Uma uke wabhekana nobuhlungu obuphansi emuva kwamaviki ayisithupha, kuthathwa njengokuthi "kuyicacile". Ukwenza umgogodla uhlolwe ngaphambi kokuthi uphawu lwamasonto angu 6 lungumqondo omuhle, njengoba ukwelashwa kusenesikhathi kungakusiza ukuba ugweme inkinga yokubuyela emuva engapheli (eyaziwa nangokuthi ubuhlungu obuqhubekayo .)
Ukuxilongwa
Uma uya kudokotela ngenxa yobuhlungu bakho obuya emuva, uzoqhuba ingxoxo yezokwelapha (ebizwa ngomlando) nokuhlola ngokomzimba.
Ukwaziswa okubuthelwa kulokhu kuqokwa kuyomsiza ukuba ahlolisise ubuhlungu bakho ngokukubeka kwenye yezinhlobo ezintathu ezijwayelekile:
- Ubuhlungu obuncane bokubuya emuva
- Ubuhlungu buhilela ngokuqondile izinzwa , isibonelo, i-radiculopathy ebangelwa i-disc herniated.
- Ezinye izimbangela, ezibizwa nangokuthi "amafulegi abomvu." Lezi yizimo ezibucayi ezingase zibe nobuhlungu emuva njengesibonakaliso. Isibonelo singase sibe i-cyst synovial noma i-tumor. Uma unombala obomvu, udokotela wakho uzohle ahlele izivivinyo zokuxilonga ukuze azame ukuthola impande yenkinga.
Uhlelo lwakho lwezokwelapha nesinqumo sokwenza olunye uhlolo luzobe seluqokwe ngokusekelwe esigabeni lapho ubuhlungu bakho buwela khona.
Yikholelwa noma cha, ubuntu bakho, isimo sengqondo kanye nezimo zomphakathi zidlala indima ekunqumeni ukuthi ubuhlungu buzohlala isikhathi eside kangakanani, nokuthi bubuhlungu kangakanani. Ngakho-ke ungamangali uma, ngesikhathi uxoxisana nodokotela, udokotela wakho ukubuza imibuzo ehlobene nalokhu. Udokotela wakho cishe uzosebenzisa izimpendulo zakho kule mibuzo ukuze ahlole ingozi yakho yokuhlakulela ubuhlungu obungapheli nokukhubazeka.
Izivivinyo zokuzihlola zokuhlola
Inkinga yakho yangemuva ingase ingadingi ukuhlolwa kokuhlola, njenge-ray ray noma i- MRI . Uma uthunyelwa enye yalezi zivivinyo, khumbula ukuthi zenzelwe ukusiza izindawo zokukhomba ezigulini zakho ezibonisa umonakalo noma izinguquko (ezibizwa ngokuthi izilonda ) ezihambisana nezimpawu zakho.
Kodwa ngenxa yokuthi izinkinga eziningi emuva azikho isizathu esithile, ngokuvamile azikwazi ukutholakala kwifilimu. Okuhlukile: Unayo izimpawu zesibindi , isisu somgogodla, noma - esekelwe emlandweni wakho nokuhlola ngokomzimba - udokotela ucabanga ukuthi inkinga enkulu yezempilo ibangela ubuhlungu bakho. Esinye isizathu sokuhlolwa kwe-imaging yokuxilonga kungase kube uma udokotela wakho ekucela ukuba ucabange ukuhlinzwa noma umjovo wesipangipi.
Ikhono lokusebenzisa ngokweqile ukuhlolwa kwe-imaging kungokoqobo. Ucwaningo olwenziwe ngo-2011 lwathola ukuthi ukuthola ukuhlolwa okunjalo ngenxa yobuhlungu obuphansi emuva akuzange kusize iziguli zizizwe zingcono noma zenze okungaphezulu, uma kuqhathaniswa nokunakekelwa kwemitholampilo ezingazange zibandakanye lezi zivivinyo. Mayelana nokuthola izinkinga ezibalulekile ezibuhlungu ekubukeni kwakho emuva, imiphumela yokutadisha ibonise ukuthi ukungatholi ukuhlolwa kwe-imaging ngaphandle kwebheti akuzange kwenze lutho ukuvimbela odokotela ekuboneni izimo zezempilo ezinjalo kulabo ababengekho engozini kubo.
Ngenxa yalokho okutholakele, abalobi bezocwaningo baqedile ukuthi abasebenzisa imithi kufanele "bayeke ukujwayela, ukucabanga okusheshayo kwezilwane ezigulini zokunakekelwa okuyinhloko, ezingekho emthethweni, ezilukhuni noma ezithintekayo i-LBP futhi azikho izibonakaliso zezimo ezibucayi ezingaphansi."
> Umthombo:
> Andersen J. Ingabe ukucabanga okusheshayo kubalulekile ekulawuleni ubuhlungu obuphansi emuva? J Athl Train. Jan-Feb. 2011. https://www.ncbi.nlm.nih.gov/pubmed/21214357
I-Chou R, i-Qaseem A, i-Snow V, i-Casey D, i-Cross JT Jr, i-Shekelle P, i-Owens DK, i-Subcommittee Efficacy Assessment ye-American College of Physicians, i-American College of Physicians, i-American Pain Society Low Back Pain Guidelines Panel. Ukuxilongwa nokwelashwa ubuhlungu obuphansi emuva: ukuqondiswa komtholampilo ohlangene we-American College of Physicians kanye ne-American Pain Society. U-Ann Intern Med. Okthoba 2007. https://www.ncbi.nlm.nih.gov/pubmed/17909209
> Fritz, JM, Delitto, A., Erhard, RE. Ukuqhathaniswa nokwelashwa okwenziwe ngezigaba ngokusekelwe emitholampilo yokusebenza emitholampilo yeziguli ezinezinhlungu ezibuhlungu ezibuhlungu: ukuhlolwa komtholampilo okungahleliwe. Isiphetho. Julayi 2003.
Ubuhlungu bokubuyela emuva, obukhulu, obuphansi. UBuJ Ubufakazi Bokugula. https://www.ncbi.nlm.nih.gov/pubmed/12838091
I-Quality Quality Consortium yaseMichigan. Ukuphathwa kobuhlungu obunzima bokubuya emuva. I-Southfield (MI): iMinortium ye-Quality Improvement Consortium; Mashi 2008. http://mqic.org/pdf/mqic_management_of_acute_low_back_pain_cpg.pdf