Nini Ukukhathazeka Ngokubuhlungu Emuva Ezinganeni

Ubuhlungu bebujamo buyimithombo eyaziwa kahle yokukhathazeka kubantu abadala, kodwa futhi kutholakala njalo kaningi ezinganeni nasebancane. Abazali abaningi abalindele abanye izingane ezinempilo ukuba bakhononde ubuhlungu emuva-inkinga abantu ababajwayele ngokuyinhloko njengesifo seminyaka ephakathi noma eminyakeni ezayo. Noma kunjalo, iqiniso liwukuthi ubuhlungu bokubuyela emuva buvame kakhulu ezinganeni nasebancane. Ngakho uma uzizwa ukhathazeka, awunabo. Lapha ungathola ulwazi mayelana nezimbangela zokubuyiselwa emuva, futhi uma kungase kudingeke ukuthi ubheke ngokucophelela ingane yakho.

Kuye kwatholakala ubuhlungu bebukhoma ezinganeni nasebancane ngesilinganiso samaphesenti angaba ngu-10 kuya kuba ngu-30 ngonyaka! Ngenkathi kungase kungalindelekile kuwe, ubuhlungu bokubuyela emuva cishe akuyona into engavamile njengoba ucabanga. Ezinye zezizathu zokuthi ubuhlungu obungemuva ezinganeni zingase buvame kakhulu kufaka phakathi izicathulo eziphezulu zomzimba zezingane kanye namazinga aphezulu okukhuluphala ngokweqile , imisebenzi ephakeme yokudlala ngokweqile neminyaka yonke, kanye nesisindo esikhulayo sezinkambu ezigqoke abafundi abasha esikoleni.

Ezinye zezinkinga zokubuyiselwa emuva zihlanganisa ukwazi ukuthi inkinga ingase ibe yimbi kakhulu kunesimo esilula, futhi wazi ukuthi uma ukuhlolwa kwe-imaging okukhethekile kungasiza kanjani . Inkinga yokuhlola i-imaging, ivame ukuveza ingane emisebeni ephakeme yemisebe, futhi ingase ingayisize ukwenza ukuxilongwa. Lokho kusho ukuthi kunezibonakaliso eziyisixwayiso zokubheka ukusiza ukuqonda uma inkinga yobuhlungu yangemva ingaba yingozi nakakhulu kumuntu omncane.

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Izimpawu Zokuxwayisa Ukukwazi

Wonke umzali onomntwana okhononda ngezinkinga zokubuhlungu emuva ukuthi kungenzeka ukuthi kunenkinga enkulu kakhulu. Ngenkathi kunezimbangela ezinkulu ezibuhlungu zokubuhlungu emuva, iningi lezingane ezinezinhlungu zasemuva ziba nezimpawu ezibangelwa ukulimala kwe-muscle noma i-ligament, ngaphandle kwesimo esingavamile.

Ezinye zezibonakaliso eziyisixwayiso zokubheka izinkinga ezinkulu zihlanganisa:

• Ubuhlungu bobusuku (ubuhlungu obukhulu obuvusa ingane yakho ekulaleni)
• Izimpawu eziqhubekayo zobuhlungu
• Izimpawu zesifo esijwayelekile (imfiva, izikhukhula, i-malaise, ukulahlekelwa kwesisindo)
• Izimpawu ziphikelela ezingaphezu kwamasonto amaningana
• Izimpawu ezinganeni ezincane kakhulu
• Ubuhlungu bomlenze, ukuphazamiseka, noma ubuthakathaka

Lezi zimpawu zokuxwayisa akusho ukuthi kunenkinga enkulu kakhulu, kodwa-ke, ukuhlolwa okuhle kokuhlola ukuhlola ukuthi ngabe ukuhlolwa okuningi kufanele kwenziwe. Isibonelo, ubuhlungu be-muscular emuva bungaphikelela izinyanga, noma kunjalo, uma izimpawu zenzeke amasonto ambalwa, kungcono ukuqinisekisa ukuthi ukuxilongwa kucacile.

Okuningi

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Ubuhlungu Bama-Muscular Back

Njengoba kukhonjisiwe, ubuhlungu be-muscular back is kakhulu imbangela evamile yokuhlunguphaza emuva emuva kwezingane nasebancane, cishe cishe kwezintathu kuzo zonke izingane ezikhalaza ngobuhlungu emuva emuva kokuthola ukuthi lolu hlobo lokulimala.

Ukulimala kubandakanya ukuhlukunyezwa kwemisipha kanye nemigudu ye-ligament , ukulimala ngokweqile, izinkinga zokumiswa, kanye nesimo esimweni semisipha yangemuva. Ngokuvamile ukucabanga, kufaka phakathi ama-x-ray, ukuhlola kwe-CT, kanye nama-MRIs akusizi ukwenza lokhu kuhlolwe, kanti lezi zivivinyo ngokuvamile azidingi ngaphandle uma kukhona izibonakaliso ezixwayisiwe ngenhla. Njengalokhu kunoma yikuphi ukuhlolwa, kunezinkinga zokuvivinya ngokweqile (ukuchayeka emisebeni, futhi ukuhlolwa kungaholela kwezinye ukuhlolwa okungadingekile noma izinqubo), ngakho kufanele uxoxe nodokotela wakho inani lokuthola noma yisiphi isifundo esithile sokucabanga.

Ubuhlungu obuningi bomzimba obuyingozi buzobhekana nokuphumula nokuguqulwa kwemisebenzi. Izindlela eziningi zokwelashwa zingase zinikeze ukukhululeka okwesikhashana, kanti nakuba imiphumela yesikhathi eside yempatho ingabonakala, ngokuvamile iphephile. Lezi zokwelapha zingase zibandakanye ukwelashwa ngokomzimba , ukwelashwa kwe-chiropractic , izinhlelo ezelulele ( yoga ), noma ukwelashwa ukusikhipha.

Okuningi

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Ukucindezeleka Ukuhlukana

Ukucindezeleka ukuqhuma kungenzeka emgodleni. Ngokuvamile lokhu kuphazamiseka kwezinkinga kuvela entsheni, futhi laba bafana kungenzeka bangalokothi bazi ukuthi ukulimala kwenzekile. Ngokuhamba kwesikhathi, izimpawu zokuphelelwa ukucindezeleka zingabonakala.

Uhlobo oluvame kakhulu lokucindezeleka kokugwinya komgogodla lubizwa ngokuthi i-spondylolysis, ukulimala ithambo ngemuva kwekholomu lomgogodla. Lokhu kulimala kwenzeka kanengi kulabo abasha abadlala imidlalo ehlanganisa ukuphindaphindiwe kwe-hyperextension (ukuguqula emuva) komgogodla, njengabagymnast kanye nabanye. Uma ukuphazamiseka kokucindezeleka kwenzeka ezinhlangothini zombili zomkholomu wesiphaphemende, lokhu kungabangela ukungazinzi komkhola wamagogasi, noma isimo esibizwa ngokuthi i- spondylolisthesis . Lesi simo, esibizwa nangokuthi "isikhala somgogodla," singaholela ekuqondaneni kwekholomu ye-vertebral ukushintsha.

Ukucindezeleka ngokweqile kuvame ukwenza izingane nabazali bakhathazeke, ngoba lokhu okulimala ngokuvamile akuphulukisi, futhi kungabangela izimpawu ekukhuleni nasekukhuleni. Kodwa-ke, iningi labantwana kanye nentsha ehlolwe ukuthi bane-spondylolysis iphathwa ngokungahambi kahle, futhi empeleni yenza kangcono ngezokwelapha ezincane. Ukwelashwa kuvame ukugcinwa kulabo abanezinhlungu eziqhubekayo ngisho nangemva kwezinyanga eziningi zokwelashwa okungenasidingo, noma lezo ziguli ezinezinsalela ezinkulu eziholela ekulahlekelweni kokulinganisa umgogodla.

Ucwaningo lwesikhathi eside lubonisa ukuthi ithuba lokuba nobuhlungu emuva emuva kokuba umuntu omdala alinakuguqulwa ngokuba khona kokucindezeleka kokucindezeleka kwengane. Ngenkathi lokhu kungaba umthombo wezinkinga, ithuba lokuhlakulela ubuhlungu emuva emuva komuntu omdala alishintshi kancane ngokuba ne-spondylolysis njengengane.

Okuningi

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Izinkinga zeDiski

Ama-disc ajwayelekile awavamile kakhulu ezinganeni kunabantu abadala, kodwa angenzeka, futhi angabangela izimpawu ezinzima. Uma i-disc yokuhlunga kwe-spine kwenzeka, umkhumbi ophansi ophakathi kwama-vertebrae amabili uphukile. Lezi zincwadi ze-disk ziphoqelelwa ngaphandle kwesikhala sayo evamile, futhi zingakwazi ukumelana nemisipha nomgogodla.

Izimpawu zedayiti ye-disc zingabandakanya ubuhlungu bomlenze, ukunganaki nokugubha emilenzeni, ubuthakathaka bezindawo ezingezansi, nobunzima ukugoba noma ukulungisa umgogodla. Ukuhlolwa kwe-MRI kungasiza ekuhloleni i-disniation, njengoba i-x-ray izoba evamile.

Ezinganeni, ukwaziswa okujwayelekile kwe-diski kuyathandeka futhi kunwebeka - kunamakhono angcono kakhulu okumelana namandla angavamile emgodini. Njengoba sikhula, i-disc ilahlekelwa ukuqina nokuqina kwayo, futhi ingaba yinto elula yokuphuka. Kodwa-ke, ngisho nasesimweni esincane, ama-disc angaphahla ngenxa yamandla amaningi (ukulimala okubuhlungu) noma isakhiwo esingavamile, futhi kubangele lezi zimpawu ze-herniation.

Ngokuvamile, ama-disc angakwazi ukuphathwa ngaphandle kokuhlinzwa, kodwa izingane nentsha ezinomunyu obukhulu noma izibonakaliso zokulimala okukhulu zingase zithole inqubo yokuhlinza ukuxazulula ingcindezi ku-nerve.

Okuningi

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Ukutheleleka

Izifo zethambo lomgogodla noma i-discs kungaba yinkinga yokuthola isifo esinzima. Ngokuvamile okwenzeka ezincane ezisencane noma ezinsheni, ukutheleleka komgogodla kungabangela izimpawu ezingacacile ze-malaise, ama-fever low-grade, nobuhlungu bomhlane obujwayelekile.

Ukuxilongwa kokutheleleka komgogodla kuvame ukuqhutshwa ngenxa yezifundo ezingavamile ze-laboratory ezikhombisa izimpawu zokutheleleka (ukuphakama kwesibalo segazi eliphakeme) noma ukuvuvukala (okuphakeme kwe-ESR noma i-CRP). Uma kucatshangwa, ngokuvamile ukuhlolwa kwe-imaging kwenziwa ukuze kuqinisekiswe indawo yokutheleleka.

Ukwelashwa kokutheleleka ngokuvamile kungenziwa ngama-antibiotic (ngokuvamile avame ukunikezwa ngaphakathi, okungenani kuze kube yilapho ukutheleleka sekuqale ukuthuthukisa), nakuba ngezikhathi ezithile ukuhlinzwa kungacatshangelwa. Ukuhlinzwa ngokuvamile kubhekwa kuphela uma ukutheleleka kuye kwaholela ekulimazeni isakhiwo somgogodla noma uma ukutheleleka kungenakulawulwa ngokwanele ngokusetshenziswa kwama-antibiotics.

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Ukulungiswa kokungahambisani

Izinkinga ngokulungiswa komgogodla kungabangela ukubola okubonakalayo, futhi kungahle kuhlotshaniswe nokuvela kobuhlungu emuva. Kufanele kuphawulwe, kepha-ke, ukuthi ukukhubazeka okucashile okwedlula, okwenzekayo, kungabonakali kubangela izinkinga zobuhlungu. Ukukhubazeka okuphambene nomzimba okwejwayelekile emantwaneni kubhekana nokuqothulwa kwesisu kanye nesimo sokuqothulwa kukaSuppermann . Ukuqothuka kwesibindi ukukhubazeka okubangela ijika le-S emgodleni uma ibonakala ngemuva. I-kyphosis kaSuermermann ibangela ukugoba okubukhali emgodleni uma kubonwe ohlangothini.

Lezi zimo ezimbili ziyahlukahluka, kepha izimiso zokwelapha zifana . Ezingweni ezinzima kakhulu, ukubhekwa kuyindlela yokwelashwa efanele kakhulu. Uma ukukhubazeka sekuqhubekele phambili kuya ezingeni elibaluleke kakhulu (kunqume ukulinganisa kwami ​​kwezingalo ezibonwa emifanekisweni ye-x) i-brace ingacatshangwa. Kuphela ukukhubazeka okunzima kakhulu ukuhlinzekwa njengendlela yokwelashwa kwale mibandela. Ngisho nalapho kucatshangwa ukuthi ukuhlinzeka, ukubola komgogodla kungaqhubeka, njengoba ukulungiswa okugcwele kokukhubazeka kungabangela izinkinga eziningi kunokulungiswa okuyingxenye.

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I-Tumor

Izifo eziningana ezihlukumezekile nezibulalayo zamathambo zingase zivele kukholomu lomgogodla. Ngezinye izikhathi lokhu kubangela ubuhlungu obukhulu, ngezinye izikhathi zingatholakala ngaphandle kokubangela izimpawu. Nakuba izicubu zomgogodla ziyisizathu esingavamile kakhulu sokubuhlungu emuva emuva kwezingane nasebancane, kufanele kuthathwe njengokuthi kungenzeka, noma kungavamile, ukuxilongwa.

Ezinye zezibonakaliso zokuxwayisa ezikhulunywe ngaphambilini zingenziwa ezihambisana nezicubu, ikakhulukazi isikhalazo sosizi ebusuku, noma isikhalazo sokugula okujwayelekile noma ukulahlekelwa isisindo. Ubuhlungu bokubuyela emuva ngokuhambisana nalezi zimpawu kungase kukhulise ukukhathazeka ngamathumba okungenzeka, futhi ukuhlolwa kwama-imaging kungasiza ekunqumeni ukuthi lokho kungabonwa yini.

Ukwelashwa kwezicubu zomgogodla kuyahlukahluka kuye ngokuthi uhlobo oluthile lwesisu. Ngisho nezicubu ezinobungozi (ezingenangqondo) zingadinga ukuhlinzwa njengoba izikhumba ezingasetshenzisiwe ngezinye izikhathi zingabangela ukukhubazeka komgogodla. Izicubu ezinomdlavuza emgodleni zidinga inhlanganisela yokwelapha okungase kuhlanganise imithi, imisebe, kanye nokuhlinzwa.

_Imithombo:

_{U-Shah SA, uSaller J. Ukuhlola Nokuhlola Ukuhlukunyezwa Kwezingane Nezingane Ezisebekhulile "J Am Acad Orthop Surg. 2016 Jan; 24 (1): 37-45.}

Izwi elivela

Ubuhlungu obubuyela emuva ezinganeni nasebancane akuyona into engavamile futhi buba ngaphezulu ngokwesikhathi. Ingxenye yalokhu ingenxa yezinguquko ezingasebenzi zezingane, kanti ingxenye ingenxa yezinguquko esimweni sezingane. Uma ingane yakho ibuhlungu emuva, ikakhulukazi uma ihlotshaniswa nezimpawu zokuxwayisa okukhulunywe ngazo, kubalulekile ukuba naye abone udokotela wakho. Ukuqala ukwelashwa okufanele, nokuqinisekisa ukuthi izimpawu ziyathuthuka, zingasiza ukuqinisekisa ukuthi le nkinga ayiphiki. Uma izimpawu zibuhlungu noma zingavamile, ukuhlolwa okungaphezulu kungadingeka ukuqinisekisa ukuthi imbangela engavamile yabuhlungu ayikho. Izindaba ezinhle, izingane kanye nabazali ngokufanayo, iningi lezingane ezinezikhalo zokubuhlungu emuva zithola impumuzo ehlala njalo. Ngenkathi ubuhlungu be-back emuva bungaphazamisa imidlalo neminye imisebenzi, ngehlelo olufanele lwezokwelapha, lezi zingane cishe zibuyele emisebenzini egcwele ngaphandle kwezinkinga eziqhubekayo zokungahambi kahle.