ʻO ka hōʻike hōʻikeʻike Chiropractic Back Clinic. ʻO kahi hoʻokolohua chiropractic mua no nā maʻi musculoskeletal e loaʻa mau ʻehā mau ʻāpana: kahi kūkākūkā, ka moʻolelo hihia, a me ka nānā kino. Hiki ke hana ʻia ka nānā ʻana i ka Laboratory a me ka nānā ʻana i ka X-ray. Hāʻawi kā mākou keʻena i nā Functional and Integrative Wellness Assessments i mea e lawe mai ai i ka ʻike nui i nā hōʻike physiological o ka mea maʻi.
Kūkākūkā:
E hālāwai ka mea hoʻomanawanui i ka chiropractor e ho'ākāka a nīnau i kahi pōkole o konaʻeha hope loa, e like me:
Ka lōʻihi a me ka pinepine o nā hōʻailona
Ka weheweheʻana i nā hōʻailona (e like me ka puhiʻana, ke kaniʻana)
Nā wahiʻeha
He aha ka mea eʻoluʻolu ai kaʻona (e like me ka nohoʻana, ākea)
He aha ka mea e kaumaha ai kaʻeha (e like me ka kūʻana, hāpaiʻana).
Ka moʻolelo moʻolelo. Hōʻike ka chiropractor i kahi (s) o ka hoʻopiʻi a me keʻano o ke kaumaha i hope e ka noiʻana i nā nīnau a me ka aʻoʻana e pili ana i nā wahi likeʻole o ka moʻolelo o ka maʻi, e like me:
Pūʻuluʻohana
Nā hana maʻamau
Ka moʻolelo i hala iho nei o nā hōʻailona'ē aʻe (chiropractic, osteopathic, medical and other)
Moʻolelo ʻoihana
ʻO ka moʻokūʻauhau Psychosocial
ʻO nā wahi ʻē aʻe e noiʻi ai, ma muli o nā pane i nā nīnau ma luna.
Nānā maʻamau: E hoʻohana mākou i nāʻano likeʻole no ka hoʻoholoʻana i nā'ā'ī o ke kuamoʻo e koi ai i nā hōʻailona chiropractic, me kaʻole i kaupalenaʻia i nā hoʻohālikelike stic a me ka palpation e hoʻoholo ana i nā'ā'ī o ka'ōpū e hypo ma ke kelepona (i kāohiʻia i ko lākou neʻe) a i hoʻopaʻaʻia paha. Ma muli o nā hopena o ka hoʻokolokoloʻo ma luna nei, hiki i kahi chiropractor ke hoʻohana i nā ho'āʻo hoʻokolohua hou, e like me:
X-ray e huli i nā subluxations (keʻano i hoʻololiʻia o ka vertebra)
ʻO kahi mea eʻike ai i ka mahana o kaʻili ma ka māhele'ōpiopio e hoʻomaopopo i nā wahi āpau me ka palekana wela nui e pono ai ka hoʻoponopono.
Nā Diagnostical Diagnostics: Inā pono, hoʻohana mākou i nā ʻano protocol diagnostic lab i mea e hoʻoholo ai i kahi kiʻi piha piha o ka mea maʻi. Ua hui pū mākou me nā labs kiʻekiʻe o ke kūlanakauhale i mea e hāʻawi ai i kā mākou poʻe maʻi i ke kiʻi lapaʻau maikaʻi loa a me nā lāʻau lapaʻau kūpono.
No nā poʻe e ulu aʻe nei, hiki anei i ka hoʻonui ʻana i ka ikaika o ka iwi ke kōkua i ka pale ʻana i ka haʻihaʻi ʻana a me ka maikaʻi o ke olakino iwi?
Ikaika Iwi
He mea koʻikoʻi ka ikaika o ka iwi, no ka mea, he mea koʻikoʻi ka ʻūhā haki i nā poʻe ʻelemakule. Ua ʻike ʻia kahi noiʻi no nā poʻe i ko lākou mau makahiki he 60 i loaʻa i ka haki ʻūhā, 6.5% o nā wahine a me 9.4% o nā kāne i make i loko o hoʻokahi makahiki. Ma waena o nā poʻe i ko lākou mau makahiki 80, 13.1% o nā wahine a me 19.6% o nā kāne i make i loko o hoʻokahi makahiki. (Dimet-Wiley, et al., 2022)
Hiki i ka hoʻonui ʻana i ka ikaika o ka iwi ke pale i nā pilikia like ʻole. Ua hōʻike ʻia kahi hoʻonui liʻiliʻi o ka nui o ka iwi mineral e kōkua i ka hōʻemi ʻana i ka pilikia o ka haʻihaʻi ʻana, ʻoi aku ka haki ʻana o ka ʻūhā. Ua ʻike ʻia kahi noiʻi he mau makahiki he 3% wale nō ka piʻi ʻana o ka ikaika o ka iwi e hoʻohaʻahaʻa i ka manawa o ka haki ʻana i ka ʻūhā. Ua hoʻopaʻa inoa nā mea noiʻi i ʻelua pūʻulu o nā kānaka he 60 a ʻoi aku, hoʻokahi ma 1989 a ʻo ka lua ma 1999.
Ua ana ʻia ka mānoanoa o ka iwi o ka ʻāʻī femoral o kēlā me kēia kumuhana ma ka piko o ka iwi ʻūhā kokoke i ka ʻūhā.
A laila hahai lākou i nā kumuhana no nā makahiki e ʻike i ka mea i ʻike i ka ʻeha ʻūhā.
ʻOiaiʻo ka nui o ka mineral iwi o ka huiʻelua he 3% wale nō ke kiʻekiʻe ma mua o ka hui mua, uaʻike kēia mau kumuhana i ka 46% ka emiʻana o nā haʻihaʻi āpau. (Tran, T. et al., 2023)
Iwi Pohō
Ke holomua nei ka pohō o ka iwi i nā kāne a me nā wahine a piʻi aʻe i ka wā o ke kino. ʻO Osteoporosis kahi maʻi e pōʻino ai ka iwi iwi. (Keʻena ʻOihana Ola a me nā lawelawe kanaka ke keʻena o ka pale ʻana i ka maʻi a me ka hoʻolaha ʻana i ke olakino. 2020) Haʻihaʻi mau nā iwi a hoʻoponopono hou e like me ke kaʻina hana hoʻoponopono maʻamau. Inā pilikia ke koena o kēia kaʻina hana, ulu ka osteoporosis, e hopena i ka haki ʻana o ka iwi ma mua o ka hoʻokumu ʻana. ʻOiai ʻike nā kāne a me nā wahine i ka nalowale iwi, ʻoi aku ka maʻamau o nā wahine. (National Institute of Arthritis and Musculoskeletal Diseases. 2022) He kumu pilikia ka menopause ma muli o ka emi ʻana o ka estrogen (Hale Waihona Puke Lapaʻau Lapaʻau, Medline Plus, 2022). Hoʻoikaika ka Estrogen i ka ikaika o ka iwi ma ka pale ʻana i ka haki ʻana o ka iwi; me ka emi ʻana o ka estrogen, piʻi ka haʻihaʻi iwi. Eia nō naʻe, hiki i kēlā me kēia o nā makahiki a i ʻole nā kumu ke loaʻa ka nalo iwi ma muli o kēia:
ʻO nā maʻi Endocrine.
ʻO nā maʻi ʻōpū.
ʻO nā maʻi ʻeha e like me ka rheumatoid arthritis.
ʻOiai he mea maʻamau ka nalo ʻana o ka ikaika o ka iwi, aia kekahi mau hoʻolālā e mālama i ke olakino iwi. Hiki i ka hoʻoikaika kino ke hoʻonui i ka ikaika o ka iwi. Ke hoʻohana ʻia nā iwi a me nā ʻiʻo e paʻa i ke kūlana kūʻē i ka ʻumekaumaha, hoʻoikaika ʻia ka iwi me ka hoʻoikaika ʻana i ka ikaika. ʻO ka neʻe ʻana a me ka hoʻoikaika kino ma ke ʻano he lāʻau lapaʻau a me nā ikaika i hoʻouna ʻia ma o nā iwi e hoʻopuka i nā hōʻailona mechanical e haʻi i nā cell e hoʻonui i ka hoʻokumu ʻana o ka iwi e pili ana i ka haki ʻana. Hoʻoikaika ʻia nā hoʻomaʻamaʻa e pili ana i ka posture, ke kaulike, ka hele ʻana, a me ka hoʻonohonoho ʻana no nā poʻe me ka osteoporosis e hoʻoikaika i ke kumu, quadriceps, a me nā flexors hip. Hiki i nā ʻano hana like ʻole ke komo:
ʻO ka hele wāwae e hoʻoikaika i ke kuamoʻo a me ka pūhaka.
ʻO ka hele wāwae ʻana i waho a i ʻole ma luna o ka wili wāwae e hāʻawi i ka ikaika hoʻouka i ka iwi.
Hiki ke hoʻoikaika i ka lima lima a me nā iwi lima lima i nā papahele a me nā pana.
E paʻa ana i ka ʻōmole wai ma kēlā me kēia lima a hāpai i luna a i lalo i 10 mau manawa hui a hoʻololi paha i kekahi mau manawa i ka lā.
Hiki i ka hāpai ʻana i nā wāwae ʻaoʻao ke hoʻoikaika i ka ʻūhā a me nā iwi mua i ka manawa like.
Hāʻawi ka hoʻomaʻamaʻa kaumaha i nā iwi me ka hoʻomaʻamaʻa ʻana ma ke kākoʻo ʻana i kahi haʻahaʻa kaumaha.
Pono e hoʻolālā ʻia kēlā me kēia papahana hoʻomaʻamaʻa hoʻoikaika kino e kekahi mea mālama ola kino, hoʻoponopono kino, a me ka mea hoʻomaʻamaʻa e like me ke kūlana o kēlā me kēia kanaka a kūpono iā lākou.
ʻai
ʻO ka mea e komo i loko o ke kino e pili pono i ke olakino iwi. ʻO ka calcium a me ka huaʻa D He kī ia i ka kūkulu ʻana i ka iwi, akā pono nā mea ʻelua no ka mea e pono ai ka vitamina D e komo i ka calcium i ʻai ʻia. Hiki ke loaʻa ka calcium ma:
Dairy
Hoʻoikaika ʻia nā huahana dairy a me nā mea ʻē aʻe me ka calcium.
ʻO nā lau lauens.
Nā Leo
Nā ʻolemona.
ʻO ka ʻai calcium i kēlā me kēia lā no nā pākeke ma luna o 50 he 1,200 milligrams.
Hiki ke loaʻa mai ka Vitamin D mai:
Ka Lā
ʻOhi.
ʻAha.
Waiu paʻa.
Pākuʻi.
ʻO ka lawe ʻia ʻana o ka huaora D i kēlā me kēia lā no nā pākeke he 70 mau makahiki he 15 micrograms a he 20 micrograms no nā poʻe ma mua o 70.
Ua ʻike nā haʻawina ʻo ka hoʻonui ʻana i ka calcium a me ka vitamin D me nā mea hoʻopihapiha hiki ke kōkua i ka mālama ʻana i ke olakino iwi. E kamaʻilio me kahi mea mālama ola e pili ana inā pono paha nā mea hoʻohui.
ʻO Hormone Therapy
Hoʻopuka maoli nā wahine i ka testosterone, kahi e hoʻoikaika ai i ka hana iwi. Ke hāʻule nei nā pae i ka makahiki a me ka hopena maikaʻi ʻole i ka ikaika o ka iwi, hiki ke ʻōlelo ʻia ka lāʻau hormone. Hoʻomaka ka emi ʻana o ka pae testosterone me nā wahine i ko lākou mau makahiki 20 a me nā kāne i ko lākou mau makahiki 30. ʻO ka hāʻule maʻamau o nā wahine he 1% a 3% i kēlā me kēia makahiki ma mua o ka menopause a hoʻopaʻa ʻia ma hope. Hiki ke kuhikuhi ʻia nā maʻi wahine i ka nalowale o ka iwi i ka testosterone ma nā ʻano like ʻole e hoʻokuʻu mau i ka hormone. He haʻahaʻa ka dosage, no laila ʻaʻole ʻike nā mea maʻi i ka ulu ʻana o ka lauoho makemake ʻole a i ʻole nā loli ʻili. Hoʻohuiʻia me ka estrogen, hoʻonui maikaʻi ka testosterone i ka ulu iwi i nā maʻi wahine. ʻAʻole nā kānaka a pau i moho no ka hormone therapy, e like me ka poʻe me ka mōʻaukala o ka maʻi maʻi umauma, ka maʻi puʻuwai, ke koko koko, a i ʻole ka maʻi ate. (Hale Waihona Puke Lapaau Lapaau. ʻO Medline Plus, 2019)
ʻO ka hana ʻana i nā hoʻololi liʻiliʻi hiki ke hoʻonui i ke olakino iwi a me ka maikaʻi holoʻokoʻa
Ma Injury Medical Chiropractic a me Functional Medicine Clinic, makemake nui mākou i ka mālama ʻana i nā ʻeha o ka poʻe maʻi a me nā maʻi ʻeha mau loa e hana i nā hoʻolālā mālama pilikino e hoʻomaikaʻi ai i ka hiki ma o ka hoʻololi ʻana, ka neʻe, a me nā papahana agility i kūpono i kēlā me kēia. Ke hoʻohana nei i kahi ala i hoʻohui ʻia, ʻo kā mākou pahuhopu e hōʻoluʻolu maoli i ka ʻeha ma o ka hoʻihoʻi ʻana i ke olakino a me ka hana i ke kino ma o ka Functional Medicine, Acupuncture, Electro-Acupuncture, a me Sports Medicine protocols. Inā makemake ke kanaka i nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ʻia lākou i ke keʻena a i ʻole ke kauka i kūpono loa iā lākou, no ka mea, ua hui pū ʻo Kauka Jimenez me nā kauka lapaʻau kiʻekiʻe, nā loea lapaʻau, nā mea noiʻi lapaʻau, a me nā mea hoʻolako hoʻoponopono hou e hāʻawi i nā lāʻau lapaʻau maikaʻi loa. . Kūleʻa mākou i nā mea e hana ai iā ʻoe a hoʻoikaika e hoʻomaikaʻi i ke kino ma o nā ʻano noiʻi a me nā papahana olakino holoʻokoʻa.
ʻO Chiropractic Care: Movement Medicine
E hoʻomaopopo '
Dimet-Wiley, A., Golovko, G., & Watowich, SJ (2022). Hoʻokahi makahiki ma hope o ka haʻihaʻi ʻana i ka make ma ka poʻe ʻelemakule me nā haʻi ʻūhā e pili ana i nā ʻaoʻao haʻahaʻa haʻahaʻa ʻē aʻe: Retrospective Cohort Study. JMIR aging, 5(1), e32683. doi.org/10.2196/32683
Tran, TS, Ho-Le, TP, Bliuc, D., Center, JR, Blank, RD, & Nguyen, TV (2023). Kāohi ʻana i nā haʻihaʻi ʻāʻī: Hoʻololi i waena o nā pōmaikaʻi liʻiliʻi i kēlā me kēia kanaka a me nā pōmaikaʻi nui i ke kaiāulu. Nūpepa no ka noiʻi iwi a me ka minerale: ka puke pai o ka American Society for Bone and Mineral Research, 38(11), 1594–1602. doi.org/10.1002/jbmr.4907
Pehea e hāʻawi ai nā limahana mālama olakino i kahi keʻena chiropractic i kahi ala lapaʻau e pale aku ai i nā hewa olakino no nā poʻe i ka ʻeha?
Introduction
ʻO nā hewa lāʻau i loaʻa i ka 44,000-98,000 mau make ʻAmelika i ka haukapila i kēlā me kēia makahiki, a he nui nā mea i hoʻopilikia i nā pōʻino. (Kohn et al., 2000) Ua ʻoi aku kēia ma mua o ka nui o ka poʻe i make i kēlā me kēia makahiki mai ka maʻi AIDS, ka maʻi maʻi umauma, a me nā ulia kaʻa i kēlā manawa. Wahi a ka noiʻi ma hope aku, kokoke paha ka helu maoli o nā make i ka 400,000, e waiho ana i nā hewa lapaʻau ʻo ke kolu o ke kumu maʻamau o ka make ma US. ʻO ka pinepine, ʻaʻole kēia mau hewa i hana ʻia e ka poʻe lapaʻau kino maoli; akā, ʻo ia ka hopena o nā pilikia ʻōnaehana me ka ʻōnaehana mālama ola, e like me nā ʻano hana hoʻomaʻamaʻa like ʻole, nā pūnaewele ʻinikua i hoʻokaʻawale ʻia, underutilization a i ʻole ka nele o nā protocol palekana, a me ka mālama ʻole ʻia. Ke nānā nei ka ʻatikala o kēia lā i ke ala lapaʻau no ka pale ʻana i kahi hewa o ka lāʻau lapaʻau ma kahi kūlana lapaʻau. Kūkākūkā mākou i nā mea lapaʻau e pili ana i nā mea lapaʻau like ʻole e kōkua i nā poʻe e loaʻa ana i nā pilikia maʻi. Alakaʻi pū mākou i kā mākou poʻe maʻi ma ka ʻae ʻana iā lākou e nīnau i kā lākou mau mea lapaʻau pili i nā nīnau koʻikoʻi a paʻakikī. ʻO Kauka Alex Jimenez, DC, hoʻohana wale i kēia ʻike ma ke ʻano he lawelawe hoʻonaʻauao. Akahana
Ka wehewehe ʻana i nā hewa lapaʻau
ʻO ka hoʻoholo ʻana i ka hewa o ka lāʻau lapaʻau ka hana koʻikoʻi i kēlā me kēia kamaʻilio e pili ana i ka pale ʻana i nā hewa olakino. Hiki paha iā ʻoe ke manaʻo he hana maʻalahi kēia, akā aia wale nō a hiki i kou ʻimi ʻana i ka nui o nā huaʻōlelo i hoʻohana ʻia. Hoʻohana like ʻia nā huaʻōlelo he nui (ke kuhi hewa kekahi manawa) no ka mea hiki ke hoʻololi ʻia kekahi mau huaʻōlelo, a i kekahi manawa, pili ka manaʻo o kahi huaʻōlelo i ka loea e kūkākūkā ʻia nei.
ʻOiai ʻo ka ʻoihana mālama ola i ʻōlelo ʻo ka palekana o ka maʻi a me ka hoʻopau ʻana a i ʻole ka hōʻemi ʻana i nā hewa lapaʻau ka mea nui, ua ʻike ʻo Grober lāua ʻo Bohnen i ka makahiki 2005 ua hāʻule lākou i kahi wahi koʻikoʻi: ka hoʻoholo ʻana i ka wehewehe ʻana o "ka nīnau koʻikoʻi paha… hewa lapaʻau? ʻO ka hewa o ka lāʻau lapaʻau he hiki ʻole ke hoʻopau i kahi hana i hoʻolālā ʻia ma kahi kūlana olakino. (Grober & Bohnen, 2005) Eia naʻe, ʻaʻohe o nā huaʻōlelo i ʻike pinepine ʻia me kahi hewa olakino - nā maʻi, mālama olakino, a i ʻole kekahi mea ʻē aʻe - i ʻōlelo ʻia ma kēia wehewehe. ʻOiai ʻo kēia, hāʻawi ka wehewehe i kahi hoʻolālā paʻa no ka hoʻomohala hou ʻana. E like me kāu e ʻike ai, ʻelua ʻāpana kēia wehewehe kikoʻī:
He hewa hoʻokō: ʻAʻole hoʻokō i kahi hana i hoʻolālā ʻia e like me ka mea i manaʻo ʻia.
He hewa hoʻolālā: He ʻenehana ia, ʻoiai me ka hoʻokō pono ʻana, ʻaʻole e hoʻopuka i nā hopena i makemake ʻia.
ʻAʻole lawa nā manaʻo o nā hewa o ka hoʻokō a me ka hoʻolālā ʻana inā makemake mākou e wehewehe pono i kahi hewa lapaʻau. Hiki i kēia mau mea ma nā wahi āpau, ʻaʻole wale ma kahi hale lapaʻau. Pono e hoʻohui ʻia ka ʻāpana o ka hoʻokele olakino. Hoʻopuka kēia i ka manaʻo o nā hanana maikaʻi ʻole, i kapa ʻia ʻo nā hanana ʻino. ʻO ka wehewehe maʻamau o kahi hanana ʻino ka pōʻino i manaʻo ʻole ʻia i nā maʻi i lawe ʻia e ka lāʻau lapaʻau ma mua o ko lākou maʻi lalo. Ua loaʻa kēia wehewehe i ka ʻae honua ma kekahi ʻano a i ʻole. No ka laʻana, ma Australia, ua wehewehe ʻia ka huaʻōlelo o nā hanana i ka hopena i loaʻa ai ka pōʻino i ke kanaka e mālama i ke olakino. Aia kēia mau mea i nā ma'i, nā hā'ule hō'eha, a me nā pilikia me nā lā'au lapa'au a me nā lako lā'au. Hiki ke pale ʻia kekahi mau hanana maikaʻi ʻole.
Nā ʻano maʻamau o nā hewa lapaʻau
ʻO ka pilikia wale nō me kēia manaʻo, ʻaʻole i hiki mai nā mea maikaʻi ʻole a pau me ka manaʻo. Ma muli o ka pōmaikaʻi hope loa o ka mea maʻi, hiki mai ka hopena i manaʻo ʻia akā ʻae ʻia. I ka wā o ka chemotherapy, ʻelua mau hiʻohiʻona ka nausea a me ka poho lauoho. I kēia manawa, ʻo ka hōʻole ʻana i ka lāʻau i ʻōlelo ʻia ʻo ia wale nō ke ala kūpono e pale ai i ka hopena maikaʻi ʻole. Ua hōʻea mākou i ka manaʻo o nā hanana ʻino hiki ke pale ʻia a hiki ʻole ke pale ʻia ke hoʻomaʻamaʻa hou mākou i kā mākou wehewehe. ʻAʻole maʻalahi ka hoʻokaʻawale ʻana i kahi koho e ʻae i hoʻokahi hopena ke hoʻoholo ʻia e hiki mai kahi hopena maikaʻi i ka manawa like. Akā ʻaʻole ʻo ke kumu wale nō he kumu. (Pūnaehana palekana maʻi, 2016, para.3) ʻO kekahi laʻana o ka hewa i hoʻolālā ʻia, ʻo ia ka ʻoki ʻana i ka wāwae ʻākau ma muli o kahi maʻi maʻi ma ka lima hema, ʻo ia ka ʻae ʻana i kahi hanana maikaʻi ʻole i ʻike ʻia a wānana ʻia me ka manaʻolana o kahi hopena maikaʻi kahi i ala ʻole ai ma mua. ʻAʻohe mea hōʻike e kākoʻo i ka kali ʻana i kahi hopena maikaʻi.
ʻO nā hewa lapaʻau e hōʻeha i ka mea maʻi ke kumu o kā mākou noiʻi. Eia nō naʻe, hiki a hiki ke hana hewa nā lāʻau lapaʻau inā ʻaʻole hōʻeha ʻia ka mea maʻi. ʻO ka hiki ʻana mai o nā hala kokoke hiki ke hāʻawi i ka ʻikepili koʻikoʻi i ka wā e hoʻolālā ai pehea e hōʻemi ai i nā hewa lapaʻau i loko o kahi hale mālama olakino. Eia nō naʻe, pono e noiʻi ʻia ka pinepine o kēia mau hanana i hoʻohālikelike ʻia me nā kauka lapaʻau pinepine. ʻO nā pōʻino kokoke i nā hewa lapaʻau i hiki ke hōʻeha i ka mea maʻi, ʻoiai inā e hana maikaʻi ana ka mea maʻi. (Martinez et al., 2017) No ke aha ʻoe e ʻae ai i kahi mea hiki ke hopena i ka hoʻopiʻi kānāwai? E noʻonoʻo i ke ʻano o kahi kahu hānai, no kēlā me kēia kumu, ke nānā wale nei i nā kiʻi o nā lāʻau like ʻole a kokoke e hāʻawi i kahi lāʻau lapaʻau. Aia paha kekahi mea i loko o kona hoʻomanaʻo, a ua hoʻoholo ʻo ia ʻaʻole pēlā ke ʻano o ka lāʻau lapaʻau kikoʻī. Ma ka nānā ʻana, ʻike ʻo ia ua hāʻawi ʻia nā lāʻau lapaʻau hewa. Ma hope o ka nānā ʻana i nā pepa a pau, hoʻoponopono ʻo ia i ka hewa a hāʻawi i ka mea maʻi i ka palapala kuhikuhi kūpono. Hiki paha ke pale i ka hewa i ka wā e hiki mai ana inā loaʻa nā kiʻi o ka lāʻau kūpono i ka moʻolelo hoʻokele? He mea maʻalahi ke poina i ka hewa a me ka manawa e pōʻino ai. He ʻoiaʻiʻo nō kēlā ʻoiaʻiʻo inā paha ua laki mākou i ka loaʻa ʻana i ka manawa a i ʻole e loaʻa i nā hopena maikaʻi ʻole.
Nā hewa o nā hopena a me ka hana
Pono mākou i ka ʻikepili piha no ka hoʻomohala ʻana i nā mea e hoʻomaikaʻi ai i ka palekana o ka maʻi a hoʻemi i nā hewa lapaʻau. Ma ka liʻiliʻi loa, i ka wā o ka mea maʻi i loko o kahi keʻena lapaʻau, pono e hōʻike ʻia nā mea a pau e hiki ke hana i mea e pale aku ai i ka pōʻino a hoʻokomo iā lākou i ka pōʻino. Ua hoʻoholo ka nui o nā kauka i ka hoʻohana ʻana i nā huaʻōlelo hewa a me nā hanana ʻino i ʻoi aku ka laulā a kūpono ma hope o ka nānā ʻana i nā hewa a me nā hanana ʻino i ka mālama olakino a kūkākūkā i ko lākou mau ikaika a me nā nāwaliwali i ka makahiki 2003. ʻO kēia wehewehe hui e hoʻonui i ka hōʻiliʻili ʻikepili, me nā hewa, nā kelepona kokoke, kokoke. nalo, ahana hewa a huna. Eia kekahi, ʻo ka huaʻōlelo o nā hanana ʻino e pili ana i nā huaʻōlelo i hōʻike pinepine ʻia i ka pōʻino o ka maʻi, e like me ka hōʻeha olakino a me ka ʻeha iatrogenic. ʻO ka mea wale nō i koe e hoʻoholo inā he kino kūpono ka papa loiloi e mālama i ka hoʻokaʻawale ʻana i nā hanana ʻino a hiki ʻole ke pale ʻia.
ʻO kahi hanana kiaʻi he hanana kahi e pono ai ka hōʻike ʻana i ke Komisina Hui Pū ʻIa. Ua ʻōlelo ke Kōmike Hui he hanana i manaʻo ʻole ʻia kahi hanana kiaʻi e pili ana i kahi hōʻeha kino a i ʻole noʻonoʻo. (“Sentinel Events,” 2004, p.35) ʻAʻohe koho, no ka mea, pono e kākau ʻia. ʻO ka hapa nui o nā keʻena mālama ola, akā naʻe, mālama lākou i kā lākou mau moʻolelo e hōʻike ana i nā hanana sentinel a me nā mea e hana ai inā loaʻa kahi mea e hōʻoiaʻiʻo ai ua hoʻokō ʻia nā kūlana o ke Komisina Hui. ʻO kēia kekahi o kēlā mau kūlana i ʻoi aku ka maikaʻi o ka palekana ma mua o ka minamina. No ka mea ʻo ka "koʻikoʻi" kahi manaʻo pili, aia paha kekahi lumi wriggle i ka wā e pale aku ai i kahi hoa hana a mea hana paha. Ma kekahi ʻaoʻao, ʻoi aku ka maikaʻi o ka hōʻike hewa ʻana i kahi hanana kiaʻi ma mua o ka hōʻike ʻole ʻana i kahi hanana kiaʻi. ʻO ka hōʻole ʻole ʻana e hiki ke loaʻa nā hopena koʻikoʻi, me ka hoʻopau ʻana i ka ʻoihana.
I ka noʻonoʻo ʻana i nā hewa lapaʻau, hana hewa pinepine ka poʻe i ka nānā ʻana i nā hewa kuhikuhi. ʻAʻole kānalua pinepine nā hewa o ka lāʻau lapaʻau a pili i nā hemahema o ke kaʻina hana like me nā hewa lapaʻau ʻē aʻe. ʻO nā haʻihaʻi ma ke kamaʻilio ʻana, nā hewa i hana ʻia i ka wā o ke kau ʻana a i ʻole ka hāʻawi ʻana, a me nā mea ʻē aʻe he nui. Akā, e kuhi hewa ana mākou i ka hihia inā manaʻo mākou ʻo nā hewa lāʻau wale nō ke kumu o ka pōʻino i ka mea maʻi. ʻO kahi paʻakikī nui i ka hoʻokaʻawale ʻana i nā hewa lapaʻau like ʻole e hoʻoholo inā e hoʻokaʻawale i ka hewa e pili ana i ke kaʻina hana a i ʻole ka hopena. Ua ʻae ʻia ka nānā ʻana i kēlā mau hoʻokaʻawale ʻana ma ʻaneʻi, no ka mea, ua nui nā hoʻāʻo ʻana e hoʻomohala i nā wehewehe hana e hoʻopili ai i ke kaʻina hana a me ka hopena, ʻo ka nui o ia mau mea i hoʻokumu ʻia ma ka hana a Lucian Leape mai nā makahiki 1990.
Hoʻonui i kou nohona i kēia lā- Video
Nānā & Kāohi ʻana i nā hewa Lapaʻau
ʻO ka operative a me ka nonoperative nā ʻāpana nui ʻelua o nā hanana ʻino i ʻike ʻia e Leape a me kāna mau hoa hana ma kēia haʻawina. (Leape et al., 1991) Loaʻa nā pilikia o ka hana i nā maʻi ʻeha, nā hemahema o ke kaʻina hana, nā pilikia ʻole o ka ʻenehana, nā pilikia lohi, a me nā pilikia ʻenehana. ʻAʻole hana: nā poʻomanaʻo e like me ka lāʻau lapaʻau, misdiagnosed, hana ʻino ʻia, pili i ke kaʻina hana, hāʻule, haʻihaʻi, postpartum, anesthesia-related, neonatal, a me kahi poʻomanaʻo hopu-a pau o ka ʻōnaehana i hoʻokomo ʻia ma lalo o kēia ʻano o nā hanana ʻino. Ua hoʻokaʻawale ʻo Leape i nā hewa ma ke kuhikuhi ʻana i ke kiko o ke kaʻina hana. Ua hoʻokaʻawale ʻo ia i kēia mau poʻomanaʻo i ʻelima mau poʻomanaʻo, ʻo ia hoʻi:
System
Auana
Nā Waʻakino Drug
PalekanaEND_LINK
ʻĀneke
Nui nā hewa hana i hāʻule ma lalo o hoʻokahi kumuhana, akā kōkua lākou a pau e kuhikuhi i ke kumu kūpono o ka pilikia. Inā ʻoi aku ma mua o hoʻokahi kauka i hana i ka hoʻoholo ʻana i nā wahi kikoʻī e pono ai ka hoʻomaikaʻi ʻana, a laila pono ke nīnau hou ʻia.
Ma keʻano loea, hiki ke hana i kahi hewa lapaʻau e kekahi limahana ma kahi haukapila. ʻAʻole i kaupalena ʻia i nā ʻoihana lapaʻau e like me nā kauka a me nā kahu hānai. Hiki i ka luna ho'oponopono ke wehe i ka puka, a i 'ole e waiho 'ia e ka hui ho'oma'ema'e kekahi mea kemika i loko o ka lima o ke keiki. ʻO ka mea nui aʻe ma mua o ka ʻike o ka mea nāna i hana i ka hewa ke kumu ma hope o ia. He aha ma mua? A pehea mākou e hōʻoia ai ʻaʻole e hana hou ʻia? Ma hope o ka hōʻiliʻili ʻana i nā ʻikepili i luna a me nā mea hou aʻe, ʻo ia ka manawa e noʻonoʻo ai pehea e pale ai i nā hewa like. No nā hanana kiaʻi, ua kauoha ka Hui Hui mai ka makahiki 1997 e hana kēia mau hanana āpau i kahi kaʻina i kapa ʻia ʻo Root Cause Analysis (RCA). Eia naʻe, pono e hoʻoponopono ʻia ka hoʻohana ʻana i kēia kaʻina hana no nā hanana e pono e hōʻike ʻia i nā ʻaoʻao o waho.
He aha ke kumu o ke kumu kumu?
"Ua hopu ʻo RCA i nā kikoʻī a me ka hiʻohiʻona kiʻi nui." Hoʻomaʻamaʻa lākou i nā ʻōnaehana loiloi, ka nānā ʻana inā pono ka hana hoʻoponopono, a me ka nānā ʻana i nā ʻano. (Williams, 2001) He aha ka RCA, akā? Ma ka nānā ʻana i nā hanana i alakaʻi i ka hewa, hiki i kahi RCA ke nānā aku i nā hanana a me nā kaʻina hana ma mua o ka nānā ʻana a i ʻole ka hoʻopiʻi ʻana i nā poʻe kikoʻī. (AHRQ,2017) ʻO ia ke kumu nui loa. Hoʻohana pinepine kahi RCA i kahi mea hana i kapa ʻia ʻo Five Whys. ʻO kēia ke kaʻina o ka nīnau mau ʻana iā ʻoe iho "no ke aha" ma hope o kou manaʻo ua hoʻoholo ʻoe i ke kumu o kahi pilikia.
ʻO ke kumu i kapa ʻia ai ʻo "ʻelima kumu" no ka mea, ʻoiai ʻo ka ʻelima kahi kumu hoʻomaka maikaʻi loa, pono ʻoe e nīnau mau i ke kumu a hiki i kou ʻike ʻana i ke kumu kumu o ka pilikia. Ke nīnau pinepine nei i ke kumu e hōʻike pinepine ai i nā hewa kaʻina hana ma nā pae like ʻole, akā pono ʻoe e nīnau i ke kumu e pili ana i kēlā me kēia ʻaoʻao o ka pilikia a hiki i ka pau ʻana o nā mea ʻē aʻe i hiki ke hoʻoponopono ʻia e hāʻawi i kahi hopena i makemake ʻia. Eia nō naʻe, hiki ke hoʻohana ʻia nā mea hana ʻē aʻe ma waho o kēia i ka hoʻokolokolo kumu kumu. Nui nā mea ʻē aʻe. Pono nā RCA he multidisciplinary a kūpaʻa a hoʻopili i nā ʻaoʻao a pau i komo i ka hewa e pale i ka hoʻomaopopo ʻole a i ʻole ka hōʻike pololei ʻana i nā hanana.
Panina
ʻO nā hewa lāʻau lapaʻau i loko o nā keʻena mālama ola he mau hanana a ʻaʻole i hōʻike ʻia e hoʻoweliweli koʻikoʻi i ke olakino o nā maʻi. A hiki i ka hapaha miliona o ka poʻe i manaʻo ʻia e hala i kēlā me kēia makahiki ma muli o nā hewa o ka lāʻau lapaʻau. ʻAʻole ʻae ʻia kēia mau helu helu i ka manawa i manaʻo ʻia ʻo ka palekana maʻi ka mea nui, akā ʻaʻole nui ka hana e hoʻololi i nā hana. Inā ʻike pololei ʻia nā hewa o ka lāʻau lapaʻau a ʻike ʻia ke kumu kumu o ka pilikia me ka ʻole o ka hoʻopiʻi ʻana i nā limahana kūikawā, ʻaʻole pono kēia. Hiki ke hana ʻia nā hoʻololi koʻikoʻi ke ʻike pololei ʻia nā kumu kumu o ka ʻōnaehana a i ʻole ka hana hewa. ʻO kahi ʻano like ʻole, multidisciplinary i ka loiloi kumu kumu e hoʻohana ana i nā ʻōhua e like me nā kumu ʻelima e ʻimi ai a hiki i ka hōʻike ʻia ʻana o nā pilikia a me nā hemahema he mea kōkua. ʻOiai he mea pono ia i kēia manawa no ka hoʻomaka ʻana o nā hanana kiaʻi, hiki ke hoʻopili ʻia ka Root Cause Analysis i nā kumu kuhi hewa a pau, me nā hala kokoke.
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komite no ka maikaʻi o ka mālama ola kino ma ʻAmelika. (2000). He kanaka ka hewa: ke kūkulu ʻana i kahi ʻōnaehana olakino palekana. ʻO ka 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). ʻO keʻano o nā hananaʻino i nā maʻi maʻi. Nā hopena o ka 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). Nā Kaʻina hana no ka ʻike ʻana a me ka nānā ʻana i nā hanana pōʻino a me nā hala kokoke i kahi hale hoʻonaʻauao kula. Jt Comm J Qual Hoomanawanui Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
No nā poʻe e pili ana i ka ʻeha hope a me nā pilikia, hiki i ka ʻike pehea e hoʻomaikaʻi ai a mālama i ke olakino disc intervertebral e kōkua i ka hoʻēmi ʻana i nā hōʻailona?
Ola kino Intervertebral Disc
He 24 iwi hoʻoneʻe a me 33 iwi i kapa ʻia ʻo vertebrae. Hoʻopaʻa ʻia nā iwi vertebral ma luna o kekahi. ʻO ka disverse intervertebral ka mea hoʻopili ma waena o nā iwi pili. (Dartmouth. 2008)
iwi
He liʻiliʻi a poepoe nā iwi iwi ʻōiwi ma kahi i kapa ʻia ʻo ke kino vertebral. Aia ma ke kua he apo iwi kahi e hohola ai nā puka a hoʻokumu ʻia nā pio a me nā ala. Hoʻokahi a ʻoi aʻe paha nā kumu o kēlā me kēia hale a loaʻa: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)
Hoʻopaʻa i ka iwi kuamoʻo.
Hāʻawi i kahi no ka ʻiʻo pili a me nā ʻiʻo hope e hoʻopili ai.
Ka hāʻawi ʻana i kahi tunnel e hele maʻemaʻe ai ke kuamoʻo.
Hāʻawi i kahi e puka ai nā aʻalolo a lālā i nā wahi āpau o ke kino.
'ole
ʻO ka disc intervertebral ka cushioning e noho ana ma waena o ka vertebrae. ʻO ka hoʻolālā o ka spine e hiki ai iā ia ke neʻe i nā ʻaoʻao like ʻole:
Hoʻololi a kūlou paha
Hoʻonui a pio paha
ʻO ka hili ʻana a me ka hoʻololi ʻana a i ʻole ka wili.
Hana nā mana ikaika a hoʻoikaika i ke kolamu spinal e hana i kēia mau neʻe. Hoʻopili ka intervertebral disc i ka haʻalulu i ka wā o ka neʻe ʻana a pale i ka vertebrae a me ke kuamoʻo mai ka hōʻeha a me ka ʻeha.
ʻAiā
Ma waho, hana ʻia nā ʻiʻo fiber ikaika i kahi i kapa ʻia ʻo annulus fibrosis. Aia i loko o ka annulus fibrosis a pale i ka mea gel palupalu i ke kikowaena, ka nucleus pulposus. (YS Nosikova et al., 2012) Hāʻawi ka nucleus pulposis i ka absorption haʻalulu, hiki ke maʻalahi, a me ka pliability, ʻoi aku ma lalo o ke kaomi i ka wā o ka neʻe ʻana o ka spinal.
Nā Hana
ʻO ka nucleus pulposus kahi mea gel palupalu i waenakonu o ka diski e hiki ai i ka elasticity a me ka maʻalahi ma lalo o nā mana koʻikoʻi e hoʻopaʻa i ka paʻi. (Nedresky D, Reddy V, Singh G. 2024) Hoʻololi ka hana swivel i ka hiʻi a me ka hoʻololi ʻana o ka vertebra ma luna a ma lalo, e pale ana i nā hopena o ka neʻe ʻana o ke kuamoʻo. Holo nā diski i ka pane ʻana i ke ala e neʻe ai ka iwi kuamoʻo. ʻO ka nucleus pulposus ka hapa nui o ka wai, e neʻe ana i loko a i waho ma nā pores liʻiliʻi, e hana ana ma ke ala ma waena o ka vertebra a me ka iwi disc. ʻO nā kūlana kino e hoʻouka ai i ka iwi kuamoʻo, e like me ka noho ʻana a me ke kū ʻana, e hoʻokuke i ka wai mai ka diski. ʻO ka moe ʻana ma ke kua a i ʻole ma kahi kūlana e hoʻomaʻamaʻa i ka hoʻihoʻi hou ʻana o ka wai i loko o ka disc. Ke ʻelemakule ke kino, nalowale ka wai i nā diski/hoʻomaloʻo wai, e alakaʻi ana i ka degeneration disc. ʻAʻohe koko o ka diski intervertebral, ʻo ia hoʻi, no ka loaʻa ʻana o ka meaʻai kūpono a no ka wehe ʻana i ka ʻōpala, pono ia e hilinaʻi i ke kahe wai e noho olakino.
mālama
ʻO kekahi mau ala e mālama ai i ke olakino disc intervertebral:
Ka nānā ʻana i ke kūlana.
Hoʻololi pinepine i nā kūlana a puni ka lā.
Hoʻoikaika kino a neʻe a puni.
Ka hoʻohana ʻana i nā mīkini kino kino i nā hana kino.
Moe ma luna o ka moena kākoʻo.
Inu wai i ka nui o ka wai.
ʻAi olakino.
Mālama i kahi kaupaona olakino.
ʻO ka inu ʻana i ka waiʻona ma ke ʻano kūpono.
Haʻalele i ka puhi paka.
Ma Injury Medical Chiropractic a me Functional Medicine Clinic, mālama mākou i nā ʻeha a me nā maʻi ʻeha mau loa ma o ka hoʻomaikaʻi ʻana i ka hiki o ke kanaka ma o nā papahana hiki ke hoʻololi, neʻe, a me ka agility i hoʻohālikelike ʻia no nā hui āpau a me nā kino kīnā. ʻO kā mākou hui chiropractic, nā hoʻolālā mālama, a me nā lawelawe lapaʻau kūikawā a nānā i nā ʻeha a me ke kaʻina hana hoʻōla piha. ʻO kā mākou mau wahi hana e pili ana i ka Wellness & Nutrition, Acupuncture, 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 , ʻEha Paʻi, ʻEha Paʻakikī, Hoʻoponopono Stress, Lapaʻau Lapaʻau Hana, a me nā protocol mālama mālama. Inā makemake ʻia nā lāʻau lapaʻau ʻē aʻe, e hoʻouna ʻia nā kānaka i ke keʻena lapaʻau a i ʻole ke kauka i kūpono i ko lākou ʻeha, kūlana, a/a i ʻole maʻi.
Ma waho aʻe o ka ʻili: ka hoʻomaopopo ʻana i nā hopena o ka ʻeha pilikino
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Kua, Lumbar Vertebrae. Ma StatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). ʻO keʻano o ka annulus fibrosus-vertebral body interface: kaʻikeʻana i nā hiʻohiʻona hou. Nūpepa o anatomy, 221(6), 577–589. doi.org/10.1111/j.1469-7580.2012.01537.x
No ka poʻe e ʻike nei i nā pilikia musculoskeletal a me nā hōʻailona ʻeha, hiki ke aʻo e pili ana i ka biomechanics a pehea e pili ai i ka neʻe ʻana, ka hoʻomaʻamaʻa kino, a me ka hana, kōkua i ka mālama ʻana a me ka pale ʻana?
ʻO Biomechanics
Ke noiʻi nei ʻo Biomechanics i nā ʻano ola āpau a me kā lākou hana mechanical. Nui ka poʻe e noʻonoʻo nei i ka biomechanics i ka haʻuki a me ka hana haʻuki, akā kōkua ka biomechanics i ka hana ʻana a hoʻomaikaʻi i nā ʻenehana, nā mea hana, a me nā ʻenehana hoʻoponopono ʻeha. (Tung-Wu Lu, Chu-Fen Chang 2012) Hoʻohana ka poʻe ʻepekema, kauka lapaʻau haʻuki, physiotherapists, chiropractors, a me nā mea lapaʻau kūikawā i ka biomechanics e kōkua i ka hoʻomohala ʻana i nā kuʻuna aʻo a me nā ʻenehana e hoʻomaikaʻi i nā hopena lapaʻau.
ʻ Moveiwi Kino
Ke noiʻi nei ʻo Biomechanics i ka neʻe ʻana o ke kino, me ke ʻano o ka hana like ʻana o nā ʻiʻo, nā iwi, nā tendons, a me nā ligament, ʻoiai inā ʻaʻole kūpono ka neʻe ʻana. He ʻāpana ia o ke kahua nui o ka kinesiology, e kālele pono ana i ka mīkini neʻe a me ka nānā ʻana i ke ʻano o ka hana like ʻana o kēlā me kēia ʻāpana o ke kino e hana i nā neʻe haʻuki a maʻamau. (José M Vilar et al., 2013) Aia i loko o ka biomechanics:
ʻO ke ʻano o nā iwi a me nā ʻiʻo.
Hiki ke neʻe.
Mechanics o ke kahe koko, hana renal, a me na hana e ae.
ʻO ke aʻo ʻana i nā ikaika a me nā hopena o kēia mau ikaika ma luna o nā ʻiʻo, ka wai, a i ʻole nā mea i hoʻohana ʻia no ka hōʻoia, lapaʻau, a noiʻi paha. (Jose I. Priego-Quesada 2021)
Sports
Ke aʻo nei nā haʻuki biomechanics i ka neʻe ʻana i ka hoʻomaʻamaʻa, hoʻomaʻamaʻa ʻana, a me nā haʻuki, kahi e hoʻokomo ai i ka physics a me nā kānāwai o ka mechanics. No ka laʻana, nānā ka biomechanics o kahi hoʻoikaika kino:
Kūlana Kino.
Ka neʻe ʻana o nā wāwae, pūhaka, kuli, kua, poʻohiwi, a me nā lima.
ʻO ka ʻike ʻana i nā ʻōnaehana neʻe kūpono e kōkua i ka hoʻoikaika ʻana i ka hoʻomaʻamaʻa ʻana me ka pale ʻana i nā ʻeha, ka hoʻoponopono ʻana i nā kuhi hewa, ka hoʻomaopopo ʻana i nā protocol aʻo, a me ka hoʻonui ʻana i nā hopena maikaʻi. ʻO ka hoʻomaopopo ʻana i ke ʻano o ka neʻe ʻana o ke kino a me ke kumu o ka neʻe ʻana i ke ʻano e kōkua ai i nā poʻe lapaʻau e pale a mālama i nā ʻeha, hoʻēmi i nā hōʻailona ʻeha, a hoʻomaikaʻi i ka hana.
pono
Hoʻohana ʻia ka Biomechanics i ka hoʻomohala ʻana i nā mea hana kino a me nā hāmeʻa e hoʻomaikaʻi ai i ka hana. No ka laʻana, hiki ke hoʻolālā ʻia kahi kāmaʻa no ka hana maikaʻi loa no ka mea skateboarder, ka holo lōʻihi, a i ʻole ka mea pāʻani pôpeku. Hoʻopaʻa ʻia nā papa pāʻani no kēia kumu, e like me ke ʻano o ka paʻakikī o ka ʻili o ka turf artificial i ka hana haʻuki. (Jose I. Priego-Quesada 2021)
ʻO nā kānaka hoʻokahi
Hiki i ka Biomechanics ke kālailai i ka neʻe ʻana o ke kanaka no ka neʻe ʻoi aku ka maikaʻi ma ke aʻo ʻana a me nā pāʻani.
No ka laʻana, hiki ke paʻi kiʻi ʻia ka holo ʻana a i ʻole ke kowali o ke kanaka me nā manaʻo i ka mea e hoʻololi ai e hoʻomaikaʻi ai.
nā palapū
Ke noiʻi nei ka ʻepekema i nā kumu, ka mālama ʻana, a me ka pale ʻana i nā ʻeha neuromusculoskeletal.
Hiki i ka noiʻi ke kālailai i nā mana e hōʻeha ai a hāʻawi i ka ʻike no nā poʻe lapaʻau e pili ana i ka hōʻemi ʻana i ka pōʻino.
aʻo
Ke noiʻi nei ʻo Biomechanics i nā ʻenehana haʻuki a me nā ʻōnaehana hoʻomaʻamaʻa e hoʻomohala i nā ala e hoʻomaikaʻi ai i ka pono.
Hiki i kēia ke komo i ka noiʻi e pili ana i ka hoʻonohonoho ʻana, ka hoʻokuʻu ʻana, ka hahai ʻana, etc.
Hiki iā ia ke kālailai a kōkua i ka hoʻolālā ʻana i nā ʻenehana hoʻomaʻamaʻa hou e pili ana i nā koi mechanical o ka haʻuki, i manaʻo ʻia e hopena i ka maikaʻi hana.
No ka laʻana, ana ʻia ka hoʻoikaika ʻana o ka ʻiʻo i ka holo kaʻa me ka hoʻohana ʻana i ka electromyography a me nā kinematics, e kōkua ana i ka poʻe noiʻi e loiloi i nā mea e like me ka posture, nā ʻāpana, a i ʻole ka hoʻoikaika kino e pili ana i ka hoʻōla. (Jose I. Priego-Quesada 2021)
Nā hāpai
I ka biomechanics, ua kuhikuhi ʻia nā neʻe o ke kino mai ke kūlana anatomical:
Kū pololei, me ka nānā pono i mua
Nā lima ma nā ʻaoʻao
ʻO nā lima e kū ana i mua
Kaʻawale iki nā wāwae, nā manamana wāwae i mua.
Aia nā papa anatomical ʻekolu:
Sagittal – waena – ʻO ka hoʻokaʻawale ʻana i ke kino i nā ʻāpana ʻākau a hema ʻo ia ka sagittal/median plane. Hiki ke hoʻololi a me ka hoʻonui ʻana i ka mokulele sagittal.
Frontal - Hoʻokaʻawale ka mokulele mua i ke kino i mua a me nā ʻaoʻao hope akā ua komo pū kekahi i ka ʻaihue, a i ʻole ka neʻe ʻana i kahi lālā mai ke kikowaena, a me ka hoʻohui ʻana, a i ʻole ka neʻe ʻana i kahi lālā i ke kikowaena o ka mokulele mua.
ʻOkuʻe – pae. – Ua māhele ʻia nā ʻaoʻao o luna a me lalo o ke kino e ka mokulele transverse/horizontal. Hana ʻia nā neʻe ʻana ma ʻaneʻi. (ʻAha ʻAmelika ma ka hoʻoikaika kino 2017)
ʻO ka hoʻoneʻe ʻana i ke kino ma nā mokulele ʻekolu me ka hana o kēlā me kēia lā. ʻO ia ke kumu e ʻōlelo ʻia ai ka hoʻomaʻamaʻa ʻana i kēlā me kēia mokulele o ka neʻe e kūkulu i ka ikaika, ka hana, a me ke kūpaʻa.
Mea hana
Hoʻohana ʻia nā mea hana like ʻole e aʻo i ka biomechanics. Hana ʻia nā haʻawina me ka hoʻohana ʻana i kahi mea i kapa ʻia ʻo electromyography a i ʻole EMG sensors. Hoʻokomo ʻia nā mea ʻike ma ka ʻili a ana i ka nui a me ke kiʻekiʻe o ka hoʻāla ʻana o ka fiber muscle i kekahi mau ʻiʻo i ka wā hoʻomaʻamaʻa hoʻāʻo. Hiki i nā EMG ke kōkua:
Hoʻomaopopo ka poʻe noiʻi i nā hoʻomaʻamaʻa ʻoi aku ka maikaʻi ma mua o nā mea ʻē aʻe.
Ua ʻike ka poʻe lapaʻau inā e holo pono ana nā ʻiʻo o ka poʻe maʻi.
ʻO nā dynamometers kekahi mea hana e kōkua ana i ke ana ʻana i ka ikaika o ka ʻiʻo.
Ana lākou i ka puka ikaika i hana ʻia i ka wā o ka ʻoki ʻana i nā ʻiʻo e ʻike inā lawa ka ikaika o nā ʻiʻo.
Hoʻohana ʻia lākou e ana i ka ikaika paʻa, hiki ke lilo i hōʻailona o ka ikaika holoʻokoʻa, olakino, a me ka lōʻihi. (Li Huang et al., 2022)
Ma waho aʻe o nā hoʻoponopono: Chiropractic a me Integrative Healthcare
E hoʻomaopopo '
Lu, TW, & Chang, CF (2012). ʻO Biomechanics o ka neʻe ʻana o ke kanaka a me kāna mau noiʻi lapaʻau. ʻO ka puke pai Kaohsiung o nā ʻepekema lapaʻau, 28(2 Suppl), S13–S25. doi.org/10.1016/j.kjms.2011.08.004
Huang, L., Liu, Y., Lin, T., Hou, L., Mele, Q., Ge, N., & Yue, J. (2022). ʻO ka hilinaʻi a me ka pono o nā dynamometer lima lima ke hoʻohana ʻia e nā poʻe mākua e noho ana i ke kaiāulu ma mua o 50 mau makahiki. BMC ma'i ma'i, 22(1), 580. doi.org/10.1186/s12877-022-03270-6
Hiki i nā poʻe i loaʻa i ka ʻeha hope ke hoʻomohala i kahi synovial spinal cyst ma ke ʻano he ala e pale ai i ka iwi kuamoʻo e hiki ai ke hōʻeha i nā hōʻailona ʻeha a me nā ʻeha. Hiki i ka ʻike ʻana i nā hōʻailona ke kōkua i nā mea mālama olakino e hoʻomohala i kahi hoʻolālā lapaʻau maikaʻi e hōʻoluʻolu i ka ʻeha, pale i ka piʻi ʻana o ke ʻano a me nā maʻi ʻē aʻe?
ʻO nā ʻāʻī ʻo Synovial Spinal
He ʻeke piha wai piha ka spinal synovial cysts e ulu ana ma nā hui o ka iwi kuamoʻo. Hoʻokumu lākou ma muli o ka degeneration spinal a i ʻole ka ʻeha. Hiki ke hana ʻia nā cysts ma nā wahi ʻē aʻe o ka iwi kuamoʻo, akā ʻo ka hapa nui ma ka ʻāina lumbar/lalo lalo. Hoʻoulu maʻamau lākou i loko o nā hui facet a i ʻole nā hui e hoʻopaʻa paʻa i nā iwi vertebrae / spinal.
Ōuli
I ka hapanui o nā hihia, ʻaʻole i hoʻokumu ʻia nā hōʻailona synovial cysts. Eia nō naʻe, makemake ke kauka a loea paha e nānā i nā hōʻailona o ka maʻi degenerative disc, spinal stenosis, a i ʻole cauda equina syndrome. Ke hōʻike ʻia nā hōʻailona, ke kumu maʻamau lākou i ka radiculopathy a i ʻole ka hoʻopiʻi ʻana i ke aʻalolo, hiki ke hoʻoulu i ka ʻeha hope, nāwaliwali, ʻeha, a me ka ʻeha ʻana i ka ʻeha. ʻO ka paʻakikī o nā hōʻailona e pili ana i ka nui a me kahi o ka cyst. Hiki ke hoʻopili ʻia nā cysts synovial i kekahi ʻaoʻao o ka iwi kuamoʻo a i ʻole nā mea ʻelua a hiki ke hana ʻia ma kahi ʻāpana spinal a i ʻole ma nā pae he nui.
Hiki i nā hopena ke komo
Hiki ke hoʻomohala ʻia nā hōʻailona Radiculopathy inā pili ka cyst a i ʻole ka mumū i hoʻokumu ʻia e ka cyst me kahi aʻa aʻalolo. Hiki i kēia ke kumu i ka sciatica, nāwaliwali, numbness, a i ʻole ka paʻakikī i ka mālama ʻana i kekahi mau ʻiʻo.
ʻO ka hoʻopiʻi ʻana o ka neurogenic a me ka mumū o nā aʻalolo spinal hiki ke hōʻeha i ka ʻeha, ka ʻeha, a / a i ʻole ke kani ʻana o ke kua lalo, nā wāwae, nā pūhaka, a me nā ʻūhā. (Martin J. Wilby et al., 2009)
Inā pili ka spinal cord, hiki ke kumu myelopathy/ʻO ke koʻikoʻi koʻikoʻi o ke kuamoʻo e hiki ke hoʻoulu i ka helu, nāwaliwali, a me nā pilikia kaulike. (ʻO Dong Shin Kim et al., 2014)
ʻO nā hōʻailona e pili ana i ka cauda equina, e like me nā pilikia o ka ʻōpū a me ka ʻōpū, nāwaliwali o ka wāwae, a me ka maʻi maʻi o ka noho ma ka ʻūhā, ka ʻūhā, a me ka perineum, hiki ke hōʻike ʻia akā he mea kakaʻikahi, e like me nā synovial cysts ma ka waena a me ka ʻāʻī. Inā ulu ka ʻōpū a me ka cervical synovial cysts, hiki iā lākou ke hōʻeha i nā hōʻailona e like me ka numbness, tingling, ʻeha, a nāwaliwali paha i ka wahi i hoʻopilikia ʻia.
Nā kumu
Hoʻokumu pinepine ʻia nā ʻōpū synovial spinal e nā loli degenerative e like me ka osteoarthritis e ulu ana i kahi hui i ka manawa. Me ka ʻaʻahu maʻamau a me ka waimaka, ka cartilage hui ʻaoʻao/ka mea i loko o kahi hui e hāʻawi ai i ka pale, kahi ʻili maʻemaʻe, hoʻemi ʻia ka friction, a hoʻomaka ka hoʻopau ʻana i ka haʻalulu. Ke hoʻomau nei ka hana, hiki i ka synovium ke hana i kahi cyst.
ʻO nā traumas, nui a liʻiliʻi, loaʻa nā hopena inflammatory a degenerative ma nā hono e hiki ai ke hoʻokumu i kahi cyst.
Ma kahi o kahi hapakolu o ka poʻe i loaʻa i ka spinal synovial cyst kekahi spondylolisthesis.
ʻO kēia ʻano ke ʻano o ka hemo ʻana o ka vertebrae ma waho o kahi a i ʻole ke ala pololei ʻana i ka vertebrae ma lalo.
He hōʻailona ia o ka hiki ʻole o ke kuamoʻo.
Hiki ke pilikia ma nā wahi spine, akā ʻo L4-5 nā pae maʻamau.
ʻO kēia māhele o ke kuamoʻo e lawe i ka hapa nui o ke kaumaha o ke kino luna.
Inā hiki ʻole ke kūpaʻa ʻole, hiki ke ulu ka cyst.
Eia nō naʻe, hiki ke hana ʻia nā cysts me ka ʻole o ka paʻa.
Hiki ke ʻike ʻia lākou me ka ultrasound, X-ray, a i ʻole CT scans.
lapaʻau
Noho liʻiliʻi kekahi cysts a he liʻiliʻi paha nā hōʻailona. Pono ka ma'i ma'i i ka lapa'au 'ana inā he mau hō'ailona. (Nancy E, Epstein, Jamie Baisden. 2012)
Hoʻololi nohona
Manaʻo kekahi kauka mālama ola e pale aku i kekahi mau hana e hoʻonui ai i nā hōʻailona.
Hiki ke ʻōlelo ʻia ka hoʻomaʻamaʻa kino a i ʻole ka hana hana.
Hiki ke kōkua i ka hoʻohana pinepine ʻana i nā anti-inflammatories/NSAID e like me ka ibuprofen a me ka naproxen e hoʻomaha i ka ʻeha i kekahi manawa.
Nā Kaʻina hana maʻi ma waho
No nā ʻōpū e hoʻoulu ai i ka ʻeha nui, ka helu ʻana, ka nāwaliwali, a me nā pilikia ʻē aʻe, hiki ke ʻōlelo ʻia ke kaʻina hana e hoʻokahe i ka wai/aspiration mai ka ʻōpū.
Ua ʻike ʻia kahi haʻawina ʻo ka helu kūleʻa mai ka 0 pakeneka a hiki i ka 50 pakeneka.
Hiki i ka epidural corticosteroid injections ke hoʻemi i ka mumū a hiki ke koho i ka hoʻomaha ʻana i ka ʻeha.
Manaʻo ʻia nā mea maʻi e loaʻa ʻole ma mua o ʻekolu injections i kēlā me kēia makahiki.
Nā koho ʻoki
No nā hihia koʻikoʻi a hoʻomau paha, hiki i ke kauka ke ʻōlelo i ke ʻoki decompression e wehe i ka ʻōpū a me nā iwi e hoʻopuni ana e hoʻomaha i ke kaomi ʻana i ke aʻa aʻalolo. Loaʻa nā koho ʻokiʻoki mai nā kaʻina hana endoscopic liʻiliʻi a hiki i nā ʻokiʻoki ākea ākea. 'Oko'a ka koho 'oki kino maika'i ma muli o ke ko'iko'i o ke kūlana a me nā ma'i pili. ʻO nā koho ʻokiʻoki he:
ʻO Laminectomy – Ka wehe 'ana i ka iwi iwi e pale a uhi i ke kuamo'o/lamina.
Hemilaminectomy - He laminectomy i hoʻololi ʻia kahi i wehe ʻia ai kahi ʻāpana liʻiliʻi o ka lamina.
Facetectomy - ʻO ka wehe ʻana i kahi ʻāpana o ka hui ʻaoʻao i hoʻopili ʻia kahi i loaʻa ai ka synovial cyst, ma hope o ka laminectomy a i ʻole hemilaminectomy.
Fusiono na hui alo a me ka vertebra - Hoʻemi i ka neʻe ʻana o ka vertebral ma kahi ʻeha.
Loaʻa ka hapa nui o nā kānaka i ka hoʻomaha ʻeha ma hope o ka laminectomy a i ʻole hemilaminectomy.
Hiki i ka Fusion ke lawe i ʻeono a ʻeiwa mahina e hoʻōla loa ai.
Inā hana ʻia ke ʻoki ʻana me ka hui ʻole ʻana i kahi i hoʻomaka ai ka ʻōpū, hiki ke hoʻi hou ka ʻeha, a hiki ke hoʻokumu ʻia kahi cyst hou i loko o ʻelua makahiki.
ʻO nā pilikia o ke kaʻa ʻana, ʻo ia ka maʻi, ke koko, a me ka hōʻeha i ke kuamoʻo a i ʻole ke aʻa aʻalolo.
Pehea i loaʻa ai iaʻu kaʻu Mobility Back Me Chiropractic
E hoʻomaopopo '
Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). ʻO ka prevalence a me ka pathogenesis o synovial cysts i loko o ka ligamentum flavum i nā maʻi me ka lumbar spinal stenosis a me ka radiculopathy. Iwi, 34(23), 2518–2524. doi.org/10.1097/BRS.0b013e3181b22bd0
Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). ʻO ka myelopathy nui i hoʻokumu ʻia e ka cervical synovial cyst. Nūpepa o Korean Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55
Epstein, NE, & Baisden, J. (2012). ʻO ka hōʻailona a me ka hoʻokele ʻana o nā synovial cysts: Efficacy of surgery versus cyst aspiration. ʻO ka honua holoʻokoʻa neurology, 3 (Suppl 3), S157-S166. doi.org/10.4103/2152-7806.98576
E wela ana nā wāwae o kēlā me kēia kanaka ke hele a holo paha; akā naʻe, he hōʻailona paha ke ahi o nā maʻi olakino e like me ka wāwae o ka ʻâlapa a i ʻole ka ʻeha aʻalolo a i ʻole ka pōʻino. Hiki i ka ʻike i kēia mau hōʻailona ke kōkua i ka ʻike ʻana i nā hoʻonā e hōʻoluʻolu a hoʻōla i ke ʻano kumu?
Puhi Waewae
ʻIke pinepine ka poʻe hele wāwae a me nā kukini i ka wela ma ko lākou mau wāwae. He mea maʻamau kēia mai ka piʻi ʻana o ke kahe ʻana, ka puʻuwai puʻuwai, ka ʻaoʻao mehana a me ka wela, a me ka papahele. Akā, hiki i nā wāwae ke ʻike i kahi ʻano wela a i ʻole ka wela. ʻO ka maʻamau, ʻo ka overheating ke kumu o nā soka a me nā kāmaʻa a me ka luhi ma hope o ka hoʻomaʻamaʻa lōʻihi. ʻO nā ʻanuʻu mālama ponoʻī mua e hoʻāʻo ana i nā kāmaʻa hou a kūikawā paha a me nā hoʻoponopono hoʻomaʻamaʻa. Inā hoʻomau ka wela o nā wāwae a i ʻole he mau hōʻailona o ka maʻi, ke kani ʻana, ka ʻeha, a i ʻole ka ʻeha, pono e ʻike nā kānaka i kā lākou mea mālama ola. (Halemai Mayo. 2018)
Nā wāwae
ʻO nā kāmaʻa a me ke ʻano o ka ʻaʻahu ʻana ke kumu.
ʻO ka mea mua, e nānā i nā mea o nā kāmaʻa. He kāmaʻa a/a i ʻole nā insole ʻaʻole e kaʻa i ka ea. Hiki iā lākou ke wela a me ka hou me ka ʻole o ka holo ʻana o ka ea a puni nā wāwae.
Ke koho ʻana i nā kāmaʻa holo, e noʻonoʻo i kahi mea mesh e hiki ai i ka ea ke mālama i nā wāwae.
E noʻonoʻo e hoʻokomo i nā kāmaʻa i kūpono i ka nui, ʻoiai e pehu nā wāwae i ka wā e holo ai a hele paha.
Inā li'ili'i loa nā kāma'a, 'a'ole hiki ke kaapuni ka ea, e ho'onui i ka paio ma waena o ka wāwae a me ka kāma'a.
Hiki i nā kāma'a nui loa ke kōkua i ke ku'eku'e i ka ne'e nui 'ana o nā wāwae.
Hiki nō hoʻi ke hāʻawi i nā insoles.
Hiki i kekahi mau insoles ke ho'omāhana i nā wāwae, inā paha he hanu nā kāma'a.
E hoʻololi i nā insoles mai nā kāmaʻa ʻē aʻe e ʻike inā hāʻawi lākou, a inā pēlā, e nānā i nā insole hou.
Nā kōkua e pale i nā wāwae wela:
ʻAilahi kumuhana
E hoʻohana i ka cream anti-blister/chafing topical e lubricate a pale i nā wāwae.
ʻO kēia ka mea e hoʻemi ai i ka friction a pale i ka blisters.
Lace Pono
Hiki i nā kānaka ke hoʻopaʻa paʻa i nā kāmaʻa, hoʻopaʻa i ka holo ʻana, a hoʻonāukiuki paha i nā aʻalolo ma luna o ka wāwae.
Hiki i nā kānaka ke hoʻoheheʻe i hoʻokahi manamana lima ma lalo o ka puʻupuʻu.
E hoʻomanaʻo e pehu nā wāwae i ka wā e hoʻomaka ai ka hele a i ʻole ka holo ʻana
Pono paha nā kānaka e wehe i ko lākou mau kaula ma hope o ka hoʻomehana ʻana.
Paipai ʻia kēlā me kēia kanaka e aʻo i nā ʻenehana lacing e hōʻoiaʻiʻo ʻaʻole lākou paʻa loa ma luna o nā wahi koʻikoʻi.
Kūpili
ʻO ka luhi mai ka hoʻomaʻamaʻa lōʻihi a i ʻole nā lā lōʻihi e kū ana / neʻe paha hiki ke hopena i nā wāwae wela.
Pono paha nā kānaka e hoʻohui i ka cushioning i nā kāmaʻa.
E ʻimi i ka hana a me nā kāmaʻa pāʻani i hoʻohui ʻia i ka cushioning.
Alergi Kamaa
Hiki i nā kānaka ke loaʻa i ka maʻi maʻi a i ʻole ka naʻau i ka lole, nā mea hoʻopili, nā kala, a i ʻole nā mea kemika ʻē aʻe. (Halemai Cleveland. 2023) ʻOkoʻa nā kinikona i hoʻohana ʻia i ka hana ʻana no ka ʻili i hoʻohālikelike ʻia me ka lole a ʻokoʻa hoʻi e ka brand a me ka mea hana.
ʻO ka maʻi maʻi kāmaʻa hiki ke hopena i ka wela, ka ʻili, a me ka pehu.
Manaʻo ʻia e nānā inā loaʻa wale nā hōʻailona i ke komo ʻana i nā kāmaʻa kikoʻī.
ʻO nā ʻōlelo paipai e hoʻāʻo i nā ʻano kāmaʻa like ʻole.
Kāpena
Hiki ke kōkua ka lole sock i nā wāwae wela a wela paha. Hiki ke komo i nā hana e hana ai:
E pale i ka pulupulu
ʻO ka pulupulu he pulupulu maoli akā ʻaʻole ʻōlelo ʻia no ka hele wāwae a me ka holo ʻana no ka mea e paʻa ai ka hou i hiki ke pulu i nā wāwae.
Manaʻo ʻia e hoʻohana i nā soka i hana ʻia me Cool-Max a me nā mea hana ʻē aʻe e hoʻomaʻemaʻe i ka hou a hoʻomaha iā lākou.
Lana
Hiki nō hoʻi i nā socks huluhulu ke hoʻoulu i ka ʻeha a me ka ʻeha.
E noʻonoʻo i nā pūkini haʻuki i hana ʻia mai ka hulu hipa ʻole.
Mindfulness
Hiki i nā kānaka ke maʻalahi i nā lole ʻē aʻe a i ʻole nā kala i loko o nā soka.
E noʻonoʻo i ke kumu o ka wela a me ka wela o nā wāwae.
Hiki i nā kānaka ke noʻonoʻo i nā huahana holoi lole a ua ʻōlelo ʻia e hoʻāʻo i kahi hōʻailona a ʻano ʻano ʻē aʻe.
Nā Kauka Hana
Ma waho aʻe o nā kāmaʻa a me nā soka, hiki i nā maʻi maʻi ke kumu a kōkua i nā hōʻailona.
Wae 'Alepa
He maʻi fungal ka wāwae o ka ʻAlepa.
Hiki i nā kānaka ke manaʻo i ka wela ma ka wahi i hoʻopilikia ʻia.
ʻO ka mea maʻamau, he ʻona, ʻulaʻula, scaling, a māwae paha.
Hoʻololi i nā kāmaʻa.
Ke ulu nei ka haʻuki ma nā wahi pulu, no laila, ʻōlelo ʻia e hoʻololi i nā kāmaʻa e ʻae iā lākou e maloʻo ma waena o nā hana.
Holoi a hoʻomaloʻo i nā wāwae ma hope o ka hele ʻana a i ʻole ka holo ʻana.
E ho'āʻo i ka home a me nā mea kūʻai aku, nā pauka, a me nā lāʻau lapaʻau e mālama ai i ka wāwae o ka mea pāʻani.
ʻO ke keʻenaʻo Neuropathy
Loaʻa pinepine ka poʻe i ka wela o nā wāwae ma waho o ka wā e hoʻomaʻamaʻa ai lākou ma muli o ka pōʻino nerve i kapa ʻia ʻo peripheral neuropathy. (National Institute of Neurological Disorders and Stroke. 2023) ʻO nā hōʻailona neuropathy āpau e pili ana i nā pine a me nā nila, ka ʻūlū, ka ʻili ʻana, ke kani ʻana, a me nā ʻano wela.
ninaninau
ʻO ka maʻi diabetes kekahi o nā kumu maʻamau o ka neuropathy peripheral.
Hiki ke hele mai ka maʻi diabetes i kēlā me kēia makahiki.
Pono nā kānaka e aʻo pehea e pale ai i ko lākou mau wāwae, no ka mea, ʻoi aku ka hoʻoikaika kino no ka maʻi diabetes.
ʻO nā kūlana ʻē aʻe e hiki ke hana i ka neuropathy peripheral e komo pū:
Ka nele o ka Vitamin B-12
Ka puhiʻana i ka waiʻona
Nā maʻi hūnā
ʻO AIDS
ʻO ka make metala kaumaha
Lomilomi a me ka neʻe ʻana
Hoʻonui ka lomilomi i nā wāwae.
Hoʻomaʻamaʻa ʻia e like me ka hele wāwae no ka neuropathy peripheral no ka mea e hoʻomaikaʻi ai i ka holo ʻana i nā wāwae.
Hiki i nā hoʻololi degenerative i loko o ke kuamoʻo a i ʻole ka ʻeha hope ke hōʻeha / pōʻino i nā aʻalolo e hiki ke hōʻeha i ka ʻeha, ke kani ʻana, a me ka helu ʻana i nā wāwae.
Pākī Tasal Tunnel
ʻO ka hoʻopaʻa ʻia ʻana o ke aʻalolo tibial hope ma kou wāwae haʻahaʻa hiki ke hōʻeha i kou mau wāwae.
Ka Neuroma Morton
ʻO ka neuroma o Morton, ka mea i hoʻokumu ʻia e ka ʻiʻo aʻalolo mānoanoa, hiki ke hōʻeha i ka ʻeha a me ka wela ma ke kumu o nā manamana wāwae.
Nā maʻi maʻi likeʻole
ʻO nā maʻi e like me ka maʻi sclerosis a i ʻole Lupus hiki ke kumu i ka wela o nā wāwae.
Ke Kai-Hoʻoikaika
Hiki ke kōkua nā hoʻololi a i ʻole nā hoʻohui i nā hana maʻamau a me nā maʻamau.
Mai hele wāwae a holo i nā kāmaʻa kahiko.
E pale i nā wāwae me ka hoʻohana ʻana i nā pūkini kūpono, ka pauda wāwae, a me ka ʻaila, a uhi i nā wahi e ʻānai ʻia ai ka ʻāwili ʻana.
E hoʻololi koke i nā kāmaʻa a me nā pūkini ma hope o ka hoʻoikaika kino, e ʻae i ka maloʻo ʻana o ka ea.
E kōkua kēia i ka hōʻemi ʻana i ka ulu ʻana o ka haʻo wāwae wāwae o ka mea pāʻani.
E hoʻomoʻa i nā wāwae i ka wai anuanu. Mai hoʻohana i ka hau, no ka mea hiki ke hōʻino i ka ʻili.
Hoʻomoʻa i nā wāwae i nā paʻakai Epsom e hoʻopau i ka ʻeha a me ka ʻāʻī a maloʻo i nā ʻōpala.
E hoʻokiʻekiʻe i nā wāwae ma hope o ka hoʻoikaika kino.
E hoʻololi i nā kāmaʻa a me nā soka ma waena o nā kau hoʻomaʻamaʻa a i ka lā.
E ho'āʻo i nā kāmaʻa like ʻole, nā pūkini, a me nā insole.
Hiki i ka overtraining ke hoʻonui i nā hōʻailona.
E ho'āʻo e kūkulu mālie ma kahi mamao i ka nānā ʻana i nā hōʻailona.
E ʻike i ke kauka a i ʻole ka mea mālama ola kino inā nā hōʻailona hoʻomau a ʻaʻole pili i ka hoʻoikaika hele wāwae a me ka holo.
Hiki i nā lāʻau lapaʻau musculoskeletal ke mālama i ka poʻe me ka upper crossed syndrome e hoʻomaha i ka ʻeha, hoʻomaikaʻi i ke kūlana, a hoʻoikaika i nā ʻiʻo o ka ʻāʻī, nā poʻohiwi a me ka umauma?
ʻO ka maʻi maʻi o luna
ʻO ka Upper Crossed Syndrome kahi maʻi e nāwaliwali ai nā ʻiʻo o nā poʻohiwi, ka ʻāʻī, a me ka umauma, a maʻa mau ʻia mai ka hoʻomaʻamaʻa ʻana i ke kūlana maikaʻi ʻole. Loaʻa nā hōʻailona maʻamau:
ʻO ka ʻāʻī ʻoʻoleʻa a me ka huki ʻana.
ʻO ka hoʻopaʻapaʻa a/a i ʻole ka paʻa
ʻO ka ʻeha o ke kua hope, ʻaʻole hiki ke maʻalahi, ʻoʻoleʻa, a me ka ʻeha ʻeha.
ʻEha ʻāʻī, poʻohiwi, a me ke kua o luna.
ʻO nā'ōpikipikipikipuni
Poʻohiwi pōʻai
Hunched spine
ʻO ka maʻi maʻi o luna a me ke kūlana
Hoʻopilikia ke kūlana i ke kūlana olakino ma ka hana ʻana nā ʻiʻo kaulike ʻole ma waena o ke kua a me ka umauma.
ʻO nā ʻiʻo pōkole paʻa i ka umauma luna e hoʻopololei nui ʻia a noho i kahi kūlana semi-contracted e huki ana i nā ʻiʻo hope.
ʻO kēia ke kumu e huki ai a nāwaliwali nā ʻiʻo ma ke kua, nā poʻohiwi, a me ka ʻāʻī.
ʻO ka hopena, ʻo ke kua i hope, nā poʻohiwi i mua, a me ka ʻāʻī ʻāʻī.
Nā hoʻoikaika kino e pili ana i nā ʻiʻo palupalu a me nā hono.
Ka hoʻoikaika kino.
ʻO ka hoʻokele steroid i kahi kikoʻī.
Ka lāʻau lapaʻau anti-inflammatory no nā hōʻailona ʻeha - pōkole.
Hiki ke aʻo ʻia i kēlā me kēia kanaka e ka hui chiropractic therapy e pale i ka nui o ka hoʻomaha moe a e kaupalena a pale paha i nā hana e hiki ai ke hōʻeha a hōʻeha paha i nā hōʻailona. (Cedars-Sinai. 2022)
Ua hōʻike nā haʻawina i ka hoʻomaʻamaʻa ʻana i ka spinal chiropractic e hōʻemi pono i ka ʻāʻī, ka iwi kuamoʻo, a me nā hōʻailona ʻeha haʻahaʻa. (Gevers-Montoro C, et al., 2021)
Hoʻonui a hōʻemi paha i ka hana kino e like me ka ʻōlelo a ka hui lapaʻau.
Ke hoʻohana nei i ka hau a i ʻole nā ʻeke wela e hoʻomaha i ka ʻeha a hoʻonui i ke kahe e hoʻoikaika i ka hoʻoponopono hou a me ka ho'ōla.
Ke hoʻohana nei i nā ʻaila ʻeha a i ʻole nā gels.
Nonsteroidal ma luna o ka counter - NSAIDs, e like me Advil a i ʻole Motrin a me Aleve.
ʻO nā mea hoʻomaha o ka ʻiʻo e hoʻomaha i ka ʻeha no ka wā pōkole.
Hoʻonui i kou ʻano ola
E hoʻomaopopo '
Halema'i no ka Opuu Kuikawa. E neʻe me ka manaʻo e hakakā i nā syndromes crossed luna a me lalo.
National Institute of Arthritis and Musculoskeletal and Skin Diseases. ʻEha hope.
Seidi, F., Bayattork, M., Minoonejad, H., Andersen, LL, & Page, P. (2020). Hoʻomaikaʻi ka papahana hoʻomaʻamaʻa hoʻoponopono piha i ka alignment, hoʻōla ʻana i ka ʻiʻo, a me ke ʻano o ka neʻe ʻana o nā kāne me ka maʻi crossed kiʻekiʻe: kahi hoʻāʻo i hoʻopaʻa ʻia. Nā hōʻike ʻepekema, 10(1), 20688. doi.org/10.1038/s41598-020-77571-4
Bae, WS, Lee, HO, Shin, JW, & Lee, KC (2016). ʻO ka hopena o ka hoʻoikaika ikaika trapezius waena a me lalo a me ka levator scapulae a me ka trapezius kiʻekiʻe e hoʻolōʻihi i nā hana ma luna o ka maʻi crossed syndrome. Nūpepa o ka ʻepekema hoʻoikaika kino, 28(5), 1636–1639. doi.org/10.1589/jpts.28.1636
National Institute of Neurological Disorders and Stroke. ʻEha hope.
Cedars-Sinai. ʻEha kua a me ka ʻāʻī.
Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). ʻO ka maikaʻi a me ka maikaʻi o ka Chiropractic Spinal Manipulation no ka Spine Pain. Nā palena i ka noiʻi ʻeha (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921
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