Umgogodla we-Back is isimo esibhekene nama-bumps obuhlungu nakwezembatho, i-sacrum ne-back back. Ukuhlolisisa ngokufanele lokho kuvamise ukuhlupha odokotela nakwezinye zezempilo. Ngenxa yalokhu, ukucabangela ngokucophelela izincomo zokwelapha ozinikezwayo - uma uzithola lezi zinyopho ezibuhlungu - kuyisihluthulelo esikhulu sokuthola ngcono.
Ake sihlele amaqiniso awaziwayo bese sikunikeza inkomba yokubhekana nale nkinga ebuhlungu ngokuphumelelayo.
Sibutsetelo
Amagundane asemuva aziwa odokotela abahlinzayo kusukela ngo-1937 lapho kuthiwa uReis wayeqamba ngokuthi i-episacroiliac lipoma. Kusukela ngaleso sikhathi, kunamagama amaningi aye kuthiwe kule nkinga kubandakanya: i-Iliac crst syndrome, i-multifidus triangle syndrome, i-fat-fat herniation ne- lumbosacral fat herniation.
Abalobi abaningi bakholelwa ukuthi kuwo wonke amagama asetshenziselwa ukukhomba imouse, emuva kokudla okunamafutha okwenziwe ama-fascial and lumbosacral fat herniation - inikeza incazelo ecacile kakhulu yalesi simo.
Ngakho yiziphi amagundane? Ngokuyinhloko, kubonakala sengathi kukhona ama-fat masses amaningi ahamba ngendlela engavamile ngokusebenzisa i-fascia lumbodorsal fascia. I-lumbodorsal fascia iyinhloko enkulu efana nedayimane yezicubu ezixhumayo ezisezindaweni eziphansi nasezindaweni eziphansi.
Ama-fat mass ajwayele ukuba nekhwalithi eqinile, yokukhwabanisa kubo.
Ungawathola futhi emathanjeni ase-hip emuva, kanye nesifunda se- sacroiliac .
Izimpawu zamagundane asemuva
Manje, ungase ucabange ukuthi inqwaba elula yamafutha ayikwazanga ukubangela ubuhlungu obukhulu, kodwa kulokhu, okungenani, ngeke ube yinto engalungile. Iziguli - kanye nodokotela wabo odokotela - ngokuvamile babika ubuhlungu obukhulu obuvela kumagundane emuva.
Kanye nobuhlungu, izimpawu ze-telltale zingabandakanya ama-nodules aphawulekayo ezindaweni eziphansi kanye nasezindaweni ze-sacral ukuthi uma uthinte noma ucindezelekile ukuzala uhlobo lobuhlungu okungenzeka ukuthi lukuholela ekutholeni ukwelashwa endaweni yokuqala.
Ucwaningo oluthile kakhulu olwenziwe ngokuqondene nesicoco sezindlevu, futhi lokho kungase kuchaze ukuthi kungani kungakazi kangako ngakho emsebenzini wokunakekela izimpumputhe. Izihloko ezibhalwe ku-intanethi yi-chiropractor uDavid W. Bond zinganikeza ulwazi olunzulu kakhulu kule ndaba.
I-Bond ibika ukuthi ngokweqile kubhekana nabesifazane kubonakala sengathi basengozini ephezulu yamagundane emuva kunabanye. Uthi futhi abantu abanezinkambu zangasese bavame ukuhamba ngebhethri yezokwelapha ngaphandle kokukhululeka kobuhlungu ukubonisa kulo.
Ukuxilongwa Nokunakekelwa
Enye indlela yokuhlonza amagundane e-back is by umjovo. Ukuhlinzwa enye enye indlela.
Uma ukujova ukuhlinzekwa kwe-anesthetic yangakini kukhulula ubuhlungu - kungakhathaliseki ukuthi okwesikhashana - ukuxilongwa kuphakanyisiwe. Ucwaningo lwamacala kusukela ngo-1940 lubonisa ukuthi uma amagundane asele ekhishwa ngokuhlinzwa, lokhu cishe cishe kukhulula ngokuphelele ubuhlungu.
Njengamanje, ukuhlinzekwa kuqukethe ukungahambi kahle kwamagundane, kulandelwa ukulungiswa kwemidwebo ye-fascial lapho ivela khona. Le nqubo ibonakala iyindlela kuphela yokuthola ukuphumula okuqhubekayo kobuhlungu kusuka kumagundane asele.
Inkinga iwukuthi, ungase ube namakhulu amagundane angemuva, okungenzeka kube nzima ukuba udokotela wakho ohlinzayo aqede ngamunye ngamunye.
Lokho kusho ukuthi uBond, ongu-chiropractor, ukholelwa ukuthi lesi sifo singaphathwa ngempumelelo ngokuhlanganisa ukukhwabanisa nokuguqulwa komgogodla.
Ucwaningo lwezokwelapha ngo-2016 nokubuyekezwa kwezincwadi ezitholakale ukuthi ukujova ukuhlinzekwa kwe-anesthetic noma i- steroid yangakini kuma-nodules, okulandelwa yisidingo esinomile kungaholela ekusizeni ubuhlungu. Ucwaningo olufanayo lwathola isilingo esisodwa somtholampilo ngokuqhathanisa umjovo we-anesthetic yangakini kwisisombululo saline. Kulolu cwaningo, ukujova akulandelwa yisidingo esinomsoco, futhi iziguli zibikwe ukukhululeka okubuhlungu nokuphuthumayo kuphela.
Masingazidideki - Izimo ezinezibonakaliso ezifana namagundane asemuva
Sciatica
Njengoba kukhonjisiwe ngenhla, akuyona into engavamile odokotela ukungazi kahle izimpumputhe emuva. Futhi i- sciatica yiyona ndlela ejwayelekile kakhulu yokuhlukumezeka okuhlala kuyo.
Kungani? Yini ukuhlangana phakathi kwegundane le-back emuva nobuhlungu nezinye izimpawu eziwela phansi umlenze owodwa?
Ngenkathi ubuhlungu obuvela emantanjeni emuva buqala endaweni yangakini, emagqumeni ngokwawo, njenge-sciatica, ngokuvamile kuvutha kwezinye izindawo. Futhi njenge-sciatica, ubuhlungu besisu segundane buvame ukuhlangana, futhi kungakhula kuye ngokuthi isikhundla sakho. Isibonelo semisebe yobuhlungu ngokuvamile asiyifani.
I-Bond ithi ukucasuka okuvela kumgundane we-back emuva akubonakali ekuvivinyweni kwezimpande zesibindi - ngaphandle uma unayo i-disc yakhe. Uyanezela ukuthi lesi simo singase sihambisane nezigaxa emisipha yakho yegazi, kanye nokunciphisa ukuhamba kwe-lumbar. Ubuhlungu bezinhlungu bungahlukana, njengoba kungase kube isikhathi eside.
Amaphuzu we-Trigger
Ngenkathi kungenzeka ukukhomba ubuhlungu begundane emuva futhi / noma ithenda ngokuthinta omunye wabagxeki, amagundane abuyiselwayo awabangeli amaphuzu. Ama-trigger amaphuzu azibonakalisa njengama-taut bands ama-muscle kuyilapho amagundane emuva ezwa njengezixuku noma ama-nodules.
Amagundane asemuva awawona imisipha eqinile noma, ngakho ukucindezela kuzo ngeke kube nomthelela ekwelapheni noma ekuphatheni kwabo, njengoba abaningi bezokwelapha bezokwazi ukukholelwa. Empeleni, lolu hlobo lwezokwelapha, olungase lusebenze kahle ngamaphuzu okuqala, lubangela ubuhlungu, kusho uBond. Lokhu kusho ukuthi ukuhlunga okujulile cishe ngeke kube yindlela yokwelashwa efanele.
> Imithombo:
> Bicket, M. Izinhlelo Ezihle kakhulu Zama "Amagundane Emuva" Namadoda: Umbiko Wezehlakalo Nokubuyekezwa Kwezincwadi ze-Episacroiliac Lipoma. Udokotela Wezinhlungu. Mashi. 2016.
> UDenman C. Hucherson, MD, uJoe R. Gandy, MD, Ukuhlonishwa kwamathambo amahle: Umsuka we-Low Back Pain. I-American Journal of Surgery. Novemba 1948.
> Bond, D. Ukwelashwa kwe-Chiropractic yeMouse Emuva. Dynamic Chiropractic. September 2004.
> Bond, D. Low Low Pain kanye Episacral Lipomas. Dynamic Chiropractic. September 2000.
> Rosati E, Mariani D. Indima ye-episacroiliac lipomas njengesizathu se-pseudolumbago-sciatica syndromes. I-Arch Putti Chir I-Organi Mov. 1990.