Rehab emva Ukuhlinzwa Emuva Emuva
Uma unemihelo ephansi emuva noma i-sciatica, ungase uzuze ekusebenzeni nomuthi wezokwelapha ukusiza ukuphatha isimo sakho. I-PT yakho ingakusiza ukunciphisa ubuhlungu bakho futhi uthuthukise ukuhamba kwakho ngezivivinyo ezithile zokwelashwa nokulungiswa kokuthunyelwe kwangasese .
Uma ukuvivinya umzimba, ukulungiswa kwe-postural, noma ezinye zokwelapha zokwelashwa akuhluleki ukukunikeza ukukhululeka okwanele kwezibonakaliso zakho, kungase kudingeke uvakashele udokotela wakho ukucabangela ezinye izinketho.
Ngezinye izikhathi, izimpawu zakho zingase zibe nzima kangangokuthi udinga ukuhlinzwa ukuze uthole ukukhululeka ebuhlungu obukhulu bokubuyela emuva noma i-sciatica.
I- discectomy ene-lumbar ne-laminectomy yizinhlinzeko ezivamile ezisetshenziselwa ukukusiza ukunikeza impumuzo emabonakalweni abuhlungu avela emhlane wakho. Lezi zinqubo zokuhlinzekwa zenzelwe ukunciphisa ukucindezelwa emisipha evela emhlane wakho ebangela sciatica yakho. Uma udinga inqubo yokuhlinzwa emgodleni wakho ukuze uphathe izimpawu zakho, ungazuza ekwelapheni ngokomzimba ngemuva kokuhlinzwa ukusiza ukuthi ubuyele ngokugcwele ezingeni lakho langaphambilini lomsebenzi. Udokotela wakho ohlinzayo angenza izincomo eziqondile mayelana nenkambo yakho yokuthunyelwa futhi angakusiza ukhethe umuthi osebenzayo ongokwenyama.
Ingabe Ngidinga PT Ngemuva kwe-Lumbar Laminectomy noma i-Discectomy?
Ngemuva kokuhlinzwa kwakho kwe-lumbar, ungase uzwe kahle ngezimpawu ezincane noma azikho. Ingemuva yakho ingaba yinkimbinkimbi kusukela ekuhlinzeni, kodwa kufanele usheshe uzizwe ubuhlungu obukhulu kakhulu.
Ungase uqale ukubuza ukuthi ngabe ngabe uzothola yini ukwelashwa ngokomzimba ngemuva kwe-lumbar laminectomy.
Ucwaningo lubonisa ukuthi abantu abathintekayo ekuzivocavoca umzimba ngemuva kokuthola i-lumbar discectomy bavame ukuba nemiphumela engcono uma kuqhathaniswa neziguli ezingahlanganyeli ekuvivinya umzimba njalo. Isazi sakho somzimba singakusiza ukuba ubone ukuthi izivivinyo ezifanele zenziwe emva kokuhlinzwa.
Kufanele Ngiqale Kanjani Ukwelashwa Kwemvelo Ngemva kweLumbar Laminectomy noma Discectomy?
Ngokuvamile, kufanele ulindele ukuqala ukwelashwa ngokomzimba amasonto 4 kuya ku-6 ngemuva kokuhlinzwa kwakho kwe-lumbar. Uma kwakukhona izinkinga zokuthunyelwa komzimba njengokutheleleka noma ukuphuma ngokweqile, khona-ke kungadingeka ulinde isikhathi eside. Ngakolunye uhlangothi, uma izinto zihamba kahle ngokuhamba ngokuhlinzwa kwakho, ungaqala i-PT ngokushesha. Emva kwe-discectomy yakho ye-lumbar, kufanele ube nengxoxo nodokotela wakho mayelana nokuthi uzoqala nini ukuvuselelwa
Therapy Physical Ukuhlolwa emva Lumbar Laminectomy noma Discectomy
Uma usuhlinzwa futhi udokotela wakho uye wakususa ukuze uqale ukwelashwa ngokomzimba, kuzodingeka wenze i-aphoyintimenti emtholampilo wezokwelapha wendawo. Ngesikhathi sokuvakasha kwakho kokuqala, udokotela wakho womzimba uzoqhuba ukuhlolwa kokuqala nokuhlola. Izingxenye zokuhlolwa kokuqala zihlanganisa, kepha azikhawulelwe ku:
- Ukuthatha umlando . Ngaphambi kwanoma yikuphi ukuhlolwa okusemthethweni, umhlinzeki wakho womzimba uzothatha umlando olotshiwe noma womlomo. Imibuzo izobuzwa mayelana nendlela ozizwa ngayo, ukuthi ukulimala kwakho kwenzeke kanjani, futhi uma kukhona izinkinga ngemuva kokuhlinzwa kwakho. I-PT yakho izophinde ibuze ngomlando wakho wezokwelapha odlule. Lesi yisikhathi esihle sokubuza imibuzo futhi uqale ukuthuthukisa ubudlelwane nomthandi wakho wenyama.
- Ukuhlolwa kwe-Postural. Njengoba ukuhleleka okulungile kudlala indima ebalulekile ekugcineni umgogodla ophilile, i-PT yakho izohlola ukuthi ukhona yini. Uzobuka umgogodla wakho ngenkathi uhlezi futhi umile futhi uqophe okutholakele okuhlobene nokuthunyelwa kwakho. Angakusiza ukuthola nokulondoloza isimo esifanele ngenkathi uhlezi futhi umile.
- Ububanzi bokuhamba. Isazi sakho somzimba sizokwazi ukulinganisa uhla lwakho lokuhamba lumbar (ROM) . Idivayisi ebizwa ngokuthi i- goniometer noma i-bubble inclinometer ingasetshenziselwa ukuthola ukufundwa okuyisisekelo kokuhamba komgogodla wakho.
- Amandla. Isazi sakho somzimba sizokala amandla akho ngesikhathi sokuvakasha kwakho kokuqala. Uma unesifo sokukhubazeka noma ukukhubazeka ngenxa yokucindezelwa komgogodla ngaphambi kokuhlinzwa, umhlinzeki wakho wezinto ezibonakalayo uzolinganisa amandla alawo misipha. Angase ahlole amandla emisipha yakho yesisu nesisu, imisipha yezinyosi nezenzeni, noma imisipha emilenzeni yakho ephansi.
- Ukuhlola izicubu zomzimba. Emva kwe-lminar laminectomy noma i-discectomy, uzoba nokunciphisa okuncane okuhlinzekwa okuncane ngemuva kwakho. Umhlinzeki wakho womzimba angase ahlole ukuhamba kwesisindo esibucayi ukuqinisekisa ukuthi isikhumba namathambo angaphansi akuvimbeli ukunyakaza kwakho.
- Isikrini sezinzwa. Isazi sakho somzimba singenza isikrini sezinzwa ngesikhathi sokuhlola kwakho kokuqala. Angase avivinye i-tendon yakho ejulile ye-tendon nge-hammer ephathekayo, futhi ikhono lakho lokuqonda ukukhanya noma ukucindezelwa kungahlolwa.
- Ukuhlolwa kokuvumelana nezimo. Ukuguquguquka kwakho konke komzimba wakho kungahlolwa emva kwe-lminar laminectomy. Amaqembu emisipha okungenzeka ahlolwe ahlanganisa ama- hamstrings , quadriceps , kanye nemisipha yamathole. Ngezinye izikhathi ngemuva kwe-laminectomy lumbar ne-discectomy, ukuqina kwesibindi sakho se-sciatic kungase kube khona. Lokhu kubizwa ngokuthi izimpande zesikhumba esilandelwayo futhi kubangelwa izicubu ezincane ezibomvu ezizungeze izinzwa njengoba ziphuma emgodini wakho womgogodla.
- Ukuhlolwa okusebenzayo. Isazi sakho somzimba sizohlola futhi umsebenzi wakho jikelele emva kokuhlinzwa. Ungakwazi ukusebenza? Ungahlanganyela yini emisebenzini yakho evamile yokuzilibazisa? Ingabe unqunyelwe ukusebenza nganoma iyiphi indlela? Izimpendulo zale mibuzo zingasiza umsebenzi wakho we-PT nawe ukuthuthukisa imigomo ethile yokuvuselela ngemuva kokuhlinzwa kwakho.
Ukwelashwa Kwemithi Emzimbeni emva kweLumbar Laminectomy noma Discectomy
Imiphumela yokuhlola kwakho okuqondile izosiza umuthi wakho wezokwelapha ukuthuthukisa uhlelo lwezokwelapha ngemuva kwe-laminectomy yakho ye-lumbar. Ngezinye izikhathi, udokotela wakho angase akufune ukuthi ulandele inqubo ethile yokuthunyelwa komsebenzi, futhi umhlinzeki wakho wezinto ezingokwenyama angakusiza ukuba uhlale endleleni.
Kungase kube nezingxenye ezihlukahlukene zokunakekelwa kokwelashwa kwakho, ngakho-ke qiniseka ukuthi ubuza imibuzo mayelana nokwelashwa owutholayo. Ukwelapha okuvamile emva kwe-lumbar laminectomy ne-discectomy kufaka:
Ukuzivocavoca . Uhlelo lokuzivocavoca ngemuva kokusebenza kufanele lube olulodwa olugxile kakhulu ekubuyiseleni kwakho ngemuva kwe-lminar laminectomy. Ucwaningo lubonisa ukuthi abantu abazivocavoca emva kokuhlinzwa emuva banemiphumela ephakeme kakhulu uma kuqhathaniswa nalabo abangasebenzi.
Ukuzivocavoca okucacile kufaka ukuvivinya umzimba okuqhubekayo kwe-ROM kanye nokuzivocavoca kwe- hip kanye nokuqinisa umzimba . Uma uchwepheshe wezokwelapha ethola ubuthakathaka eqenjini lezinsizwa ngenxa yokucindezelwa kwangaphambi kokusebenza komzimba, izivivinyo ezithile zingagxila kulowo muscle. Ukuzivocavoca komzimba njengokuhamba ngezinyawo kungabuye kunqunywe ukusiza ukuthuthukisa ukukhuthazela kwakho konke okusebenzayo. I-PT yakho ingakufundisa indlela yokuqapha kahle umsebenzi wakho wokuzivocavoca.
Isazi sakho somzimba singase sinikeze nokuzivocavoca umzimba ukuze ukwandise ukuguquguquka okujwayelekile emathunjini akho, ama-calves, nama-quadriceps.
Njengoba ukulawulwa kwe-postural kuyingxenye ebalulekile yokugcina impilo yomgogodla, uchwepheshe wakho wezempilo kumele akufundise ukuthi uhlale kahle kanjani. Ukuzivocavoca njengenqubo ye- slouch-overcorrect kungase kube usizo ukuthola isimo esifanele.
Izindlela zomzimba. Uma ubhekene nobuhlungu obulandela ukuhlinzwa kwakho, udokotela wakho ongokwenyama angakhetha ukusebenzisa izindlela ezithile zomzimba ukusiza ukulawula ubuhlungu bakho. Izindlela ezifana nokuvuselela kagesi kanye ne- TENS zingasetshenziswa ukusiza ukulawula ubuhlungu bakho.
Ukushisa kungasetshenziswa ukusiza ukuphumula imisipha futhi uthuthukise ukujikeleza emhlane wakho, futhi iqhwa lingasetshenziswa ukusiza ukwehlisa ukuvuvukala nobuhlungu eduze kwesayithi lakho lokuhlinzwa.
Ukunakekela kufanele kusetshenziswe uma usebenzisa izindlela zomzimba-ucwaningo lubonisa ukuthi ezinye izindlela zokwelashwa angeke zinikeze izinzuzo ezihlongozwayo. Isazi sakho somzimba singumchwepheshe wokunyakaza, ngakho-ke uma uthola nje ukwelashwa okungajwayelekile njengokushisa noma iqhwa, kufanele ubuze ukuthi uthola yini ukunakekelwa okungcono komhlane wakho.
Ukusikhipha kwe-Scar . Uma uchwepheshe wezitho zomzimba ethola ukuqina ngokuzungeza kwakho ukuhlinzwa, angase ahlanganyele emasukweni athile okuqoqa ukukhwabanisa.
Ngokuvamile, isiqephu sakho sokwelapha ngokomzimba sokunakekela kufanele sigcine noma kuphi kusukela emavikini amathathu kuya kwamathathu. Umhlinzeki wakho wenyama kufanele aqiniseke ukuthi unesimiso esifanele ukuqhubeka nokuzivocavoca. Kumele futhi aqiniseke ukuthi uyazi ukuthi yini okufanele uyenze uma ubuhlungu obuphansi emuva noma i-sciatica ishaya futhi .
Ukuvimbela Izinkinga Zesikhathi Esizayo
Ingxenye ebalulekile yohlelo lwakho lokwelapha ngokomzimba ukufunda indlela yokuvimbela izinkinga zesikhathi esizayo ngomhlane wakho. Umhlinzeki wakho wenyama angakusiza ukuba ubone ukuthi yiziphi izinto ezingabangela ukulimala okungase kuholele ebuhlungu obukhulu emuva noma sciatica. Izindlela zokuvimbela izinkinga emuva emuva zihlanganisa:
- Ukugcina ukuhleleka okufanele uma uhlezi
- Gwema njalo ukuguqa phambili
- Gwema ukuphakamisa okunzima
- Ukusebenzisa njalo
Uma une-laminectomy ene-lumbar ne-discectomy ukukusiza ukuthi uphathe i-sciatica yakho, ungase uzuze ukwelashwa ngokomzimba ngemuva kokuhlinzwa. Umhlinzeki wakho womzimba angasebenza nawe ukusiza ukuthuthukisa ukuhamba kwakho konke ukuze ukwazi ukubuyela ngokushesha futhi ngokuphepha emsebenzini wakho nomsebenzi wakho.
Umthombo: Beneck, JG, etal (2014) Ukuzivocavoca okukhulu, okuqhubekayo kuthuthukisa ikhwalithi yokuphila emva kwe-microdiskectomy lumbar: isilingo esilawulwa ngokungahleliwe. I-Clin Rehabil. 2014 Mar 14. [Epub ngaphambi kokuphrinta]