Ingabe Ubuhlungu Bakho Bubuhlungu Isibonakaliso Sezifo Ezimbi?
Kunezikhathi lapho ubukhona bezinhlungu zangemuva kuyisignali ukuthi kukhona okubalulekile okuqhubekayo nempilo yakho. Ngenkathi ukuhlolwa kwakho kokuqala kwezokwelapha kungase kungaboni inkinga ngqo , kungabangela indlela yokuthola i-diagnostic ngesikhathi esifanele - nokwelapha - izinkinga ezifana nomdlavuza, ukutheleleka, ukukhulelwa ngokweqile (kanye ne-ultra-exilitating) izinkinga zomgogodla nokuningi.
"Amafulegi alubomvu" yizo lezo zimpawu nezimpawu ezingase zibonise udokotela wakho ukuthi unesimo esingokwempilo esibhedlela.
Ngezansi kukhona amafulegi abomvu abomvu kakhulu okuvame ukuwahlola odokotela ngesikhathi sokuhlolwa kwezokwelapha.
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Umswakama Wokugwinya noma I-CancerUlwazi olutholakala emlandweni wakho wezokwelapha - okungukuthi, ingxoxo oyenayo nodokotela wakho ekuqaleni kokuqokwa kwakho - ingamsiza ukuthi athole isisu somgogodla noma umdlavuza, uma ngabe kukhona.
Izinto ezifana nobudala bakho (ungaphezu kuka-50, noma ngaphansi kuka-20, isibonelo), uma unomdlavuza esikhathini esidlule, uma unesihlungu esinzima, ikakhulukazi ebusuku, uma ulahlekelwe isisindo kungekudala ngaphandle kokuzama, futhi / noma uma ubuhlungu bakho buba bubi nakakhulu uma uqamba amanga ngemuva kwakho konke kungabonakala kulesi sigatshana esibomvu.
Ngokusobala, uma udokotela wakho eveza ukukhathazeka ngomdlavuza lapho uhambele khona umgogodla, kuyisisekelo sokuqala. Kungenzeka ukuthi uzokudlulisela kwenye ingcweti ukuze uqhubeke nokuhlolwa.
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Ukutheleleka komguduUkutheleleka komgogodla omunye umbala obomvu kufakwe emlandweni wezokwelapha owathathwa udokotela wakho.
Uma ungumsebenzisi wezidakamizwa, sebenzisa isimiso somzimba sokuzivikela (kusuka ku-HIV, ukusetshenziswa kwe-steroid noma ukufakelwa) kanye / noma ube nokutheleleka kwamagciwane, ungase ube engozini enkulu yokutheleleka komgogodla.
Izinhlobo zezifo zifaka ukutheleleka kwamagciwane noma ama-viral, njengama- meningitis , ukutheleleka kwe-fungal, ukutheleleka esikhaleni se - epidural eseduze nomgogodla wakho kanye nokutheleleka okuhlobene nokuhlinzwa .
Izimpawu ezivamile ezibonisa ukuthi kungenzeka ukuthi ukutheleleka komgogodla kungenzeka yini, kodwa akukhawulelwanga, imfiva, izikhukhula, intamo eqinile kanye / noma ukulahlekelwa kwesisindo esingachaziwe. Esikhundleni sokusebenzisa lezi zimpawu ukuze uzihlolisise wena, qiniseka ukuthi uzikhulumisana nodokotela wakho ngokucophelela nangokwethembeka. Lokhu kuzomvumela ukuthi athole noma yikuphi ukutheleleka okungenzeka kube khona kusistimu yakho - okungenzeka ukuthi kulondoloze impilo yakho.
Ngenkinga yokugwinya komgogodla, kubalulekile ukuba uthole ukuxilongwa okunembile ngokushesha ngangokunokwenzeka. Ukwelapha kugxile ekuqedeni ukutheleleka, ukukhulula ubuhlungu, ukuthuthukisa ukondleka, ukugcina ukuqina komgogodla nokugcina / ukubuyisela ukusebenza kwesistimu yakho yezinzwa .
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I-Vertebral FractureNjengoba ngishilo ngenhla, ezinye zezimo ezimbi kakhulu emuva zibuye zibe namaflegi abomvu ahlobene nokuthola kwawo. Lokhu kusho ukuthi izici ezithile zomlando wakho wezokwelapha kanye / noma izimpawu zamanje zingase ziholele udokotela wakho ukuba akhohlwe ukuthi ubuhlungu bakho buhlobene nokuhlukana kwesinye noma ngaphezulu kwamathambo omgogodla.
Ukuphuka kwe-vertebral yisimo esibi kakhulu esibucayi esihlolwe ngokusebenzisa amafulegi abomvu, ngokusho kukaHenschke, et. al, abalobi be-athikili ka-2009 enesihloko esithi "Ukuqwashisa nokuhlolwa kwesifo somgogodla esibucayi ezigulini eziletha izilungiselelo zokunakekelwa okuyisisekelo ezinobuhlungu obunzima bokubuya emuva." Umsebenzi wabo ushicilelwe ku-Januwari 31, 2013, i- Cochrane Database System Review .
Okukhulu noma okuncane, ukuhlukumezeka kungaholela ekuphukeni komgogodla, ikakhulukazi uma usukhulile noma unesifo (osteopenia) noma i-osteoporosis (noma isengozini). Ngesikhathi uxoxwa ngezokwelapha nodokotela wakho, kungcono ukudalula noma yiluphi ulwazi nolwazi oluphathelene nezingozi zezimoto, ukuwa noma ezinye izinkinga ezibangelwa umgogodla wakho.
Abacwaningi baseSydney babheka izifundo ezingu-8 futhi bathola ukuthi ukusebenzisa ifulegi elilodwa elibomvu akuyona indlela enokwethenjelwa yokuthola ukuhlukumeza komgogodla. Abacwaningi bathi ukuhlolwa ngefulegi elilodwa elibomvu alinikezi idatha eyanele yokunquma ngokunembile amathuba okuba ukuphazamiseka komgogodla.
Futhi, nakuba kungcono, abacwaningi bathi ubufakazi bokusebenzisa inhlanganisela yamapulagizi abomvu ukucacisa ukuthi unesifo somgogodla yini obuthakathaka.
Abacwaningi bakaCochrane baphinde babone ukuthi amafulegi abomvu okwephulwa komgogodla angahlanganiswa nemiphumela emihle yamanga. Bayaqaphela ukuthi abenza ngolwazi oluvela ekubukeni kwebalazwe elibomvu ngaphandle kokucwaninga nokucabangela (ngokuhambisana nomhlinzeki wakho wezempilo, ngithemba!) Inkambo yakho yokusebenza engcono kakhulu ingase ilahleke kakhulu, kodwa inganikeli usizo oluyanelisayo lobuhlungu.
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I-Cauda Equina SyndromeEzweni eliphelele, igumbi lokuphuthumayo ligcinwe izimpawu ezidlulele nezifo ezihlobene nomgogodla. Enye ingozi enjalo i-cauda equina syndrome.
I-Cauda equina syndrome ingabangela umonakalo omkhulu empilweni yakho - kuhlanganise nokukhubazeka kanye neminye imiphumela. Ngakho-ke, izimpawu ze-cauda equina warrant ukunakekelwa ngokushesha kwezempilo.
Lezi zimpawu zingamafulegi abomvu udokotela wakho angase athathe emlandweni wakho wezokwelapha. Zihlanganisa:
- Faka i-anesthesia, eyimpawu ezihlobene nesibindi endaweni yesitulo sakho. (Ukufaka i-anesthesia ngokuqondile kuthiwa yi-defect ye-neurological focal.) Izimpawu ozozibona zibandakanya ama-numbness atholakala ngaphansi kwe-pelvis futhi azungeze indawo yesihlalo sakho.
- Izinkinga zesibindi noma izibilini, ikakhulukazi ukuqala kokugcina kwamaminithi (ukungakwazi ukuchama), ukuvama kwemvamisa yokuvuthwa kanye / noma ukungaqhubeki kokungaqhubeki.
- Ubuthakathaka kanye / noma i-sciatica, ikakhulukazi uma ilukhuni noma iqhubeka ikhula kakhulu.
Imiphumela yokuhlola kwakho ngokomzimba inganikeza nodokotela wakho izinkinga mayelana nokutholakala kwe-cauda equina syndrome.
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Ukwenza Ukwaziswa Nge-Red Flag InformationNjengoba ubona, amafulege abomvu ngokuvamile abonisa isimo esibucayi esibalulekile sezokwelapha.
Ngenxa yalokhu, kungcono ukukhuluma nodokotela wakho mayelana nanoma yikuphi okutholakele. Lokhu kungukuthi noma ngabe ukuhlolwa kwenzelwa umhlinzeki wakho womzimba, umqeqeshi womuntu siqu noma uchwepheshe ophelele.
Okunye futhi, ukutholakala kwefulegi elibomvu ngokujwayelekile kubonisa ukuqala kweminye (enye) i-odyssey yezempilo. Uma omunye noma ngaphezulu atholakala ngesikhathi sokuhlolwa kwakho , kungenzeka ukuthi ungalindela ukuhlolwa okungaphezulu, ukuhlolwa, kanye nokwelashwa okungenzeka.
Imithombo
Bratton, R., MD, Ukuhlola nokuphathwa kwe-Acute Low Back Pain. Am Fam Physician. 1999 Nov 15; 60 (8): 2299-2306. http://www.aafp.org/afp/1999/1115/p2299.htmlUDeane, K. Inhlungu Ephansi Ebusayo Ekunakekeleni Okuyinhloko - Yeka ukuthi Zihle Kangakanani "Amafulegi Alubomvu" Ekuboneni Ukungahleleki Okubi? Jan 28, 2010 http://www.medscape.com/viewarticle/715782
UFerguson F, Holdsworth L, uRafferty D. Ubuhlungu obubuhlungu emuva nokusetshenziswa kwamapulagizi abomvu: ubufakazi obuvela eScotland. Physiotherapy. 2010 Dec; 96 (4): 282-8. http://www.ncbi.nlm.nih.gov/pubmed/21056162
Henschke N, Maher CG, Ostelo RW, de Vet HC, Macaskill P, Irwig L., amafulegi Alubomvu ukuhlola ukulimala kweziguli ezinezinhlungu eziphansi. I-Cochrane Database Syst Rev. 2013. Feb 28. http://www.ncbi.nlm.nih.gov/pubmed/23450586
Henschke N, Maher CG, Phinda uvuselele iKM. Ukubuyekezwa okuhleliwe kubonisa "amafulege abomvu" amahlanu ukuze ahlolwe ukuhlukana kwama-vertebral kwiziguli ezinezinhlungu ezisezingeni eliphansi. J Clin Epidemiol. 2008 Feb; 61 (2): 110-118. http://www.ncbi.nlm.nih.gov/pubmed/1817778
I-Leerar PJ, uBoissonnault W, Domholdt E, Roddey T. Ukubhaliwe kwamafulegi abomvu ngabahlengikazi abangokwenyama ngeziguli ezinezinhlungu ezingemuva. J Man Manip Ther. 2007; 15 (1): 42-9. http://www.ncbi.nlm.nih.gov/pubmed/1906664
Williams CM, Henschke N, Maher CG, van Tulder MW, Koes BW, Macaskill P, Irgs L. Red flags ukuze zihlolwe ukuhlukana kwama-vertebral ku iziguli ezethula ubuhlungu obuphansi. I-Cochrane Database Syst. Isisusa 2013. Jan 31. http://www.ncbi.nlm.nih.gov/pubmed/23440831