Ubuhlungu Emuva:
Ukwelashwa kobuhlungu obuphansi emuva kuyinkinga enzima ukuthi cishe wonke umuntu uzokwazi ukuphatha ngesikhathi esithile empilweni yakhe. Ngokuvamile, ubuhlungu bomhlane buxazululwa ngemithi elula. Kukhona izinketho eziningi ezitholakalayo, futhi akukho ukwelashwa okukodwa okhonjiswe ukuthi uphakeme ukwelashwa okubuhlungu obukhulu bokubuya emuva. Lezi ezinye zezokwelapha ezijwayelekile ezisetshenziselwa ubuhlungu emuva, nokuthi ziboniswe kanjani ukuthi ziyasebenza.
Ukuguqulwa komsebenzi:
Isinyathelo sokuqala ekwelapheni ubuhlungu obuphansi emuva ukugwema ukuhlukumeza ngemuva. Iziguli zidinga ukuqonda ukuthi ubuhlungu bokubuyela emuva buvamile, futhi ngokuvamile buxazululwa ngenkathi. Ukuphumula kokulala kwakuvame ukuphakanyiswa, kepha sekutholiwe kamuva ukuphuluka kancane kokubuhlungu emuva. Ukuphumula okulele isikhathi eside kungaholela ekubuyeni okuphindaphindiwe okuphindaphindiwe, futhi izifundo zibonise ukuvuselela okusheshayo nomsebenzi womzimba ophansi.
Uhlelo lokusebenza lwe-Ice nokushisa luye lwaphakanyiswa kaningi, futhi lunikeze usizo lwempawu ngenkathi lwenza le misebenzi, kodwa ayikho inzuzo eyaziwayo ngaphandle kokuphumula kwesimiso esifushane.
Imithi Yokulwa Nezivunguvungu:
Imithi ephikisana nokuvuvukala imithi ephakanyiswa kakhulu evame ukubuhlungu emuva, futhi iboniswe njengomunye wemithi ephumelelayo kakhulu. Imithi engaqedi ukuvuvukala (noma i-NSAID) isebenza ngokunciphisa ubuhlungu nokunciphisa ukuvuvukala .
Ayikho imithi eyodwa ekhonjiswe ukuthi ingcono kunomunye, futhi iziguli eziningi zizothola ezisebenza kahle kubo (ezinye zikhetha imithi yansuku zonke, abanye bakhetha imithi engasetshenziswa kaningi).
Ubuhlungu Ukunciphisa Imithi:
Imithi yokwehlisa izimpawu ezibuhlungu ngokuvamile ibasiza ngezibonakaliso ezingaxoshwa yi-NSAID.
Ngokuvamile, ukuhlanganisa ama-NSAID nge- acetaminophen noma i-Tramadol kungasiza ukuvumela ukuphumula okwanele, ngaphandle kokusebenzisa imishanguzo yobuhlungu be-narcotic . Imithi yokwelapha , okubandakanya i- capsaicin ne-lidocaine, ingahlinzeka ngokukhululeka, nakuba imiphumela ingapheli ngemuva kokuba imithi isuswe.
Uma lokhu kungakwaneli, udokotela wakho angase abheke inkambo emfushane yemithi yokuhlunguphaza i-narcotic . Ngenxa yobungozi babo bokulutha, ama-narcotics ngokuvamile asetshenziselwa kuphela uma ezinye izindlela zokwelapha zihluleka ukulawula izimpawu zakho.
Ama-Relaxers we-Muscle:
I-muscle spasm iyisikhalazo esivamile, ikakhulukazi ezinyathelweni zakuqala zobuhlungu obuya emuva. Eqinisweni, iziguli eziningi, i- muscle spasm iyisici esibucayi kakhulu sezinhlungu ezibuhlungu emuva. Ukukhululwa ngemithi yokuphumula emisipha kungaba usizo kulezi zinyathelo zakuqala, kepha le mithi kufanele isetshenziswe isikhathi esifushane kuphela. Imithi yokuphumula emisipha inemiphumela emibi ehlanganisa ukulala nokuxhomeka.
Imithi ye-Steroid:
Imithi ye-steroid isebenza ngokuphumelelayo ekunciphiseni ukuvuvukala futhi ingaqondiswa ngomlomo noma ijojowe emgodleni, okuthiwa i- epidural injection . Ngezinhlobo eziningi ezivamile zobuhlungu emuva, imithi ye-steroid ayizange iboniswe ukuthi inenzuzo.
Iziguli ezinezinyopho ezikhonjiwe, ezibangela izimpawu zomlenze wezinyawo, zivame ukuthuthukisa imishanguzo ye-steroid, kepha ubuhlungu bokubuyiselwa okujwayelekile abudingi imithi yokwelapha. Ngaphezu kwalokho, odokotela abaningi banomuzwa wokuba nemiphumela emibi ngemithi ye-steroid ayifaneleki.
Ukwelashwa Kwemvelo:
Ukwelapha ngokomzimba nokuzivocavoca kuye kwaboniswa ukuthi kuphumelela kakhulu ekwelapheni ubuhlungu obungapheli obuya emuva. Ukuzivocavoca kungaba nezinzuzo kuhlanganise nokuhleleka okuthuthukile, ukuguquguquka namandla. Ngaphezu kwalokho, abantu abasebenzisa ukwelashwa ubuhlungu be-back emuva baye bathuthukisa isimo, isidingo esincane semithi yobuhlungu, nokuvimbela ukuchithwa kwamandla (ukulahlekelwa amandla).
Uchwepheshe wezokwelapha angakusiza ikakhulu ngokukuqondisa kule nqubo, futhi usize ekunqumeni ukuzivocavoca okungase kubekezelelwe. Ngaphezu kwalokho, udokotela onolwazi angakuqinisekisa ukuthi wenza umzimba ngendlela efanele ukuze angakuvezi ukuthi uzolimala.
Ezinye izindlela zokwelapha:
Kunezinhlobo eziningi zokwelashwa okunye okubuhlungu emuva okungaba njalo noma okuphumelelayo kunalezo zokwelapha zendabuko . Ukwelapha umzimba kuyindlela yokwelashwa yaseShayina esetshenziswa iminyaka engaphezu kwengu-2 000. Ukwelashwa kwe-Massage kanye ne- chiropractic nakho kuyindlela yokwelapha ebuhlungu obuya emuva.
Abantu abaningi banomuzwa wokuthi odokotela abatholi ezinye izindlela zokwelashwa , kodwa iqiniso liwukuthi njengoba nje ezinye iziguli zithola usizo ngokuphathwa kwendabuko, abaningi bathola usizo ngezinye izindlela zokwelashwa. Ngihlale ngikhuthaza iziguli ezinenhlanhla yangemuva ukukhuluma nami mayelana nezinketho zokwelashwa ezahlukene ukuze uzame futhi unqume ukuthi yini ebenza kubo.
Ukuhlinza ngezifo:
Ngokuvamile, ubuhlungu bomhlane buzophuthuka ngesikhathi kanye nemithi echazwe ngenhla. Kodwa-ke, ezinye iziguli zigcina zidinga ukuhlinzwa ukuze zithuthuke esimweni sabo. Kukhona izinketho eziningi zokwelapha ukwelashwa kwezinkinga emuva . Nakuba ngokuvamile ngokuvamile lezi zinyathelo zingadingeki, kwezinye iziguli, ukuhlinzeka ngomgogodla kungase kube ukhetho oluwusizo lwezokwelapha .
Umthombo:
Shen FH, et al. "Ukuphathwa Kwezingqalasizinda Zezinhlungu Ezibuhlungu Nezifo Ezibuhlungu Ezibuhlungu" J. Am. I-Acad. I-Orthop. Ngo-Agasti 2006; 14: 477 - 487.