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Kusukela Rehab emva Ukuhlinzwa Emuva EmuvaUma unezinhlungu ezisezingeni eliphansi noma i- sciatica e- disc ye-lumbar ye-herniated , ungase uzuze ekwelapheni ngokomzimba ukusiza ukuphatha ubuhlungu. Ngezinye izikhathi, ukwelapha okulondoloziwe okufana ne-PT noma ukujola akukwazi ukubuyisela ngokugcwele ukuhamba okungahambi kahle kwezinhlungu emgodleni wakho, futhi kudingeke ukuba kwenziwe ukungenelela okuhlinzekwayo.
I-laminectomy ene-lumbar ne-discectomy yindlela yokuhlinzeka ukuthi udokotela ohlinzayo wamazinyo noma we-neurologic angase akwenze ukukusiza ukunciphisa ubuhlungu bakho futhi uthuthukise ukuhamba kwakho. Le nqubo ihilela ukusika i-disc ne-bone material okungase kube ukucindezela ngokumelene nezinzwa ezivela emgodleni wakho.
Ungase uzuze ukwelashwa ngokomzimba ngemuva kwe-lminar laminectomy ne-discectomy ukukusiza ukuba ululame ngokugcwele. Imigomo yokusinda emuva ngemuva kokuhlinzwa kufanele ikusize uphinde uthole uhla olugcwele lokunyakaza namandla kumgogodla wakho nokukusiza ukuba ubuyele endleleni yakho yokuphila yangaphambilini. I-PT yakho izosebenza nawe ukuthuthukisa uhlelo lokuzivocavoca ongayenza ukuze usize ukuvimbela izinkinga zesikhathi esizayo ngomgogodla wakho.
Uma uye waba nokuhlinzwa okuphansi emuva, nansi umhlahlandlela wezinyathelo ngezinyathelo wezinto ongalindela ukuzenza ukwelashwa ngokomzimba. Ngaphambi kokuqala lokhu, noma olunye uhlelo lokuzivocavoca, hlola nodokotela wakho ukuze uqiniseke ukuthi kuphephile ukuba ukwenze.
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Ukulungiswa kwe-PosturalNgemuva kokuhlinzwa emuva, kufanele usebenze ukuze ugcine ukuma okulungile uma uhlezi futhi umile. Ukulawulwa kwe-postural kubalulekile njengoba kugcina ubuyekeze endaweni yakho ephakeme ukuvikela ama-disk yakho okuphulukisa ama-lumbar nama-muscle.
Umhlinzeki wakho wenyama angakufundisa ukuthi ungahlala kanjani ngendlela efanele ngokusebenzisa i-lumbar roll ukuze ulondoloze umgogodla wakho esimweni esihle kakhulu. Okunye ukuvivinya nezindlela zokugcina isimo esifanele sokubuyela emuva kwakho kufaka:
Khumbula, ukuthola nokulondoloza isimo esifanele sokubuyela emuva kwakho kungenye yezinto ezibaluleke kakhulu ongayenza ukuze usize ukuvikela umhlane wakho futhi uvimbele iziqephu zesikhathi esizayo zokuhlunguphaza emuva.
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Qala Uhlelo Lokuzivocavoca LokuhambaUkuhamba ngenye yezindlela ezingcono kakhulu ongayenza ngemuva kwe-lumbar laminectomy noma ukuhlinzwa kwe-discectomy. Kungani? Ngoba ukuhamba kusiza ukuthuthukisa ukugeleza kwegazi emzimbeni wakho wonke. Lokhu kusiza ukuletha umoya we-oksijeni kanye nezakhi zomzimba emasipha nasemthonjeni njengoba usulapha.
Ukuhamba futhi kusiza ukuthuthukisa impilo yakho yempilo, ukugcina inhliziyo yakho namaphaphu isebenza kahle emva kokuhlinzwa okulumbulu.
Into engcono kakhulu ngokuhamba ngemuva kokuhlinzwa okubuyiselwayo ukuthi ukuvivinya okuqondile - umgogodla wakho uyoba ngokwemvelo ube sesikhundleni esihle ngenkathi uhamba. Lokhu kusiza ukuvikela ama-disc wakho ngezinkinga zesikhathi esizayo.
Ukuqala uhlelo lokuhamba emva kokuhlinzwa emuva kuzwakala lula; uvele uphume futhi uhambe, kulungile? Kungase kube khona okuningi, ngakho ukuhlola nge-PT yakho ukukusiza ukuthi usethe uhlelo oluhambisana nesimo sakho kanye nezidingo okungenzeka kube yindlela engcono kakhulu emva kokuhlinzwa emuva.
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I-Prone Press UpsEnye yezinto ezilula, kodwa ezisebenzayo kakhulu, ukuvikela ama-back back kanye ne-lumbar diss ngemuva kwe-laminectomy yi- pressed up up . Lokhu kusetshenziselwa ukucindezela ngemuva kwe-discs yakho yokuphulukisa futhi kusiza ukuyibeka endaweni efanele endaweni yakho ephansi. Kubuye kusize ekuthuthukiseni ikhono lakho lokuguqula emuva kwendlovu ye-lumbar.
Ukuze wenze lo msebenzi, ulale phansi phansi kwe-yoga mat phansi bese ubeka izandla zombili phansi phansi phansi kwamahlombe akho. Gcina umhlane wakho nezinyawo zakho zikhululekile, futhi sebenzisa izingalo zakho ukuze ucindezele ingxenye engaphezulu yomzimba wakho ngenkathi uvumela ukubuyela kwakho phansi ukuze uhlale phansi. Kufanele uzizwe ucindezeleke kancane emhlane wakho ophansi ngenkathi ucindezela.
Bamba isikhundla se-press up imizuzwana emibili, bese wehla kancane wehla esimweni sokuqala. Phinda ubuyekeze ukuphindaphinda okungu-10 kuya ku-15.
Qinisekisa ukuthi ungenela nodokotela wakho ngaphambi kokuqala lo msebenzi ukuqinisekisa ukuthi uphephile ukuthi uyenze ngemuva kwe-lmumectomy yakho ye-lumbar kanye nokuhlinzwa kwe-discectomy.
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I-Legone Straight Leg IphakamisaEnye yezinhloso zakho zokwelapha ngokomzimba ngemuva kwe-lumbar laminectomy ne-discectomy kungase kube ukuthuthukisa amandla nokuzinza kwemisipha yakho ephansi. Lokhu kungathuthukisa ukusekelwa ukuthi isistimu yemisipha yomhlane wakho inikeza umgogodla wakho.
Ukuzivocavoca okunye okusiza ukuthuthukisa amandla akho asezingeni eliphansi yindlela yokuvuthwa kwe- legone yokumisa ngokuqondile (SLR) . Ukuze wenze lokhu, vela esiswini sakho (senzeke), qinisa imisipha yakho yesisu, futhi kancane kancane uphakamise umlenze owodwa phezulu emoyeni. Bamba umlenze oqondile kuze kube ngamasekhondi angu-2, bese uyinciphisa kancane kancane. Phinda ukuphindaphinda okungu-10 kuya ku-15.
I-Prone SLR ingenziwa kanye noma kabili ngelanga, kodwa qiniseka ukuthi ungangena ngomuthi wakho womzimba ngaphambi kokuqala ukuvivinya umzimba ukuze uqinisekise ukuthi uphephile ukuba uyenze.
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I-Sciatic Nerve GlidingUma ubuhlungu bomlenze buvela ngemuva kwakho ngaphambi kokuhlinza, kungenzeka ukuthi uthola ukuthi une-sciatica, noma i-irritation ye-nerve yakho yesayensi. Ngemuva kokuhlinzwa, ungase ubone ukuthi umlenze wakho uzizwa uqinile noma nini lapho ulungisa yonke indlela. Lokhu kungase kube uphawu lwempande ye-sciatic ne-adhesive, inkinga evamile kubantu abane-sciatica.
Ngemuva kokuhlinzwa kwakho kwe-lumbar ne-discectomy, isazi sakho somzimba singase sinikeze ukuvivinya okuqondile, okubizwa ngokuthi ama-sciatic nerve glides, ukusiza ukwelula nokuthuthukisa indlela inzwa yakho ehamba ngayo ngemuva kwakho. Lokhu kungasiza ukukhulula izimpande ze-nerve ezilandelwe futhi kuvumele ukunyakaza okujwayelekile kwenzeke.
Ukwenza i-sciatic nerve gliding, ulale emhlane wakho bese ugoqa idolo elilodwa. Ukubamba phansi kwebanga lakho ngezandla zakho, bese ulungisa idolo lakho ngenkathi usisekela ngezandla zakho. Uma idolo lakho liqondiswe ngokugcwele, thambisa futhi welula isikhumba sakho izikhathi ezingaba ngu-5, bese ubuyela esimweni sokuqala.
Phinda ubambe ama-sciatic nerve izikhathi ezingu-10. Ukuzivocavoca kungenziwa izikhathi eziningana ukuze usize ukuthuthukisa indlela inzwa yakho enesisindo ehamba ngayo bese igxuma emhlane wakho nangemuva.
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I-Supine Lumbar FlexionNgemuva kokuhlinzwa kwakho okuphansi emuva, isazi sakho somzimba singase sinikeze umzimba we-flexion emuva . Lokhu kungasiza ukwelula ngokuvikelekile imisipha yakho ephansi emuva. Kungasetshenziselwa ukululalisa izicubu ezibomvu emhlane wakho ophansi kusukela ekuhlosweni kokuhlinzwa.
I-Supine lumbar flexion ingenye yezinto ezilula ukuzenza ukuze uthuthukise i-ROM yakho ye-flexion i-ROM ngemuva kokuhlinzwa okuphansi emuva. Ukuze wenze lokhu, qamba emhlane wakho ngamadolo akhokile. Khulisa kancane amadolo akho akhothamele esiya esifubeni sakho, bese ubamba amadolo akho ngezandla zombili. Bamba ngamadolo akho esifubeni sakho ngobumnene, bese ubamba isikhundla samasekhondi angu-1 noma amabili. Kanciphisa phansi amadolo akho emuva phansi esikhundleni sokuqala.
Ungenza umsebenzi we-supine lumbar flexion ngokuphindaphinda izikhathi ezingu-10. Qinisekisa ukuthi umise ukuvivinya umzimba uma ubhekene nanoma yikuphi ukukhuphuka ebuhlungu emhlane wakho ophansi, ematheni, noma emilenzeni.
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Ukuthambekela kwePelvic PosteriorNgemuva kwe-lminar laminectomy ne-discectomy, isazi sakho somzimba singase sibeke izivivinyo zokusiza ukuthuthukisa amandla akho esisisu. Ukuzivocavoca okulodwa ukuqala ukuthuthukisa indlela inkontileka yomzimba yakho yesisu nesisu esisemuva ukuhamba kwe- pelvic ngemuva .
Ukuze wenze ukujula kwe-pelvic ngemuva, ulale emhlane wakho ngamabili amadolo. Kancipha kancane kancane isikhumba sakho emuva njengokungathi uzama ukwehlisa phansi phansi kwakho phansi. Qinisekisa imisipha yakho yesisu uma ugoqa isikhumba sakho ngemuva, bese ubamba isikhundla semasekhondi amabili.
Khulisa kancane kancane ukuthambekela kwe-pelvic ukuze ubuyele esimweni sokuqala. Ungenza ukuphindaphinda kwe-pelvic ngemuva kokuphindaphinda kuka-10 kuya ku-15. Lokhu kungase kube nzima ukwenza kahle, ngakho-ke qiniseka ukuthi ungangena ne-PT yakho ngaphambi kokuba uqale ukugwema amaphutha avamile angenza umsebenzi ungasebenzi.
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Ukuqiniswa kwe-Hip ne-CoreUma usuqaphele ukugxiliswa kwe-pelvic ngemuva, ungathuthukisa isimiso sakho sokuqinisa esiswini nesisu. Lokhu kuhilela ukwenza izinyathelo ezithile ezinqeni nasemilenzeni yakho ngenkathi ugcina isikhundla sokungathathi hlangothi kwe-pelvic.
Ukuzivocavoca okuqhubekayo okuqiniswa kwe-hip kungase kuqalwe ukukusiza ukuthola amandla nokuzinza emisipha ejikeleze indawo yakho ye-pelvic iphinde iphinde iphinde ibuyele emuva. Umhlinzeki wakho wenyama angakusiza ukuthi unqume ukuthi yiziphi izivivinyo ezingcono kakhulu esimweni sakho esithile.
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Izindlela Zokusebenzisa Ngokufanele futhi Ukubuyela Emisebenzini ImisebenziUma usuzuzile i-ROM lumbar, i-hip, kanye namandla amakhulu, kungase kube yisikhathi sokuqala ukusebenza emisebenzini ethize ukukusiza ukuba ubuyele ezingeni lakho langaphambili lomsebenzi nokuzilibazisa. Kuye ngomsebenzi wakho, kungase kudingeke ukuthi usebenzise amasu okuphakamisa okufanele, noma ungadinga ukuhlolwa kwe-ergonomic uma uchitha isikhathi uhlezi edeskini noma ekugcineni kwekhompyutha.
Qinisekisa ukuthi usebenza eduze nodokotela wakho nomhlengikazi wezempilo ngaphambi kokuba ubuyele emsebenzini ukuqinisekisa ukuthi uphephile ukuba uyenze futhi uqiniseke ukuthi usulungele umsebenzi ovamile kanye nemisebenzi yokuzilibazisa.
Ukuhlinzwa okuphansi, okufana ne-lumbar laminectomy ne-discectomy, kungaba nzima ukuvuselela kahle. Ngokusebenza nodokotela wakho nodokotela wezempilo, ungaqiniseka ukuthi uthuthukisa i-ROM, amandla, nokuhamba komsebenzi ukuze ubuyele ezingeni lakho langaphambilini lomsebenzi ngokushesha futhi ngokuphepha.