Ciyaartoyga orodka ah waxa ay samayn karaan dhaawac kelyo oo muddo gaaban ah

Marathon kasta ayaa kuu sheegi doona in tartamada 26-mayl ee murugada leh ay samayn karaan tiro ku saabsan miskaha, jilbaha, anqawyada iyo cagaha.

Hadda, daraasad yar ayaa soo jeedinaysa in tijaabooyinkan dulqaadku ay sidoo kale ku adag yihiin kelyaha.

"Orodyahannada Marathon-ka waxay muujinayaan ku-meel-gaar ah ama dib u celin dhaawac kelyaha ah," ayuu yiri Dr. Chirag Parikh, oo ah borofisar ku takhasusay daawada Jaamacadda Yale.

Daraasaddiisa kaqeybgalayaasha 22 ee 2015 Hartford, Conn. Marathon, Parikh wuxuu ogaaday in 82 boqolkiiba ay muujiyeen dhaawac ba'an oo kelyaha ah ka dib tartanka. Xaaladdan oo kale, kelyuhu waxay ku guuldareystaan ​​inay ka sifeeyaan qashinka dhiigga. Akhbaarta wanaagsan ayaa ah in dhaawaca kelyaha uu u muuqdo inuu nadiif yahay laba maalmood gudahooda ee tartanka, ayuu yidhi.

"Maalinta 2, dhamaantood way fiican yihiin," Parikh ayaa yidhi.

Orodyahanadu waxay u badan tahay inaysan xitaa ogeyn inay gaareen dhaawacan ku meel gaarka ah, Parikh ayaa yiri. "Muddada gaaban, uma maleynayo inay wax dareemi doonaan," ayuu yidhi. Parikh ma hubo sababta dhacdada culus loola xiriirinayo dhaawaca kelyaha. Laakiin qaar ka mid ah sababaha suurtagalka ah waxaa ka mid ah kor u kaca joogtada ah ee heerkulka jirka ee asaasiga ah, fuuqbaxa, ama hoos u dhaca socodka dhiigga ee kelyaha ee dhaca inta lagu jiro maaratoonka, ayuu sharaxay. Marka dhiigga lagu shubo maqaarka iyo murqaha marka la ordayo, ayuu yiri, waxaa laga yaabaa in kelyuhu aysan helin dhiig badan sida caadiga ah.

Sidoo kale Parikh ma dhihi karo in saameyntu ay noqon karto mid isugeysa, oo ka sii dareysa marathon-ka badan. Waxaa laga yaabaa in kelyuhu ay la qabsadaan waqti ka dib, ayuu xusay.

Si loo qiimeeyo dhaawaca kelyaha noocan ah, kooxdiisu waxay eegtay shaybaar dhiig iyo kaadi ah oo la ururiyay kahor iyo ka dib marathon-ka. Tijaabooyinkan waxaa ka mid ahaa in la cabbiro heerarka creatinine-ka dhiigga iyo borotiinnada kaadida, iyadoo lala eegayo unugyada kelyaha ee mikroskoob. Creatinine waa badeeco wasakh ah oo ay kelyuhu soo saaraan; lagu qiyaaso dhiiga waxa ay caawisaa in la qiimeeyo caafimaadka kelyaha.

Daraasad hore, oo lagu daabacay 2011, Dr. Peter McCullough, oo ah kuxigeenka madaxa caafimaadka ee Xarunta Caafimaadka ee Jaamacadda Baylor ee Dallas, iyo asxaabtiisu waxay qiimeeyeen 25 rag iyo dumar marathon. Waxay heleen 40 boqolkiiba orodyahanadu waxay la kulmeen qeexida dhaawaca kelyaha ba'an ee ku salaysan heerarka creatinine ee dhiigooda.

Daraasadda cusub, kooxda Parikh waxay sidoo kale "sameeyeen qiimeyn qoto dheer oo kaadida ah waxayna heleen caddaynta dhaawaca," ayuu yiri McCullough.

"Su'aasha ugu weyn ee soo socota ayaa ah: dhaawacyadan soo noqnoqda ee soo noqnoqda ee ciyaartoyda adkeysiga waxay u horseedaan cudur kelyo dabadheer sanado ka dib? Wax ma laga qaban karaa dhaawaca wakhtigaas oo ay ku jirto xeeladda fuuq-celinta? McCullough ayaa yidhi. Daraasad dheeri ah ayaa muhiim ah, ayuu raaciyay.

Parikh wuxuu sheegay in sidoo kale loo baahan yahay cilmi-baaris dheeraad ah si loo qiimeeyo in dadka qaarkood aysan si dhaqso ah u bogsan karin. Hadda, kuwa leh taariikhda qoyska ee cudurka kelyaha waa inay u sheegaan dhakhtarkooda inay ordaan marathon, ayuu soo jeediyay.

Dr. Cathy Fieseler ayaa sheegtay in marathon-ka doonaya in ay yareeyaan halista dhaawaca kelyaha waa in ay iska ilaaliyaan daawooyinka caabuqa kahor tartanka. Daawooyinkaas waxaa ka mid ah ibuprofen-ka-iibsiga ah (Advil, Motrin IB) iyo naproxen (Aleve), ayuu yiri Fieseler. Acetaminophen (Tylenol) ayaa laga nadiifiyaa beerka.

Fieseler waa dhakhtarka daawaynta isboortiga ee daryeelka aasaasiga ah ee Christus Trinity Mother Frances Nidaamka Caafimaadka ee Tyler, Texas. Iyadu sidoo kale waa agaasimaha caafimaadka ee Ururka Orodka Maraykanka.

Daraasada ayaa la daabacay March 28 ee Joornaalka Maraykanka ee Cudurada Kelyaha.

Ilaha: Chirag Parikh, MD, Ph.D., borofisar ku takhasusay caafimaadka, iyo agaasimaha cilmi baarista turjumaada, Jaamacadda Yale, New Haven, Conn .; Cathy Fieseler, MD, dhakhtarka daawaynta isboortiga ee daryeelka aasaasiga ah, Christus Trinity Mother Frances System Health System, Tyler, Texas; Peter McCullough, MD, kuxigeenka madaxa caafimaadka, Xarunta Caafimaadka ee Jaamacadda Baylor, Dallas; Maarso 28, 2017, Joornaalka Maraykanka ee Cudurada Kelyaha

Baaxadda macluumaadkayadu waxay ku xaddidan tahay xanuunka loo yaqaan 'chiropractic' iyo dhaawacyada laf dhabarta iyo xaaladaha. Si aad ugala hadasho ikhtiyaarada ku saabsan mawduuca, fadlan xor u noqo inaad weydiiso Dr. Jimenez ama nala soo xiriir 915-850-0900 . 

Waxqabadka lafdhabarta iyo ciyaaraha fudud

Ciyaartoyda badan ee ku dhaawacmay samaynta ciyaartooda gaarka ah ama dhaqdhaqaaqa jireed, waxay si joogta ah u raadsadaan daaweyn lafopractors. Daryeelka lafdhabarta ayaa diiradda saaraya ka-hortagga, ogaanshaha iyo daaweynta dhaawacyada iyo xaaladaha saameeya habka muruqyada iyo habdhiska dareenka. Iyadoo xanuunka loo yaqaan 'chiropractic' uu yahay qaab badbaado leh oo waxtar leh oo daryeel muxaafid ah oo loogu talagalay cudurro kala duwan, xanuunka loo yaqaan 'chiropractic' ayaa sidoo kale loo isticmaali karaa si kor loogu qaado waxqabadka ciyaaraha fudud.

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