Ubuhlungu obuphansi emuva buphakathi kwezizathu ezivame kakhulu zabantu ukufuna iseluleko sezokwelapha. E-United States, ubuhlungu obuphansi emuva buyinombolo yesizathu esenza abantu benze ukuqokwa kukadokotela, kuphela okungaphezu kwezifo zokuphefumula ezingaphezulu . Ubuhlungu obuphansi emuva buvamile, futhi cishe wonke umuntu angalindela ukuba nesiqephu (uma kungenjalo iziqephu eziningi) zobuhlungu emuva emuva kwesikhathi sokuphila kwabo.
Uma uhlola ubuhlungu obuphansi emuva, umtholampilo wakho uzozinakekela ngokukhethekile ukuqinisekisa ukuthi azikho izimpawu noma izimpawu zenkinga ebuhlungu kakhulu. Ngenxa yobunzima bokubuyela emuva, abantu bavame ukhathazekile ngokuthi kukhona okubi kakhulu emgodini wabo. Abantu abaningi abazange babone lolu hlobo lobuhlungu ngaphambili, futhi lokhu kungabangela ukukhathazeka ngokuthi kungenzeka isimo esibi noma inkinga engase iqhubeke ikhula kakhulu. Izimpawu zokuphulukisa emuva zivame ukuhluke kakhulu kunezimpawu ezivamile ze-sprain, strain, noma ukudideka. Abantu bangase bachaze ukuzwa okujulile okucindezelayo okunzima ukuyikhulula. Imvelo engavamile yalesi sihlamba ingenza abantu bacabange ukuthi isimo esibi sisekhona ngaphakathi komgogodla wabo.
Labo abathintekayo ngezinhlungu eziphansi emuva bazikhathazeka ukuthi bangase babe nokuthile okunzulu okufana nesifo sofuba noma ukutheleleka, noma isimo esingeke sibe ngcono futhi ekugcineni siholele esibucayi esibangela ukukhubazeka.
Okuyiqiniso ukuthi lokhu akuvamile neze, naphezu kokuqina kwezimpawu. Lokhu kusho ukuthi kunabantu abaningi abakhathazekile ngakho-ke iziguli zivame ukuzibuza ukuthi ukucabanga nge-radiographic njenge-ray-ray noma i-MRIs kungase kube usizo ekuhloleni kwabo. Akuyona into engavamile ukuthi umuntu ozwa ubuhlungu obukhulu be-back emuva ahlangane uDkt elindele ukuba abe nokuhlolwa kwe-MRI ukuhlola isimo sabo.
Izincomo
Okuyiqiniso ukuthi ukucabanga nge-radiographic akusizi ngalutho ngezigaba zokuqala zokuhlola ubuhlungu obuphansi emuva. Eqinisweni, imiphakathi eminingi edidiyelwe kuhlanganise neNorth American Spine Society kanye ne-American College of Physicians, inikeze izincomo eziqondile ukuthi ukucabangela ukuhlola akufanele kutholakale ezinyathelweni zokuqala zobuhlungu obunzima obujwayelekile.
Kunezizathu zokuthi kungani ukucabanga nge-imaging kungasiza, kepha lokhu okuhlukile ngaphandle kokubusa. Ezweni lezokwelapha, odokotela bavame ukusebenzisa igama elithi "izimpawu ezibomvu". Lezi yizimpawu ezingase zibe izimpawu zesimo esibi kakhulu:
- Izicubu
- Ukutheleleka
- Ukuhlukana
- Ukwehluleka okukhulu kwe-neurologic
Uma izimpawu zalezi zimo zikhona, ukucwaninga izithombe kungasiza. Izimpawu zalezi zimo zingase zibandakanye umkhuhlane, ukulahleka kwesisindo samanje, umlando wesifo somdlavuza, umlando wokusetshenziswa kwezidakamizwa, umlando wokuhlukunyezwa okukhulu, ukugcinwa kwamagciwane noma ukungabonakali, noma ezinye izimpawu. Futhi, lezi zibonakaliso zikhona njalo, kodwa uma lezi zibonakaliso "ezibomvu" zikhona ukuhlolwa okunye kungadingeka.
Izincomo azicacile; Empeleni zicacile. I-North American Spine Society ithi ngokuqondile odokotela: "D musa ukusikisela izithombe ezithuthukisiwe (isib., I-MRI) yomgogodla phakathi kwamasonto ayisithupha okuqala ezigulini ezinezinhlungu ezingemuva ezibuhlungu ezingemuva lapho kungekho khona amafulegi abomvu." I-American College of Emergency Physicians itjela odokotela: "Gwema ukucabangela umcabango onobucayi emnyangweni ophuthumayo kubantu abadala abanezinhlungu ezingemuva emuva ngaphandle kokuba isiguli sinokukhubazeka okunzima noma okuqhubekayo noma okusolakala ukuthi sinenkinga ebalulekile." Isitatimende se-American College of Family Physicians sithi: "Ungenzi izithombe zokuhlunguphaza emuva emuva kwamasonto ayisithupha okuqala, ngaphandle uma kukhona amafulege abomvu."
Isizathu Esivela Ezinconyweni
Isizathu sokuthi lezi zinkampani zomsebenzi zenze lezi ziphakamiso zicacile, ekugcineni, ukuthi izifundo zokuzicabangela azihlinzeki ngezinga lokusiza iziguli zithola ukukhululeka ekuhluphekeni kwazo. Ukwelashwa kobuhlungu obunzima bokubuyela emuva akuguquki ngokususelwa kumiphumela ye-x-ray ne-MRI. Ngisho noma ukuxilongwa okuyisisekelo akukona ngokuphelele, izincomo zokwelashwa aziguquki. Njengomthetho jikelele wesithupha, ukuhlolwa kutholakala lapho imiphumela yalolu vavanyo ingase iholele eminye yezindlela ezimbili zokwelapha ezihlukene (noma ngaphezulu). Uma umphumela wokuhlolwa ungenakwenzeka ukushintsha indlela yokwelapha, ngakho-ke ukuhlolwa akufanele kwenziwe.
Kulesi simo, ukucwaninga izithombe akuguquli izincomo zokwelapha ngenxa yobuhlungu obunzima bokubuya emuva.
Ngaphezu kwalokho, ngezinye izikhathi izifundo ze-imaging zingabangela isimo. Ukuhlolwa kwesithombe kungaholela ezinkambisweni ezingenasidingo noma ezivivinyweni ezengeziwe, futhi ukuhlolwa okuqhubekayo kungase kungakapheli ekugcineni kunciphise izimpawu. Ukwelashwa kobuhlungu obunzima bokubuya emuva kufanele kugxile emizamweni yokunciphisa izimpawu ezihlanganisa ukunyakaza okuncane nomsebenzi, ukugwema imisebenzi ekhulayo, kanye nezinqubo ezithile zokwelashwa ezingase zinikeze ukukhululeka kubandakanya:
- Ukwelapha ngokomzimba
- Ukuxhaphaza umgogodla
- Ukushisa
- I-Acupuncture
- Ukuzivocavoca kufaka phakathi i-yoga ne-Pilates noma i-tai chi
Ngayinye yalezi zindlela zokwelapha iye yaboniswa ukuhlinzeka ukukhululeka kobuhlungu ekusetshenzisweni ubuhlungu obunzima bokubuya emuva. Ngaphezu kokugwema ukucabanga, izincomo ezifanayo ziye zaxwayisa ukugwema imithi yokwelashwa, ikakhulukazi imithi yokwelapha yokwelapha ubuhlungu bokubuyela emuva. Uma imithi isetshenziselwa, kufanele ngokujwayelekile iqukethe imithi engaphezu kwemithi ehlanganisa imishanguzo yokulwa ne-antisteroidal kanye / noma iTylenol.
Izwi elivela
Ubuhlungu obuphansi emuva bungaba nesimo esesabekayo, ikakhulukazi uma kubonakala sengathi sivela ngaphandle. Abantu bathola ubuhlungu bungavamile, bengakhululekile, futhi besaba. Ngenxa yalesi sizathu, abantu abaningi abanezinhlungu eziphansi emuva bazibuza ukuthi ukuhlolwa kwezingcingo kungadingeka yini ukuhlola umgogodla wabo. Okuyiqiniso, ngaphandle kwezimo ezithile, ukucabanga ngomgogodla nge-x-ray, i-MRIs, noma ezinye izivivinyo akudingekile. Eqinisweni, imiphakathi eminingi yobuchwepheshe yenza izincomo eziqondile ukuthi iziguli kufanele zigweme lezi zinhlobo zokuhlola izithombe. Ngenkathi ekugcineni kungadingeka, iningi labantu abanezinhlungu eziphansi emuva ngeke lidinge izithombe zokusiza ukukhulula izimpawu zabo.
> Imithombo:
> Ukukhetha ngokuhlakanipha ® kuyisinyathelo se-ABIM Foundation. © 2017
> Chou R, et al. Ikomidi elincane lokuhlola ukuhlolwa kwe-Efficacy ye-American College of Physicians; I-American College of Physicians; I-American Pain Society Panel Guidelines Pain Guidelines Panel. "Ukuxilongwa nokwelashwa kwezinhlungu ezisezingeni eliphansi: isiqondiso somtholampilo esihlangene esivela eMelika College of Physicians kanye ne-American Pain Society." U-Ann Intern Med. 2007 Oct 2; 147 (7): 478-91.
> Forseen S, Corey A. "Ukusekelwa kwezinqumo zokwelashwa kanye nobuhlungu obunzima bokubuyela emuva: i-oda-based order set sets". J Am Coll Radiol. 2012 Oct; 9 (10): 704-12.