WAD Whiplash Associated Disorders: El Paso Clinic Back

Xanuunada la xidhiidha Whiplash, ama WAD, sharax dhaawacyada ka soo gaaray dhaq-dhaqaaqa dardargelinta/dejinta degdega ah. Waa natiijo caadi ah kadib shil baabuur laakiin sidoo kale waxaa sababi kara dhaawacyo isboorti, kufo, ama weeraro. Whiplash waxaa loola jeedaa habka dhaawaca, halka WAD ay tixraacayso jiritaanka calaamadaha sida xanuunka, qallafsanaanta, murqaha muruqyada, iyo madax-xanuun. Saadaasha WAD waa mid aan la saadaalin karin, iyada oo xaaladaha qaarkood ay ku sii jiraan xaalad degdeg ah oo soo kabasho buuxda leh, halka kuwa kalena ay u gudbaan xaalado daba-dheer oo leh calaamado iyo naafo muddo dheer ah. Talooyinka faragelinta hore waxaa ka mid ah nasasho, daryeelka xanuunka loo yaqaan 'chiropractic care' iyo baxnaanin jireed, duugista iyo jimicsiga jimicsiga, iyo cunto ka hortagga bararka.

Whiplash Associated Disorders

Dhaawaca kor u kaca ilmo galeenka waxay ku dhacaan darawalada iyo rakaabka dhaqaaqa, aayar socodka (in ka yar 14 mayl saacaddii), iyo baabuurta taagan marka gadaashiisa laga soo garaaco.

• Jirka shaqsiga ayaa horay loo soo tuuray, laakiin madaxu ma raaco jirka oo taa beddelkeeda hore ayuu u karbaashka, taasoo keenta hyperflexion ama dhaqdhaqaaqa hore ee qoorta.
• Gadhka ayaa xaddidaya dabacsanaanta hore, laakiin xawliga ayaa ku filnaan kara inuu keeno jeedinta ilmagaleenka iyo dhaawacyada neerfaha.
• Marka madaxa iyo qoortu ay gaadhaan laablaabashada ugu badan, qoortu dib ayay u soo noqotaa, taas oo keenta hyperextension ama dhaqdhaqaaqa dib u dhaca ee qoorta.

Pathology

Inta badan WADs waxaa loo tixgeliyaa dhaawacyo ku salaysan unug jilicsan oo aan lahayn wax jab ah.

layliyo

Dhaawaca waxa uu maraa heerar:

1 internship

• Laf-dhabarta sare iyo hoose waxay la kulmaan dabacsanaan marxaladda koowaad.

2 internship

• Laf-dhabarta waxay qaadataa S-qaab inta ay sii fidayso oo aakhirka toosto, taasoo keenta lordosis.

3 internship

• Laf-dhabarta oo dhan waxay ku sii fidaysaa xoog xoog leh oo sababa kaabsoosha wadajirka ah ee wejiga inay isku ururiyaan.

Calaamadaha

Xanuunada Whiplash la xidhiidha waxaa lagu kala saari karaa ilaa darajooyin iyadoo loo eegayo darnaanta calaamadaha, oo ay ku jiraan Qoor xanuun, qallafsanaan, madax-xanuun indho-la'aan ah, ilmo-galeenka, xuubka, iyo dhabar xanuunka, xanuunka qaybta sare, iyo Paraesthesia.

Fasalka 0

• Ma jiraan cabashooyin ama calaamado jireed.

Fasalka 1

• Cabashada qoorta laakiin ma laha calaamado jireed.

Fasalka 2

• Cabashada qoorta iyo calaamadaha muruqa.

Fasalka 3

• Cabashada qoorta iyo calaamadaha neerfaha.

Fasalka 4

• Cabashooyinka qoorta iyo jabka iyo/ama kala-baxa.
• Inta badan jabka afka ilmo-galeenka ayaa inta badan ku dhaca C2 ama C6, ama C7.
• Inta badan dhaawac halis ah oo laf dhabarta ilmo galeenka ka dhacaan isgoyska craniocervical C1 ama C2.

Qaab-dhismeedka laf-dhabarta ee ay saameeyeen

Calaamadaha qaar ayaa loo maleynayaa inay sababeen dhaawac soo gaaray dhismayaasha soo socda:

• Laf-dhabarka ilmagaleenka
• Xididada neerfaha
• seedaha laf dhabarta
• Kaabsulka Wadajirka ah ee Wajiga
• Kala goysyada wajiga
• Saxannada intervertebral
• Kareemka
• Muruqyada paraspinal oo keenaya barar

Sababaha xanuunka waxay ka iman karaan mid kasta oo ka mid ah unugyadaas, oo leh cadaadiska dhaawaca bararka saredhiigbax, iyo barar.

laabatooyinka

• Kala-goysyada Zygapophyseal
• Atlanto-axial wadajir
• Isku-dhafka Atlanto-occipital
• Saxannada intervertebral
• Daboolka cartilaginous

Isku-dhafka ku xiga

• Isku-dhafka Temporomandibular
• Kakan garabka
• Laf-dhabarta dhuunta
• Feeraha

Murqaha Lafdhabarta

Isboortiga

• Caleenta seedaha
• Jidka hore ee atlanto-axial
• Xagga hore ee atlanto-occipital
• Xididdada apical
• Xididdada dheer ee hore
• Xididdada leexsan ee atlaska

lafaha

• Atlas
• dhidibka
• Vertebrae C3-C7

Qaab-dhismeedka Nidaamyada dareemayaasha

• Xididada neerfaha
• Xanuunka laf-dhabarka
• Maskaxda
• Habdhiska dareenka ee naxariista leh

Qaab-dhismeedka Habdhiska xididdada dhiigga

• Halbowlaha carotid ee gudaha
• Halbowlaha vertebral

Nidaamka Vestibular ee ku wareegsan

Daryeelka Daacuunka ah

Lafopractor ayaa aqoonsan doona meelaha dhaqdhaqaaqa wadajirka ah ee xaddidan, kacsanaanta murqaha, murqaha muruqyada, dhaawaca saxanka intervertebral, iyo dhaawaca seedaha.

• Waxay falanqeyn doonaan qaabka, iyo toosinta laf dhabarta, hubin doona jilicsanaanta, cidhiidhiga, iyo sida wanaagsan ee kala-goysyada laf dhabarta u dhaqaaqaan.
• Tani waxay u oggolaan doontaa kooxda daawaynta jireed ee loo yaqaan 'chiropractic therapy therapy' inay fahmaan makaanikada jirka ee dhaawacan iyo sida laf dhabarta u shaqeyso si loo sameeyo baaritaan dhamaystiran.
• Dhakhtarku waxa uu dalban doonaa shaybaadh sawireed sida raajo ama MRI si loo qiimeeyo wixii isbeddel ah ee xumaaday ee jiray ka hor dhaawaca jeedal.
• Marka dhaawaca si sax ah loo ogaado, lafopractor-ka ayaa naqshadayn doona qorshe daaweyn shakhsi ahaaneed.

Hagaajinta lafdhabarta

• Wax-ka-beddelka laf-dhabarka waxaa lagu dabaqaa aagagga laf-dhabarka ee ka baxsan isku-dhafka si loo hagaajiyo lafdhabarta oo loo dhaqaajiyo habka bogsashada.
• Farsamada leexleexinta waa farsamo dabacsan oo adeegsata dhaqdhaqaaq yar oo riixid ah saxannada loo isticmaalo in lagu daweeyo herniation-ka saxanka ee inta badan dhaca ka dib dhaawac jilibka ah.
• Qalab ku gacan-ku-dhiiglenimo isticmaala qalab gaar ah si uu u isticmaalo xoog kala duwan ama goobaha duugista aagga.
• Wax-ka-beddelka laf-dhabarta ee la beegsaday bartilmaameedsada meelo gaar ah si dib loogu shaqeeyo, loo sii daayo, oo dib loogu dhiso dhismayaasha.
• Daaweynta Maskaxda waxay kicisaa muruqyada ay saameeyeen si ay uga nastaan ​​xaaladdooda kacsan.
• Qorshaha daawaynta ayaa laga yaabaa in la isticmaalo:
• Daawaynta qalabku caawiyey
• Daawaynta dhibcaha kicinta
• Iska caabin ku salaysan fidsan si loo dib u soo kabsado dhaawaca unug jilicsan.

Kooxdayada xanuunka loo yaqaan 'chiropractic team' ayaa diyaar u ah inay kaa caawiyaan inaad dareento sida ugu fiican si aad ugu soo noqoto dhaqdhaqaaqyada caadiga ah oo aad noloshaada u sii waddo.

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Dhaawacyada Baabuurka iyo Chiropractic

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tixraacyada

Pastakia, Khushnum, iyo Saravana Kumar. "Cudurada la xiriira karbaash ba'an (WAD)." Dawada degdega ah ee gelida furan: OAEM vol. 3 29-32. 27 Abril 2011, doi:10.2147/OAEM.S17853

Ritchie, C., Ehrlich, C. & Sterling, M. La noolaanshaha joogtada ah ee xanuunada la xidhiidha whiplash: daraasad tayo leh oo ku saabsan aragtida iyo khibradaha shakhsi ahaaneed. BMC Musculoskelet Disord 18, 531 (2017). doi.org/10.1186/s12891-017-1882-9

www.sciencedirect.com/topics/medicine-and-dentistry/whiplash-associated-disorder

Sterling, Michele. "Dhibaatada la xiriirta Whiplash: xanuunka murqaha iyo natiijooyinka bukaan-socodka ee la xiriira." Joornaalka buug-gacmeedka & daaweynta manipulative vol. 19,4 (2011): 194-200. doi:10.1179/106698111X13129729551949

Wong, Jessica J et al. "Daawaynta gacanta, hababka jireed ee aan fiicneyn, ama acupuncture ma wax ku ool u yihiin maaraynta bukaanada qaba xanuunada la xidhiidha qoorta ama qoorta iyo xanuunada la xidhiidha? Cusboonaysiinta Ciidanka Tobanka Sano ee Wadajirka ah ee Lafaha iyo Wadajirka ee Xanuunka Qoorta iyo Xanuunada La Xiriira ee iskaashiga OPTIMa." Joornaalka laf dhabarta: Joornaalka rasmiga ah ee Bulshada Waqooyiga Ameerika Vol. 16,12 (2016): 1598-1630. doi:10.1016/j.spine.2015.08.024

Woodward, MN iyo al. "Daawaynta lafdhabarta ee dhaawacyada 'whiplash' ee daba-dheeraada." Dhaawaca vol. 27,9 (1996): 643-5. doi:10.1016/s0020-1383(96)00096-4