Ubuhlungu obunzima bokubuya emuva yisigaba sokuqala sokulimala emuva. Kodwa ungakhathazeki - kuyilapho kuyiqiniso ukuthi ukuhlupheka okungapheli kungavela esiqhingini sobuhlungu obunzima bokubuya emuva, ngokuphathwa kokwelapha, kungenzeka ukugwema inkinga yesikhathi eside. Nakhu okuyisisekelo mayelana nezimpawu, izimbangela, kanye nokwelashwa kwezinhlungu ezibuhlungu ezibuya emuva.
Iyini Inhlungu Ebuyayo Ephansi?
Ubuhlungu obunzima bokubuya emuva busho ubuhlungu obufushane obufushane, ubunzima kanye / noma ukungezwani kwemisipha noma yikuphi ngemuva, ukuqala ngezansi kwezimbambo bese uqhubekela phansi ngaphansi kwamadokodo. Ubude besikhathi obhekene nobuhlungu bubuhlukanisa nobuhlungu obubuhlungu obungemuva. Ochwepheshe bahluke esikhathini saso, kodwa ngokuvamile kuvamile amasonto angama-12. Njengazo zonke izinhlobo zobuhlungu emuva, izimpawu zivame ukuzithoba futhi ngokuvamile azikwazi ukuqinisekiswa kalula yizivivinyo noma izivivinyo . Ukwelashwa ikakhulukazi kugxile ebuhlungu ngokwayo.
Ubuhlungu obunzima bokubuya emuva ngenye yezizathu eziphezulu zokuthi kungani abantu befuna ukunakekelwa kwezokwelapha, kodwa kuphela amaphesenti amancane abantu abakwenzayo.
Izindaba ezinhle ukuthi izinhlungu ezingemuva ezingezona ezisezingeni eliphezulu zivame ukuzixazulula zodwa ngemva kwamasonto ambalwa. Ngakolunye uhlangothi, ukuthola uhlobo olufanele kanye nenani lokwelashwa kwangakini kungakusiza ukuba usiyeke ubuhlungu obukhulu bokubuyela emuva ekuthuthukiseni isimo esingapheli.
Ingabe Usengozini Yezinhlungu Ezibuhlungu Ezibuhlungu Eziphansi?
Abantu abadala abaneminyaka engama-35 no-55 basengozini enkulu yokuhlunguphazeka okuncane emuva. Ukuchitha isikhathi esiningi ezindaweni ezimisiwe - njengokuthi usebenza usuku lonke kukhompyutha - kungumthelela omkhulu ekwenzeni ukwanda kwalolu hlobo lobuhlungu.
Ezinye izinto ezibangelwa ingozi zibandakanya umsebenzi owenziwe ngamandla, ukugoba kanye / noma ukuphikisana njalo (okungabangela ukuba i-disniation ishicilelwe), nokuphakamisa.
Ngo-2015, i-American Academy of Orthopedic Surgeons ibuyekeze amarekhodi weziguli eziyizigidi ezingama-26 (okuyizigidi ezingu-1.2 ezibuhlungu emuva) ekuzameni ukubona izinto ezibeka ingozi ekuhlangenwe nakho kobuhlungu obunzima bokuhlala emuva. Bathole ukuthi iziguli ezingama-19.3% eziye zatholakala ukuthi zinezinkinga zabika ubuhlungu obuphansi emuva, njengoba kwenza 16.75% yeziguli ezithobekile (okungukuthi, labo abanezinombolo zomzimba ezingaphezu kuka-30)
Ucwaningo lubuthole ukuthi abantu abanokuxhomeka kwe-nicotine nalabo abahlukumeza utshwala babika amazinga aphezulu okubuhlungu emuva, futhi.
Izimbangela Zezinhlungu Ezibuhlungu Ezibuhlungu Eziphansi
Amacala amabi kakhulu abuyele emuva ahlolwa ngokuthi "awunacacile," okusho ukuthi udokotela akakwazi ukuthi yini ebangela ukuba kube khona. Njengesiguli, lokhu kungase kubonakale kukukhungathekisa kuwe, kodwa khumbula ukuthi ukwelashwa, futhi ezimweni eziningi ulinde nje, kungasiza ekuhluleni ubuhlungu.
Ngaphandle kokuba udokotela wakho athathe izibonakaliso zesimiso sezempilo esiyinkimbinkimbi (esibizwa ngokuthi amafulegi abomvu), ukuhlolwa kwe-imaging yokuxilonga ngokuvamile akudingekile. Uma ubuhlungu buqhubeka naphezu kokwelashwa, ngaleso sikhathi, ukuhlolwa okunjalo kungasiza.
Ngokudabukisayo, yize noma iziqondiso zomtholampilo zincoma kuphela ukusebenzisa kahle ukuhlolwa kwe-imaging ukuze kutholakale ubuhlungu bokubuyela emuva, odokotela abaningi ngokuvamile bawasebenzisa, ngisho nasezimweni ezinzima zobuhlungu obukhulu obubuhlungu. Ku-athikili ka-2009 enesihloko esithi "Ukubhekana Nokucindezeleka Okubuhlungu Okubuyiselwayo: Isikhathi Sokubuyela Emuva?" eyanyatheliswa kuyi- Journal of the American Board of Family Medicine, uDkt. Rick Deyo, et. al, ukuphawula ukuthi ukusetshenziswa kwe-imaging i-lumbar magnetic resonance (MRI) yanda emkhakheni we-Medicare ngo-307% eminyakeni engu-12 kusukela ngo-1994 kuya ku-2006.
Abacwaningi bangezela ukuthi kufika ku-2/3 yalezi zivivinyo kungenzeka ukuthi zinikeziwe ngendlela efanele.
Imithombo yemilenze ephansi yangasemuva ingabandakanya izinkinga ze-disc, ama-vertebral fractures, ukuhlukunyezwa kwemisipha kanye / noma i-ligament.
Ukuthola Ubuhlungu Bakho Bokubuya Ephansi Ebuhlotshwe Udokotela
Ngisho nezinkinga ezihlobene nezimboni eziphathelene nokusetshenziswa ngokweqile kokuhlolwa kwe-imaging yokuxilonga kubantu abanokuqala noma ubuhlungu obunzima, ukuthola ukunakekelwa kwezobuhlungu bakho emuva emuva kungaba isinyathelo esibalulekile ekuphulukiseni kwakho. Isizathu ukuthi ukwelashwa kwasekuqaleni kungakusiza ugweme inkinga yangemva kwesikhathi eside.
Uma uya kudokotela ngenxa yobuhlungu bakho obuya emuva, uzoqhuba ingxoxo yezokwelapha (ebizwa ngomlando) nokuhlola ngokomzimba. Ukwaziswa okubuthelwa kulokhu kuqokwa kuzomsiza ukuba ahlolisise ubuhlungu bakho ngokukubeka kwenye yezinhlobo ezintathu ezijwayelekile: ubuhlungu obungemuva obubuhlungu bokubuyela emuva, ubuhlungu obuhlobene nesisindo noma ezinye izimbangela kanye namafulegi abomvu. Ukwelashwa kwakho nanoma yikuphi ukuhlolwa okudingekayo kuzobe kunqunywa ngokusekelwe kwisigaba sakho.
Ukwelapha Okubuhlungu Kamuva Kwe-Back Back
Ukwelapha ubuhlungu obukhulu be-back back ngokuvamile buqala ngemithi yobuhlungu kanye neseluleko. Udokotela wakho cishe uzokutshela ukuthi uhlale usebenza kodwa uguqula phansi ukuze uhambise ubuhlungu bakho.
I-over-the-counter (i-OTC) noma imishanguzo yezinhlungu zemithi yesilonda ngokuvamile ivivinywa kuqala, futhi udokotela wakho uzokufundisa indlela yokunakekela emuva kwakho. Uma lo mkhakha wokuqala wokuzivikela ungasebenzi, angase anikeze ukwelapha ngokomzimba, ukunakekelwa kwe-chiropractic noma olunye ukwelashwa.
Ngokufana nokucabanga kwe-diagnostic, (okukhulunywe ngenhla) imithi yokuhlunguphazwa kwemithi, ikakhulukazi, i-opioids ehlobene nengozi yokuba umlutha, ingaba nokusebenzisa ngokweqile futhi kabi. I- Journal ye-American Board of Family Medicine i- athikili ekhulunywe ngayo ekuqaleni yaphetha ngokuthi kwakukhona ukukhuphuka okungu-423% ekusetshenzisweni kwemali yama-opioid ngenxa yobuhlungu bamuva.
Kodwa isifundo se-2016 esashicilelwe kuyi- Journal of the American Medical Association sathola ukuthi ukwelapha okubili okungewona izidakamizwa - ukunciphisa ukucindezeleka okugxile ekucindezelweni kanye nokwelashwa kokuziphatha kwengqondo - kunikeze ukukhululeka okukhulu nokusebenza okuthuthukisiwe uma kuqhathaniswa nokunakekelwa "okujwayelekile" kudokotela.
Odokotela abaningi abayinhloko banokuqeqeshwa okunomkhawulo ekubuyiseni emuva, futhi ngaleyo ndlela, ungathola ukuthunyelwa okusheshayo kumchwepheshe, noma uthole ukunakekelwa kwakho ukuba kunganelisi. Kulesi simo, unganqikazi ukubuza udokotela wakho ngomuthi wokwelashwa noma iziphakamiso zokwelashwa nokuzivocavoca .
Indlela Yokugcina Ubuhlungu obukhulu kusuka ekuthuthukisweni kuya ku-Chronic Back Pain
Uma ungaqapheli, ubuhlungu obunzima bokubuyela emuva kungaholela ekukhubazekeni. Kunezindlela ezimbili ezahlukene lokhu okungenzeka. Okokuqala, uma ungalawuli ukuvuvukala kanye nezicubu zesibhamu esilandelayo, kunganciphisa ukuguquguquka kwakho okungaholela ekulimaleni okukhulu. Izicubu zesikhumba nazo zingaholela ekuphambeni kwemisipha kanye namaphuzu okuqala .
Okwesibili, ngokuhamba kwesikhathi, umzimba wakho ungase ushintshe unomphela okwenza isistimu yakho yezinzwa ikhulise kabi futhi ihlanekeze izinzwa, okuyisimo esibuhlungu esingapheli.
Ukwelashwa okuphuthumayo nokuvivinya umzimba njalo yizindlela ezimbili ezinhle kakhulu zokugcina ubuhlungu obubuhlungu obuvela emuva ekuthuthukiseni ubuhlungu obungapheli.
Ukuvimbela ubuhlungu obuphansi obubuhlungu obuphansi
Njengoba le nkulumo ihamba, ukwelashwa okungcono kakhulu ukuvimbela.
Ukuvimbela ubuhlungu obunzima bokubuya emuva, gcina imisipha yakho iguquguquke futhi iqine, ngokuzivocavoca okufaka ukulungiswa okuhle. Imisebenzi efana ne- yoga , i- Pilates , namanye amahlelo okuqinisa okuyinhloko angakusiza ukuba usebenze wonke umzimba wakho, ikunike ithuba lokuqeqesha imisipha yakho ukusekela imisebenzi yakho yansuku zonke.
Futhi imishini yomzimba ingase ihambe isikhathi eside ekuvimbeleni ubuhlungu obukhulu obubuhlungu emuva . Isibonelo, lapho uphakamisa izinto ezinzima, ukugoba kusuka ezinkalweni namadolo hhayi emuva. Lokhu kuyisivikelo somgogodla wakho ngoba imilenze yakho nezinkalo zakho ziyisihlobo esikhulu futhi esinamandla kumgogodla wakho. Ukusebenzisa imishini emihle yomzimba futhi kusiza ukugcina umgogodla wakho endaweni ehambisana kahle njengoba ungeza umthwalo owengeziwe ngenkathi uphakamisa.
> Imithombo:
> Cherkin, DC (2016) "Ukunciphisa Ukucindezeleka Ngokucindezeleka-Ukubhekana Nezokwelapha Ukuziphatha," JAMA , 315 (12), iphe. 1240-1249. doi: 10.1001 / jama.2016.2323.
> Deyo, R. Overtreating Chronic Back Pain: Isikhathi sokubuyela emuva? J Am Board Fam Med. Jan-Feb 2009.
> I-Press Release. Izinto Ezibucayi Ezibuhlungu Ebusuphansi Ekhonjisiwe. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Mashi 2015.