Mo tagata taʻitoʻatasi o loʻo feagai ma le tiga o tauau ma le pito i luga, e mafai ona avea le periscapular bursitis ma mafuaʻaga?
Mataupu
Periscapular Bursitis
O le scapula / tauau o se ponaivi e fesuiaʻi le tulaga ma le tino pito i luga ma le tauau. O le gaioiga o le scapula e taua tele i le galuega masani o le tauau ma le tui. Pe a tula'i mai ni gaioiga fa'afuase'i o tau'au, e mafai ona tupu fa'ailoga o le fula ma le tiga. (Augustine H. Conduah et al., 2010)
Galuega masani Scapula
O le scapula o se ponaivi tafatolu i le pito i luga i fafo o le ivi. O lona itu pito i fafo po'o le pito i tua o lo'o i ai le so'oga sooga tauau / glenoid, a'o le isi vaega o le ponaivi e fai ma mea fa'apipi'i mo musele tau'au ma tua. O le scapula e sui i luga o le ivi ivi pe a sii le lima i luma ma tua. Ua ta'ua lea gaioiga scapulothoracic motion ma e taua tele i le galuega masani o le pito i luga ma le sooga tauau. Pe a le fa'ase'e le scapula i se gaioiga fa'amaopoopo, o le gaioiga o le tino ma tauau e mafai ona malo ma tiga. (JE Kuhn et al., 1998)
Scapular Bursa
O le pa'u o se taga e tumu i le vai e mafai ai ona sologa lelei, fe'avea'i i le va o fausaga, aano o le tino, ponaivi, ma tendon. O loʻo maua le Bursae i le tino atoa, e aofia ai i luma o le tulivae, fafo atu o le suilapalapa, ma le sooga o tauau. A o'o ina fula ma ita le pa'u, e mafai ona tiga le gaioiga masani. O loʻo i ai le paʻu i luga o le scapula i le pito i luga. E lua o nei taga pa'u o lo'o i le va o ponaivi ma le musele pito i luma o le serratus lea e fa'atonutonu ai le gaioi o le scapular i le puipui o le fatafata. O le tasi pusa paʻu o loʻo i luga o le tulimanu pito i luga o le scapula, latalata i le tui i le pito i lalo o le ua, ma le isi o loʻo i le pito i lalo o le scapula, latalata i le ogatotonu o tua. E mafai ona a'afia le pusa pa'u pe lua i le periscapular bursitis. O lo'o i ai isi pa'u i tafatafa o le scapula ma tendon o lo'o siomia ai, ae o taga tulimanu e lua e foliga mai o le pa'u muamua lea e atia'e ai le periscapular bursitis.
pupuga
A o'o ina fula ma ita, fulafula, ma mafiafia nei pa'u, o le ma'i ua ta'ua o le bursitis e tupu mai. Pe a tupu le bursitis i tafatafa o le scapula, maso, ma gaioiga o lau tauau e mafai ona oʻo atu ai i le le mautonu ma le tiga. O faʻamaoniga sili ona taatele o periscapular bursitis e aofia ai:
O se su'esu'ega o le scapula e mafai ona fa'aalia ai gaioiga fa'aletonu o le lau tau'au. E mafai ona o'o atu ai i apa'au, lea e le o sa'o le uuina o le lau o le tau'au i le ivi 'aso'aso ma oso fa'afuase'i. O tagata ta'ito'atasi e iai apa'au o le scapula e masani lava ona iai ni fa'ainisinia sooga tau'au ona ua suia le tulaga o le tau'au.
Mafuaaga
O mafuaʻaga o le periscapular bursitis e mafai ona eseese. O le mea e sili ona taatele o le fa'aogaina o le ma'i, lea o se gaioiga patino e mafua ai le ita i le pa'u. E mafai ona aofia ai:
Gaoioiga e feso'ota'i ma ta'aloga e mafua mai i le fa'aoga faifaipea.
Gaoioiga e feso'ota'i ma galuega e afua mai i le fa'aaogaina faifaipea.
Manu'a fa'alavelave e mafua ai le fula po'o le ita i le pa'u.
O nisi tulaga e mafai ona mafua ai le fa'aletonu o le tino po'o le ponaivi, fa'afefe ai le pa'u. O le tasi tulaga o le tupu aʻe o ponaivi e taʻua o le osteochondroma. (Antônio Marcelo Gonçalves de Souza ma Rosalvo Zósimo Bispo Junior 2014) O nei tuputupu aʻe e mafai ona faʻaalia mai le scapula, e oʻo atu ai i le ita ma le mumū.
faiga
Togafitiga o le periscapular bursitis e amata ile conservative togafitiga. E seasea mana'omia ni togafitiga fa'asa e fa'asa'o ai le fa'afitauli. Togafitiga e mafai ona aofia ai:
Malologa
O le laasaga muamua o le malolo o le paʻu ita ma faʻafilemu le mumū.
E mafai ona umi ni nai vaiaso ma e mafai ona ausia e ala i le suia o gaioiga faaletino, taʻaloga, poʻo galuega e fesoʻotaʻi ma galuega.
aisa
O le aisa e aoga mo le faʻaitiitia o le mumū ma le puleaina o tiga.
O le iloa lelei o le aisa o se manu'a e mafai ona fesoasoani e pulea le tiga ma le fula.
Faaletino Faaletino
O togafitiga faʻaletino e mafai ona faʻaitiitia ai faʻamaoniga o le mumū e ala i faʻamalositino eseese ma faʻalautele.
O le togafitiga e mafai ona faʻaleleia atili le faʻainisinia o le scapular ina ia le faʻaauau pea le manuʻa ma toe fai.
O gaioiga le masani o le scapula i luga o le ivi ivi e le gata ina taʻitaʻia ai le atinaʻeina o le bursitis, ae afai e le o faʻaogaina nei masini faʻalavelave, e mafai ona toe foʻi le faʻafitauli.
O vaila'au e mafai ona fesoasoani e poloka le tali inflammatory.
A'o le'i inuina so'o se vaila'au, e tatau i tagata ta'ito'atasi ona fa'amaonia ma latou tausi soifua maloloina e saogalemu.
Iniseti Cortisone
O le manuia o togafitiga i se tui cortisone o se faailoga lea o le taotoga o le a sili atu ona aoga mo tagata taʻitoʻatasi e ono manaʻomia se taotoga.
Cortisone tui e mafai ona fesoasoani tele i le tuʻuina atu saʻo o se tui faʻamaʻi malosi i le nofoaga o le mumū. (Augustine H. Conduah et al., 2010)
Ole tui ole Cortisone e tatau ona fa'atapula'a ile tele ole tui e ofoina atu ile tagata, ae ile fa'atapula'aina tui e mafai ona fesoasoani tele.
Peita'i, e na'o le taimi lava e fa'amaonia ai le su'esu'ega, e tatau lava ona faia tui o le cortisone.
Togafitiga
Ole taotoga e seasea mana'omia ae e mafai ona aoga i tagata ta'ito'atasi e le mafai ona maua se mapusaga i togafitiga fa'asao.
O le taotoga e masani ona faʻaaogaina mo tagata taʻitoʻatasi e le masani ai le scapular anatomy, pei o le tupu aʻe o ponaivi poʻo le tuma.
I le Injury Medical Chiropractic and Functional Medicine Clinic, matou te togafitia manuʻa ma faʻamaʻi tiga masani e ala i le faʻaleleia o le gafatia o se tagata e ala i le fetuutuunai, feʻaveaʻi, ma polokalame faʻamalosi e fetaui mo vaitausaga uma ma le le atoatoa. O a matou fuafuaga mo le tausiga o chiropractor ma auaunaga faʻapitoa e faʻapitoa ma taulaʻi i manuʻa ma le faagasologa atoa o le toe faʻaleleia. Afai e manaʻomia nisi togafitiga, o le a tuʻuina atu tagata taʻitoʻatasi i se falemaʻi poʻo se fomaʻi e sili ona fetaui ma o latou manuʻa, tulaga, ma / poʻo maʻi.
Apa'au scapular i le loloto
mau faasino
Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Fa'ata'ita'iga fa'apitoa ole scapulothoracic bursitis ma le fa'alavelave fa'afuase'i. Soifua Maloloina, 2(2), 147–155. doi.org/10.1177/1941738109338359
Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Fa'ailoga scapulothoracic crepitus ma bursitis. Le Journal of the American Academy of Orthopedic Surgeons, 6(5), 267–273. doi.org/10.5435/00124635-199809000-00001
de Souza, AM, & Bispo Junior, RZ (2014). Osteochondroma: le amanaiaina pe suʻesuʻe?. Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002
Mo tagata ta'ito'atasi e siisii mea mamafa, pe iai ni auala e puipuia ai tapulima ma puipuia ai manu'a pe a si'i le mamafa?
Mataupu
Puipuiga tapulima
O tapulima o sooga lavelave. O tapulima e fesoasoani tele i le mautu ma le gaioi pe a fai galuega poʻo le siiina o mea mamafa. E maua ai le fe'avea'i mo gaioiga e fa'aaoga ai lima ma le mautu e feavea'i ma si'i ai mea ma le saogalemu ma le saogalemu (National Library of Medicine, 2024). O le siiina o le mamafa e masani ona faia e faʻamalosi ma faʻamautu ai tapulima; ae ui i lea, o nei gaioiga e mafai ona mafua ai le tiga o tapulima ma oʻo atu ai i manuʻa pe a le faia saʻo. O le puipuiga o tapulima e mafai ona faatumauina le malosi ma le soifua maloloina o tapulima ma o le ki lea e aloese ai mai tiga ma manu'a.
Malosi Tapulima
O sooga tapulima e tu'u i le va o le lima ma ponaivi. O tapulima e faʻaoga i laina e lua o le valu pe iva atoa ponaivi laiti / ponaivi carpal ma e fesoʻotaʻi i le lima ma ponaivi lima e ala i ligaments, aʻo tendon e faʻafesoʻotaʻi maso o loʻo siomia ai i ponaivi. O so'oga tapulima o so'oga fa'afefe po'o so'oga polo ma so'oga e fesoasoani i le feliuliua'i, fa'alautele, ave'esea, ma fa'agaioiga fa'aopoopo. (National Library of Medicine. 2024) O lona uiga e mafai ona gaoioi tapulima i tulaga uma o le gaoioi:
Itu i lea itu
Luga ma lalo
Suʻe
O lenei mea e maua ai le tele o gaioiga ae e mafai foi ona mafua ai le soona ofuina ma le masaesae ma faateleina ai le lamatiaga o le tiga ma le manu'a. O maso o le lima ma le lima e pulea le gaioiga o tamatamailima e manaʻomia mo le uu. O maso nei ma tendon ma ligaments o loʻo aʻafia ai e tafe i totonu o le tapulima. O le faʻamalosia o tapulima o le a faʻatumauina ai le feaveaʻi, fesoasoani e puipuia manuʻa, ma faʻateleina ma faatumauina le malosi o le uu. I se iloiloga i luga o le au siisii mamafa ma le au siisii eletise na suʻesuʻeina ituaiga o manuʻa latou te maua, o manuʻa tapulima e masani lava, ma manuʻa maso ma tendon e sili ona taatele i le au siisii mamafa. (Ulrika Aasa et al., 2017)
Puipuia o Tapulima
O le puipuiga o tapulima e mafai ona faʻaogaina le tele-auala, lea e aofia ai le faʻateleina o le malosi, feʻaveaʻi, ma le fetuutuunai e faʻaleleia ai le soifua maloloina ma puipuia ai manuʻa. Aʻo leʻi siitia pe auai i soʻo se faʻamalositino fou, e tatau i tagata taʻitoʻatasi ona faʻafesoʻotaʻi a latou tausi soifua maloloina muamua, fomaʻi faʻapitoa, faiaoga, fomaʻi faʻapitoa, poʻo taʻaloga taʻaloga e vaʻai po o fea faʻamalositino e saogalemu ma maua ai faʻamanuiaga e faʻavae i luga o tala faʻasolopito o manuʻa ma tulaga o le soifua maloloina o loʻo iai nei..
Faateleina le Siva
O le gaioi e mafai ai e tapulima ona maua le tele o gaioiga a'o tumau pea le mautu e mana'omia mo le malosi ma le tumau. O le leai o se fe'avea'i i le sooga tapulima e mafua ai le malo ma le tiga. O le fetuutuuna'i e feso'ota'i atu i le fe'avea'i, ae o le so'ona fetu'una'i ma leai se mautu e mafai ona i'u ai i manu'a. Ina ia fa'ateleina le gaioi o tapulima, fai fa'amalositino ia le itiiti ifo i le lua i le faatolu i le vaiaso e fa'aleleia atili ai le tele o gaio ma le fa'atonutonu ma le mautu. E le gata i lea, o le faia o malologa masani i le aso atoa e taamilo ai ma li'o tapulima ma toso malie i tua tamatamailima e faʻaloaloa ai, o le a fesoasoani e faʻateʻa ai le le mautonu ma le maʻaʻa e mafai ona mafua ai faʻafitauli.
Faamasani mai
A'o le'i galue, fa'amafanafana tapulima ma le tino atoa a'o le'i galue. Amata i le cardiovascular māmā e maua ai le sua o le synovial i sooga o loʻo taamilo e faʻafefe ai sooga, faʻatagaina ai le gaogao malie. Mo se faʻataʻitaʻiga, e mafai e tagata taʻitoʻatasi ona fai moto, feʻaveaʻi o latou tapulima, fai faʻamalositino feʻaveaʻi, faʻamalosi ma faʻalautele tapulima, ma faʻaoga le lima e tasi e toso malie i tua tamatamailima. E tusa ma le 25% o manu'a ta'aloga e aofia ai le lima po'o le tapulima. O nei mea e aofia ai manu'a hyperextension, loimata o le ligament, luma-i totonu po'o le lima matua tiga o le tapulima mai manu'a tele, manu'a lautele, ma isi. (Daniel M. Avery 3rd et al., 2016)
Faamalolosia o Faatinoga
O tapulima malolosi e sili atu ona mautu, ma o le faʻamalosia e mafai ona maua ai le puipuiga o tapulima. O fa'amalositino e fa'aleleia atili ai le malosi tapulima e aofia ai le toso i luga, si'isi'i oti, uta uta, ma Fa'a'u'u Zottman. O le malosi o le u'u e taua tele mo le fa'atinoina o galuega i aso uma, soifua matua maloloina, ma le fa'aauauina o le manuia i le si'isi'i mamafa. (Richard W. Bohannon 2019) Mo se faʻataʻitaʻiga, o tagata taʻitoʻatasi e faigata ona faʻateleina le mamafa i luga oa latou siʻi oti ona o le paʻu mai o latou lima e ono le lava le tapulima ma le malosi o le uu.
wraps
Afifi tapulima po'o mea e fesoasoani i le u'u e aoga le mafaufau mo i latou e iai fa'afitauli po'o popolega. E mafai ona latou tuʻuina atu le faʻaopoopoina o le mautu i fafo aʻo siʻitia, faʻaitiitia le vaivai o le uu ma faʻalavelave i luga o ligaments ma tendons. Ae ui i lea, e fautuaina e aua le faʻalagolago i afifi o se fofo-uma fua ma ia taulaʻi i le faʻaleleia o le malosi o le tagata lava ia, feʻaveaʻi, ma le mautu. O se suʻesuʻega i tagata taʻalo ma manuʻa tapulima na faʻaalia ai o manuʻa na tupu pea e ui lava o afifi na ofuina 34% o le taimi aʻo leʻi oʻo i le manuʻa. Talu ai o le toʻatele o tagata taʻalo manuʻa e leʻi faʻaogaina ni afifi, o lenei mea na faʻasino atu i faiga e puipuia ai, ae na malilie le au atamamai e manaʻomia nisi suʻesuʻega. (Amr Tawfik et al., 2021)
Puipuia o Manu'a So'ona Fa'aoga
Afai e tele naua gaioiga fai soo se vaega o le tino e aunoa ma se malologa lelei, e matua masaesa, matete, pe mu vave, ma mafua ai ona manua tele. O mafuaʻaga o le faʻaaogaina o manuʻa e eseese ae e aofia ai le le fesuisuiai o taʻaloga e lava e malolo ai maso ma puipuia ai le tiga. O se suʻesuʻega suʻesuʻega i luga o le faʻateleina o manuʻa i tagata siisii mamafa na maua ai o le 25% na mafua ona o le faʻaaogaina o manua o le tendon. (Ulrika Aasa et al., 2017) O le puipuia o le soona fa'aoga e mafai ona fesoasoani e 'alofia ai fa'afitauli o le tapulima.
Pepa Saʻo
O le iloa lelei o le fa'atinoina o gaioiga ma le fa'aogaina o le fomu sa'o i taimi ta'itasi ta'aloga/toleniga e taua tele mo le puipuia o manu'a. E mafai e se tagata a'oa'o, foma'i ta'aloga, po'o se foma'i fa'apitoa ona a'oa'o pe fa'afefea ona fetu'una'i le u'u pe fa'atumauina le sa'o.
Ia mautinoa e va'ai lau 'au'aunaga mo le kilia a'o le'i si'i pe amata se polokalame fa'amalositino. Manu'a Fomai Faʻafefete ma le Functional Medicine Clinic e mafai ona fautua i a'oa'oga ma le fa'ata'ita'i po'o le faia o se fa'amatalaga pe a mana'omia.
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Manu'a i le va o tagata si'isi'i mamafa ma fa'amalosi malosi: o se iloiloga fa'apitoa. British journal of sports medicine, 51(4), 211–219. doi.org/10.1136/bjsports-2016-096037
Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Manu'a lima lima ma ta'aloga: o se toe iloiloga. Tusitala o taotoga faʻapitoa ma suʻesuʻega, 11(1), 99. doi.org/10.1186/s13018-016-0432-8
Bohannon RW (2019). Malosi o le Uu: O se mea e mana'omia mo tagata matutua. Fa'alavelave fa'afoma'i i le matua, 14, 1681-1691. doi.org/10.2147/CIA.S194543
Tawfik, A., Katt, BM, Sirch, F., Simon, ME, Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). O se su'esu'ega i le fa'atupuina o manu'a lima po'o tapulima i tagata ta'aalo CrossFit. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818
O nisi faʻafitauli o le neura e mafai ona mafua ai faʻalavelave mataʻutia o le neuropathy lautele, ma mo tagata taʻitoʻatasi e maua i le neuropathy lautele, e mafai e le togafitiga faʻale-tino ona fesoasoani e faʻaleleia le gafatia e feoai solo ma le saogalemu faatasi ai ma vailaʻau, taualumaga, ma fetuunaiga o le olaga e fesoasoani e pulea ma pulea faʻamaoniga?
Mataupu
Togafitiga o le Neuropathy Peripheral
O togafitiga o le neuropathy peripheral e aofia ai togafitiga faʻaalia ma pulega faʻafomaʻi e fesoasoani e puipuia ai le faʻaleagaina o neura.
Mo ituaiga mataʻutia o le neuropathy lautele, faʻalavelave faʻafomaʻi ma togafitiga e mafai ona togafitia le faʻagasologa autu, faʻaleleia le tulaga.
Mo ituaiga masani o neuropathy peripheral, faʻalavelave faʻafomaʻi ma mea taua o le olaga e mafai ona fesoasoani e puipuia le alualu i luma o le tulaga.
Ole togafitiga ole neuropathy ole peripheral ole taimi e taula'i ile puleaina o fa'ailoga o le tiga ma le puipuia o vaega ole lagona fa'aitiitia mai le fa'aleagaina po'o fa'ama'i.
Tausia o le Tagata Lava ma Fetuunaiga o le Olaga
Mo tagata taʻitoʻatasi ua maua i le neuropathy peripheral pe o loʻo lamatia i le atiaʻeina o le tulaga, o mea taua o le olaga e iai sona sao taua i le puleaina o faʻamaoniga ma puipuia ai le faʻaleagaina o neura mai le faʻaleagaina ma e mafai foi ona taofia le tulaga mai le atinaʻeina. (Jonathan Enders et al., 2023)
Paina Management
E mafai e tagata ta'ito'atasi ona fa'ata'ita'i nei togafitiga mo le tausiga o le tagata lava ia ma va'ai pe o le a le fesoasoani e fa'aitiitia ai lo latou fa'anoanoa ona fa'atupuina lea o se faiga masani e mafai ona latou fa'aaogaina. O le tausiga o le tagata lava ia mo fa'ailoga tiga e aofia ai:
Tu'u se mea fa'avevela mafanafana i vaega tiga.
Tu'u se pusa malulu (ae le o le aisa) i luga o vaega tiga.
Ufiufi le vaega po'o le tu'u pea e le ufiufia, e fa'atatau i tulaga fa'amafanafana.
Fai ofu talatala, totini, seevae, ma/po'o totigilima e le faia i mea e ono fa'aitaita ai.
Aloese mai le fa'aaogaina o lotion po'o fasimoli e ono fa'aitaita ai.
Fa'aaogā kulimi fa'amalie po'o lotion.
Tausia o vaega tiga ia mama.
Puipuiga o Manu'a
O le fa'aitiitia o lagona o se tasi lea o a'afiaga masani e mafai ona o'o atu ai i fa'afitauli e pei o le tautevateva, faigata ona fealua'i, ma manu'a. O le puipuia ma le siakiina e le aunoa mo manu'a e mafai ona fesoasoani e aloese mai fa'alavelave e pei o manu'a afaina. (Nadja Klafke et al., 2023) Fetuunaiga o le olaga e pulea ma puipuia ai manu'a e aofia ai:
Fa'aofu seevae ma totini.
Su'e vae, tamatama'ivae, tamatamailima, ma lima e le aunoa e su'e ni manu'a po'o ni manu'a atonu e le'i lagonaina.
Fa'amama ma ufiufi tipi ina ia 'alofia fa'ama'i pipisi.
Fa'aeteete atili i ipu ma'ai e pei o le kuka ma galuega po'o mea faigaluega fa'ato'aga.
Puleaina o faama'i
E mafai ona fesoasoani mea o le olaga e puipuia ai le alualu i luma o faʻamaʻi ma e vavalalata faʻatasi ma aʻafiaga ma mafuaʻaga autu. Ina ia fesoasoani e puipuia le neuropathy lautele poʻo lona alualu i luma e mafai ona faia e: (Jonathan Enders et al., 2023)
Fa'atumauina lelei le maualuga ole kulukose pe a maua oe i le ma'i suka.
Aloese mai le ava malosi mo so'o se neuropathy lautele.
Tausia le paleni lelei o taumafa, lea e mafai ona aofia ai vitamini faaopoopo, aemaise lava mo vegans poʻo vegans.
Togafitiga i luga ole laiga
O nai togafitiga fa'atau oloa e mafai ona fesoasoani i fa'ailoga tiga ma e mafai ona ave pe a mana'omia. O togafitiga o tiga i luga o le faleoloa e aofia ai: (Michael Überall et al., 2022)
Lidocaine fa'apipi'i, patch, po'o kulimi.
Capsaicin kulimi po'o patch.
Topical Aisa Vevela
Vailaau fa'ama'i e le fa'ama'i fa'ama'i - Advil/ibuprofen po'o Aleve/naproxen
Tylenol/acetaminophen
O nei togafitiga e mafai ona fesoasoani e faʻamalolo faʻamaʻi tiga o le neuropathy lautele, ae latou te le fesoasoani e faʻaleleia le faʻaitiitia o lagona, vaivaiga, poʻo faʻafitauli faʻatasi. (Jonathan Enders et al., 2023)
Togafitiga Talavai
Togafitiga talavai mo le togafitia o le neuropathy lautele e aofia ai vailaʻau tiga ma vailaʻau faʻamaʻi. O ituaiga masani o neuropathy lautele e aofia ai:
Neuropathy o le ava malosi
Mateʻo le neuropathy
Chemotherapy-fa'aoso neuropathy
O togafitiga fa'atalavai mo ituaiga fa'ama'i e 'ese'ese mai togafitiga mo tu'aiga mata'utia ole neuropathy lautele.
Paina Management
O togafitiga fa'atalatala e mafai ona fesoasoani e pulea le tiga ma le le mautonu. O vaila'au e aofia ai (Michael Überall et al., 2022)
O nisi taimi, o se fa'aopoopoga o le malosi o talavai po'o le vaitamini B12 e tu'uina atu e ala i tui e mafai ona fesoasoani e puipuia le alualu i luma pe a feso'ota'i le neuropathy lautele ma se fa'aletonu ogaoga o le vaitamini. O togafitiga fa'atalatala e mafai ona fesoasoani e togafitia le fa'agasologa autu i nisi o ituaiga o neuropathy lautele. Togafitiga mo le neuropathy lautele, e pei ole Miller-Fisher syndrome poʻo le Guillain-Barré syndrome, e mafai ona aofia ai:
Corticosteroids
Immunoglobulins – polotini o le tino puipuia
Plasmapheresis o se faiga e aveese ai le vaega vai o le toto, toe fa'afo'i mai sela o le toto, lea e suia ai le fa'aogaina o le tino puipuia. (Sanja Horvat et al., 2022)
E talitonu tagata suʻesuʻe e iai se fesoʻotaʻiga i le va o nei tulaga ma le inflammatory aʻafiaga namu, ma le suia o le puipuiga o le tino e aoga mo le togafitia o faʻamaoniga ma le faʻamaʻi faʻavae.
Togafitiga
I nisi tulaga, o taotoga e mafai ona manuia ai tagata taʻitoʻatasi o loʻo i ai ni ituaiga o neuropathy lautele. Pe a faʻateteleina e le isi tulaga faʻamaoniga poʻo le faʻagasologa o le neuropathy lautele, o le taotoga e mafai ona fesoasoani e faʻamalolo faʻamaoniga ma puipuia le alualu i luma o faʻamaʻi. Ua fa'amaonia le aoga o lenei mea pe a fa'alavelave neura po'o le le lava o le vasula o mea ia. (Wenqiang Yang et al., 2016)
Faʻapitoa faʻapitoa ma isi vailaʻau
O nisi auala felagolagoma'i ma isi auala e mafai ona fesoasoani i tagata ta'ito'atasi e feagai ma le tiga ma le le mautonu. O nei togafitiga e mafai ona avea o se filifiliga faifaipea mo i latou e maua i le neuropathy lautele. O filifiliga e mafai ona aofia ai: (Nadja Klafke et al., 2023)
Acupuncture e aofia ai le tuʻuina o nila i vaega patino o le tino e fesoasoani e faʻaitiitia faʻamaoniga o tiga.
Acupressure e aofia ai le faʻaogaina o le mamafa i vaega patino o le tino e fesoasoani e faʻaitiitia faʻamaoniga o tiga.
E mafai ona fesoasoani le fa'amālōlō fa'amalo e fa'amalie le te'a o maso.
O le mafaufau loloto ma le malolo e mafai ona fesoasoani i le puleaina o faailoga.
O togafitiga faʻale-tino e mafai foi ona avea o se vaega taua o le ola faʻatasi ma le neuropathy lautele ma le toe faʻaleleia mai le neuropathy lautele.
O togafitiga faʻaletino e mafai ona fesoasoani e faʻamalosia ai maso vaivai, faʻaleleia le faʻamaopoopoina, ma aʻoaʻo pe faʻafefea ona faʻafetaui i suiga faʻalogo ma afi e feoai ai ma le saogalemu.
E fa'amalosia tagata ta'ito'atasi o lo'o mafaufau e fa'aopoopo po'o isi togafitiga e talanoa ma latou tausi soifua maloloina muamua e fa'amautu pe saogalemu mo latou tulaga. Injury Medical Chiropractic and Functional Medicine Clinic o le a galulue faʻatasi ma le tagata tausi soifua maloloina ma / poʻo tagata faʻapitoa e atiaʻe se fofo sili ona lelei o le soifua maloloina ma le soifua maloloina e tuʻuina atu ai le tiga ma faʻaleleia le lelei o le olaga.
Peripheral Neuropathy: O se Tala Faʻaleleia Faʻaleleia
mau faasino
Enders, J., Elliott, D., & Wright, DE (2023). O lo'o fa'atupuina fa'alavelave e le fa'ama'i fa'afoma'i e togafitia ai le ma'i suka peripheral neuropathy. Antioxidants & redox signaling, 38(13-15), 989–1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bosser, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , … Stolz, R. (2023). Puipuiga ma Togafitiga o le Chemotherapy-Induced Peripheral Neuropathy (CIPN) faʻatasi ai ma Faʻatonuga Faʻapitoa: Fautuaga Faʻasoifua maloloina mai se Iloiloga Faʻatonu Faʻatonu ma se Faʻagasologa o Faʻasalalauga Faʻapitoa. Saienisi faafomai (Basel, Suiselani), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Neuropathy peripheral maʻisuka tiga: faʻatusatusaga moni i le va o togafitiga faʻapitoa ma le lidocaine 700 mg faʻamaʻi faʻamaʻi ma togafitiga tuʻu. BMJ tatala su'esu'ega ma le tausiga o le ma'isuka, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Lidocaine Intravenous mo Togafitiga o Tiga Faʻamaʻi: O se Suʻesuʻega Faʻasologa Toe Iloilo. Tusitala o suʻesuʻega tiga, 15, 3459-3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Fa'amama tiga ma le Fa'aleleia o le Tulaga Fa'alesoifua maloloina pe a mae'a le Microsurgical Decompression of Neuropathy Peripheral Entrapped i Ma'i Ma'i Ma'isuka Peripheral Neuropathy. Le Tusitala o taotoga vae ma tapuvae: lomiga aloaia a le American College of Foot and Ankle Surgeons, 55(6), 1185–1189. doi.org/10.1053/j.jfas.2016.07.004
For individuals experiencing back pain from a herniated disc, can understanding the difference between surgery and chiropractic help individuals find the right treatment plan?
Mataupu
Surgery or Chiropractic
Living with back pain can be a nightmare, and yet many struggle without seeking care. Today, there are a vast number of surgeries and noninvasive techniques that are better at treating spine and back problems and managing symptoms. For individuals who may have a herniated disc or are curious about ways to relieve their back pain, a health care provider, physical therapist, spine specialist, and chiropractor can inform them of treatment options. Surgery and chiropractic therapy are popular treatments for a herniated, bulging, or slipped disc.
A herniated disc is when the cartilage discs that cushion the vertebrae shift out of position and leak out.
Surgery for a herniated disc involves removing or repairing the disc.
Chiropractic nonsurgically repositions the disc and realigns the spine.
Both treatments have the same goals with key differences.
Chiropractic Care
Chiropractic is a system of therapy that focuses on adjusting and maintaining spinal alignment to help with back and posture problems. Chiropractors are trained and licensed medical professionals who take a nonsurgical approach, a proven therapy for chronic pain, flexibility, and mobility issues.
Le Ala e Galue ai
Chiropractic treatment encourages and supports the body’s natural healing processes. It is considered for joint pain in the back, neck, legs, arms, feet, and hands. It typically involves sessions in which the chiropractor physically and carefully adjusts the vertebrae by hand, also known as spinal manipulation or chiropractic adjustments. (MedlinePlus. 2023). A chiropractor performs a thorough medical evaluation and runs tests to establish a diagnosis. A chiropractor will develop a treatment plan that may involve a team of massage and physical therapists, tagata faʻapitoa, health coaches, and nutritionists to treat affected areas with various techniques, recommend targeted exercises, adjust lifestyle and nutrition to support the treatment, and monitor progress. Combined with stretching and sustained pressure, the multiple methods can increase joint mobility and relieve pain symptoms. (National Center for Complimentary and Integrative Health. 2019) Added protocols to support or enhance chiropractic therapy include:
Heating and ice therapies to reduce inflammation and increase blood circulation.
Using devices to stimulate muscles and nerves electrically.
Developing relaxation and deep breathing techniques.
Incorporating exercises to promote rehabilitation.
Establishing a regular fitness routine.
Making adjustments to diet and lifestyle.
Taking certain dietary supplements.
Spinal manipulation and chiropractic adjustments have been shown to improve symptoms and restore mobility in cases of chronic back pain. One review found that individuals with chronic lumbar/low back pain reported significant improvement after six weeks of chiropractic treatment. (Ian D. Coulter et al., 2018)
tau o Oloa
The out-of-pocket expenses of chiropractic treatment depend on a variety of factors.
Insurance may or may not cover the treatment, and the amount an individual has to pay can vary based on the severity of their case, what their plan covers, and where they live. One review found the cost can range between $264 and $6,171. (Simon Dagenais et al., 2015)
Togafitiga
There is a range of minimally invasive surgical procedures to treat herniated discs. These work to ease nerve compression by removing or replacing damaged discs or stabilizing the vertebrae, relieving pain and inflammation.
Le Ala e Galue ai
A herniated disc can happen in any part of the spine but is more common in the lower back/lumbar spine and in the neck/cervical spine. Surgery is recommended when: (American Academy of Orthopedic Surgeons. 2022)
More conservative treatments, like medications and physical therapy, are unable to manage symptoms.
The pain and symptoms impact daily life and functioning.
Standing or walking becomes difficult or impossible.
The herniated disc causes difficulty walking, muscle weakness, and bladder or bowel control loss.
The individual is reasonably healthy, without infection, osteoporosis, or arthritis.
Specific surgical procedures used include:
Ta'otoga Fusion
Spinal fusion is the most common procedure for a lower back herniated disc.
It involves using artificial bone material to fuse vertebrae to increase stability and release and prevent nerve irritation and compression. (American Academy of Neurological Surgeons. 2024)
Laminotomy and Laminectomy
Herniated disc symptoms appear from compression placed on the nerves.
Laminotomy involves making a small cut in the lamina, or the arch of the spinal vertebrae, to release the pressure.
Another approach involves implanting an artificial disc.
This is most often used for hernia in the lower spine; the worn or damaged disc is removed, and a specialized prosthetic replaces the removed disc. (American Academy of Orthopedic Surgeons. 2022)
This allows for more mobility.
The success of herniated disc surgery depends on different factors. Advances in minimally invasive techniques have significantly improved long-term outcomes, with one review finding that around 80% reported good—excellent results at a six-year follow-up. (George J. Dohrmann, Nassir Mansour 2015) However, there is the possibility of recurrence. About 20% to 25% of individuals with herniated lumbar discs experience re-herniation at some point. (American Academy of Neurological Surgeons. 2024)
tau o Oloa
Surgery for a herniated disc is specialized, and the costs depend on the scope and scale of the treatment.
The individual’s specific insurance plan also determines the expenses.
When choosing between chiropractic and surgery for a herniated disc, a number of factors can determine the decision, including:
Chiropractic is the less invasive nonsurgical option.
Chiropractic adjustments cannot help certain severe cases of herniated discs.
Chiropractic adjustments prevent the herniated disc from getting worse and ease symptoms.
Surgery provides pain and symptom relief faster than chiropractic or conservative treatment but requires significant recovery time and is expensive. (Anna N A Tosteson et al., 2008)
Surgery may not be appropriate for individuals with osteoarthritis or osteoporosis.
Chiropractic therapy is among the more conservative treatment options for a herniated disc and may be tried first before proceeding with surgery. Generally, surgery is only recommended when noninvasive methods haven’t been able to stop or manage the pain and symptoms. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution that fully benefits the individual to get back to normal.
Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Faʻataʻitaʻiga ma faʻamalosi mo le togafitia o tiga maualalo maualalo maualalo: o se iloiloga faʻapitoa ma faʻataʻitaʻiga. O le talaaga o le tui: tusi talaaga aloaia a le North American Spine Society, 18(5), 866–879. doi.org/10.1016/j.spinee.2018.01.013
Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States. BMC health services research, 15, 474. doi.org/10.1186/s12913-015-1140-5
Dohrmann, G. J., & Mansour, N. (2015). Long-Term Results of Various Operations for Lumbar Disc Herniation: Analysis of over 39,000 Patients. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 24(3), 285–290. doi.org/10.1159/000375499
Tosteson, A. N., Skinner, J. S., Tosteson, T. D., Lurie, J. D., Andersson, G. B., Berven, S., Grove, M. R., Hanscom, B., Blood, E. A., & Weinstein, J. N. (2008). The cost effectiveness of surgical versus nonoperative treatment for lumbar disc herniation over two years: evidence from the Spine Patient Outcomes Research Trial (SPORT). Spine, 33(19), 2108–2115. doi.org/10.1097/brs.0b013e318182e390
Spinal stenosis o le faaupuga lea e faʻaaogaina e faʻamatala ai se vaʻa vaiti. E eseese togafitiga ona e eseese uma tagata. O nisi tagata e maua ni fa'ailoga vaivai, a'o isi e o'o i fa'ailoga tuga. E mafai e le iloaina o togafitiga togafitiga ona fesoasoani i le tagata ma'i ma le vaega o le soifua maloloina e faʻavasega ma faʻapitoa se fuafuaga togafitiga i le tulaga o le tagata?
Mataupu
Togafitiga ole Spinal Stenosis
O avanoa i totonu o le tui e mafai ona vaapiapi nai lo le mea e tatau ona i ai, lea e mafai ona mafua ai le mamafa i aʻa o neura ma le uaea. So'o se mea i luga o le tuasivi e mafai ona a'afia. O le vaapiapi e mafai ona mafua ai le tiga, mu, ma / poʻo le tiga i tua ma vaivai i vae ma vae. Spinal stenosis e tele togafitiga muamua. Pe a galue i togafitiga faʻamaʻi faʻamaʻi, o le a suʻesuʻeina e le tausi soifua maloloina faʻamaoniga ma amata togafitiga i togafitiga laina muamua, e pei o vailaʻau tiga ma / poʻo togafitiga faʻaletino. O i latou ia e masani ona muamua i tagata e maua i le ma'i.
vailaau
O le tiga tumau o se tasi lea o faailoga autu. Ole togafitiga ole laina muamua e masani ona aofia ai le fa'aogaina ole vaila'au fa'amama tiga. O vaila'au e masani ona fa'atonuina ole nonsteroidal anti-inflammatories po'o NSAIDs. O nei vailaʻau e faʻaitiitia ai le tiga ma le mumū. Ae ui i lea, e le fautuaina NSAIDs mo le faʻaaogaina umi, ma o isi vailaʻau atonu e manaʻomia ona faʻaoga e faʻamalolo ai le tiga e aofia ai: (Sudhir Diwan et al., 2019)
Tylenol - acetaminophen
Gabapentin
Muamua
Opioids mo tulaga ogaoga
Faamalositino
O fa'amalositino e mafai ona fa'aitiitia ai fa'ailoga fa'ama'i fa'ama'i e ala i le ave'esea o neura, lea e fa'aitiitia ai le tiga ma fa'aleleia atili ai le fe'avea'i. (Andrée-Anne Marchand et al., 2021) O le a fautuaina e le au tausi soifua maloloina faʻamalositino sili ona aoga mo le tagata. O fa'ata'ita'iga e aofia ai:
O le isi togafitiga faʻamaʻi totoʻa muamua o le togafitiga faʻale-tino, lea e masani ona faʻaogaina faʻatasi ma vailaʻau tiga. E masani lava, e faia e tagata taʻitoʻatasi le ono i le valu vaiaso o togafitiga faʻale-tino, faatasi ai ma vasega lua i le faatolu i le vaiaso. O le faʻaaogaina o togafitiga faʻaletino ua faʻaalia e (Sudhir Diwan et al., 2019)
Faaitiitia le tiga
Faʻateleina le vavave
Faʻaitiitia vailaʻau tiga.
Faʻaitiitia faʻamaoniga o le soifua maloloina o le mafaufau e pei o le ita, atuatuvale, ma suiga o lagona.
Mo tulaga ogaoga, togafitiga faʻale-tino pe a uma le taotoga e mafai ona faʻaitiitia taimi toe faʻaleleia.
Faʻamau i tua
E mafai ona fesoasoani fa'amau i tua e fa'aitiitia le fegasoloa'i ma le mamafa i luga o le tui. E fesoasoani lenei mea aua e oo lava i nai gaioiga laiti e mafai ona oʻo atu ai i le ita o neura, tiga, ma faʻalavelave leaga. I le aluga o taimi, o le faʻamalosi e mafai ona taʻitaʻia ai se faʻaleleia lelei o le gaoioi. (Carlo Ammendolia et al., 2019)
Injections
Epidural steroid tui e mafai ona fautuaina e faʻamalolo ai faʻaʻailoga tuga. Steroids e fai ma anti-inflammatories e faʻaitiitia ai le tiga ma le fula e mafua mai i le mumū ma le ita o neura o le ivi. E ta'ua i latou o ni faiga fa'afoma'i e le fa'ama'i. E tusa ai ma suʻesuʻega, o tui e mafai ona pulea lelei le tiga mo le lua vaiaso ma oʻo atu i le ono masina, ma o nisi suʻesuʻega na maua ai pe a maeʻa le tui o le tui, e mafai ona tumau le toomaga mo le 24 masina. (Sudhir Diwan et al., 2019)
Fa'ata'ita'iga o le Decompression Ligaments Mafiafia
O nisi tagata e ono fautuaina e faia se faiga fa'amama. O lenei faiga e aofia ai le fa'aogaina o se nila manifinifi e tu'u i tua. E aveese le aano o le ligament mafiafia e faʻaitiitia ai le mamafa i luga o le tui ma neura. Ua maua su'esu'ega e mafai e le fa'agasologa ona fa'aitiitia fa'ailoga ma le mana'omia mo le tele o taotoga fa'alavelave. (Nagy Mekhail et al., 2021)
Isi Suʻega
I le faaopoopo atu i togafitiga muamua, e mafai ona tuʻuina atu tagata taʻitoʻatasi i isi togafitiga mo le puleaina o faʻamaoniga, e aofia ai:
akupunika
E a'afia ai le fa'aofiina o nila manifinifi i ni acupoints eseese e fa'amama ai fa'ailoga.
O nisi suʻesuʻega ua maua ai o le acupuncture atonu e sili atu le aoga i le faʻaitiitia o faʻamaoniga nai lo togafitiga faʻale-tino. O filifiliga uma e lua e mafai ma e mafai ona faʻaleleia le gaioi ma le tiga. (Hiroyuki Oka et al., 2018)
Faʻafefete
O lenei togafitiga e fa'aitiitia ai le mamafa o neura, fa'atumauina le fa'aogaina o le ivi, ma fesoasoani e fa'aleleia atili le fe'avea'i.
fofō
O le massage e fesoasoani e faʻateleina le taʻavale, faʻamalo maso, ma faʻaitiitia le tiga ma le malo.
Filifiliga Fou Togafitiga
A'o fa'aauau su'esu'ega o le fa'ama'i o le ivi, o lo'o tula'i mai fo'i togafitiga fou e fesoasoani e fa'amama ma pulea fa'ailoga i tagata ta'ito'atasi e le tali atu i vaila'au fa'aleaganu'u pe le mafai fo'i ona 'ai i togafitiga fa'aleaganu'u mo mafuaaga eseese. Ae ui i lea, o nisi faʻamaoniga ua tuʻuina atu e faʻamaonia; e mafai e foma'i inisiua ona manatu latou te fa'ata'ita'i ma e le ofoina atu se'i vagana ua fa'amaonia lo latou saogalemu. O nisi o togafitiga fou e aofia ai:
Acupotomy
O le Acupotomy o se ituaiga o acupuncture e fa'aogaina ai nila manifinifi ma sina pito la'ititi, mafolafola, e fa'amama ai le vevesi i vaega tiga. O su'esu'ega i ona a'afiaga o lo'o fa'atapula'aina lava, ae o fa'amaumauga muamua o lo'o fa'aalia ai e mafai ona avea ma togafitiga fa'aopoopo lelei. (Ji Hoon Han et al., 2021)
Lafitaga o le Cell Cell
Stem cell o sela ia e afua mai ai isi sela uma. Latou te galue o se mea mataʻutia mo le tino e fausia ai sela faʻapitoa ma galuega faʻapitoa. (National Institutes of Health. 2016)
O tagata ta'ito'atasi e maua i le tui fa'ama'i e mafai ona atia'e le fa'aleagaina o le tino vaivai.
O le togafitiga o le stem cell e fa'aaogaina ai sela fa'aola e fesoasoani ai e toe fa'aleleia aano o manu'a pe mama'i.
E mafai ona fesoasoani le togafitiga o le stem cell e toe faaleleia pe faaleleia vaega ua faaleagaina ma maua ai le toomaga o auga.
O su'esu'ega fa'afoma'i mo le fa'ama'i fa'ama'i ua lipotia mai e mafai ona avea ma se togafitiga talafeagai mo nisi.
Ae ui i lea, e manaʻomia nisi suʻesuʻega e faʻamaonia pe o le togafitiga e lava le aoga e faʻaaoga lautele. (Hideki Sudo et al., 2023)
Masini Fa'amautu malosi
LimiFlex o se masini faʻafomaʻi o loʻo faia suʻesuʻega ma auʻiliʻiliga mo lona gafatia e toe faʻafoʻisia le gaoioi ma le mautu i totonu o le tui. E totoina i le tua e ala i se taotoga. E tusa ai ma suʻesuʻega, o tagata taʻitoʻatasi o loʻo maua i le faʻamaʻi faʻamaʻi e maua le LimiFlex e masani ona oʻo i se faʻaitiitia maualuga o tiga ma faʻamaoniga nai lo isi ituaiga o togafitiga. (T Jansen et al., 2015)
Lumbar Interspinous Distraction Decompression
Lumbar interspinous distraction decompression o se isi taotoga faʻapitoa mo le faʻamaʻi faʻamaʻi. O le taotoga e faia i se tipi i luga aʻe o le tui ma tuʻu se masini i le va o vetebrae e lua e faʻaogaina ai avanoa. E fa'aitiitia ai le fe'avea'i ma le mamafa o neura. O fa'ai'uga muamua o lo'o fa'aalia ai le toomaga pupuu mai fa'ailoga; e le'i maua fa'amaumauga umi ona o se togafiti e fai lava si fou ole va'aiga fa'ama'i. (UK National Health Service, 2022)
Taʻiala Taʻaloga
E tele ta'aloga ta'otoga o lo'o avanoa mo fa'ama'i fa'ama'i. O nisi e aofia ai: (NYU Langone Health. 2024) O ta'otoga mo le fa'ama'i fa'ama'i e masani ona fa'aagaga mo tagata ta'ito'atasi o lo'o iai fa'ailoga tuga, e pei o le pe o lima po'o vae. Pe a tupu nei faʻailoga, e faʻaalia ai se faʻalavelave sili atu ona mataʻutia o neura ivi ma le manaʻomia mo se togafitiga sili atu. (NYU Langone Health. 2024)
Laminectomy
O le laminectomy e aveese ai se vaega po'o le lamina atoa, le ponaivi o le vetebral e ufiufi ai le alavai.
Ua fuafuaina le faiga e fa'aitiitia ai le mamafa o neura ma le va'ai.
Laminotomy ma Foraminotomy
E fa'aoga uma ta'otoga pe a a'afia le ma'umaga o le fa'ama'i o le va'a.
O ligaments, cartilage, poʻo isi aano o loʻo faʻapipiʻiina neura e aveese.
O mea uma e lua e fa'aitiitia ai le mamafa o neura o lo'o fealua'i i totonu o le fo'i.
Laminoplasty
O le laminoplasty e fa'amāmā ai le mamafa i luga o le va'aiga e ala i le aveeseina o vaega o le alavai o le va'a.
O lenei taotoga e aofia ai le aveeseina o le herniated poʻo le bulging discs o loʻo tuʻuina le mamafa i luga o le vaʻa ma neura.
Faʻatasi fusuaga
O le fusuaga o le ivi e aofia ai le tu'ufa'atasia o vetebra e lua e fa'aaoga ai fasi u'amea pei o la'au ma fao.
O le vetebrae e sili atu ona mautu ona o laʻau ma faʻavili e fai ma faʻamau.
O le fea Togafitiga e Sa'o?
Talu ai e eseese uma fuafuaga togafitiga, o le fuafuaina o le sili ona aoga e sili ona fetaui mo se tausi soifua maloloina. O auala taʻitasi o le a faʻapitoa i le tagata lava ia. Ina ia filifili pe o le a le togafitiga e sili ona lelei, o le a iloiloina e le au tausi soifua maloloina: (National Institute of Arthritis and Musculoskeletal and Skin Diseases. 2023)
Le mamafa o fa'ailoga.
Le tulaga o lo'o iai nei ole soifua maloloina atoa.
Le maualuga o le faʻaleagaina o loʻo tupu i totonu o le tui.
Le maualuga o le le atoatoa ma le auala e a'afia ai le feoai ma le tulaga lelei o le olaga.
Injury Medical Chiropractic and Functional Medicine Clinic o le a galulue faʻatasi ma se tagata tausi soifua maloloina muamua ma / poʻo tagata tomai faapitoa e fesoasoani i le fuafuaina o togafitiga sili ona lelei ma popolega e uiga i vailaʻau poʻo isi ituaiga o togafitiga.
Tatala Soifua Maloloina
mau faasino
Diwan, S., Sayed, D., Deer, TR, Salomons, A., & Liang, K. (2019). O se Algorithmic Approach i Togafitiga Lumbar Spinal Stenosis: O se Faʻamatalaga Faʻavae Faʻamatalaga. Vailaau tiga (Malden, Mass.), 20(Suppl 2), S23–S31. doi.org/10.1093/pm/pnz133
Marchand, AA, Houle, M., O'Shaughnessy, J., Châtillon, C. É., Cantin, V., & Descarreaux, M. (2021). Le aoga o se polokalame faʻamalositino faʻavae mo tagata gasegase o loʻo faʻatali le taotoga mo le lumbar spinal stenosis: o se faʻataʻitaʻiga faʻapitoa faʻapitoa. Lipoti Faasaienisi, 11(1), 11080. doi.org/10.1038/s41598-021-90537-4
Ammendolia, C., Rampersaud, YR, Southerst, D., Ahmed, A., Schneider, M., Hawker, G., Bombardier, C., & Côté, P. (2019). Aafiaga o se faʻataʻitaʻiga lumbar spinal stenosis belt versus a lumbar support i luga o le gafatia savali i le lumbar spinal stenosis: o se faʻataʻitaʻiga faʻatonuina. The spine journal : tusi talaaga aloaia a le North American Spine Society, 19(3), 386–394. doi.org/10.1016/j.spinee.2018.07.012
Mekhail, N., Costandi, S., Nageeb, G., Ekladios, C., & Saied, O. (2021). Le umi o le faʻaogaina o le lumbar decompression faʻataʻitaʻiga i tagata mamaʻi ma faʻamaʻi faʻamaʻi faʻamaʻi faʻamaʻi: tulitatao umi. Faʻataʻitaʻiga tiga: le tusi talaaga aloaia a le World Institute of Pain, 21 (8), 826-835. doi.org/10.1111/papr.13020
Oka, H., Matsudaira, K., Takano, Y., Kasuya, D., Niiya, M., Tonosu, J., Fukushima, M., Oshima, Y., Fujii, T., Tanaka, S., & Inanami, H. (2018). O se suʻesuʻega faʻatusatusa o togafitiga faʻasao e tolu i tagata mamaʻi e maua i le lumbar spinal stenosis: lumbar spinal stenosis ma le acupuncture ma suʻesuʻega faʻamalositino (LAP study). BMC fa'aopoopo ma isi vaila'au, 18(1), 19. doi.org/10.1186/s12906-018-2087-y
Han, JH, Lee, HJ, Woo, SH, Paka, YK, Choi, GY, Heo, ES, Kim, JS, Lee, JH, Paka, CA, Lee, WD, Yang, CS, Kim, AR, & Han , CH (2021). Lelei ma le saogalemu o le acupotomy i luga o le lumbar spinal stenosis: O se faʻataʻitaʻiga faʻapitoa, faʻatonutonuina, faʻataʻitaʻiga faʻataʻitaʻi faʻataʻitaʻiga: O se faʻataʻitaʻiga suʻesuʻe. Vailaau, 100(51), e28175. doi.org/10.1097/MD.0000000000028175
Sudo, H., Miyakoshi, T., Watanabe, Y., Ito, YM, Kahata, K., Tha, KK, Yokota, N., Kato, H., Terada, T., Iwasaki, N., Arato, T., Sato, N., & Isoe, T. (2023). Polokalama mo le togafitia o le faʻamaʻi pipisi o le lumbar spinal faʻatasi ma le tuʻufaʻatasia o sela o le mesenchymal stem e maua mai i le ponaivi allogenic ma le gel faʻapipiʻi i totonu: o se multicentre, faʻamoemoe, faalua-tauaso faʻataʻitaʻiina faʻataʻitaʻiga. BMJ tatala, 13(2), e065476. doi.org/10.1136/bmjopen-2022-065476
Jansen, T., Bornemann, R., Otten, L., Sander, K., Wirtz, D., & Pflugmacher, R. (2015). Vergleich dorsaler Dekompression nicht stabilisiert und dynamisch stabilisiert mit LimiFlex™ [O Se Fa'atusatusaga o le Fa'ata'otoga o le Tulaga ma le Fa'asaoina o le Tulaga Fa'atasi ma le Mea Fa'amautu Fa'atonu LimiFlex™]. Zeitschrift fur Orthopadie und Unfallchirurgie, 153(4), 415–422. doi.org/10.1055/s-0035-1545990
Mo tagata taʻitoʻatasi o loʻo aʻafia pe pulea le maualalo o le tiga ma / poʻo le sciatica, e mafai e le lumbar traction therapy ona fesoasoani e maua ai le toomaga faifai pea?
Mataupu
Lumbar Malosi
Lumbar traction therapy mo tiga pito i lalo ma le sciatica e mafai ona avea ma se togafitiga e fesoasoani e toe faʻafoʻisia le feʻaveaʻi ma fetuutuunai ma lagolagoina saogalemu le toe foʻi atu o se tagata i se tulaga sili ona lelei o le gaioiga. E masani ona tu'ufa'atasia ma fa'amalositino fa'amalositino. (Yu-Hsuan Cheng, et al., 2020) O le metotia e faʻalauteleina le avanoa i le va o le vetebra i le pito i lalo, faʻamalolo le tiga pito i lalo.
Lumbar poʻo le maualalo pito i tua e fesoasoani e vavae avanoa i le va o le vetebra.
O le tu'ueseeseina o ponaivi e toe fa'afo'isia ai le ta'amilosaga ma fesoasoani e fa'amama le mamafa i neura ua pipii e pei o le neura sciatic, fa'aitiitia le tiga ma fa'aleleia atili le gaioi.
suʻesuʻega
Fai mai tagata suʻesuʻe, o le lumbar traction i le faʻamalositino e leʻi faʻaleleia ai taunuʻuga taʻitoʻatasi pe a faʻatusatusa i faʻamalositino faʻamalositino na o latou lava (Anne Thackeray et al., 2016). O le suʻesuʻega na suʻesuʻeina ai le 120 tagata auai ma le tiga i tua ma aʻa aʻa namu na filifilia faʻafuaseʻi e faʻataʻitaʻiina le lumbar traction ma faʻamalositino poʻo faʻamalositino faigofie mo tiga. O fa'amalositino fa'aopoopo e fa'atatau i le punou i tua i tua. O lenei gaioiga e manatu e aoga mo tagata taʻitoʻatasi e tiga i tua ma neura pine. O faʻaiʻuga na faʻaalia ai o le faʻaopoopoina o le lumbar traction i faʻamalositino faʻamalositino e leʻi ofoina atu ni faʻamanuiaga taua i luga o faʻaopoopoga faʻavae faʻamalositino naʻo mo tiga i tua. (Anne Thackeray et al., 2016)
O se suʻesuʻega 2022 na maua ai o le lumbar traction e fesoasoani tele mo tagata taʻitoʻatasi e maualalo le tiga. O le suʻesuʻega na suʻesuʻeina ni auala eseese e lua o le lumbar traction ma maua ai o le fesuiaiga-malosi o le lumbar traction ma le maualuga o le malosi o le lumbar traction na fesoasoani e faʻamalolo le tiga pito i lalo. Na maua foi le malosi o le lumbar traction e faʻaitiitia ai le le atoatoa o galuega. (Zahra Masood et al., 2022) O se isi suʻesuʻega na maua ai le lumbar traction e faʻaleleia ai le tele o le gaioiga i le suʻega saʻo o le vae. O le suʻesuʻega na suʻesuʻeina ai malosiaga eseese o le toso i luga o le herniated discs. O laʻasaga uma na faʻaleleia ai le tele o gaioiga a tagata taʻitoʻatasi, ae o le afa o le mamafa o le tino e fesoʻotaʻi ma le toomaga sili ona taua. (Anita Kumari et al., 2021)
faiga
Mo tagata taʻitoʻatasi e naʻo le maualalo o le tiga i tua, faʻamalositino, ma le faʻasaʻoina o pou atonu o mea uma ia e manaʻomia e maua ai le toomaga. O suʻesuʻega e faʻamaonia ai faʻamalositino faʻamalositino e mafai ona fesoasoani e faʻaitiitia le tiga ma faʻaleleia atili le gaioiga (Anita Slomski 2020). O se isi suʻesuʻega na faʻaalia ai le taua o le tuʻufaʻatasia fa'ailoga sciatic i le taimi o gaioiga fai soo. Centralization o loʻo faʻanofoina le tiga i tua i le tui, o se faʻailoga lelei o neura ma tisiketi o loʻo faʻamalolo ma e tupu i le taimi o faʻamalositino. (Hanne B. Albert et al., 2012) E mafai e le chiropractor ma le vaega o togafitiga faʻaletino ona aʻoaʻoina tagata mamaʻi i le puipuia o faʻamaʻi tiga i tua. Chiropractors ma fomaʻi faʻapitoa o tagata tomai faʻapitoa e mafai ona faʻaalia po o fea faʻamalositino e sili ona lelei mo lou tulaga. O le amataina o se polokalame fa'amalositino e fa'atotonugalemu ai fa'ailoga e mafai ona fesoasoani i tagata ta'ito'atasi e toe fo'i vave ma saogalemu i o latou olaga masani. Fa'atalanoa se tausi soifua maloloina a'o le'i amataina so'o se polokalame fa'amalositino mo le tiga i tua.
Fomai Fa'agaioiga: Chiropractic
mau faasino
Cheng, YH, Hsu, CY, & Lin, YN (2020). Le aʻafiaga o le faʻaogaina o masini i luga o le maualalo o tiga i tagata mamaʻi ma herniated intervertebral disks: o se iloiloga faʻapitoa ma meta-suʻesuʻega. Toefuata'iga falema'i, 34(1), 13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Tamaiti, JD, & Brennan, GP (2016). Le aoga o le faʻaogaina o masini i totonu o vaega laiti o maʻi maʻi maualalo i tua ma tiga vae: o se suʻega faʻafuaseʻi. Le Journal of Orthopedic and Sports Physical Therapy, 46(3), 144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Aafiaga ole lumbar traction ile discogenic maualalo tiga ile faʻaaogaina o malosiaga fesuisuiai. JPMA. Le Journal of the Pakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Aafiaga o le tasi-lima, tasi-tolu, ma le afa o le tino mamafa lumbar traction i luga o le vae saʻo le suʻega suʻega ma tiga i le prolapsed intervertebral disc maʻi: se faʻataʻitaʻiga faʻatonuina. BioMed su'esu'ega fa'avaomalo, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Togafitiga Faʻaletino Muamua e Faʻamalolo ai Sciatica le malosi ma le tiga. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). Centralization i tagata mamaʻi ma le sciatica: o tali tiga i le faʻasolosolo faʻagaioiga ma tulaga e fesoʻotaʻi ma taunuʻuga poʻo ituaiga o faʻamaʻi faʻamaʻi?. European spine journal : lomiga aloaia a le European Spine Society, le European Spinal Deformity Society, ma le European Section of the Cervical Spine Research Society, 21(4), 630-636. doi.org/10.1007/s00586-011-2018-9
Mo tagata ta'ito'atasi o lo'o mafatia i le tiga o le ua ma le ulu ulu, e mafai ona fesoasoani le togafitiga o le fa'amama ulu o craniosacral e maua ai le toomaga?
Mataupu
Togafitiga Craniosacral
O le togafitiga o le Craniosacral o se massage malu e faʻamalolo ai le fascia poʻo le fesoʻotaʻiga o fesoʻotaʻiga fesoʻotaʻiga. O le togafitiga e le fou ae ua maua le gauai fou ona o le fiafia lautele i togafitiga masani tiga ma togafitiga. E fa'atapula'aina su'esu'ega, ae o lo'o fa'aauau pea su'esu'ega fa'afoma'i e va'ai pe mafai ona avea le togafitiga ma se filifiliga fa'apitoa mo togafitiga. O le togafitiga e faʻamoemoe e faʻaitiitia ai faʻamaoniga o maʻi ma tulaga faʻalesoifua maloloina eseese, e aofia ai:
E ala i le faʻamaloloina o le faʻamalosi i le pito i lalo, ulu, ma le koluma ivi, e toe faʻafoʻisia le tafe o le sua o le cerebrospinal, ma toe faʻafoʻi le paʻu o le tino i totonu o le tino. O lenei mea e maua ai le toomaga tiga, faʻaitiitia le atuatuvale, ma faʻaleleia ai le soifua manuia atoa.
Fa'aletonu le fa'alogoina o le hyperactivity - ADHD
sela
Togafitiga e fa'amalolo ai a'afiaga o le kanesa.
O vaega e taulaʻi i ai o mea ia o loʻo i luga o le fascia, o le aano fesoʻotaʻi o loʻo taofiofia totoga, ala toto, ponaivi, alava neura, ma maso i totonu. E ala i le fa'aogaina o lenei aano e ala i le fa'amama fa'amamago, e fesoasoani fo'i foma'i e fa'ato'afilemu le tali tau-po'o-lele e ala i le fa'amalieina o le tino fa'aalofa. O fa'ailoga e iloa ai po'o a vaega o le tino e mana'omia ai togafitiga o le craniosacral. O tagata taʻitoʻatasi e tiga ulu o le a tuʻuina atu i ai le ulu poʻo le ua. O isi vaega o loʻo aʻafia i togafitiga o le craniosacral e aofia ai: (Heidemarie Haller, Gustav Dobos, ma Holger Cramer, 2021)
tua
Fa'ata'amilo i le koluma ivitū.
O isi vaega e pei o sooga po'o maso.
O le mamafa o loʻo faʻaaogaina i le taimi o togafitiga o le craniosacral e mama ma e le tutusa ma se massage loloto.
O le mamafa o le mamafa e faʻaaogaina i luga o le tino o loʻo aʻafia e fesoasoani e toe faʻafoʻi nisi o pao o le tino e mafai ona i ai se sao i le tiga ma isi faʻaʻailoga. (Heidemarie Haller, Gustav Dobos, ma Holger Cramer, 2021)
Parasympathetic ma Sympathetic Nervous System
E pulea e le tino fa'aleagaga ma le fa'aalofa e fa'afoe tali eseese a le tino.
E lagolagoina e le tino neura parasympathetic le malolo lelei ma le fa'againa o mea'ai, ma o le neura fa'aalofa e fa'atonutonu le tali atu a le tino i le fusu'aga. (Falemai Cleveland. 2022)
Togafitiga Tekinolosi
O faiga fa'aoga o lo'o fa'aaogaina i togafitiga o le craniosacral e fa'alagolago i le maualalo o le mamafa e fa'amoemoe e fa'alelei pe a mafai. O tamatamai lima e masani ona faʻaaoga e aloese ai mai le faʻaogaina o le mamafa tele. E galulue le au tausi soifua maloloina vaega i le va o le ulupoo ma le pito i lalo o le tui e iloa ai ma toe faʻaleleia le le paleni i totonu o le tino ma le sua o le cerebrospinal. Afai e i ai se le paleni i le sua o le cerebrospinal, o le a toe faʻatulagaina e le fomaʻi faʻamaʻi le tagata pe lolomi i luga o le eria e faʻasaʻo ma / pe faʻateleina le taamilosaga. O metotia e galue e faʻaleleia ai le malosi o le tino e faʻatonutonu ai tali faʻaletino. (Heidemarie Haller et al., 2019) I le taimi ma pe a uma le sauniga, e mafai e tagata taʻitoʻatasi ona oʻo i lagona eseese, e aofia ai: (Biodynamic Craniosacral Therapy Association o Amerika i Matu, 2024)
Malolo.
Lagona e pei ua i ai i se tulaga mafaufau loloto.
Moe.
Malosi.
Lagonaina o se lagona o le mafanafana.
Mānava loloto.
Lagona le tino ua sa'o ma maualuga.
Tagata ta'ito'atasi e le tatau ona maua Craniosacral Therapy
Craniosacral togafitiga ua manatu saogalemu; ae ui i lea, o nisi tagata e tatau ona aloese pe faʻafesoʻotaʻi se tausi soifua maloloina aʻo leʻi faʻataʻitaʻiina. O i latou e fautuaina e aua neʻi mauaina le togafitiga e aofia ai tagata o loʻo i ai maʻi poʻo faʻafitauli nei:
Gagana po'o isi manu'a fa'aleaga fai'ai.
Toto toto.
Fua le fai'ai.
Fai'ai fa'ama'i - o se fa'apupu'e o lo'o tumu i le toto i totonu o le va'a toto i totonu po'o tafatafa o le fai'ai.
Tulaga e mafua ai le faaputuputuina o le sua o le cerebrospinal.
faiga
Craniosacral togafitiga e ofoina atu e le tele o tausi soifua maloloina, e aofia ai:
Craniosacral therapy laiseneina foma'i fofo
Fomai faʻapitoa
Tagata faʻapitoa faʻapitoa
Osteopaths
Chiropractors
E iloa lelei e nei tagata tomai fa'apitoa le fa'atinoina sa'o o le faiga o le massage.
Tenisi ulu o le ulu
mau faasino
Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Craniosacral togafitiga mo tiga tumau: o se iloiloga faʻapitoa ma faʻataʻitaʻiga faʻataʻitaʻiga o faʻataʻitaʻiga faʻatonutonu faʻapitoa. BMC musculoskeletal disorders, 21(1), 1. doi.org/10.1186/s12891-019-3017-y
Haller, H., Dobos, G., & Cramer, H. (2021). Le faʻaogaina ma faʻamanuiaga o le Craniosacral Therapy i le tausiga faʻalesoifua maloloina muamua: O se suʻesuʻega faʻamoemoega faʻapitoa. Totogi fa'aopoopo i vaila'au, 58, 102702. doi.org/10.1016/j.ctim.2021.102702
Mo tagata taʻitoʻatasi o loʻo faʻataʻitaʻiina se faiga e 'ai maualalo-carbohydrate pe manaʻo e faʻataʻitaʻi se isi falaoamata, e mafai e le faʻaaogaina o le falaoamata almond ona fesoasoani i la latou malaga manuia?
Mataupu
Falaoa Almond
O le falaoamata almond ma le almond mea'ai e leai se kulūlū e suitulaga i oloa saito i nisi fua. E faia e ala i le oloina o almonds ma e mafai ona faʻatau saunia pe faia i le fale ma se meaʻai meaʻai poʻo se olo. O le falaoamata e maualuga atu i le porotini ae maualalo i le masoa nai lo isi falaoamata e leai se kulūlū.
Falaoa Almond ma Almond Meal
O le falaoamata e faia i almonds blanched, o lona uiga ua aveese le paʻu. Ole mea'ai almond e fai ile almondi atoa pe blanched. O le tutusa o mea uma e lua e pei o le falaoamata sana nai lo le falaoamata saito. E masani ona fa'aaogaina fa'afesuia'i, e ui o le fa'aaogaina o le falaoamata pa'epa'e o le a maua ai se fa'ai'uga e sili atu ona mama, fa'aitiitia le saito. O le falaoamata sili a almond e lelei tele mo le taoina o keke ae e faigata ona fai i le fale. E mafai ona maua i faleoloa pe oka i luga ole laiga.
Carbohydrates ma Kalori
O le afa ipu falaoamata saunia faapisinisi e aofia ai:
O le glycemic index o le falaoamata almond e itiiti ifo i le 1, o lona uiga e tatau ona itiiti sona aafiaga i le siitia o le kulukose toto.
Ole maualuga ole glycemic index ole falaoamata atoa ole saito e 71, ma le falaoamata araisa e 98.
Fa'aaoga le falaoamata Almond
E fautuaina mo le fa'avaveina o le kulūlū falaoa fua, e pei ole gluten-free:
Muffins
falaoa maukeni
Panikeke
O nisi o fua o keke
E fautuaina tagata taʻitoʻatasi e amata i se fua ua uma ona faʻafetaui mo le falaoamata almond ona fai lea a latou lava fua. O le ipu falaoamata saito e tusa ma le 3 aunese le mamafa, ae o le ipu falaoamata sekati e tusa ma le 4 aunese le mamafa. O lenei mea o le a faia ai se eseesega tele i mea tao tao. O le falaoamata e aoga mo le faʻaopoopoina o meaʻai i meaʻai.
Meaai Almond
E mafai ona kukaina le falaoamata e pei o le polenta po'o le u'amea e pei o le ula ma kesi.
E mafai ona fai kuki e leai se kulūlū ma le falaoamata almond.
E mafai ona fai masi meaai almond, ae fa'alogo lelei i le fua.
E mafai ona fa'aogaina le falaoamata o le almond e fa'asala ai i'a ma isi mea'ai falai, ae tatau ona fa'aeteete ina ia aua ne'i mu.
E le fautuaina le mea'ai almond mo falaoa e mana'omia le paluga moni fa'atasi ai ma le fa'atupuina o le kulūlū, pei o le falaoamata saito.
E mana'omia le tele o fuamoa pe a tao i le falaoamata almond e maua ai le fausaga o le kulūlū i le falaoamata.
O le fetuutuuna'i o fua e sui ai le falaoamata o le almond mo le falaoamata saito e mafai ona avea ma lu'itau e mana'omia ai le tele o tofotofoga ma mea sese.
Mafaufauga
Almond o se laau nati, o se tasi o mea'ai masani e valu e allergies. (Anaphylaxis UK. 2023) E ui o pinati e le o ni fatu laau, ae o le tele e maua i le pinati e mafai foi ona i ai se allergy almond.
Faia o Lau Lava
E mafai ona fai i totonu o se fa'afefiloi po'o se mea'ai.
E tatau ona faʻaeteete ia aua neʻi umi tele, neʻi avea ma pata almond, lea e mafai foi ona faʻaaogaina.
Faaopoopo i lea taimi ma lea taimi ma pulupulu seia o'o ina fa'a'ai.
Teu vave le falaoamata e le'i fa'aaogaina i totonu o le pusaaisa po'o le pusaaisa aua e vave ona pala pe a tu'u i fafo.
Almond e fa'amautu, ma le falaoamata almond e leai, o lea e fautuaina ai e te olo na'o mea e mana'omia mo le fua.
Faleoloa na Faʻatau
O le tele o faleoloa mea'ai fa'alesoifua maloloina e fa'atau atu le falaoamata almond, ma e tele supamaketi o lo'o fa'aputuina ona ua avea ma oloa lauiloa e leai se kulūlū. O le falaoamata ma mea'ai ua afifiina o le a susu foi pe a uma ona tatala ma e tatau ona teuina i totonu o le pusaaisa po o le pusaaisa pe a uma ona tatala.
Anaphylaxis UK. (2023). Pepa Fa'amatalaga mo Allergy (Anaphylaxis UK Ose lumana'i manuia mo tagata e maua i allergies tuga, Fa'amatalaga. www.anaphylaxis.org.uk/factsheets/
Atkinson, FS, Brand-Miller, JC, Foster-Powell, K., Buyken, AE, & Goletzke, J. (2021). Siata fa'ava-o-malo o fa'ailoga glycemic ma glycemic load values 2021: o se iloiloga fa'atulagaina. The American journal of clinical nutrition, 114(5), 1625–1632. doi.org/10.1093/ajcn/nqab233
"Mo tagata taʻitoʻatasi e fia faʻamalositino ae o loʻo i ai ni popolega poʻo ni popolega, e mafai ona fesoasoani le malamalama i mea latou te fefefe ai e faʻamalieina o latou mafaufau?"
Mataupu
Faʻatoʻilaloina o Feʻau Faʻamalositino
O se tasi o mafuaʻaga o le faʻafitauli faifaipea o le mamafa o le le lava o le feoaʻi o tagata, ma o le tasi mafuaaga e le faʻamalositino ai tagata o le fefe (Craig M. Hales et al., 2020). Mo tagata taʻitoʻatasi, o le faʻamalosi tino ma le faʻanofoina o le tino i le tulaga o le siʻitia o le fatu, manava mamafa, ma le afu tele e mafai ona mafua ai le popole ma faʻafefe pe a latou le faia mo sina taimi pe leʻi galue lava. O nisi o popolega ma popolega e ono oo i ai tagata e aofia ai mea nei:
Vaavaai Faavalevalea
So'o se mea e mafai ona tupu pe a fa'amalositino. Pe a le iloa e tagata pe fa'afefea ona galue se masini pe le mautinoa pe sa'o sa'o le fa'amalositino, o le pa'u ese mai le masini po'o le pa'u i lalo o le mamafa e mafai ona tupu ai se lagona o le valea. O le iloa fa'aoga masini ma mamafa e mana'omia ai le fa'ata'ita'iga. Fesili i se tagata faigaluega faletaalo po'o se tagata a'oga mo se ta'ita'iga, aua o le a'oa'oina o tagata i le faia o fa'amalositino sa'o ma le saogalemu o la latou galuega. Ma o le tele o tagata faigaluega e fiafia foi e fesoasoani.
Ofo i Tiga
O nisi e aloese mai le faamalositino, ma fefefe i tiga ogaoga. O le faamalositino e le tatau ona tiga, ae o le a mafua ai le tiga ona e faʻaaoga e tagata taʻitoʻatasi maso latou te leʻi faʻaaogaina mo sina taimi pe leai foi. Mo se faʻataʻitaʻiga, o maso o le a maua sina lagona mu pe a sii le mamafa. E tali atu le tino i le toleniga ma fetuutuunai i le faamalositino. A o malosi le tino, e iloa e tagata taʻitoʻatasi le tali a o latou tino ma mafai ai ona luʻiina i latou lava i le mamafa mamafa, tamoʻe umi, savali, ma taʻaloga. A amata se polokalame faamalositino, amata lemu. O nisi faiaoga e fautuaina le faia o sina mea itiiti nai lo le manatu o se tagata latou te mafaia mo vaiaso muamua. E fesoasoani lea e fausia ai se mausa e aunoa ma le lamatiaga o le mu.
manua
A amata se polokalame faʻamalositino, e mafai e tagata taʻitoʻatasi ona lagona suiga io latou tino uma, pei o mea uma o loʻo toso ma malepelepe. O tagata ta'ito'atasi e le'i tele ni fa'amalositino e ono le mafai ona iloa le va o le fa'aletonu masani mai le fa'amalositino mo le taimi muamua ma le tiga mai se manu'a. Shin splints, su'i itu, po'o isi a'afiaga masani e ono tupu mai i le amataina o se polokalame faamalositino. Atonu e manaʻomia e tagata taʻitoʻatasi ona taofi le faʻamalositino, togafitia le manua, ma toe amata.
Afai e i ai ni tiga matuitui i sooga, masae o maso po o uaua, po'o se isi lava mea e le masani ai, taofi ma saili se foma'i.
Fa'amalositino Mafaufau
O le a lagona e le tino se mea aʻo faʻamalositino, ae o le vavaeeseina o tiga moni manuʻa mai lagona masani e taua.
Ia nofouta i lagona o le tino i le taimi atoa o le toleniga.
Mulimuli i faʻatonuga ma faʻalogo lelei ile fomu e faʻaitiitia ai le lamatiaga o manuʻa.
Seevae talafeagai
O le ofuina o seevae toleniga sa'o o se manatu lelei e aloese ai ma puipuia manu'a.
Fa'aagaga i se pea seevae lelei e maua ai e le tino le lagolago e mana'omia.
Pepa Saʻo
Afai e si'i le mamafa, o se tasi o auala e tumau ai se manu'a o le fa'aoga sese po'o le tu'u.
Afai e te le mautinoa pe fa'afefea ona fai ia fa'amalositino, fa'afeso'ota'i se faia'oga po'o se tagata faigaluega faleta'alo e fa'amatala pe fa'apefea ona galue le masini.
Faamasani mai
O le oso i totonu o se toleniga e aunoa ma le mafanafana e mafai ona oʻo atu ai i manuʻa e mafai ona oʻo atu ai i tulaga tiga masani.
E fautuaina se fa'amafanafanaga fa'apitoa mo le ta'aloga.
Afai e si'i le mamafa, fai muamua sina fa'amalositino cardiovascular po'o se seti fa'amafanafana ma mama mama.
Toleniga i Tulaga Fa'aletino
E tupu ni manu'a pe a taumafai e fai ni mea e tele vave.
Amata i se polokalame mama.
Galue e oʻo atu i taʻaloga sili atu ona malosi ma fai soo.
Mo se faʻataʻitaʻiga, afai e naʻo le 10 minute e mafai ona savali, amata iina ma faʻasolosolo malie.
iʻuvale
A oo mai i le faamalositino, e mafai ona oo i ai le toilalo i ni auala eseese, e pei o le pa'u o le mamafa, toilalo e ala i se toleniga, le mafai ona pipii i se polokalame faamalositino, ma isi. O se vaega lea o le faagasologa, ae e mafai e tagata taitoatasi ona faatoilaloina le fefe faamalositino. e ala i le tutumau.
O le fa'atuina o le pa maualuga e mafai ona avea ma 'alofaga e taofi ai.
O se auala faigofie e taulimaina ai lenei mea o le setiina o se sini e mafai ona ausia.
E mafai ona seti sini mo taimi uumi e galue agai i ai.
Fai le mea e te mafaia nei.
E fa'alavelave tagata ta'ito'atasi i so'o se taimi latou te faia ai se mea mai lo latou sone mafanafana. Ae ui i lea, o le faia o tulaga lamatia atonu e manaʻomia e foia ai le fefe faʻamalositino, faʻaauau pea, ma ausia le manuia.
Fa'ainisinia o le Pa'u Mamafa
mau faasino
Hales CM, CM, Fryar CD, Ogden CL. (2020). Faʻateleina o le gaʻo ma le mamafa tele i tagata matutua: Iunaite Setete, 2017-2018. Fa'amatalaga Fa'amatalaga a le NCHS, leai 360. Hyattsville, MD: National Center for Health Statistics. Toe maua mai www.cdc.gov/nchs/products/databriefs/db360.htm#Suggested_citation
Mo tagata taʻitoʻatasi e tiga i tua, e mafai e le momoe ma se aluga i le va poʻo lalo o latou tulivae ona fesoasoani e maua ai le mapusaga i le taimi o le moe?
Mataupu
Moe ma se aluga i le va o vae
E mafai e le au tausi soifua maloloina ona fautuaina tagata e maua i le tiga i tua ona o le maitaga poʻo tulaga e pei o le herniated disc ma le sciatica e momoe ma se aluga i le va o latou vae. O le moe ma se aluga i le va o vae e mafai ona fesoasoani e faʻamama ai le tiga o tua ma suilapalapa, aua o le tulaga e fesoasoani e faʻamautu ai le pelvis ma le faʻaogaina o le ivi. O le fa'aogaina lelei o le ivi e mafai ona fesoasoani e fa'amāmā i tua le fa'alavelave ma le tiga.
O Faamanuiaga
O nisi aoga aoga o le moe ma se aluga i le va o tulivae.
Fa'aitiitia le tiga o le tua ma le suilapalapa
Pe a momoe i le itu, o le tui, tauau, ma sulugatiti e ono mimilo e faatumauina le tulaga ona o le ogatotonu o le kalave e maualuga, ma mafua ai le le mautonu. (Gustavo Desouzart et al., 2015) O le tuʻuina o se aluga i le va o tulivae e mafai ona fesoasoani e faatumauina le mautu ma faʻaitiitia ai le tiga o tua ma suilapalapa. (Gustavo Desouzart et al., 2015) O le aluga e faʻaitiitia le tulaga o le pelvis e ala i le faʻaeʻeina teisi o le vae i luga. O lenei mea e faʻaitiitia ai le mamafa i le pito i lalo ma sooga o le suilapalapa, lea e mafai ona fesoasoani e faʻaitiitia ai le tiga ma faʻataga ai le moe lelei.
Fa'aitiitia Fa'ailoga Sciatica
O le tiga o le neura Sciatica e sau mai le pito i lalo i lalo i lalo o le vae e tasi ona o le a'a o le neura o lo'o pipii i le pito i lalo. (American Academy of Orthopedic Surgeons, 2021) O le momoe ma se aluga i le va o tulivae e mafai ona fesoasoani e faʻaitiitia ai faʻamaoniga ma lagona. O le aluga i le va o vae e mafai ona fesoasoani e puipuia ai le mimilo o le tua, feliuliua'i o le ivitū, po'o le fa'alili o le pelvis a'o moe.
Fa'aitiitia Fa'ailoga Herniated Disc
E mafai e le herniated disc ona fa'amalosi neura ivi, e o'o atu ai i le tiga ma le fa'anumera. (Penn Medicine. 2024) O le moe i le itu e mafai ona faʻateleina ai le tiga o le herniated disc; ae ui i lea, o le tuʻuina o se aluga i le va o tulivae e faʻatumauina ai le pelvis i le faʻaoga tutusa ma taofia ai le taamilosaga o le ivi. O le moe i tua ma se aluga i lalo o tulivae e mafai foi ona fesoasoani e faʻaitiitia le mamafa i luga o le disk. (Iunivesite o Florida Tutotonu. ND)
Faʻaleleia le tulaga o le tagata
O le fa'atumauina o le tu ma le soifua maloloina a'o nofo pe tu e taua tele i le soifua maloloina o le neuromusculoskeletal ma le puipuia o manu'a. O le fa'aogaina lelei i le taimi o le moe e mafai ona fesoasoani e fa'aleleia le tu'u (Doug Cary et al., 2021). E tusa ai ma se suʻesuʻega e tasi, e sili atu i le afa o latou taimi e faʻaalu e tagata taʻitoʻatasi e momoe i se tuʻu faʻataʻoto. (Eivind Schjelderup Skarpsno et al., 2017) O le momoe i luga o le itu ma le vae pito i luga e masani ona pa'u i luma, ma aumaia le pelvis i se faʻasaga i luma e faʻaopoopoina ai le mamafa i luga o sulugatiti ma tui faʻafesoʻotaʻi. O lenei tulaga e fa'alavelaveina ai le fa'aogaina o le tino. (Doug Cary et al., 2021) O le tuʻuina o se aluga i le va o tulivae e faʻaleleia atili ai le moe e ala i le siiina o le vae pito i luga ma taofia ai le siiina i luma. (Iunivesite o Rochester Medical Center. 2024)
O le faateleina o le mamafa e mafua ai le faateleina o le mamafa i sooga.
Suiga taua i le ogatotonu o le kalave.
O suiga ole Hormonal e fa'agasolo ai aano feso'ota'iga.
O fafine maʻitaga e iai le tiga o le suilapalapa poʻo le tua e masani ona fautuaina e momoe ma se aluga i le va o latou tulivae e faʻamalolo ai le tiga ma le faʻalavelave. E ioe foma'i o le taoto i le itu agavale o le tulaga sili lea e moe ai ile tolu ma le tolu o masina. O lenei tulaga e mautinoa ai le tafe toto lelei mo le tina ma le pepe ma fesoasoani i le gaioiga o fatugaʻo. (Standford Medicine, 2024) O le tuʻuina o se aluga i le va o tulivae e mafai ona fesoasoani e faʻaitiitia le mamafa i luga o sooga ma fesoasoani foi e faatumauina le tulaga taoto i le itu tauagavale. (O'Brien LM, Warland J. 2015) (Standford Medicine, 2024) O aluga fa'atina lapopo'a e lagolago ai le manava ma le pito i lalo e mafai ona maua atili ai le fa'amafanafanaga.
Fa'atalanoa se tausi soifua maloloina e uiga i moe ma se aluga i le va o tulivae e iloa ai pe talafeagai mo oe.
O le a le mea e mafua ai le Herniation Disc?
mau faasino
Desouzart, G., Matos, R., Melo, F., & Filgueiras, E. (2015). Aʻafiaga o le moe i luga o tiga i tua i tagata matutua faʻamalosi tino: O se suʻesuʻega pailate pulea. Galuega (Faitau, Mass.), 53(2), 235–240. doi.org/10.3233/WOR-152243
Cary, D., Jacques, A., & Briffa, K. (2021). Suʻesuʻeina sootaga i le va o le moe, faʻailoga faʻailoga ma le lelei o le moe: O se suʻesuʻega faʻasolosolo. PloS tasi, 16(11), e0260582. doi.org/10.1371/journal.pone.0260582
Skarpsno, ES, Mork, PJ, Nilsen, TIL, & Holtermann, A. (2017). Tulaga moe ma gaioiga o le tino i le po e faʻavae i luga o faʻamaumauga faʻavavevave ola fua: fegalegaleai ma faʻataʻitaʻiga, ituaiga olaga, ma faʻailoga le mautonu. Natura ma le faasaienisi o le moe, 9, 267–275. doi.org/10.2147/NSS.S145777
Casagrande, D., Gugala, Z., Clark, SM, & Lindsey, RW (2015). Ma'i Ma'ilalo Tu'u ma Ma'i Fu'a Pelvic i le ma'itaga. Le Journal of the American Academy of Orthopedic Surgeons, 23(9), 539–549. doi.org/10.5435/JAAOS-D-14-00248
O'Brien, LM, Warland, J. (2015). Tulaga moe tina: o le a se mea tatou te iloa o fea tatou te o i ai? BMC Maitaga Fanau, 15, Mataupu A4 (2015). doi.org/doi:10.1186/1471-2393-15-S1-A4
IFM's Find A Practitioner mea faigaluega o le sili ona tele fesoʻotaʻiga fesoʻotaʻiga i Functional Faʻafomaʻi, fausia e fesoasoani tagata mamaʻi saili Functional Faʻafomaʻi fomaʻi soʻo se mea i le lalolagi. IFM Faʻamaonia Faʻataʻitaʻi e lisiina muamua i le sailiga iʻuga, maua a latou aʻoaʻoga tele i Functional Faʻafomaʻi
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