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Unugyada Microglial waxay ka kooban yihiin 10 ilaa 15 boqolkiiba dhammaan unugyada glial ee jidhka bini'aadamka, kuwaas oo laga heli karo habka dhexe ee neerfayaasha (CNS) oo ka ciyaara doorka aasaasiga ah ee maskaxda aadanaha. Unugyada Microglial-ka ayaa mas'uul ka ah ilaalinta iyo habeynta isbeddellada ku yimaada jir ahaan iyo xaaladda pathological ee CNS iyaga oo beddelaya qaab-dhismeedkooda, phenotype iyo shaqadooda. Celcelis ahaan xaalad nafsiyeed, unugyada microglial-ka ayaa si joogto ah mas'uul uga ah xakameynta deegaankooda. �

 

Si kastaba ha noqotee, marka homeostasis ee maskaxda la gooyo, microglia waxay isu beddeshaa qaab amoeba oo kale ah waxayna noqotaa fagocyte halkaas oo ay si firfircoon u muujin karaan noocyo kala duwan oo antigens. Haddii goynta homeostasis ee CNS ay sii socoto, unugyada microglial ayaa markaa kicin doona xaalad aad u xoog badan, oo loo yaqaan 'microglial priming'. Microglia waa "Bruce Banner" ee CNS. Si kastaba ha noqotee, marka ay galaan habka difaaca "Hulk", microglia primed waxay noqotaa mid aad u nugul kicinta waxayna leeyihiin suurtogalnimo aad u xoog badan oo ay kaga falceliyaan kicinta, xitaa ka falcelinta unugyada caadiga ah. �

 

Unugyada Microglial waa Bruce Banner iyo Hulk ee CNS | El Paso, TX Chiropractor

 

Microglial priming waxay noqon kartaa seef laba af leh. Sida xaqiiqda ah, microglia primed waxaa laga abuuray noocyo kala duwan oo ah microglia iyo phenotypes waxay ku xiran yihiin macnaha guud, taas oo macnaheedu yahay inay la xiriiraan isku xigxiga iyo muddada ay la kulmaan noocyada kala duwan ee kicinta ee noocyada kala duwan ee pathologies. Maqaalka hoose, waxaan ku tusi doonaa saameynta microglial priming ee habka dhexe ee neerfayaasha (CNS), gaar ahaan cudurrada neerfaha. �

 

Doorka Unugyada Microglial ee CNS

 

Unugyada Microglial waxaa badanaa laga helaa habka dhexe ee neerfayaasha (CNS), halkaasoo loo arko inay yihiin mid ka mid ah noocyada ugu dabacsan ee unugyada maskaxda. Unugyada microglial waxaa laga abuuray unugyo hore oo laga dhex helay gudaha mesoderm dhuuxa lafta, ama in ka badan oo si gaar ah laga helay kiishad jaallo ah mesodermal, oo waxay u qaybsan yihiin cufnaanta kala duwan dhammaan dhowr gobol oo maskaxda ah. Sida kor ku xusan, microglia waxay ahaan doontaa xaalad hurdo ah marka homeostasis ee maskaxdu uu ahaado mid deggan. �

 

Microglia waxay leeyihiin unug yar oo jir ah iyo laamo qaab-dhismeedka kuwaas oo ku fidsan dhammaan jihooyinka si ay u caawiyaan ilaalinta iyo habaynta shaqada guud ee CNS. Isbeddellada ku dhaca microglia waxay u kicin karaan xaalad “firfircoon. Daraasadaha cilmi-baarista ayaa muujiyay in microglia ay door aasaasi ah ka ciyaaraan horumarinta maskaxda iyo shaqooyin kala duwan, oo ay ku jiraan manjooyin synaptik iyo nadiifinta qashinka unugga. Waxaa intaa dheer, microglia waxay abuurtaa nidaamka ilaalinta difaaca ee maskaxda bini'aadamka waxayna xakameysaa hababka aasaasiga ah ee la xidhiidha cuduro kala duwan, oo ay ku jiraan nadiifinta iyo qaadashada A? iyo borotiinka tau ee aan caadiga ahayn iyo sidoo kale wax soo saarka arrimaha neurotrophic iyo arrimaha neuroinflammatory. �

 

Dulmarka Microglial Priming

 

Microglial priming waxa uu shaqeystaa marka hakadyada joogtada ah ee ku yimaada deegaanka yar ee maskaxda ay kiciyaan jawaab celin microglial ah oo aad uga xoog badan marka loo eego hakad bilow ah oo si fudud u kiciya firfircoonida microglial. Microglia-da hore ee CNS-da ayaa waliba aad uga nugul kicinta suurtagalka ah ee yar. Jawaabtan korodhay waxay ku lug leedahay fidinta microglial, morphology, physiology, iyo calaamadaha biochemical ama phenotype. Si kastaba ha ahaatee, isbeddelladani waxay ugu dambeyntii kor u qaadi doonaan kororka cytokines iyo caabuqa soo-saarka dhexdhexaadiyaha kaas oo saameyn weyn ku yeelan kara caagagga synaptik, badbaadada neerfaha, garashada shakhsi ahaaneed iyo shaqada dabeecadda. Hoos waxaa ku yaal dulmar guud oo ku saabsan saamaynta priming microglial ee CNS. �

 

Mechanisms of Microglial Priming in CNS

 

Microenvironment ee habka dhexe ee neerfayaasha (CNS), tusaale ahaan, waa mid ka mid ah arrimaha ugu muhiimsan ee saameyn kara unugyada microglial. Cadaadiska oksaydhka ee kordhay, peroxidation lipid iyo dhaawaca DNA ee la xidhiidha gabowga maskaxda ayaa dhamaantood si caadi ah u kicin kara priming microglial. Arrin kale oo caadi ah oo loogu talagalay soo saarista microglial waxaa ka mid ah dhaawac maskaxeed oo dhaawac ah. Daraasadaha cilmi-baaristu waxay muujiyeen in dhaawaca CNS-da ee naxdinta leh uu kiciyo microglia iyo sidoo kale horumarinta microglia-da hore. �

 

Daraasado badan oo cilmi baaris ah ayaa sidoo kale muujiyay in labadaba focal iyo faafinta dhaawaca maskaxda ee dhaawacyada maskaxda ay kordhiyaan bararka maskaxda ee la xidhiidha microglia iyo astrocytes. Caabuqyada CNS waxay sidoo kale kicin karaan priming microglial halkaasoo fayrasyadu ay yihiin sababta ugu weyn ee caabuqa CNS. Labada fayraska DNA iyo RNA waxay kicin karaan priming microglial oo ay ku jiraan microglia iyo astrocytes. Daraasadihii ugu dambeeyay ee cilmi-baaristu waxay muujiyeen in cillad la'aanta dhamaystirka ay bedeli karto muujinta soo-dhoweynta dhamaystirka iyo kicinta microglial priming ka dib firfircoonida joogtada ah ka dib hawlo kala duwan, oo ay ku jiraan korriinka synapse, nadiifinta alaabta difaaca, unugyada hematopoietic / unugyada hore (HSPC) abaabulka, dheef-shiid kiimikaadka, iyo dib u soo kabashada unugyada. �

 

Waxaa intaa dheer, daraasado cilmi baaris ah ayaa muujiyay in ay jiraan kororka sare ee microglia ee cudurrada neerfaha ee kala duwan. Tusaale ahaan, unugyo microglial ah oo leh qaab-dhismeedka morphological phenotype ayaa tiro badan laga helaa maskaxda bini'aadamka. Dhowrkii sano ee la soo dhaafay, daraasaadka cilmi-baarista ayaa soo jeediyay in xanuunka neuroinflammation uu si joogto ah u kicin karo microglia oo uu kiciyo priming microglial. Intaa waxaa dheer, dhammaan xaaladaha hore loo soo sheegay waxay si dhow ula xiriiraan xanuunka neuroinflammation. Daraasadaha cilmi-baarista ayaa sidoo kale muujiyay in xanuunka neuroinflammation, iyo sidoo kale qashinka microbial iyo saamaynta dheef-shiid kiimikaadka, ay la xiriiraan dareenka dhexe ee cudurrada neerfaha, sida fibromyalgia, oo sidoo kale loo yaqaan "maskaxda dabka". �

 

Marka la eego xaaladihii hore ee aan kor ku soo sheegnay, microglia waa la soo hormariyay inkastoo taxane ah kicinta kicinta bararka, sida lipopolysaccharide (LPS), borotiinnada pathogenetic (tusaale, A?), ?synuclein, fayraska difaaca jirka aadanaha (HIV) -Tat, mutant huntingtin, mutant superoxide dismutase 1 iyo chromogranin A. Waxa kale oo jira noocyo kala duwan oo dariiqooyin calaamad ah waxayna caadi u tahay noocyada kala duwan ee unugyada si ay u muujiyaan nuucyada aqoonsiga qaabka gaarka ah (PRRs) kuwaas oo saameyn kara waddooyinka calaamadaha caabuqa. Tusaale ahaan, dhowr dariiqo oo calaamadeynaya, oo loo yaqaanno qaababka molecular-la-xidhiidha pathogen-ka (PAMPs), kuwaas oo badiyaa kordhin kara unugyada cudurka qaba, waxay sidoo kale xakameyn karaan molecules microbial. �

 

Intaa waxaa dheer, peptides ama asiidhyada nucleic-ka ah ee khaldan ayaa loo aqoonsaday inay yihiin borotiinno khaldan iyada oo loo marayo waddooyin taxane ah, oo loo yaqaan qaababka molecular-ku-xidhiidhka ah ee khatarta ah (DAMPs), waxay sidoo kale sababi karaan priming microglial. Receptors toll-like (TLRs) iyo karbohayhaydrayt-ku xidhidhiyeyaasha sida caadiga ah waxay ku shaqeeyaan waddooyinkan. Waxa kale oo jira reseptors badan oo kala duwan oo laga helay microglia, oo ay ku jiraan reseptors kicinta lagu muujiyay unugyada myeloid (TREM), Fc? reseptors (Fc? Rs), CD200 reseptor (CD200R), reseptor for horumarsan glycation dhamaadka alaabta (RAGE), chemokine reseptors (CX3CR1, CCR2, CXCR4, CCR5, iyo CXCR3), kuwaas oo la aqoonsan karo oo lagu qasi karaa waddooyinka kale ee calaamadaha. inkastoo waddooyinka qaar aysan weli cadeyn. �

 

Natiijooyinka Microglial Priming ee CNS

 

Microglia waxay muujinaysaa heerka hoose ee mitosis ee xaaladdooda caadiga ah iyo heerka sare ee faafitaanka ka dib marka loo eego microglial priming, taas oo muujinaysa in microglia ay awood u leedahay inay saameyn ku yeelato wareegga unugyada iyo kicinta bararka. Kicinta joogtada ah, microglia waxay ka hawlgelisaa xaaladdooda nasashada, iyagoo isu beddelaya unugyo microglial amoeboid ee qaab-dhismeedka. Si kastaba ha ahaatee, isbeddelada qaabka microglia ma kala saari karaan sifooyinka firfircoonida microglial iyo shaqada microglia Primed waxay ku xiran tahay phenotypes kuwaas oo la xidhiidha soo-qabayaasha iyo molecules kuwaas oo ay abuuraan oo ay aqoonsadaan. �

 

Noocyada kala duwan ee makrophages unug, oo hoos yimaada kicinta deegaanka ee microevironmental, waxay awoodaan inay kala saaraan noocyada M1 iyo M2. Marka hore, M1 polarization, oo sidoo kale loo yaqaan firfircoonida qadiimiga, ugu dambeyntii u baahan tahay interferon-? (IFN-?) in lagu qaso calaamadaha TLR4 taas oo markaa keenta soo saarista nitric oxide synthases (iNOS), noocyada oksijiinta falcelinta (ROS), cytokines proinflammatory, iyo ugu dambeyntii, ugu dambeyntii, waxay yareysaa sii deynta arrimaha neurotrophic, ugu dambeyntiina waxay keentaa barar leh kor u kaca calamadaha iswaafajinta histocompatibility adag II (MHC II), interleukin-1? (IL-1?) iyo CD68. �

 

Waxaa intaa dheer, M2 polarization, oo sidoo kale loo yaqaan firfircoonida beddelka ah, ayaa ugu dambeyntii la rumeysan yahay in ay la xiriirto taageerada unugga ee xaaladda bogsashada boogaha, yaraynta bararka iyo hagaajinta hagaajinta unugyada qaabka kolajka. Waxay kiciyaan jawaabta IL-4 iyo IL-13 gudaha vivo. M2 polarization waxaa lagu gartaa muujinta korodhka ah ee arrimaha neurotrophic, proteases, enzymes arginase 1 (ARG1), IL-10 beddelka factor koritaanka-? (TGF-?), Soo-dhoweeyaha CD206 iyo qodobbada xinjirowga iyo sidoo kale hagaajinta dhaqdhaqaaqa phagocytic. Sida xaqiiqda ah, hadda ma jiraan xuduudo cad oo u dhexeeya labada polarizations iyo M1 phenotype waxay wadaagaan sifooyin badan oo la mid ah M2 phenotype. �

 

Nooc kale oo ka mid ah microglia-ka hore, oo loo yaqaan deactivation la helay, ayaa dhawaan la helay. phenotype-kan cusub waxa uu ku dul wareegayaa M2 waxana uu awood u leeyahay in uu hagaajiyo ka-hortagga caabuqa iyo soo kabashada shaqada. Intaa waxaa dheer, daraasad cilmi baaris ah ayaa samaysay falanqayn qaabdhismeed ultra-qaab ah oo lagu aqoonsaday phenotype-cusub, oo loo yaqaan 'microglia-madow', oo naadir lagu arko xaaladda nasashada ee unugga microglial. Caabuqa habaysan wuxuu kiciyaa microglia galay xaalad firfircoon si kor loogu qaado soo kabashada unugyada iyo unugyada loona gaaro homeostasis. Farsamaynta Microglial waa ugu dambeyntii hakadka labaad ee deegaanka yar yar ee CNS. �

 

Microglia-ka hore waa seef laba af leh oo caafimaadka maskaxda ah. Daraasado badan oo cilmi baaris ah oo ku saabsan vivo iyo in vitro ayaa muujiyay in cudurrada neerfaha ay la xiriiraan firfircoonida microglial. Noocyada bararka ee microglia waxay abuuraan arrimo neurotoxic, dhexdhexaadiyeyaasha iyo ROS kuwaas oo saameyn kara CNS. Microglia Primed ayaa door aasaasi ah oo faa'iido leh ka ciyaara dib u soo kabashada neerfaha, dayactirka, iyo neurogenesis. Microglia Primed sidoo kale aad bay u xasaasisan yihiin waxayna si xoog leh uga jawaabaan dhaawaca maskaxda, caabuqa, iyo gabowga iyo sidoo kale kordhinta firfircoonida unugyada microglial iyadoo laga beddelayo bararka ka hortagga, phenotype oo suurtagal ah oo ilaalin kara phenotype pro-inflammation phenotype, sida lagu muujiyey (Jaantuska 1). �

 

Jaantuska 1 Microglial Priming and Beddelida | El Paso, TX Chiropractor

 

Marxaladaha hore ee priming-ka microglial, awoodda iyo shaqada si loo fagocytize qashinka unugyada, borotiinnada khaldan, iyo dhexdhexaadinta bararka ayaa kordhay halkaasoo unugyo ilaalin badan, sida IL-4, IL-13, IL-1RA, iyo reseptors, la abuuray. . Isbeddeladu waxay saameyn karaan bogsashada dhaawaca waxayna dhaawacaan hagaajinta unugyada, ilaalinta neerfaha, iyo soo kabashada homeostasis. Microglia si caadi ah loo dhaqay (M1) waxay ka kooban tahay qayb weyn oo ka mid ah dhammaan microglia waxayna kor u qaadaysaa abuuritaanka korodhka ee arrimaha neurotoxic, sida IL-1?, TNF-?, NO iyo H2O2 (6), halkaasoo microglia badan la soo saaray isla markiiba ka dib. �

 

Tani kororka iyo bararka neuroinflammation ee ay keento microglia primed ayaa ugu dambeyntii lala xiriirin karaa horumarinta iyo ururinta borotiinka tau iyo A?. Intaa waxaa dheer, waxay u horseedi kartaa luminta neuron-yada iyo sidoo kale hoos u dhaca shaqada garashada iyo xusuusta, sida cudurka Alzheimers. In kasta oo hababku aysan si fiican u caddayn, dadku waxay gaadheen heshiis ah in microglia-ka asaasiga ahi uu keeno jawaab-celin proinflammatory ah oo dabadheeraad ah iyo wareegga is-wadidda ee neurotoxicity. Tan waxaa la rumeysan yahay inay tahay qodobka ugu muhiimsan ee arrimaha caafimaadka maskaxda ee ka dhasha cudurrada neerfaha. �

 

Microglia waxaa loo yaqaanaa ilaalinta maskaxda waxayna ka ciyaaraan door aasaasi ah ilaalinta iyo sidoo kale nidaaminta homeostasis ee microenvironment CNS. Kicinta joogtada ah waxay sababtaa in microglia ay kiciso xaalad aad u xoog badan, taas oo loo yaqaan 'microglial priming'. Unugyada Microglial waa "Bruce Banner" ee CNS. Si kastaba ha noqotee, marka ay galaan habka difaaca "Hulk", microglia primed waxay noqotaa mid aad u nugul kicinta waxayna leeyihiin suurtogalnimo aad u xoog badan oo ay kaga falceliyaan kicinta, xitaa ka falcelinta unugyada caadiga ah. �- Dr. Alex Jimenez DC, CCST Insight

 

Unugyada Microglial waxay ka kooban yihiin 10 ilaa 15 boqolkiiba dhammaan unugyada glial ee jidhka bini'aadamka, kuwaas oo laga heli karo habka dhexe ee neerfayaasha (CNS) oo ka ciyaara doorka aasaasiga ah ee maskaxda aadanaha. Unugyada Microglial waxay mas'uul ka yihiin ilaalinta iyo habeynta isbeddelada jireed iyo jireed ee CNS. Baaxadda macluumaadkayagu waxay ku xaddidan tahay xanuunka loo yaqaan 'chiropractic, murqaha' iyo arrimaha caafimaadka neerfaha iyo sidoo kale maqaallada daawada shaqeynta, mowduucyada, iyo doodaha. Si aad uga hadasho mawduuca kor ku xusan, fadlan xor u noqo inaad weydiiso Dr. Alex Jimenez ama nala soo xiriir 915-850-0900 . �

 

Waxaa diyaariyay Dr. Alex Jimenez�

 


 

Dood Mawduuc Dheeraad ah: Xanuun Joogto ah

 

Xanuunka degdega ah waa jawaab-celin dabiici ah oo ku saabsan habdhiska dareenka kaas oo gacan ka geysanaya muujinta dhaawaca suurtagalka ah. Tusaale ahaan, calaamadaha xanuunka waxay ka soo socdaalaan gobolka dhaawacan iyagoo sii maraya neerfaha iyo xudunta laf-dhabarka ilaa maskaxda. Xanuunku guud ahaan wuu ka yaraadaa marka dhaawacu bogsado, si kastaba ha ahaatee, xanuunka daba-dheeraada wuu ka duwan yahay celceliska nooca xanuunka. Xanuunka joogtada ah, jidhka bini'aadamku wuxuu sii wadi doonaa inuu u diro calaamadaha xanuunka maskaxda, iyada oo aan loo eegin haddii dhaawacu bogsaday. Xanuunka daba-dheeraada wuxuu socon karaa dhowr toddobaad ilaa xitaa dhowr sano. Xanuunka daba-dheeraada wuxuu si weyn u saameyn karaa dhaqdhaqaaqa bukaanka wuxuuna yarayn karaa dabacsanaanta, xoogga, iyo dulqaadka.

 

 


 

Zoomer Neural Plus ee Cudurka Dareemaha

Zoomer Neural Plus | El Paso, TX Chiropractor

 

Dr. Alex Jimenez wuxuu isticmaalaa baaritaanno taxane ah si uu u caawiyo qiimeynta cudurrada neerfaha. Zoomer NeuralTM Plus waa noocyo kala duwan oo neerfaha autoantibodies kaas oo bixiya aqoonsi gaar ah oo ka-hortagga-antigen-ka. Zoomer Neural ee FirfircoonTM Plus waxaa loogu talagalay in lagu qiimeeyo falcelinta shakhsi ahaaneed ee 48 antigens neerfaha oo xiriir la leh cudurro kala duwan oo la xiriira neerfaha. Zoomer Neural ee FirfircoonTM Plus waxay rabta inay yarayso xaaladaha neerfaha iyadoo awood siinaysa bukaanada iyo takhaatiirta ilaha muhiimka ah ee ogaanshaha khatarta hore iyo xoojinta diirada la saarayo ka hortagga aasaasiga ah ee shakhsi ahaaneed. �

 

Foomamka Taageerada Methylation

 

Foomamka Xymogen - El Paso, TX

 

XYMOGEN Foomamka Xirfadlayaasha Gaarka ah ayaa la heli karaa iyada oo loo marayo xulashada xirfadlayaasha daryeelka caafimaadka shatiga. Iibinta intarneedka iyo qiimo dhimista hababka XYMOGEN waa mamnuuc.

 

Ku faan,�Dr. Alexander Jimenez waxay ka dhigaysaa qaaciidooyinka XYMOGEN inay helaan bukaannada ku hoos jira daryeelkayaga.

 

Fadlan wac xafiiskayaga si aanu kuugu meelayno la-talin dhakhtar si degdeg ah loo galo.

 

Hadii aad tahay bukaan Dhaawaca Caafimaadka & Dhakhaatiirta lafdhabarta, waxa aad wax ka waydiin kartaa XYMOGEN adiga oo waca 915-850-0900.

xymogen el paso, tx

 

Si ay kuugu habboonaato iyo dib u eegistaada XYMOGEN alaabta fadlan dib u eeg xidhiidhka soo socda.*XYMOGEN-Catalog-Download

 

* Dhammaan siyaasadaha kor ku xusan ee XYMOGEN waa ay sii jiraan.

 


 

Baaxadda Xirfadda Tababarka *

Macluumaadka halkan ku qoran "Microglial Priming ee habka dhexe ee neerfaha"looma talagelin in lagu beddelo xiriirka qof-ka-qof ah ee leh xirfadle daryeel caafimaad oo u qalma ama takhtar shati haysta mana aha talo caafimaad. Waxaan kugu dhiirigelineynaa inaad sameyso go'aamo daryeel caafimaad oo ku saleysan cilmi-baaristaada iyo iskaashigaaga xirfadle daryeel caafimaad oo u qalma.

Macluumaadka Blog-ga & Wada-hadallada Xadka

Baaxadda macluumaadka waxay ku kooban tahay Chiropractic, murqaha, dawooyinka jireed, fayoobida, gacan ka geysata etiological khalkhalka viscerosomatic gudaha bandhigyada kiliinikada, dhaqdhaqaaqa kiliinikada ee somatovisceral reflex ee la xidhiidha, dhismooyinka subluxation, arrimaha caafimaadka xasaasiga ah, iyo/ama maqaallada daawada shaqaynta, mowduucyada, iyo doodaha.

Waanu bixina oo soo bandhignaa iskaashiga bukaan-socodka oo leh takhasusyo ka kala socda qaybo kala duwan. Khabiir kastaa waxa lagu maamulaa baaxadda ku-dhaqankooda xirfadeed iyo awooddooda shatiga. Waxaan isticmaalnaa borotokoolka caafimaadka iyo fayo-qabka shaqada si aan u daaweyno oo u taageerno daryeelka dhaawacyada ama cilladaha habka muruqyada.

Fiidiyowyadayada, qoraaladayada, mawduucyada, mawduucyada, iyo aragtiyadayadu waxay daboolayaan arrimaha kiliinikada, arrimaha, iyo mawduucyada la xidhiidha oo si toos ah ama si dadban u taageera baaxadda hawlqabadkayaga caafimaad.*

Xafiiskayagu waxa uu si macquul ah isku dayay in uu bixiyo tixraacyo taageero ah waxana uu aqoonsaday daraasadda cilmi-baadhiseed ee la xidhiidha ama daraasadaha taageeraya qoraaladayada. Waxaan siinaa nuqulo ka mid ah daraasadaha cilmi-baarista ee taageeraya ee loo heli karo golayaasha sharciyeynta iyo dadweynaha marka la codsado.

Waxaan fahamsanahay inaan daboolno arrimaha u baahan sharaxaad dheeri ah oo ku saabsan sida ay gacan uga geysan karto qorshe daryeel gaar ah ama hab maamuuska daaweynta; haddaba, si aad uga sii wada hadasho mowduuca kor ku xusan, fadlan si xor ah u weydiiso Dr. Alex Jimenez, DC, ama nagala soo xiriir 915-850-0900.

Waxaan halkan u nimid inaan kaa caawinno adiga iyo qoyskaaga.

Barako

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: Tababaraha@elpasofunctionalmedicine.com

Ruqsad u haysta sidii Dhakhtar Chiropractic (DC) gudaha Texas & New Mexico*
Shatiga Texas DC # TX5807, Shatiga New Mexico DC # NM-DC2182

Ruqsad u haysta Kalkaaliso Diiwaangashan (RN*) in Florida
Shatiga Florida ee RN # RN9617241 (Maamulka No. 3558029)
Xaaladda is haysta: Shatiga Dawlad-goboleed badan: Loo oggolaaday inuu ku tababarto Gobollada 40*

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Kadhkayga Ganacsiga Dijital ah