mai he mate kino e tumanakohia ana engari ka whakaaetia. I te wa o te chemotherapy, ko te nausea me te mate makawe e rua nga tauira. I tenei wa, ko te whakakore i te maimoatanga e taunaki ana ko te huarahi tika anake hei aukati i nga hua kino. No reira ka tae ki te ariā o nga aitua ka taea te aukati me te kore e taea te aukati i a tatou e whakamahine ana i ta tatou whakamaramatanga. Ehara i te mea ngawari ki te whakarōpū i tetahi whiringa ki te whakamanawanui i tetahi paanga ka whakatauhia ka puta he painga pai i te wa kotahi. Engari ko te kaupapa anake ehara i te mea he take. (Whatunga Haumaru Turoro, 2016, para.3) Ko tetahi atu tauira o te pohehe kua whakamaheretia ko te tapahi waewae matau na te puku o te ringa maui, e whakaae ana ki tetahi huihuinga kino e mohiotia ana, e matapaetia ana ka puta he hua whai hua kaore ano kia ara ake. Karekau he taunakitanga hei tautoko i te tumanako ka puta he hua pai.
Ko nga hapa rongoa e kino ai te manawanui ko te kaupapa o ta maatau rangahau. Heoi ano, ka puta nga hapa a te rongoa ka kore e whara tetahi turoro. Ko te puta mai o nga ngaro tata ka taea te whakarato i nga raraunga nui i te wa e whakamahere ana me pehea te whakaiti i nga hapa rongoa i roto i te whare hauora. Heoi ano, ko te auau o enei huihuinga ka whakatauritea ki nga korero a nga kaitoro haumanu me tirotirohia. Ko nga hapa tata ko nga hapa rongoa tera pea ka pa he kino engari kaore i pa ki te manawanui, ahakoa kei te pai te mahi a te manawanui. (Martinez et al., 2017) He aha koe ka whakaae ai ki tetahi mea ka puta pea he mahi ture? Whakaarohia te ahuatanga o te neehi, ahakoa he aha te take, katahi ano ka titiro ki nga whakaahua o nga momo rongoa ka tata ki te tuku rongoa. Ka mau pea tetahi mea i roto i tona mahara, ka whakatau ia ehara tera i te ahua o tetahi rongoa motuhake. I tana tirotiro, ka kitea kua he nga rongoa i tukuna. I muri i te tirotiro i nga pepa katoa, ka whakatikahia e ia te he ka hoatu ki te manawanui te whakahaunga tika. Ka taea te karo i te he a muri ake nei mena kei roto i te rekoata whakahaere nga whakaahua o te rongoa tika? He ngawari ki te wareware he he me te tupono mo te kino. Ka mau tonu taua meka ahakoa ahakoa i waimarie tatou ki te kitea i te waa, ka pa mai ranei nga hua kino.
Nga Hapa o nga Hua me te Tukanga
Kei te hiahia matou i nga raraunga katoa hei hanga rongoa hei whakapai ake i te haumaru o nga turoro me te whakaiti i nga hapa rongoa. I te iti rawa, i te wa e noho ana te turoro ki te whare hauora, me whakaatu nga mea katoa ka taea ki te aukati i te kino me te whakararu. He maha nga taote kua whakatau ko te whakamahi i nga kupu hapa me nga mahi kino he tino whanui me te pai i muri i te arotake i nga hapa me nga mahi kino i roto i te tiaki hauora me te matapaki i o raatau kaha me o raatau ngoikoretanga i te tau 2003. Ma tenei whakamaramatanga whakakotahi ka piki ake te kohikohi raraunga, tae atu ki nga hapa, nga waea kati, tata. ngaro, anga hapa kaha me te huna. I tua atu, kei roto i te kupu kino kino nga kupu e kii ana i te kino o te manawanui, penei i te whara hauora me te whara iatrogenic. Ko te mea e toe ana ko te whakatau mehemea he tinana pai te poari arotake hei whakahaere i te wehewehenga o nga mahi kino ka taea te aukati me te kore e taea te aukati.
Ko te huihuinga kaitiaki he huihuinga me tuku korero ki te Komihana Hononga. E ai ki te Komihana Hononga he huihuinga ohorere he wharanga tinana, hinengaro ranei. (“Sentinel Events,” 2004, p.35) Karekau he whiringa, na te mea me tuhi. Heoi, ko te nuinga o nga whare hauora, kei te pupuri i a raatau rekoata e whakaatu ana i nga maiki a nga kaitiaki me nga mea hei mahi mena ka puta tetahi ki te whakapumau kua tutuki nga paerewa Komihana Hononga. Koinei tetahi o nga ahuatanga ka pai ake te noho haumaru i te pouri. I te mea ko te "tino" he kaupapa whanaungatanga, tera pea he waahi karekau i te wa e tiaki ana i tetahi hoa mahi, i tetahi kaituku mahi. I tetahi atu taha, he pai ake te tuku korero pohehe i tetahi huihuinga kaitiaki i te kore korero i tetahi huihuinga kaitiaki. Ko te kore e whakaatu ka pa he kino, tae atu ki te whakamutu mahi.
I te wa e whakaaro ana ki nga hapa hauora, he maha nga wa ka pohehe te tangata ki te aro noa ki nga hapa o te whakahaunga. Kare e kore he maha nga hapa o te rongoa me te maha o nga hapa o te whakahaerenga rite ki etahi atu hapa rongoa. Ko nga pakaru i roto i te whakawhitiwhiti korero, nga hapa i mahia i te wa o te whakahaunga, te tohatoha ranei, me etahi atu mea ka taea. Engari ka pohehe rawa tatou i te take ki te whakaaro tatou ko nga hapa tarukino anake te take o te mate ki te turoro. Ko tetahi wero nui i roto i te whakarōpū i nga hapa rongoa rereke ko te whakatau mena ka whakarōpūhia te hapa i runga i te mahi ka mahia, i nga hua ranei. E pai ana ki te tirotiro i aua whakarōpūtanga i konei, i te mea he maha nga nganatanga kua mahia ki te whakawhanake i nga whakamaramatanga mahi e whakauru ana i te tukanga me te putanga, ko te nuinga i ahu mai i nga mahi a Lucian Leape mai i nga tau 1990.
Whakanuia to Tikanga i tenei ra- Ataata
Te tātari me te aukati i nga Hapa Hauora
Ko te whakahaere me te kore mahi ko nga waahanga matua e rua o nga raru kino i tohuhia e Leape me ona hoa mahi i roto i tenei rangahau. (Leape et al., 1991) Ko nga raruraru whakahaere ko nga mate o te patunga, te rahua o te pokanga, nga take kore-hangarau, nga raru o te mutunga, me nga uaua hangarau. Kore-whakahaere: ko nga upoko penei i te rongoa, i pohehe, i tukinotia, i te tikanga, i te takahanga, i te whati, i te whanautanga, i te mate rewharewha, i te neonatal, me te upoko hopu-katoa o te punaha i whakauruhia ki raro i tenei waahanga o nga ahuatanga kino. I whakarōpūhia e Leape nga hapa ma te tohu i te waahi o te pakaru o te tukanga. I wehewehea ano e ia enei ki nga upoko e rima, ko enei:
pūnaha
mahinga
Maimoatanga Drug
tātaritanga
Te aukati
He maha nga hapa o te tukanga ka taka ki raro i te kaupapa kotahi, heoi ka awhina katoa ratou ki te tohu i te tino take o te take. Mena neke atu i te kotahi nga rata i mahi ki te whakatau i nga waahanga tika hei whakapai ake, tera pea ka hiahiatia etahi atu patai.
I runga i te hangarau, ka taea e tetahi o nga kaimahi i te hohipera te hapa hauora. Ehara i te mea iti ki nga tohunga rongoa penei i nga rata me nga nēhi. Ka taea e te kaiwhakahaere te wetewete i te kuaha, ka waiho ranei e te kaimahi horoi tetahi matū ki roto i te ringa o te tamaiti. Ko te mea nui ake i te tuakiri o te tangata nana i mahi te he ko te take kei muri. He aha i mua? A me pehea e taea ai e tatou te whakarite kia kore e puta ano? I muri i te kohikohi i nga raraunga katoa i runga ake nei me te maha atu, kua tae ki te wa ki te whakaaro me pehea te aukati i nga hapa rite. Mo nga huihuinga kaitiaki, kua whakatauhia e te Komihana Hononga mai i te tau 1997 ko enei aitua katoa ka pa ki tetahi tikanga e kiia nei ko Root Cause Analysis (RCA). Heoi, ko te whakamahi i tenei tikanga mo nga maiki e tika ana kia ripoatahia ki nga taha o waho me whakatika.
He aha te Tatari Take Putake?
Ko nga RCA "i mau i nga korero me te tirohanga pikitia nui." Ka ngawari ake te arotake i nga punaha, te tātari mehemea e tika ana te mahi whakatika, me te whai i nga ia. (Wiremu, 2001) He aha te mea he RCA, ahakoa? Ma te tirotiro i nga kaupapa i puta ai te he, ka taea e te RCA te aro ki nga kaupapa me nga tukanga, kaua ki te arotake, ki te whakahee ranei i nga tangata motuhake. (AHRQ,2017) Koinei te take he mea tino nui. He maha nga wa ka whakamahia e te RCA tetahi taputapu e kiia nei ko te Five Whys. Koinei te tikanga o te patai tonu ki a koe ano "he aha" i muri i to whakapono kua whakatauhia e koe te take o tetahi take.
Ko te take i kiia ai ko “te take e rima” na te mea, ahakoa ko te rima te timatanga pai, me patai tonu koe he aha kia kitea ra ano te take o te raru. Ko te patai he aha te mea ka taea e koe te whakaatu i nga hapa maha o nga mahi i nga waahanga rereke, engari me patai tonu koe he aha nga ahuatanga katoa o te take kia pau ra ano koe i etahi atu mea ka taea te whakatika kia puta he hua pai. Heoi, ka taea te whakamahi i nga taputapu rereke i tua atu i tenei ki te tirotiro i nga take. He maha ke atu. Ko nga RCA me whai tikanga maha me te riterite me te whakauru i nga roopu katoa i uru ki te hapa kia kore ai e pohehe, kia kore ai e tika te ripoata mo nga huihuinga.
Opaniraa
Ko nga hapa rongoa i roto i nga whare hauora he maha nga huihuinga me te nuinga o nga huihuinga kaore i te korerohia e tino whakawehi ana i te hauora o nga turoro. Tae atu ki te hauwha miriona nga tangata ka mate i ia tau na runga i nga pohehe o te rongoa. Ko enei tatauranga kaore e whakaaetia i te wa e kiia ana ko te haumaru o nga turoro te kaupapa matua, engari kaore i te nui te mahi hei whakarereke i nga mahi. Mena kua tautuhia nga hapa o te hauora, ka kitea te take o te raruraru me te kore e whakatau i te he ki nga kaimahi motuhake, kaore e tika ana. Ka taea te whakarereke i nga take ka kitea tika nga take o nga hapa o te punaha, o te tukanga ranei. Ko te huarahi riterite, mahaki ki te wetewete i te take pakiaka e whakamahi ana i nga anga penei i nga take e rima ki te ruku kia kitea ra ano nga take me nga hapa katoa he taputapu awhina. Ahakoa e tika ana inaianei mo te ara ake o nga mahi a te kaitiaki, ka taea te whakamahi i te Root Take Analysis ki nga take pohehe katoa, tae atu ki nga hapa tata.
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti mo te Kounga o te Tiaki Hauora i Amerika. (2000). Ko te he he tangata : te hanga i tetahi punaha hauora haumaru ake. National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Te ahua o nga mahi kino i roto i nga turoro i te hohipera. Hua o te Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Nga Tikanga mo te Tautuhinga me te Arotake i nga Takahanga Kino me te Tata ki te Ngaro i te Whare Hauora Academic. Jt Comm J Qual Patient Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Mo nga tangata e pa ana ki te kopa tonu na te rongoa, te ahotea, te kore ranei o te muka, ka taea e te korikori hikoi te awhina i te korikori i nga wa katoa?
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Te Hikoi Mo Te Korokoro Awhina
Ko te paura he ahua noa. Ko te nui o te noho, ko te rongoa, ko te ahotea, ko te kore e whiwhi i te muka ka hua ka kore e rere te whekau. Ka taea e nga whakarereketanga o te oranga te whakahaere i te nuinga o nga keehi. Ko tetahi o nga huarahi tino whai hua ko te whakauru i nga korikori tinana ngawari, me te whakatenatena i nga uaua o te whekau ki te paheke noa (Huang, R., et al., 2014). Kei roto i tenei ko te korikori, ko te yoga, ko te hikoi wai, me te hikoi hikoi, hikoi ranei mo te whakamarumaru i te paopao.
te Rangahau
I tātarihia e tetahi rangahau nga wahine momomoo waenga-pakeke kua paopao roa i roto i te 12 wiki. (Tantawy, SA, et al., 2017)
Ko te roopu tuatahi i hikoi i runga i te papa mira e toru nga wa ia wiki mo te 3 meneti.
Ko te roopu tuarua kaore i uru ki nga mahi whakakori tinana.
Ko te roopu tuatahi he nui ake te whakapai ake i o raatau tohu mate me te aromatawai i te kounga o te oranga.
Ko te kore tauritenga o te huakita whekau e hono ana ki nga take paopao. Ko tetahi atu rangahau i aro ki te paanga o te hikoi tere ki nga mahi whakangungu i whakapakari i nga uaua matua penei i nga papa ki runga i te hanganga microbiota intestinal. (Morita, E., et al., 2019) Ko nga hua i whakaatu ko nga mahi aerobic penei i te hikoi hikoi ka taea te whakanui ake i nga whekau Bacteroides, he waahanga nui o te huakita whekau hauora. Kua kitea e nga rangahau he hua pai ina uru ana nga tangata takitahi ki te 20 meneti mo te hikoi tere ia ra. (Morita, E., et al., 2019)
Ka taea e te korikori te whakaheke i te mate pukupuku o te koroni
Ka taea e te korikori tinana he take whakamarumaru nui hei whakaheke i te mate pukupuku koroni. (National Cancer Institute. 2023) Ko etahi e kii ana he 50% te hekenga o te mate, a ka taea e te korikori tinana te aukati i te hokinga mai i muri i te tātaritanga mate pukupuku o te koroni, me te 50% i roto i etahi rangahau mo nga turoro e mate ana i te wahanga II, i te wahanga III ranei o te mate pukupuku koroni. (Schoenberg MH 2016)
Ko nga hua tino pai i puta mai i te korikori tinana ngawari, penei i te hikoi hikoi, e ono haora ia wiki.
I whakahekehia te mate mate ma te 23% i roto i nga tangata e kaha tinana ana mo te 20 meneti neke atu i nga wa maha i te wiki.
Ko nga turoro mate pukupuku o te koroni hohekore i timata ki te whakakorikori tinana i muri mai i o raatau tātaritanga kua tino pai ake nga hua i te hunga e noho noho kore noa ana, e whakaatu ana kare i roa te roa ki te timata ki te korikori.(Schoenberg MH 2016)
Ko nga turoro tino kaha i whai hua pai.
Te Mahi-Related Diarrhea Prevention
Ko etahi o nga omaoma me te hunga hikoi ka pa ki te koroni kaha rawa atu, ka puta ko te mate korere e pa ana ki te korikori tinana, ko te kumete koretake ranei, e kiia nei ko te takawaenga o te kaikawe. Tae atu ki te 50% o nga kaitakaro manawanui e pa ana ki nga raruraru gastrointestinal i te wa e kaha ana te korikori tinana. (de Oliveira, EP et al., 2014) Ko nga mahi aukati ka taea te whakauru.
Kaua e kai i roto i nga haora e rua i muri i te korikori tinana.
A ape i te kawhe me te wai mahana i mua i te korikori tinana.
Mena he tairongo ki te lactose, karohia nga hua miraka me te whakamahi i te Lactase.
Me whakarite kia pai te wai o te tinana i mua i te mahi.
Te whakamakuku i te wa e mahi ana.
Ki te korikori i roto i te ata:
Inu kia 2.5 kapu wai, he inu hakinakina ranei i mua i te moenga.
Inu kia 2.5 kapu wai i muri i te oho ake.
Inuhia etahi atu 1.5 – 2.5 kapu wai 20-30 meneti i mua i te korikori tinana.
Inu 12-16 hekere wai ia 5-15 meneti i te wa e mahi ana.
If te korikori neke atu i te 90 meneti:
Inuhia he wairewa 12 – 16 hekere wai kei roto 30-60 karamu o te warowaihā, te konutai, te pāhare pāporo, me te konupora ia 5-15 meneti.
Āwhina Ākonga
Ka whakatauhia pea te paura o ia wa me nga whakarereketanga o te noho penei i te nui o te kai muka, te korikori tinana, me te wai. Ko nga tangata e mate ana i te kuetu toto, i te hematochezia ranei, katahi ano ka ngaro te 10 pauna neke atu ranei, he mate anemia kore rino, he pai nga whakamatautau toto huna o te fecal, he hitori whanau ranei o te mate pukupuku koroni me toro atu ki tetahi tohunga hauora, tohunga ranei ki te mahi motuhake. nga whakamatautau tātaritanga kia mohio ai kaore he take o raro, he mate kino ranei. (Jamshed, N. et al., 2011) I mua i te haere ki te hikoi ki te awhina i te kopa, me toro atu nga tangata takitahi ki tana kaihautu hauora ki te kite mena kei te haumaru mo ratou.
I te Injury Medical Chiropractic and Functional Medicine Clinic, ko o tatou waahi mahi ko te Waiora me te Kai, te mamae o te mamae, te whara o te tangata, te tiaki i nga aitua, nga whara o te mahi, te mamae o muri, te mamae o muri, te mamae o te kaki, te mamae o te upoko, nga whara o te takaro, te kino. Sciatica, Scoliosis, Nga Kōpae Herniated Matatini, Fibromyalgia, Te mamae o te mamae, nga whara matatini, te whakahaere i te ahotea, nga maimoatanga rongoa mahi, me nga tikanga tiaki i roto i te waahi. Ka arotahi matou ki nga mea e pai ana ki a koe ki te whakatutuki i nga whaainga whakapai ake me te hanga tinana pai ake ma nga tikanga rangahau me nga kaupapa oranga katoa. Mena ka hiahiatia etahi atu maimoatanga, ka tukuna nga tangata takitahi ki te whare hauora, ki te taote ranei e pai ana mo o ratou whara, mate, me / ranei.
Whakamatau Poop: He aha? He aha? me pehea?
Tohutoro
Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Ko te korikori tinana me te paopao i roto i nga taiohi o Hong Kong. PloS kotahi, 9(2), e90193. doi.org/10.1371/journal.pone.0090193
Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Ko nga paanga o te korikori tinana me te whakahaere kai hei whakahaere i te paopao i roto i nga wahine momona o waenga. Te mate huka, te mate pukupuku me te mate nui: nga whaainga me te rongoa, 10, 513-519. doi.org/10.2147/DMSO.S140250
Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Ko te Whakangungu Whakangungu Aerobic me te hikoi tere ka piki ake nga Bacteroides Intestinal i roto i nga Wahine Kaumatua Ora. Matūkai, 11(4), 868. doi.org/10.3390/nu11040868
Schoenberg MH (2016). Te Mahi A-tinana me te Kai Kai i roto i te Paremata Tuatahi me te Tuatoru mo te Whakaoranga i te Matepukupuku Tae. Te rongoa Visceral, 32(3), 199–204. doi.org/10.1159/000446492
de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Nga amuamu gastrointestinal i te wa e whakakorikori ana: te nui, te etiology, me nga taunakitanga kai. Te rongoa hakinakina (Tamaki Makaurau, Aotearoa), 44 Suppl 1(Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2
Jamshed, N., Lee, ZE, & Olden, KW (2011). Te huarahi tātaritanga ki te koroka roa i roto i nga pakeke. Taote utuafare no Marite, 84(3), 299–306.
Mo te hunga e hiahia ana ki te whakapai ake i to ratau oranga tinana, ka taea e te whakamatautau aromatawai tinana te tautuhi i nga waahi ka taea te awhina ki te arotake i te hauora me te mana tinana?
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Aromatawai tinana
Ko te whakamatautau tinana, e mohiotia ana ko te aromatawai tinana, ka awhina i te aromatawai i te katoa me te hauora tinana o te tangata. Kei roto he raupapa whakangungu hei hoahoa i tetahi kaupapa korikori tika mo te hauora me te oranga tinana. (Te Roopu Whakanui mo te Motu. 2017) Ko nga painga o nga whakamatautau mo te aromatawai tinana ko:
Te tautuhi i nga waahanga hei whakapai ake.
Te awhina i nga tohunga ki te mohio he aha nga momo korikori e tino haumaru ana, e tino whai hua ana.
Te awhina i te ine i te ahunga whakamua tinana i roto i te waa.
Te tuku mahere takitahi hei awhina i nga whara me te pupuri i te oranga o te tinana.
Ko te aromatawai he maha nga momo whakamatautau, tae atu ki:
Nga whakamatautau hanganga tinana.
Nga whakamatautau ahotea ngakau.
Nga whakamatautau manawanui.
Te awhe o nga whakamatautau nekehanga.
Ko te tikanga kia kore te tangata e noho tupono ki te whara me te whakarato ki te kaiwhakangungu nga matauranga e hiahiatia ana hei whakarite i nga whainga whakapakari tinana. Ko nga tangata e whakaaro ana mehemea ka whai hua nga whakamatautau tinana ki a raatau me korero ki o raatau kaiwhakarato hauora.
Hauora Whanui
I mua i te tiimata i te kaupapa whakapakari tinana, he mea nui ki te whakamohio ki te kaiwhakangungu mo nga hitori rongoa takitahi me te whiwhi whakaaetanga mai i tetahi kaiwhakarato hauora tuatahi. (Whakaputa Hauora Harvard. Te Kura Hauora Harvard. 2012) Ko te nuinga o nga wa ka whakamahia e nga tohunga whakapakari tinana kotahi, neke atu ranei nga taputapu tirotiro hei awhina i te whakatau i te oranga o te tangata takitahi.
Ka uru pea tenei ki te whiwhi inenga tohu nui penei i te teitei me te taumaha, te reiti o te ngakau/RHR, me te tohanga toto/RBP. He maha nga kaiwhakangungu ka whakamahi i te patai mo te mahi kori tinana/PAR-Q kei roto nga paatai mo te hauora whanui. (National Academy of Sports Medicine. 2020) I roto i nga paatai, ka pataihia nga tangata takitahi mo nga rongoa e tangohia ana, nga raru o te whanoke, te mamae ranei, me nga ahuatanga hauora e raru ai to raatau kaha ki te korikori tinana.
Te Whakauru tinana
Ko te hanganga o te tinana e whakaatu ana i nga waahanga taumaha tinana katoa, tae atu ki nga uaua, nga wheua, me te ngako. Ko nga tikanga tino noa mo te whakatau i te hanganga tinana ko:
Te Whakatairanga Impedance Bioelectrical - BIA
I te wa o te BIA, ka tukuna nga tohu hiko mai i nga hiko i roto i nga kapu o nga waewae ki te kopu hei whakatau i te hanganga tinana. (Doylestown Hauora. 2024)
Ko enei inenga e whakamahi ana i nga calipers ki te whakatau tata i te nui o te ngako tinana i roto i te kopaki kiri.
Te Manawa ngakau
Ko te whakamatautau mo te manawanui ngakau, e mohiotia ana ko te whakamatautau ahotea, ka ine i te kaha o te ngakau me nga ngongo ki te tuku hāora me te kaha ki te tinana i te wa e korikori tinana ana. (UC Davis Health, 2024) Ko nga whakamatautau e toru e whakamahia ana ko:
12-meneti Nga Whakamatau Whakahaere
Tekau ma rua meneti te roa o nga whakamatautau omaoma i runga i te wīra, ka whakatauritehia te reiti o te ngakau me te manawa o te tangata i mua i te mahi whakangungu ki te reiti o te ngakau me te manawa.
Kohikohi Ahotea
Ka mahia nga whakamatautau ahotea ki runga i te paihikara paihikara ranei.
Ka whai waahi ki te whakamahi i te kaitutei ngakau me te kopa toto ki te ine i nga tohu tino nui i te wa e korikori ana.
VO2 Max Whakamatau
Ka mahia i runga i te wīra, i te paihikara tuuturu ranei.
Ko te whakamatautau V02 max e whakamahi ana i tetahi taputapu manawa ki te ine i te reiti teitei o te kohi hāora i te wa e korikori tinana ana (UC Davis Health, 2024)
Ko etahi o nga kaiwhakangungu ka whakauru i nga mahi penei i te noho-ake, te pana-ake ranei hei ine i te whakautu ki nga mahi motuhake.
Ka taea te whakamahi i enei hua o mua ki te kite mena kua pai ake te hauora me te oranga tinana.
Te kaha me te manawanui
Ko te whakamatautau i te manawanui o te uaua ka ine i te roa o te wa ka taea e te roopu uaua te kirimana me te tuku i mua i te ngenge. Ko te whakamatautau kaha ka ine i te nui o te kaha ka taea e te roopu uaua. (American Council on Exercise, Jiminez C., 2018) Ko nga mahi i whakamahia ko:
Ko te whakamatautau pana.
Te whakamatautau kaha me te pumau.
I etahi wa, ka whakamahi te kaiwhakangungu i te metronome hei ine i te roa o te tangata e mau tonu ana ki te manawataki. Ka whakatauritehia nga hua ki nga tangata kotahi o te roopu reanga me te ira tangata hei whakarite i te taumata taumata. He mea nui nga whakamatautau kaha me te manawanui na te mea ka awhina i te waahi kaiwhakangungu e kaha ake ai nga roopu uaua, whakaraerae, me te aro nui. (Heyward, VH, Gibson, AL 2014).
täwariwari
He mea nui te ine i te ngawari o nga hononga ki te whakatau mena he koretake to te tangata, he koretake o te waewae, he herenga ranei o te awhe o te neke. (Pate R, Oria M, Pillsbury L, 2012)
Pihiwi Wawari
Ka arotakehia e te whakamatautau ngawari o te pakihiwi te ngawari me te nekeneke o te hononga pakihiwi.
Ka mahia ma te whakamahi i tetahi ringa ki muri i te kaki, ki waenga i nga pakihiwi, me tetahi ringa ki muri ki muri, ki nga pakihiwi, hei ine i te tawhiti o nga ringaringa. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015)
He maha nga painga o nga whakamatautau mo te aromatawai tinana. Ka taea e ia te awhina i nga kaiwhakangungu ki te hoahoa i tetahi kaupapa whakangungu whaiaro, te awhina i nga tangata takitahi ki te tautuhi i nga waahi whakapakari tinana e tika ana kia whakapai ake, te ine i te ahunga whakamua, me te whakanui i te kaha me te manawanui ki o raatau mahinga, ka awhina i te aukati i nga whara me te awhina. mau tonu te hauora katoa. Ka aro matou ki nga mea e pai ana ki a koe me te ngana ki te whakapai ake i te tinana ma nga tikanga rangahau me nga kaupapa oranga katoa. Ka whakamahia e enei kaupapa taiao te kaha o te tinana ki te whakatutuki i nga whaainga whakapai ake. Patai atu ki tetahi tohunga hauora, tohunga toi tinana ranei mo te arahi mena ka hiahia tohutohu koe.
Pate R, Oria M, Pillsbury L, (Eds). (2012). Nga tikanga whakapakari tinana mo te hunga rangatahi: Te ngawari. In R. Pate, M. Oria, & L. Pillsbury (Eds.), Nga Mahi Whakaora me nga Putanga Hauora i roto i te Rangatahi. doi.org/10.17226/13483
Ka taea e nga tangata whai mate Ehlers-Danlos te awhina i nga momo maimoatanga kore-hapara hei whakaiti i te koretake o nga hononga?
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Kupu Whakataki
Ko nga hononga me nga hononga e karapoti ana i te punaha musculoskeletal ka taea e nga pito o runga me nga pito o raro ki te whakapumau i te tinana me te neke. Ko nga momo uaua me nga kopa honohono ngawari e karapoti ana i nga hononga ka awhina i a raatau ki te tiaki ia ratou i nga whara. I te wa ka timata nga ahuatanga o te taiao, nga mate kino ranei ki te pa ki te tinana, he maha nga tangata ka whakawhanake i nga take e pa ana ki nga korero morearea, ka pa ki te pumau o nga hononga. Ko tetahi o nga mate e pa ana ki nga hononga me te kiko hono ko te EDS ko Ehlers-Danlos syndrome ranei. Ko tenei mate o te kopa hono ka puta he hypermobile nga hononga o te tinana. Ka taea e ia te whakararuraru i nga hononga ki nga pito o runga me o raro, na reira ka noho te tangata ki te mamae tonu. Ko te tuhinga o tenei ra e aro ana ki te mate pukupuku Ehlers-Danlos me ona tohu me te pehea o nga huarahi kore-hapara ki te whakahaere i tenei mate kopa hono. Ka matapaki matou me nga kaiwhakarato rongoa whaimana e whakakotahi ana i nga korero a o matou turoro ki te aromatawai me pehea te hono a Ehlers-Danlos syndrome ki etahi atu mate pukupuku. Ka whakamohiohia, ka arahi ano hoki i nga turoro me pehea e taea ai e nga momo maimoatanga kore-haparapara te whakaiti i nga tohu penei i te mamae me te whakahaere i te mate Ehlers-Danlos. Ka akiaki ano matou i o matou turoro ki te patai ki o raatau kaiwhakarato rongoa he maha nga patai whakahirahira me te whakahirahira mo te whakauru i nga momo rongoa kore-hapara hei waahanga o a raatau mahi o ia ra ki te whakahaere i nga paanga o te mate Ehlers-Danlos. Ko Dr. Jimenez, DC, kei roto enei korero hei ratonga matauranga. Whakakape.
He aha te Ehlers-Danlos Syndrome?
He maha nga wa ka tino ngenge koe puta noa i te ra, ahakoa i muri i te po katoa o te moe? He ngawari te maru me te whakaaro no hea enei maru? Kua kite ranei koe kua piki ake te awhe o ou hononga? Ko te nuinga o enei take e hono ana ki tetahi mate e mohiotia ana ko Ehlers-Danlos syndrome, EDS ranei e pa ana ki o raatau hononga me te kiko hono. Ka pa te EDS ki nga kopa honohono o te tinana. Ko nga kopa honohono i roto i te tinana ka awhina i te kaha me te ngawari ki te kiri, ki nga hononga, me nga pakitara o nga oko toto, no reira ka pa te tangata ki te EDS, ka raru pea te punaha musculoskeletal. Ko te mate EDS te nuinga o te mate, a he maha nga taote kua mohio ko te tohu ira o te collagen me nga pūmua e taunekeneke ana i roto i te tinana ka taea te whakatau he aha te momo EDS e pa ana ki te tangata. (Miklovic & Sieg, 2024)
Ko nga tohu
Ina mohio koe ki te EDS, he mea nui kia mohio koe ki nga uaua o tenei mate o te kiko hono. Kua whakarōpūhia te EDS ki nga momo maha me nga ahuatanga rereke me nga wero e rereke ana i runga i te taumahatanga. Ko tetahi o nga momo momo EDS he hypermobile Ehlers-Danlos syndrome. Ko tenei momo EDS e tohuhia ana e te hypermobility hononga whanui, te koretake o nga hononga, me te mamae. Ko etahi o nga tohu e pa ana ki te hypermobile EDS ko te subluxation, te dislocations, me nga whara o te kiko ngohe he mea noa, ka puta ohorere, he iti noa iho te mamae. (Hakim, 1993) He maha nga wa ka puta te mamae nui ki nga hononga o runga me raro. Na te whanuitanga o nga tohu me te ahua o te mate ake, he maha nga wa kaore i te mohio he mea noa te hypermobility hononga i roto i te taupori whanui, a, kaore pea he raruraru e tohu ana he mate hono. (Gensemer et al., 2021) I tua atu, ka taea e te hypermobile EDS te paheketanga o te tuara na runga i te hyperextensibility o te kiri, nga hononga, me nga momo ngoikoretanga o te kiko. Ko te pathophysiology o te paheketanga o te tuara e hono ana ki te hypermobile EDS ko te mea tuatahi na te uaua hypotonia me te ngoikore o te uaua. (Uehara et al., 2023) Na tenei ka tino heke te maha o nga tangata i to ratau oranga me nga mahi o ia ra. Heoi ano, he huarahi hei whakahaere i te EDS me ona tohu tohu hei whakaiti i te koretake o nga hononga.
Movement Medicine: Chiropractic Care-Video
Nga huarahi hei whakahaere i te EDS
I te wa e rapu ana i nga huarahi ki te whakahaere i te EDS hei whakaiti i te mamae me te ngoikore o nga hononga, ka taea e nga maimoatanga kore mahi te awhina i nga ahuatanga o te tinana me te hinengaro o te ahua. Ko nga maimoatanga kore-hapara mo nga tangata whai EDS e aro nui ana ki te arotau i nga mahi a-tinana o te tinana me te whakapai ake i te kaha uaua me te whakapumautanga o nga hononga. (Buryk-Iggers et al., 2022) He maha nga tangata whai EDS ka ngana ki te whakauru i nga tikanga whakahaere mamae me te rongoa tinana me tete whakamahi i nga awhi me nga taputapu awhina hei whakaiti i nga paanga o te EDS me te whakapai ake i to raatau oranga.
Nga maimoatanga-kore mo te EDS
Nga momo maimoatanga kore-hapara penei i te MET (tikanga uaua uaua), te whakamaarama hiko, te whakamaarama tinana marama, te tiaki chiropractic, me nga mirimiri. Ka taea te awhina i te whakapakari i te wa e tone ana nga uaua a tawhio noa huri noa i nga hononga, whakarato i te mamae o te mamae, me te whakaiti i te whakawhirinaki mo te wa roa ki nga rongoa. (Broida et al., 2021) I tua atu, ko nga tangata e pa ana ki te EDS e whai ana ki te whakapakari i nga uaua e pa ana, ki te whakapumau i nga hononga, me te whakapai ake i te whanautanga. Ko nga maimoatanga kore-mahi ka taea e te tangata takitahi te mahere maimoatanga mo te kaha o nga tohu EDS me te awhina i te whakaiti i te mamae e pa ana ki te ahua. He maha nga tangata, ina haere ana i roto i ta raatau mahere maimoatanga ki te whakahaere i o raatau EDS me te whakaiti i nga tohu mamae-rite, ka kite i te whakapai ake i te mamae o te mamae. (Khokhar et al., 2023) Ko te tikanga ko nga maimoatanga kore mahi ka taea e nga tangata takitahi te whai whakaaro nui ki o ratau tinana me te whakaiti i nga paanga o te mamae o te EDS, na reira ka taea e te maha o nga tangata whai EDS te arahi i nga oranga pai ake, me te pai ake o te oranga me te kore e mamae me te raruraru.
Tohutoro
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Te whakahaere i te koretake o te pokohiwi i roto i te hypermobility-momo Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ko te Korikori me te Whakaora i nga Tangata Ki a Ehlers-Danlos Syndrome: He Arotake Whaiaro. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Kaiwhakawa, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos syndromes: Nga tohu tohu matatini, nga whakamatautau wero, me nga take kaore i te maarama. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. In MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Nga Painga o te Osteopathic Manipulative Treatment i runga i te Turoro ki te Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). Te Paheketanga o te Iwi i roto i te Ehlers-Danlos Syndrome: Arotahi ki te Momo Musculocontractural. Ira (Basel), 14(6). doi.org/10.3390/genes14061173
Ka taea e te mohio ki nga hononga hinge o te tinana me te pehea e mahi ai te awhina i nga raruraru nekeneke me te ngawari me te whakahaere i nga tikanga mo nga tangata e uaua ana ki te whakapiko, ki te toro atu ranei o ratou maihao, maihao, tuke, pona waewae, turi ranei?
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Hononga Hinge
He hononga ka hono tetahi wheua ki tetahi, ka taea te neke. He rereke nga momo hononga rereke i te hanganga me te neke i runga i to raatau waahi. Ko enei ko te hinge, te poi me te turanga, te mahere, te kaurori, te noho, me nga hononga ellipsoid. (Te mutunga kore. Koiora Whānui, ND) Ko nga hononga hinge he hononga synovial e neke ana i roto i tetahi papa o te nekehanga: te whakaheke me te toronga. Ka kitea nga hononga hinge i roto i nga maihao, i nga tuke, i nga turi, i nga rekereke me nga maihao me te whakahaere i nga nekehanga mo nga momo mahi. Ko nga whara, te osteoarthritis, me nga tikanga autoimmune ka pa ki nga hononga hinge. Ko te okiokinga, te rongoa, te hukapapa, me te rongoa tinana ka awhina i te whakaiti i te mamae, te whakapai ake i te kaha me te awhe o te nekehanga, me te awhina i te whakahaere i nga tikanga.
Anatomy
Ka hangaia he hononga ma te hono o nga wheua e rua, neke atu ranei. Ko te tinana o te tangata e toru nga whakarōpūtanga matua o nga hononga, kua whakarōpūhia e te tohu e taea ai e ratou te neke. Ko enei ko: (Te mutunga kore. Koiora Whānui, ND)
Te tukutahi
He hononga pumau enei, he hononga korekore.
I hangaia e te rua, neke atu ranei nga wheua.
Amphiarthroses
Kei te mohiotia ano ko nga hononga cartilaginous.
Ko te kopae fibrocartilage e wehe ana i nga koiwi e hanga ana i nga hononga.
Ka taea e enei hononga nekeneke te iti o te nekehanga.
Nga rewharewha
Kei te mohiotia ano ko nga hononga synovial.
Koinei nga hononga mokowhiti noa noa e taea ai te neke i nga huarahi maha.
Ko nga koiwi e hanga ana i nga hononga ka whakakikoruatia ki te cartilage toi me te whakauru ki roto i te kapoi hono kua whakakiia ki te wai synovial e pai ai te nekehanga.
Ka whakarōpūhia nga hononga Synovial ki nga momo rereke i runga i nga rereketanga o te hanganga me te maha o nga rererangi nekehanga ka whakaaetia. Ko te hononga hinge he hononga synovial e taea ai te neke i roto i te rererangi o te nekehanga kotahi, he rite ki te inihi tatau e neke whakamua ana ki muri. I roto i te hononga, ko te pito o tetahi koiwi he piko/ tohu ki waho, ko tetahi atu he piko/porotaka whakaroto kia pai ai te uru o nga pito. Na te mea ka neke noa nga hononga hinge i roto i te rererangi o te neke, ka kaha ake te pumau atu i era atu hononga synovial. (Te mutunga kore. Koiora Whānui, ND) Ko nga hononga hinge kei roto:
Ko nga hononga maihao me nga matimati - tukua nga maihao me nga maihao kia piko, kia toro atu.
Te hononga tuke - ka taea e te tuke te piko me te toro.
Ko te hononga o te turi - ka taea e te turi te piko me te toro atu.
Ko te hononga talocrural o te rekereke - ka taea e te rekereke te neke ki runga/dorsiflexion me raro/plantarflexion.
Ko nga hononga hinge ka taea e nga peka, nga maihao, me nga matimati te toro atu, ka piko ki te tinana. He mea nui tenei nekehanga mo nga mahi o ia ra, penei i te kaukau, te kakahu, te kai, te hikoi, te tu, me te noho.
Here
Osteoarthritis me nga momo mumura o te rumati ka pa ki tetahi hononga (Arthritis Foundation. ND) Ko nga ahua o te mate pukupuku autoimmune, tae atu ki te rheumatoid me te psoriatic arthritis, ka taea e te tinana te whakaeke i ona ake hononga. Ko enei ka pa ki nga turi me nga maihao, ka hua te pupuhi, te pakari, me te mamae. (Kamata, M., Tada, Y. 2020) Ko te kauti he ahua mumura o te mate rumati ka tupu mai i te pikinga o te waikawa uric i roto i te toto, ka pa te nuinga ki te hononga hiku o te matimati. Ko etahi atu tikanga e pa ana ki nga hononga hinge ko:
Ko nga whara ki te kaata i roto i nga hononga, i nga hononga ranei e whakapumau ana i waho o nga hononga.
Ko te pakaru o te ligament, te roimata ranei ka puta mai i nga maihao, maihao ranei, i nga rekereke kua huri, i nga whara kopikopiko, me te pa ki te turi.
Ka taea hoki e enei whara te pa ki te meniscus, te cartilage uaua i roto i te hononga turi e awhina ana i te urunga me te tango i te ohorere.
Rehabilitation
Ko nga ahuatanga e pa ana ki nga hononga hinge ka puta te mumura me te pupuhi, ka puta te mamae me te iti o te neke.
I muri i te whara, i te wa ranei o te mate mumura ka mura, ko te whakaiti i nga nekehanga kaha me te okioki i te hononga e pa ana ka whakaiti i te ahotea me te mamae.
Ma te whakamahi i te huka ka whakaiti i te mumura me te pupuhi.
Ka taea hoki e nga rongoa whakaora mamae penei i nga NSAID te whakaiti i te mamae. (Arthritis Foundation. ND)
I te wa ka timata te mamae me te pupuhi, ka taea e te rongoa tinana me te mahi mahi te whakaora i nga waahi kua pa.
Ka whakaratohia e te kaiakiko nga totoro me nga mahi whakangungu hei awhina i te whakapai ake i te awhe o nga nekehanga me te whakapakari i nga uaua tautoko.
Mo nga tangata e pa ana ki te mamae o nga hononga mai i te mate autoimmune, ko nga rongoa koiora hei whakaiti i te mahi autoimmune o te tinana ka tukuna ma te whaowhia i ia wiki, marama ranei. (Kamata, M., Tada, Y. 2020)
Ka whakamahia ano nga werohanga cortisone hei whakaiti i te mumura.
I te Injury Medical Chiropractic and Functional Medicine Clinic, ka aro nui matou ki te rongoa i nga whara o nga turoro me nga mate mamae mau tonu me te whakapai ake i te kaha na roto i nga kaupapa ngawari, nekeneke, me nga kaupapa ngawari kua whakaritea ki te tangata takitahi. Ka whakamahia e o maatau kaiwhakarato he huarahi whakauru ki te hanga mahere tiaki whaiaro e uru ana ki te rongoa Mahi, Acupuncture, Electro-Acupuncture, me nga tikanga rongoa rongoa. Ko ta matou whainga ko te whakaora noa i te mamae ma te whakaora i te hauora me te mahi ki te tinana. Mena ka hiahia te tangata ki etahi atu maimoatanga, ka tukuna atu ki te whare haumanu, ki te taote ranei e pai ana mo ratou. Kua mahi tahi a Dr. Jimenez me nga kaitoro o runga, nga tohunga haumanu, nga kairangahau hauora, me nga kaiwhakarato whakaora hou ki te whakarato i nga maimoatanga haumanu tino whai hua.
Kamata, M., & Tada, Y. (2020). Te kaha me te haumaru o te koiora mo te Psoriasis me te Psoriatic Arthritis me o raatau paanga ki nga mate kino: he arotake tuhinga. International journal of molecular sciences, 21(5), 1690. doi.org/10.3390/ijms21051690
For individuals dealing with sciatica, can non-surgical treatments like chiropractic care and acupuncture reduce pain and restore function?
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Kupu Whakataki
The human body is a complex machine that allows the host to be mobile and stable when resting. With various muscle groups in the upper and lower body portions, the surrounding muscles, tendons, nerves, and ligaments serve a purpose for the body as they all have specific jobs in keeping the host functional. However, many individuals have developed various habits that cause strenuous activities that cause repetitive motions to their muscles and nerves and affect their musculoskeletal system. One of the nerves that many individuals have been dealing with pain is the sciatic nerve, which causes many issues in the lower body extremities and, when not treated right away, leads to pain and disability. Luckily, many individuals have sought non-surgical treatments to reduce sciatica and restore body function to the individual. Today’s article focuses on understanding sciatica and how non-surgical therapies like chiropractic care and acupuncture can help reduce the sciatic pain-like effects that are causing overlapping risk profiles in the lower body extremities. We discuss with certified medical providers who consolidate with our patients’ information to assess how sciatica is often correlated with environmental factors that cause dysfunction in the body. We also inform and guide patients on how various non-surgical treatments can help reduce sciatica and its correlating symptoms. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating various non-surgical therapies as part of their daily routine to reduce the chances and effects of sciatica from returning. Dr. Jimenez, D.C., includes this information as an academic service. Whakakape.
Te mohio ki a Sciatica
Do you often feel radiating pain that travels down one or both legs when sitting down for a long period? How often have you experienced tingling sensations that cause you to shake your leg to reduce the effect? Or have you noticed that stretching your legs causes temporary relief? While these overlapping pain symptoms can affect the lower extremities, many individuals may think it is low back pain, but in actuality, it is sciatica. Sciatica is a common musculoskeletal condition that affects many people worldwide by causing pain to the sciatic nerve and radiating down to the legs. The sciatic nerve is pivotal in providing direct and indirect motor function to the leg muscles. (Davis et al., 2024) When the sciatic nerve is compressed, many people state that the pain can vary in intensity, accompanied by symptoms like tingling, numbness, and muscle weakness that can affect a person’s ability to walk and function.
However, some of the root causes that lead to the development of sciatica can play into the factor that causes the pain in the lower extremities. Several inherent and environmental factors are often associated with sciatica, causing lumbar nerve root compression on the sciatic nerve. Factors like poor health status, physical stress, and occupational work are correlated with the development of sciatica and can impact a person’s routine. (Gimenez-Campos et al., 2022) Additionally, some of the root causes of sciatica can include musculoskeletal conditions like herniated discs, bone spurs, or spinal stenosis, which can correlate with these inherent and environmental factors that can reduce many individuals’ motility and life quality. (Zhou et al., 2021) This causes many individuals to seek out treatments to relieve sciatica pain and its correlating symptoms. While the pain caused by sciatica can vary, many individuals often seek non-surgical treatments to alleviate their discomfort and pain from sciatica. This allows them to incorporate effective solutions to managing sciatica.
Beyond Adjustments: Chiropractic & Integrative Healthcare- Video
Tiaki Chiropractic mo Sciatica
When it comes to seeking non-surgical treatments to reduce sciatica, non-surgical treatments can reduce the pain-like effects while helping restore body function and mobility. At the same time, non-surgical treatments are customized to the individual’s pain and can be incorporated into a person’s routine. Some non-surgical treatments like chiropractic care are excellent in reducing sciatica and its associated pain symptoms. Chiropractic care is a form of non-surgical therapy that focuses on restoring the body’s spinal movement while improving body function. Chiropractic care utilizes mechanical and manual techniques for sciatica to realign the spine and help the body heal naturally without surgery or medication. Chiropractic care can help decrease intradiscal pressure, increase intervertebral disc space height, and improve the range of motion in the lower extremities. (Gudavalli et al., 2016) When dealing with sciatica, chiropractic care can alleviate the unnecessary pressure on the sciatic nerve and help reduce the risk of reoccurrence through consecutive treatments.
The Effects of Chiropractic Care For Sciatica
Some of the effects of chiropractic care for reducing sciatica can provide insight to the person as chiropractors work with associated medical providers to devise a personalized plan to relieve the pain-like symptoms. Many people who utilize chiropractic care to reduce the effects of sciatica can incorporate physical therapy to strengthen the weak muscles that surround the lower back, stretch to improve flexibility and be more mindful of what factors are causing sciatic pain in their lower extremities. Chiropractic care may guide many people on proper poster ergonomics, and various exercises to reduce the chances of sciatica returning while offering positive effects to the lower body.
Acupuncture For Sciatica
Another form of non-surgical treatment that can help reduce the pain-like effects of sciatica is acupuncture. As a key component in traditional Chinese medicine, acupuncture therapy involves professionals placing thin, solid needles at specific points on the body. A, no te haere mai te reira ki reducing sciatica, acupuncture therapy can exert analgesic effects on the body’s acupoints, regulate the microglia, and modulate certain receptors along the pain pathway to the nervous system. (Zhang et al., 2023) Acupuncture therapy focuses on restoring the body’s natural energy flow or Qi to promote healing.
The Effects of Acupuncture For Sciatica
Regarding the effects of acupuncture therapy on reducing sciatica, acupuncture therapy can help reduce the pain signals that sciatica produces by changing the brain signal and rerouting the corresponding motor or sensory disturbance of the affected area. (Yu et al., 2022) Additionally, acupuncture therapy can help provide pain relief by releasing endorphins, the body’s natural pain reliever, to the specific acupoint that correlates with the sciatic nerve, reducing inflammation around the sciatic nerve, thus alleviating pressure and pain and helping improve nerve function. Both chiropractic care and acupuncture offer valuable non-surgical treatment options that can provide aid in the healing process and reduce pain caused by sciatica. When many people are dealing with sciatica and looking for numerous solutions to reduce the pain-like effects, these two non-surgical treatments can help many people address the underlying causes of sciatica, enhance the body’s natural healing process, and help provide significant relief from the pain.
Gimenez-Campos, M. S., Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, J. I., Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, M. R., Olding, K., Joachim, G., & Cox, J. M. (2016). Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture mo te sciatica tawhito: te kawa mo te whakamatautau i te maha o nga waahi. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Te whaihua me te haumaru o te whakamaarama acupuncture mo te sciatica: He arotake nahanaha me te tātari-meta o nga huarahi whakahaere matapōkeretia. Tuhinga o mua, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Ko nga hononga o te mate nui me te whakahekenga o te Intervertebral, te mamae o te tuara iti, me te Sciatica: He Akoranga Whakataunga Rawa Mendelian e rua. Endocrinol Tuhinga o mua (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
What are the healing times of common sports injuries for athletes and individuals who engage in recreational sports activities?
A young, happy sportswoman is getting tens-electrotherapy treatments at a medical clinic.
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Healing Times for Sports Injuries
Healing time from sports injuries depends on various factors, such as the location and extent of the injury and the health of the skin, joints, tendons, muscles, and bones. It is also important to take the time to recuperate or not rush back into physical sports activities before the bones or tissues have fully healed. To prevent re-injury, ensure the doctor clears health before returning to sports or strenuous physical activity.
According to CDC research, an average of 8.6 million sports and recreation-related injuries occur annually. (Sheu, Y., Chen, L. H., and Hedegaard, H. 2016) However, most sports injuries are superficial or caused by low-grade strains or sprains; at least 20% of injuries result from bone fractures or more serious injuries. Bone fractures take longer than sprains or strains, and complete tendon or muscle ruptures can take months before one can fully return to activities. Individuals in decent physical shape with no underlying illness or impairment, here is what they can expect when recovering from the following sports injuries:
Pakaru whatianga
In sports, the highest rate of bone fractures occurs with football and contact sports. Most are centered around the lower extremities but can involve the neck and shoulder blades, arms, and ribs.
Simple Fractures
Depends on the individual’s age, health, type, and location.
Generally, takes at least six weeks to heal.
Compound Fractures
In this case, a bone is broken in several places.
It may require surgery to stabilize the bone.
Healing time can take up to eight months.
Fractured Clavicle/Collarbone
It may require the immobilization of the shoulder and upper arm.
It can take five to ten weeks to heal fully.
Fractured fingers or toes can heal in three to five weeks.
Fractured Ribs
Part of the treatment plan includes breathing exercises.
Painkillers may be needed short term.
Usually, it takes around six weeks to heal.
Neck Fractures
It may involve any one of the seven neck vertebrae.
A neck brace or a halo device that is screwed into the skull for stability may be used.
A whakaheke is the stretching or tearing of ligaments or the tough bands of fibrous tissue that connect two bones at a joint.
A Tuhinga is the overstretching or tearing of muscles or nga piko.
Sprained Ankles
It can heal in five days if there are no complications.
Severe sprains involving torn or ruptured tendons can take three to six weeks to heal.
Calf Strains
Classified as grade 1 – a mild strain can heal in two weeks.
A grade 3 – severe strain may require three months or more to heal completely.
The use of calf suppression sleeves can expedite the recovery of strains and sprains in the lower leg.
Acute Neck Strain
A tackle, impact, fall, quick shifting, or whipping motion can cause a whiplash injury.
Healing time can take a couple of weeks to six weeks.
Ētahi atu whara
Roimata ACL
Involving the anterior cruciate ligament.
Usually, it requires months of recuperation and rehabilitation, depending on several factors, including the type of sports activity.
Full recovery from surgery takes six to 12 months.
Without surgery, there is no specific timeline for rehabilitation.
Achilles Tendon Ruptures
It is a serious injury.
These occur when the tendon is either partially or completely torn.
Individuals will more than likely require surgery.
Recovery time is four to six months.
Nga Tapahanga me nga Taahi
Depends on the depth and location of the injury.
It can take anywhere from a week to a month to heal.
If there are no accompanying injuries, stitches can be removed within two to three weeks.
If a deep cut requires stitches, more time is necessary.
Mild Contusions/Bruises
Are caused by a trauma to the skin, causing blood vessels to break.
In most cases, a contusion will take five to seven days to heal.
Shoulder Separations
When treated properly, it usually takes around two weeks of rest and recovery before the patient returns to activity.
Multidisciplinary Treatment
After the initial inflammation and swelling have subsided, a doctor will recommend a treatment plan that usually involves physical therapy, self-performed physical rehabilitation, or supervision by a physical therapist or team. Fortunately, athletes and individuals who regularly exercise tend to have a faster healing time because they are in top physical shape, and their cardiovascular system provides a stronger blood supply that speeds up the healing process. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients’ injuries and chronic pain syndromes. We focus on improving ability through flexibility, mobility, and agility programs tailored to the individual. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Our providers use an integrated approach to create personalized care plans that include Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles. Our goal is to relieve pain naturally by restoring health and function to the body.
If the chiropractor feels the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the top clinical treatments for our community. Providing highly noninvasive protocols is our priority, and our personalized patient-based clinical insight is what we provide.
Nga Maamaa o Lumbar Spine i roto i nga Taakaro: Te Whakaora Chiropractic
Tohutoro
Sheu, Y., Chen, L. H., & Hedegaard, H. (2016). Sports- and Recreation-related Injury Episodes in the United States, 2011-2014. National health statistics reports, (99), 1–12.
Mo nga tangata e pa ana ki te mamae o te kopu, he mate o te nerve pudendal e mohiotia ana ko te neuropathy pudendal, te neuralgia ranei e arai ana ki te mamae mau tonu. Ko te mate ka puta mai i te mahanga o te nerve pudendal, i reira ka kopaki, ka pakaru ranei te nerve. Ka taea e te mohio ki nga tohu te awhina i nga kaiwhakarato hauora ki te tirotiro tika i te mate me te whakawhanake i tetahi mahere maimoatanga whai hua?
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Pudendal Neuropathy
Ko te nerve pudendal te nerve matua e mahi ana i te perineum, ko te waahi kei waenganui i te anus me te taihemahema - te scrotum i roto i te tane me te vulva i te wahine. Ka rere te nerve pudendal i roto i nga uaua gluteus/reke ka uru ki te perineum. He kawe korero mohio mai i te taihemahema o waho me te kiri huri noa i te anus me te perineum me te tuku tohu motika/nekehanga ki nga uaua pelvic. (Origoni, M. et al., 2014) Ko te neuralgia pudendal, e kiia ana ko te neuropathy pudendal, he mate o te nerve pudendal e puta ai te mamae o te pelvic mau tonu.
Nga take
Ko te mamae pelvic mau tonu mai i te neuropathy pudendal ka taea e tetahi o enei e whai ake nei (Kaur J. et al., 2024)
Te nui o te noho ki runga i nga papa maro, nga tuuru, nga tuuru paihikara, me etahi atu. Ko nga kaieke paihikara ka pa ki te hopu i te nerve pudendal.
Te mamae ki te reke, ki te pelvis ranei.
Whanau whanau.
Neuropathy mate huka.
Ko nga hanganga ivi e pana ana ki te nerve pudendal.
Te whakamatotoru o nga hononga huri noa i te nerve pudendal.
tohu
Ko te mamae o te nerve pudendal ka taea te korero he werohanga, he pupuhi, he wera, he pohehe, he titi me nga ngira ka puta mai (Kaur J. et al., 2024)
I roto i te perineum.
I roto i te rohe whero.
I roto i nga tane, te mamae i roto i te scrotum, te ure ranei.
I roto i nga wahine, mamae i roto i te labia ranei vulva.
I te wa e takoto ana.
I te wa e mimi ana.
I te wa e whakakorikori ana.
Ka noho ka haere atu i muri i te tu ki runga.
Na te mea he uaua ki te wehewehe i nga tohu, he uaua ki te wehe atu i te neuropathy pudendal mai i etahi atu momo mamae pelvic mau tonu.
Te mate paihikara
Ko te noho roa ki runga i te tuuru paihikara ka paheke te nerve pelvic, ka puta te mamae pelvic mau tonu. Ko te auau o te neuropathy pudendal (te mamae pelvic mau tonu i puta mai i te mahanga, i te kopeketanga ranei o te nerve pudendal) ka kiia ko te Cyclist's Syndrome. Ko te noho ki runga i etahi tuuru paihikara mo te wa roa ka tino pehia te nerve pudendal. Ko te pehanga ka hua te pupuhi huri noa i te nerve, ka puta te mamae, a, ka roa te wa, ka pa ki te mamae nerve. Ko te pupuhi o te nerve me te pupuhi ka puta te mamae e kiia ana he wera, he wero, he titi me nga ngira. (Durante, JA, me Macintyre, IG 2010) Mo nga tangata whai pudendal neuropathy na te eke paihikara, ka puta nga tohu i muri i te roa o te eke paihikara me etahi marama, tau ranei i muri mai.
Whakataa mo te 20-30 hēkona i muri i ia 20 meneti o te eke.
I a koe e eke ana, whakarereke i nga waahi.
Whakatika ki te hikoi i ia wa.
Whakataa ki waenga i nga waahi kaihoe me nga reihi ki te okioki me te whakangawari i nga uaua pelvic. Ko te 3-10 ra ka taea te whakaora. (Durante, JA, me Macintyre, IG 2010)
Mena kei te tata tonu te tipu haere o nga tohu o te mamae o te pelvic, whakaokia ka toro atu ki tetahi tohunga hauora, tohunga ranei mo te tirotiro.
Seat
Whakamahia he nohoanga ngohengohe, whanui me te ihu poto.
Whakaritea te taumata o te nohoanga, me tapapa iti ranei ki mua.
Ko nga nohoanga me nga kohao tapahi ka nui ake te pehanga ki te perineum.
Mēnā he pōhēhē, he mamae rānei, whakamātauria he nohoanga kāore he rua.
Paihikara Whakapaipai
Whakaritea te teitei o te nohoanga kia piko paku te turi ki raro o te whiu hiko.
Me noho te taumaha o te tinana ki runga i nga koiwi noho/ischial tuberosities.
Ma te pupuri i te teitei o te kakau i raro i te nohoanga ka whakaiti te pehanga.
Me karohia te tuunga whakamua o te pahikara Triathlon.
He pai ake te noho tika.
Ko nga paihikara maunga kua pa atu ki te pikinga ake o te mate o te erectile i te paihikara rori.
tarau
Mau tarau paihikara hoe.
Nga maimoatanga
Ka taea e te kaiwhakarato hauora te whakamahi i nga momo maimoatanga.
Ka taea te rongoa te neuropathy ki te okioki mena he nui te noho, he eke pahikara ranei te take.
Injury Medical Chiropractic and Functional Medicine Clinic nga mahere tiaki me nga ratonga haumanu he mea motuhake me te arotahi ki nga whara me te tukanga whakaora katoa. Ko o tatou waahanga o te mahi ko te Waiora me te kai, te mamae mamae, te whara whaiaro, te tiaki aitua aunoa, nga whara o te mahi, te mamae o muri, te mamae o muri, te mamae o te kaki, te mamae o te mahunga, nga whara hakinakina, te sciatica kino, te Scoliosis, nga kōpae Herniated matatini, Fibromyalgia, Chronic Te mamae, nga whara matatini, te whakahaere ahotea, me nga maimoatanga rongoa mahi. Mena ka hiahia te tangata takitahi ki etahi atu maimoatanga, ka tukuna atu ki te whare hauora, ki te taote ranei e pai ana mo o raatau ahuatanga, i te mea kua mahi tahi a Dr.
Haputanga me Sciatica
Tohutoro
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Nga tikanga neurobiological o te mamae o te kopu. BioMed rangahau ao, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Pudendal nerve mahanga i roto i te kaipara Ironman: he ripoata take. Ko te Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Te Whakatairanga, Te Whakaora me nga Rautaki Whakatairanga mo te Pudendal Neuropathy i roto i nga Kaihoko Paihikara, He Arotake Whaiaro. Journal of functional morphology and kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
For individuals who have exhausted all other treatment options for low back pain and nerve root compression, can laser spine surgery help alleviate nerve compression and provide long-lasting pain relief?
tirotiro
Laser Spine Surgery
Laser spine surgery is a minimally invasive surgical procedure that uses a laser to cut through and remove spinal structures that are compressing nerves and causing intense pain. The minimally invasive procedure often results in less pain, tissue damage, and faster recovery than more extensive surgeries.
Kia pehea te Works te reira
Minimally invasive procedures result in less scarring and damage to surrounding structures, often reducing pain symptoms and a shorter recovery time. (Stern, J. 2009) Small incisions are made to access spinal column structures. With open-back surgery, a large incision is made down the back to access the spine. The surgery differs from other surgeries in that a laser beam, rather than other surgical instruments, is used to cut structures in the spine. However, the initial incision through the skin is made with a surgical scalpel. Laser is an acronym for Light Amplification Stimulated by Emission of Radiation. A laser can generate intense heat to cut through soft tissues, especially those with a high water content, like spinal column discs. (Stern, J. 2009) For many spine surgeries, the laser cannot be used to cut through bone as it generates instant sparks that can damage surrounding structures. Rather, laser spine surgery is primarily used to perform a discectomy, which is a surgical technique that removes a portion of a bulging or herniated disc that is pushing against the surrounding nerve roots, causing nerve compression and sciatic pain. (Stern, J. 2009)
Nga Whakatupato Hangarau
Laser spine surgery may help resolve the cause of nerve root compression, but there is an increased risk of damage to nearby structures. Associated risks include: (Brouwer, P. A. et al., 2015)
Te mate
Te whakatipu
Nga tarau toto
Remaining symptoms
Returning symptoms
Further nerve damage
Damage to the membrane around the spinal cord.
Me mahi pokanga taapiri
A laser beam is not precise like other surgical tools and requires practiced mastery and control to avoid damage to the spinal cord and nerve roots. (Stern, J. 2009) Because lasers cannot cut through bone, other surgical instruments are often used around corners and at different angles because they are more efficient and allow greater accuracy. (Atlantic Brain and Spine, 2022)
taumu'a
Laser spine surgery is performed to remove structures that are causing nerve root compression. Nerve root compression is associated with the following conditions (Cleveland Clinic. 2018)
Kopae pupuhi
Ngā kōpae hiku
Sciatica
Te tipu o te tipu
Nga puku o te tuara
Nerve roots that are injured or damaged and constantly send chronic pain signals can be ablated with laser surgery, known as nerve ablation. The laser burns and destroys the nerve fibers. (Stern, J. 2009) Because laser spine surgery is limited in treating certain spinal disorders, most minimally invasive spine procedures do not use a laser. (Atlantic Brain and Spine. 2022)
takanga
The surgical team will provide more detailed instructions on what to do in the days and hours before surgery. To promote optimal healing and a smooth recovery, it is recommended that the patient stay active, eat a healthy diet, and stop smoking prior to the operation. Individuals may need to stop taking certain medications to prevent excess bleeding or interaction with anesthesia during the operation. Inform the healthcare provider about all prescriptions, over-the-counter drugs, and supplements being taken.
Laser spine surgery is an outpatient procedure at a hospital or outpatient surgical center. The patient will likely go home on the same day of the operation. (Cleveland Clinic. 2018) Patients cannot drive to or from the hospital before or after their surgery, so arrange for family or friends to provide transportation. Minimizing stress and prioritizing healthy mental and emotional well-being is important to lowering inflammation and aiding recovery. The healthier the patient goes into surgery, the easier the recovery and rehabilitation will be.
Te tumanako
The surgery will be decided by the patient and healthcare provider and scheduled at a hospital or outpatient surgical center. Arrange for a friend or family member to drive to the surgery and home.
I mua i te pokanga
The patient will be taken to a pre-operative room and asked to change into a gown.
The patient will undergo a brief physical examination and answer questions about medical history.
The patient lies on a hospital bed, and a nurse inserts an IV to deliver medication and fluids.
The surgical team will use the hospital bed to transport the patient in and out of the operating room.
The surgical team will assist the patient in getting onto the operating table, and the patient will be administered anesthesia.
The patient may receive anesthesia whānui, which will cause the patient to sleep for the surgery, or regional anesthesia, injected into the spine to numb the affected area. (Cleveland Clinic. 2018)
The surgical team will sterilize the skin where the incision will be made.
An antiseptic solution will be used to kill bacteria and prevent the risk of infection.
Once sanitized, the body will be covered with sterilized linens to keep the surgical site clean.
I te wa o te pokanga
For a discectomy, the surgeon will make a small incision less than one inch in length with a scalpel along the spine to access the nerve roots.
A surgical tool called an endoscope is a camera inserted into the incision to view the spine. (Brouwer, P. A. et al., 2015)
Once the problematic disc portion causing the compression is located, the laser is inserted to cut through it.
The cut disc portion is removed, and the incision site is sutured.
I muri i nga Raru
After surgery, the patient is brought to a recovery room, where vital signs are monitored as the effects of the anesthesia wear off.
Once stabilized, the patient can usually go home one or two hours after the operation.
The surgeon will determine when the individual is clear to resume driving.
Whakaora
Following a discectomy, the individual can return to work within a few days to a few weeks, depending on the severity, but it can take up to three months to return to normal activities. Length of recovery can range from two to four weeks or less to resume a sedentary job or eight to 12 weeks for a more physically demanding job that requires heavy lifting. (University of Wisconsin School of Medicine and Public Health, 2021) During the first two weeks, the patient will be given restrictions to facilitate the spine’s healing until it becomes more stable. Restrictions can include: (University of Wisconsin School of Medicine and Public Health, 2021)
No bending, twisting, or lifting.
No strenuous physical activity, including exercise, housework, yard work, and sex.
No alcohol in the initial stage of recovery or while taking narcotic pain medications.
No driving or operating a motor vehicle until discussed with the surgeon.
The healthcare provider may recommend hauora tinana to relax, strengthen, and maintain musculoskeletal health. Physical therapy may be two to three times weekly for four to six weeks.
tukanga
Optimal recovery recommendations include:
Getting enough sleep, at least seven to eight hours.
Maintaining a positive attitude and learning how to cope and manage stress.
Maintaining body hydration.
Following the exercise program as prescribed by the physical therapist.
Practicing healthy posture with sitting, standing, walking, and sleeping.
Staying active and limiting the amount of time spent sitting. Try to get up and walk every one to two hours during the day to stay active and prevent blood clots. Gradually increase the amount of time or distance as recovery progresses.
Do not push to do too much too soon. Overexertion can increase pain and delay recovery.
Learning correct lifting techniques to utilize the core and leg muscles to prevent increased pressure on the spine.
Discuss treatment options for managing symptoms with a healthcare provider or specialist to determine if laser spine surgery is appropriate. Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on injuries and the complete recovery process. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers. We focus on restoring normal body functions after trauma and soft tissue injuries using Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Brouwer, P. A., Brand, R., van den Akker-van Marle, M. E., Jacobs, W. C., Schenk, B., van den Berg-Huijsmans, A. A., Koes, B. W., van Buchem, M. A., Arts, M. P., & Peul, W. C. (2015). Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial. The spine journal : official journal of the North American Spine Society, 15(5), 857–865. doi.org/10.1016/j.spinee.2015.01.020
University of Wisconsin School of Medicine and Public Health. (2021). Home Care Instructions after Lumbar Laminectomy, Decompression or Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
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