Izingozi, Izimpawu, Ukwelashwa Kwezinkinga Zomkhuhlane Wesibeletho
Ukulimala emzimbeni, noma ukulimala kwesibeletho somlomo wesibeletho, kuza ezinhlobonhlobo zezinhlobo, kusukela ekuncipheni kuze kube nzima. Ukulimala entanyeni yakho kungenziwa ngaphambi kwengozi, ukuhlukumezeka endaweni, ukuwa, ngisho nezinguquko ezishintshashintshayo ezenzeka emgodleni.
Ukulimala kwengxenye eyodwa ye-anatomical entanyeni yakho ngokuvamile kusho ukulimala kwabanye. Lokhu kungenxa yokuthi izingxenye zentamo yakho zixhunyiwe. Amathoni, amalunga, izicubu ezithambile, nezinzwa emgodini womlomo wesibeletho bonke basebenza ndawonye ukuze babambe futhi bahambise ikhanda lakho. Isibonelo, i-whiplash ingabangela ukuxilongwa okukodwa noma okunye, kufaka phakathi ukuhlukunyezwa kwemisipha, i-ligament sprain, kanye / noma ukulimala kwe-disc.
Ukulimala Kwemikhono Okuthinta Izicubu Eziphansi
Izindaba ezinhle ukuthi isikhathi esiningi, ukulimala entanyeni ikakhulukazi kuthinta izicubu ezithambile-imisipha yakho, izintambo, imigqa, kanye / noma i-fascia. Kodwa zonke izinhlobo zokulimala kwesibeletho somlomo wesibeletho, kuhlanganise nalabo abandakanya amathambo, amajoyini, nama-disk, kuzophinde zithinte imisipha yakho okungenani.
Ukulimala kokuqala okweluhlu oluthinta uhlu oluthambile.
Ukulimala Kwemisipha Okungahle Ithinte Amazinyo kanye / noma I-Spinal Cord
Okunye ukulimala kwentamo kuthinta noma kulimaze isimiso sezinzwa, futhi lezi zingathola kakhulu. Ukubandakanyeka kwemizwa ngokuvamile kwenzeka lapho kuhlangana noma eyodwa noma ngaphezulu isakhiwo somgogodla noma ibeka ingcindezi kunoma izimpande zomgogodla, emthonjeni womgogodla, noma kokubili.
Izincazelo ezilimazayo ezisele kulesi sihloko zikhuluma ngalabo okuthi, ngandlela-thile, kungakhathaliseki ukuthi bumnandi noma bangathà sina, kuthinta ezinye izici zesimiso sezinzwa.
I-Crick emkhunjini
Wake wavusa ngekhilikithi eliyingozi lentamo futhi wazibuza ukuthi kungaba yini? "I- crick entanyeni " akuyona ukuxilongwa kwezokwelapha. Ngokuvamisekile, i- muscle spasm , i- trigger amaphuzu , i- arthritis , kanye / noma inkinga ye-dis ibuhlungu ubuhlungu.
Amacembe amathanga avame ukulethwa izinto ezilula: ukulala entanyeni yakho endaweni engafanelekile, amahora amaningi kukhomputha, nokuhamba ngokuzumayo komgogodla wakho wesibeletho.
Yini okufanele uyenze ngekhente lentamo? Esikhathini esiningi, ezindaweni zokwelashwa ezisendlini ezifana ne-aspirin noma i-Tylenol (i-acetaminophen), umsebenzi onciphile, nokunyakaza okuncane konke okudingekayo ukuze kukhululwe ubuhlungu. Ukulinda kudlala indima enkulu, futhi.
Uma uthola ukuthi ubuhlungu besikhala sakho buhlala isikhathi esingaphezu kweviki, noma kuphazamisa imisebenzi yakho evamile, cishe isikhathi sokubona udokotela wakho. Kuyafana nokuthi uma uthola ukuthi unenkinga yentamo esikhathini esidlule noma unayo (noma ube nayo) isimo esinzima sempilo njengomdlavuza.
Isisindo Sobunzima
Umthamo wezintuthwane ukulimala emisipha enamathele kuyo futhi ihambise ingxenye engaphezulu yomgogodla. Izimpawu zihlanganisa ukungcoliswa kwemisipha, ukunciphisa ukuguquguquka kwemvelo, nobuhlungu, kodwa izinkinga zihlungwa, okusho ukuthi zivela emnene kuya ezinzima. (Okubi kakhulu kuyingozi kakhulu futhi kudinga ukwelapha ngokushesha.)
Izinga zeBanga I zinomusa futhi zivame ukuphathwa ngomsebenzi wokuguqula ezingeni lapho ubuhlungu bubekezele khona, ngaphandle kokunikeza ukulala okuphelele kombhede. Futhi, ukuthatha imithi yokuhlunguphaza ngokweqile kuyindlela evamile yokudlula ubuhlungu bokucindezeleka okuncane. Njenge-crick neck, uma ubuhlungu buhlala isikhathi eside kuneviki, noma uma kuphazamisa imisebenzi yakho evamile, bheka udokotela wakho .
Ngenkinga ye-Grade II yentamo, ukulimala kunomkhawulo kuphela kumisipha; ubuhlungu bentamo yakho cishe akubonakali kwezinye izinhlobo zokulimala kwesakhiwo. Kodwa ngamaBanga III no-IV, kuwukuthi. Ngokusho kweQuebec Task Force nge-Whiplash-Associated Disorders, umthamo we-Grade III entanyeni uhlotshaniswa nomonakalo wezinzwa, futhi. Kulesi simo, phakathi kwezinye izinto, ungase ube buthakathaka futhi / noma uzizwe ukuzwa komzimba phansi kwesandla esisodwa. Ngalokhu kulimala, ukwenza i-aphoyintimenti nodokotela wakho ngokushesha ngangokunokwenzeka cishe kuzokunika ithuba elihle lokuthola ngokugcwele.
Akudingeki ukuthi, ama-grade IV eminyeni yezintambo ayinhloko kunazo zonke. I-Quebec Task Force ithi lezi zihlobene nokuqhekeka noma ukuhlukaniswa kwe-vertebral. Lokhu ukulimala kudinga ukunakekelwa okusheshayo kwezokwelapha.
I-neck Sprain
Ama-sprains alimala emigodini. (Amagamente yizinqola ezinamandla zezicubu ezixhunyiwe ezibamba amathambo ndawonye.)
Imisipha yezinyosi ingabangelwa ukuwa noma ukuphazamiseka okungazelelwe okudlulayo noma ukufaka ngaphezulu amajoyina owodwa noma ngaphezulu emgodini wakho wesibeletho. Esinye imbangela ukucindezeleka okuphindaphindiwe kumalungu afanelekayo.
Ngokusho kwe-American Academy of Surgery Orthopedic, izimpawu zentamo yezintamo zingahlukahluka kakhulu kodwa zingase zihlanganise ubuhlungu emhlane wakho obonakala bubi nakakhulu lapho uhamba, ubuhlungu obuya kancane futhi bukhuphuka ngemva kwamahora angu-24, i-headache at ngemuva kwentanyeni, imisipha yezintuthwane nobuhlungu ehlombe lakho, ukuqina kwentamo, kanye / noma ukuphazamiseka, ubuthakathaka, noma ukugoqa engalweni yakho.
Imishanguzo yezintambo ingaletha nezimpawu ezincane zesakhiwo, kuhlanganise nesifo somzimba, ukushintsha kwemizwelo, ubunzima bokugxila noma ukulala, nokuningi, i-AAOS ithi.
Ngokufana nezinsipho zentamo (ngenhla), ama-sprains entanyeni angaba mnene, alinganise, noma anzima futhi ahlanganiswe. Lokhu kungase kusho, isibonelo, ukuthi uma ugoqa phansi ingalo eyodwa, ukulimala kwakho kuGrade III. Hlola njalo nodokotela wakho ukuze uqiniseke.
Uma usola othile endaweni yakho enokulimala okukhulu kwentamo (kwanoma yiluphi uhlobo), kufanele uvuselele umgogodla bese ubiza 911 ngokushesha. Ungazami ukuwahambisa ngaphandle uma wenza kanjalo yindlela kuphela yokulondoloza impilo yabo.
Ukuze uthole amaphilisi amancane nokulinganisela, ngokuvamile ukuphumula nokucwenga indawo kunconywa, njengoba kuthatha imithi elwa nokuvuvukala (ngokuvamile iphezu komncintiswano uzokwenza) futhi ukuyihlolisisa udokotela.
Ukuphazamiseka kwe-Whiplash-Associated Disorders (WAD)
I-Whiplash (i-WAD) iqoqo lezimpawu ezilandela umcimbi wokunyakaza lapho ikhanda liphonswa khona kuqala ku- hyperextension bese ngokushesha liqhubekela phambili. Ngokuvamile ngenxa yezingozi zemoto , kodwa kungabangelwa ukulimala kwezemidlalo, ukuwa, noma ukuhlukunyezwa.
Njenge-crick entanyeni, i-WAD ayilona i-diagnosis yezokwelapha. Isiqephu esingasenza kunoma iyiphi inombolo yokuxilongwa kusuka ekucindezelweni kuya ku-herniated, futhi ngezinye izikhathi ngaphezulu. (I-Whiplash ingalimaza amalunga noma ama-discs, okunye okungamcasula izimpande zomgogodla noma, okungavamile, intambo yomgogodla, obangela izimpawu zesibindi.)
Kuncike ekutheni ukulimala okunjani, izimpawu zingabandakanya ubuhlungu, ubuthakathaka, ukuphazamiseka, ukuqhuma, noma ezinye izinzwa zogesi eziwela phansi ingalo eyodwa. Ukukhathazeka, isizungu, noma ukulala okuphazamisayo nakho kungenzeka. Qaphela ukuthi izimpawu zingase ziphuze usuku noma ezimbili emva komcimbi we-whiplash.
Ukucwaninga kusikisela ukuthi izindlela eziningi zokwelapha i-whiplash zingasebenza. Lokhu kungase kuhlanganise ukulalela iseluleko sikadokotela wakho, ukuthatha izandla ezithombeni ezithambile zomzimba we-body or massage therapist, imithi, egqoke ikhola, kanye / noma ukuvivinya umzimba.
I-Disc Herniated
I -disc ye-herniated ivela lapho izinto ezilula ezivame ukungena ngaphakathi kwe-disc (okuthiwa i- nucleus pulposus ) ziyaphuma. Uma le nsizi efana ne-jelly ihlala emthonjeni wezinzwa, okwenza njalo, cishe uzozwa ubuhlungu kanye / noma ube nezimpawu ezihlobene nesifo. Izimpawu ezihlobene nesisindo ngokuvamile zihlanganisa ubuthakathaka, ukuphazamiseka, ukuzwa okuvuthayo, noma ukuzwa kwe-electrical shock ewela phansi ingalo eyodwa.
Izinyembezi ezifwini ezinzima ze-disc (ezibizwa ngokuthi izinyembezi zonyaka) zingaholela ekuhlaleni. Izinyembezi zangasese zingase zilethwe ngokuphindaphindiwe noma ngokucindezela ngokucindezelayo, okucindezelayo kumgogodla. Ukwelashwa ngokuvamile kuqala ngemithi kanye nokwelashwa ngokomzimba, kodwa kungaqhubeka nokuhlinzwa njengoba kudingeka.
Ama-discs e-Herniated angenzeka noma kuphi lapho kutholakala khona umgogodla lapho kutholakala khona amakhemikhali anesimangaliso, kuhlanganise nakanjani, endaweni yomlomo wesibeletho (neck).
Izimbambo Nezibhamu
Izimbambo kanye nezishisayo (ezibizwa ngokuthi indlela abazizwa ngayo) zingozi zesikhashana kumsuka wezinzwa noma i- plexus ye-brachial . Zenzeka kaningi kulabo abadlali bebhola (ikakhulukazi ama-tacklers) kanye nabanye abadlali bezemidlalo.
Iziqu kanye nama-burners angabangelwa ukuqhuma okungaqondakali kwekhanda noma uma ikhanda nehlombe ziphoqelelwa ngezinkomba ezingafani ngesikhathi esifanayo.
Izimpawu zihlanganisa ukushisa, ukugubha, ukuguga / ubuthakathaka, noma ukuzwa kwegesi phansi kwengalo eyodwa. Ungase uzizwe ukuzwa okufudumele kanye nezinye izimpawu.
Uma i-stinger noma i-burner inzima noma ihlala isikhathi eside kunemizuzu embalwa, bheka udokotela. Uma ungumdlali ophethe i- stenosis , ingozi yakho iphakeme futhi udokotela wakho angase akhombise ukuthi uthathe umhlalaphansi emdlalweni wakho ukuze ugweme ukulimala kwentamo embi.
I-Fracture yama-neck
Ukwephuka kwentamo kuyiphunga emathangeni wesibeletho. Kungase kubangelwe ukuhlukunyezwa, ukuwa, noma izinguquko ezishintshashintshayo emgodini. I-angle yamandla emthelela ngokuvamile ihlose uhlobo nobunzima bekhefu.
Abadlali bebhola abavimbela ikhanda labo basengozini enkulu yokuhlukana komlomo wesibeletho. Abantu asebekhulile abane-osteoporosis nabo bangengozini, ngenxa yamathambo abo ahlukumezayo. I-fractures eyinkimbinkimbi kakhulu yezintambo ngokuvamile ihambisana ne-dislocation.
Ukwelashwa kuxhomeke ezintweni eziningi, kuhlanganise nobudala bakho, nezinye izimo zezokwelapha, kanye nobukhulu bomonakalo emgodini wakho. Uma ukuphuka kukuqeda intamo yakho, kungase kudingeke ukuthi ugqoke i-halo brace.
Ukuvimbela yindlela yokuphatha yokwelashwa kwentamo. Uma une-osteoporosis noma i-osteopenia, cela udokotela wakho noma uchwepheshe wezempilo mayelana nemibono yokuvimbela.
Ukususwa komlomo wesibeletho
Ukuhlukaniswa kwemvelo kwenzeka lapho ithambo lentamo liphuma endaweni yalo evamile, lidala ukungazinzi komgogodla. Uma ithambo lentamo lihlukaniswa, noma ukulimala noma izinguquko ezishintshashintshayo ziphazamisa imigqa evame ukuyibeka endaweni, okwenza ihlukaniswe nethambo elingezansi.
Uma ulethwe ngengozi, ukuhlukaniswa kungahle kuhambisane nokuhlukunyezwa .
Ekudambiseni okukhulu kakhulu, ithambo lisuke lihamba phambili ngokugcwele (elibizwa nge-jumping), futhi livale kule ndawo. Imigudu iphela ngokuphelele. Ukuhlukaniswa kungalimaza intambo yomgogodla kanye / noma kudinga ukuhlinzwa.
Amafomu aphansi kakhulu ayenzeka lapho ithambo lingagudluli yonke indlela, noma uma uhlangothi olulodwa luphela ngokugcwele. Ukususwa okuncane kungabuyela endaweni eyedwa, futhi izicubu ezithambile ziphathwa ngokugqoka ikhola.
Ukulimala komgogodla
Ukulimala komgogodla kwenzeka lapho ukulimala, ukuhlukanisa, noma ukulimala kwentamo kwonakalisa intambo yomgogodla. Uma intambo yomgogodla ibonakale ku- vertebra yesithathu yomlomo noma ngaphezulu, umuntu angase afe noma adinga ukuphefumula ukuze aphile.
Abantu abahlala ne-SCI bavame ukubekezelela ukukhubazeka konke okuphelele ngokukhubazeka okuphelele noma okungaphelele ngaphansi kwezinga lokulimala.
Ukulungiswa kokunakekelwa okuphuthumayo kanye nohlobo losizo lokuqala kanye nokwelashwa okwenziwe ngokushesha kuncike ikakhulukazi ekuphuculeni nasezingeni elilandelayo lokuphila ngemuva kokulimala kanzima. Uma othile endaweni yakho enesigameko esibuhlungu, kufanele ucabange ukuthi unobungozi obunzima obunzima noma obusongela impilo bese ulandela imihlahlandlela ye-Red Cross .
> Imithombo:
> AAOS. I-neck Sprain. Iwebhusayithi ye-AAOS. Dec 2013. http://orthoinfo.aaos.org/topic.cfm?topic=A00410
> Bussières A. Ukwelashwa Kwezinkinga Ezihlobene Nezinhlungu Nezinkinga Ne-Whiplash-Associated: Umhlahlandlela Wokusebenza Ngemitholampilo. J Physiol Ther. Okthoba 2016 https://www.ncbi.nlm.nih.gov/pubmed/27836071
> Hunter, O., MD Isibeletho se-Cervical and Strain. Iwebhusayithi ye-Medscape. Dec 2015. http://emedicine.medscape.com/article/306176- ukubukwa kabusha