Izindlela Ezingcono Ezithuthukayo Zokwelapha Kwezinhlungu
Izindlela eziningi ezikhona zokuhlukanisa nokuchaza umgogodla womlomo wesibeletho, noma intamo, ubuhlungu buyingxenye yezizathu zokwelapha izinhlungu zentamo ezihlukahluka. Izigaba ezihlukahlukene zokuhlukanisa ngezibonakaliso nezimpawu, izinguquko zesimo somzimba ezinxenyeni ezithile zezinhlaka zomgogodla (kungakhathaliseki ukuthi zivela ekugungeni nasezintweni , ezakhiweni, noma emathunjini), futhi uma izinzwa zomgogodla zakho zithintekile.
Akukhona lokho kuphela, kodwa ilebula yohlu oluthile lwezinhlungu zentamo lungase luhlanganiswe ngezigaba ezimbili noma ngaphezulu "ezisemthethweni".
Kodwa emashumini eminyaka amuva nje, indlela abahlinzeki abahlupha ngayo ubuhlungu bentamo isiqalile ukushintsha. Esikhathini esidlule, indawo kanye nezikhathi zezimpawu kanye nokuthi yiziphi amafilimu ezivezwe mayelana nesisu somswakama okwakunomzimba omncane okwakubaluleke kakhulu futhi okujwayelekile okudingekayo kudokotela ukuze ahlolwe ubuhlungu bomgogodla wesibeletho. Manje, lo mkhuba ubheke imodeli eqondiswa ukwelashwa, ikakhulukazi uma kuziwa ekunakekelweni kokunakekelwa, okungeyona yokuhlinzwa.
Abagqugquzeli bakholelwa ukuthi lokhu kuyindlela ephumelelayo yokuxilonga nokuphatha ubuhlungu obungenasici bentamo nokungasebenzi.
Izigaba zokwelapha
Imodeli yokwelashwa, ngokumelene ne "imodeli ye-pathoanatomical," isekelwe emigomweni yokwelashwa nokuthi ukuthi leyo migomo ifezwa kanjani. Ngamanye amazwi, isigaba ngasinye esisisekelo-ukukhubazeka kokuhamba, ukulawula ubuhlungu, ukuvivinya umzimba nokubeka isimo, ukukhanda ikhanda, noma ukukhipha ubuhlungu-lo mdwebo unikeza imithi yokwelapha kanye / noma izinqubo ezingase zisebenze kahle ngenhloso yokubuyisela intamo yakho ukusebenza isimo sezwe esibuhlungu.
Isigaba ngasinye sokwelapha siphumeleleke sibe yizigaba ezincane: ama-acute, ama-sub-acute, nezigaba ezingapheli. Lokhu kungqimba kwemininingwane kuyasiza, njengoba isikhathi esivela ekuqaleni kokuhlukunyezwa noma izimpawu kudla indima ebalulekile ekunqumeni izinhlobo nezinamandla zokwelashwa ezingase zisebenze kangcono kakhulu.
Ungase uthole ukuthi ukuxilongwa kwakho kuwela esigabeni esingaphezu kwesinye sokwelapha.
Isibonelo, izinhlanzi, i- sprains , ne-whiplash ngokuyinhloko zifakwe ngaphansi kokulawulwa kabuhlungu, kodwa ngokusho kukaChaid Cook, ochwepheshe bezokwelapha kanye ne-PhD, kungatholakala futhi kwisigaba sokusebenza nesimo sesimo.
Ngonyaka ka-2008, ukuhlukaniswa kwesigaba sokwelapha kufakwe njengengxenye yezinkombandlela ze-APTA Orthopedic Guidelines. Lezi ziqondiso manje zihlukanisa ubuhlungu bentamo ngezindlela ezine ezikhulunywe ngenhla. Bashiya isigaba sokuzivocavoca nesimo sokubeka isimo, kodwa abanye abakwaziyo bayifake futhi, mhlawumbe ngoba ukuvivinya umzimba kungenye yezindlela eziphumelelayo kakhulu zokunciphisa ubuhlungu obuhambisana nezimo eziningi zomgogodla ezivamile zomlomo wesibeletho.
Kungakhathaliseki ukuthi yiziphi izindlela, ochwepheshe bayaqhubeka nokuthuthukisa futhi basikisela ukuthi kufakwe izigaba ezintsha zokwelashwa.
Ukuhlola
Ngaphambi kokuhlukaniswa kokwelashwa kungasetshenziswa, udokotela wakho cishe uzokuhlola ngesifo esibucayi esibhedlela noma okuthiwa umgogodla, okuthiwa amafulegi abomvu . Ezimweni eziningi, lezi zinhlobo zezinkinga zibangelwa izimpawu. Uma udokotela wakho ethola okuthile okuphakamisa isimo esibucayi sezempilo, cishe uzokutshela ochwepheshe noma ukuhlolwa okwengeziwe.
Angase futhi akuhlolisise izici zengqondo, okuthiwa ama-flags aphuzi. Lezi zihlobene nezindima ozidlalayo ezicini ezihlukahlukene zokuphila kwakho, kanye nesimo sakho sezezimali nezisusa kanye nesimo sakho sengqondo mayelana nezinto.
Lolu hlobo lokuhlola luyamsiza ukuba anqume ukuthi ulungile yini ukwelashwa ngesikhathi samanje.
Uma usuqedile lezi zithiyo, ungathunyelwa ekuphatheni okwenyama. Uma kunjalo, manje sekuyisikhathi sokuthola iqembu lezokwelapha owela kulo.
Ukwelashwa Kwekhanda Lokukhubazeka Lokuhamba Ngezimpahla
Labo abasesigabeni sokunakekelwa okungahambi kahle bavame ukuzwa ubuhlungu bezintamo ezitholakale ngaphakathi, noma ubuhlungu bentamo obuhlangothini olulodwa kuphela. Uma ngabe ikuchaza, ungase uthole ukuthi intamo yakho ilinganiselwe ukuthi ungaya kude kangakanani, kodwa ukuthi uma uyishukumisela, lokhu kuhlanganisa izimpawu zakho. Esinye isibonakaliso sokukhubazeka kokuhamba endaweni entanyeni kubhekiswa ubuhlungu behlombe noma ingalo.
Umlando wezokwelapha nokuhlolwa ngokomzimba okwenziwe udokotela wakho kumsiza ukuba akhethe, phakathi kwezinye izinto, uma udinga ukuthunyelwa kudokotela.
Udokotela wakho cishe uzobheka ukuthi yini eyaziwa ngokuthi yizinkinga zengqondo, iningi labo emkhakheni wezinhlungu ezingapheliyo bakholelwa ukuthi wenza umehluko kokubili ngenqubekelaphambili yokwelapha nokuthi ngabe ungakha isimo sesikhathi eside noma cha. Uma ebona izakhi zengqondo emfanekisweni wakho wezokwelapha, angase akubhekise ekwelapheni isikhathi esifushane okuthiwa ukwelapha ukuziphatha kwengqondo. Lokhu ukwelashwa kungakusiza ukuthi ufunde ukuthi ungagcina kanjani ubuhlungu nokukhubazeka ngendlela efanele.
Esigabeni sokukhubazeka kokuhamba, kugcizelelwa ukukhipha intamo yakho. Ukwelashwa kwalolu mgomo kungabandakanya izandla ekugqugquzelweni noma ekusebenziseni kwentamo yakho nangaphezulu, ukuzivivinya kwentamo ukwandisa ukuhamba kokuhamba kokubili kanye nezinhlelo zombili zokuqondiswa nokuqapha ekhaya. Kungenzeka nokuthi uzokhuthazwa ukuba uhlanganyele emisebenzini yokuzivocavoca jikelele futhi uhlale usebenzayo ekuphileni kwakho kwansuku zonke.
Njengoba ukwelashwa kwakho kuqhubekela phambili, ukuqeqeshwa nokuqeqeshwa okuqhubekayo kungase kwengezwe ezinhlelweni zakho zokusebenza.
Uma usuqedile isigaba esiyinkimbinkimbi, ukwelashwa okuhambisanayo okufana nesidingo esinomsoco, i- laser yezinga eliphansi , i-ultrasound, i-traction, i-TENS, ne-muscle e-stim ingezwa.
Ukulawula Ubuhlungu, Ukuxhumanisa, & Whiplash
Abalobi bahluke ngendlela abazibiza ngayo futhi bawachaze lesi sigaba kodwa ngokuyisisekelo kwenzeka emva kokuhlukumezeka, i- whiplash , kanye / noma ukuphazamiseka noma uhlobo lwezakhiwo entanyeni. Ngokuvamile, izicubu zakho ziyocasuka kakhulu kulolu chungechunge, futhi esimweni sokucindezeleka noma ukuxosha, ubuhlungu ngokuvamile bubuhlungu.
Izimpawu zingabandakanya ubuhlungu obukhulunywe ehlombe kanye / noma ingalo, izimpawu zokungqubuzana, isizungu noma isicashu, izinkinga zekhanda, ukudideka noma izinkumbulo, ukucindezeleka, ukucindezeleka, ukucindezeleka, ukuthinta, ukukhanya nokuningi, futhi ekugcineni, imisipha yakho yentamo.
Uma usuxoxela udokotela wakho izimpawu zakho, yini ongayenza futhi engenakuyenza ngokomzimba, kanye nolwazi kunoma yiziphi ezinye izimo zezempilo, uzokwenzela izinyathelo ezibalulekile zokwelapha. Wenza lokhu ngokukhomba nokucabangela amaphethini wokuhamba nenhlungu, phakathi kwezinye izinto.
Ngokufanayo nazo zonke ezinye izigaba zokwelashwa, isigaba sobuhlungu singaguquka njengoba ukwelashwa kuqhubeka. Lokhu kusho ukuthi ukuhlolwa kabusha okujwayelekile kuzokusiza ukuthi uhlale ku-ithrekhi ngokuphulukiswa kwakho.
Ukwelapha ubuhlungu ngokuvamile kubandakanya izindlela zokwelapha ngokomzimba, ukuvivinya umzimba, nokugqugquzela noma ukuhlinzeka ngamathambo.
Izigaba zokuLawula ukuLawula ubuhlungu
Phakathi nesigaba esiyinkimbinkimbi, udokotela wakho noma udokotela ongokwenyama angakutshela ukuthi uhlale usebenza futhi uqale imisebenzi yakho evamile futhi uzokunika uhlelo lokuzivocavoca ekhaya. Ukwandisa ukuqina kwentamo yakho nokuhleleka kuyoba imigomo esemqoka ngalesi sikhathi. Ukugqoka ikollar ngezinye izikhathi kubhalwe kule nkathi yokuqala.
Njengesigaba esiyinkimbinkimbi, ngesikhathi sesigaba esiyinkimbinkimbi, umhlinzeki wakho uyokukhuthaza ukuthi uhlale usebenza. Uhlelo lwakho lokuzivocavoca ekhaya cishe luzobhekela ukuguquguquka kwentamo, kanye namandla. Ezinye izinyathelo ezincane ezisezingeni eliphansi lezinhlungu zokwelashwa zokulawula ubuhlungu zihlanganisa ukukhula kwemisipha yokukhuthazela, ukuthuthukisa ukusebenzisana kwakho, ukuthuthukisa isimo sakho, nokuqinisa isimo sakho.
Ukwelashwa kwamagama kanye / noma ukugqugquzela kungenye ukwelashwa okungase kube khona kuleli phuzu. I-Ice, ukushisa , kanye nesistimu yokuvivinya umzimba emitholampilo nazo zivamile.
Uma sekusele isikhathi esanele, uzoba isigaba esingapheliyo. Kuleli phuzu, ukuphathwa kobuhlungu kuwukugxila okubalulekile.
Ibhola lisenkantolo yakho ngesikhathi sesigaba esingapheli, futhi ukuhlala iqhaza ekusebenzeni kwakho ukuphulukisa kuyisithako esiyinhloko sempumelelo. Ngokuhambisana nemigomo okukhulunywe ngenhla, udokotela wakho angakunikeza ngezivivinyo eziyinkimbinkimbi futhi / noma eziyinselele, kanye nokuqeqeshwa kokunyakaza okusebenzayo.
Futhi isici esibalulekile sokuphathwa kobuhlungu obuqhubekayo yindlela ophendula ngayo kubangele. Njengoba kukhulunywe ngenhla, ukwelashwa kokuziphatha kwengqondo kuyisikhathi esifushane esiza abantu abaningi ukubeka ubuhlungu obungapheli ngendlela efanele futhi banikeze amathuluzi okuyilawula ngempumelelo ngosuku nosuku.
Ukwelashwa kwekhanda
Uma inkinga yakho entanyeni ibangela ukuphathwa ikhanda, ungathola ukuthi izicubu zakho ezithambile uzizwa zicasuliwe-enye indlela yokusho ukuthi izicubu zakho azikwazi ukubhekana nokucindezeleka ngokomzimba konke lokho. Ukucasuka okunjalo kungase kuhlotshaniswe nendlela ukwelashwa kwakho kuqhubeka ngayo, futhi / noma ukuthi ukuvuvukala kunani emavikini akho.
Izici ezithile zokuphila kwakho nesimo sengqondo zingase zidlale indima lapha, futhi. Lokhu kufaka phakathi, kodwa akukhawulelwanga, ukuthi ukukhubazeka okunjani ukuthi unakho nokuthi uma ubuthongo bakhophazamiseka futhi uma kunjalo, ngezinga elingakanani. Inani lemithi oyithathayo futhi izinga ohlanganyela kuyo emisebenzini yempilo nalo liyisihluthulelo.
Ngokuvamile, ukwelashwa kugxile ekugqugquzelweni nasekusebenzeni okuqinisekisayo okuqondile. Njengoba ukuhlukunyezwa kwamasuli cishe kuyisici ekuhluphekeni kwentamo yakho kanye nasekhanda, ukusikhipha kanye nokwelula kungabuye kunconywe.
Esigabeni esingapheli, ukuvuselela emuva okuphezulu kungase kwengezwe, njengoba kungase kube nokuzivocavoca okwengeziwe okubhekisele entanyeni, emuva nangemuva. Ukuzivocavoca kulesi sigaba cishe kuzogcizelela ekuqinisekiseni, ukukhuthazela kwemisipha, ukulawula, ukusebenzisana nokuhleleka.
Izimpawu Eziqhamukayo (I-Centralization)
Isigaba sokugcina esimweni esisekelwe ekunakekeleni ukwelashwa ubuhlungu obukhulu kakhulu. Abanye ochwepheshe babhekisela kulesi sigaba njenge-centralization.
Ubuhlungu obukhulu bubuhlungu ngenxa yokucindezela noma ukucasuka kwezimpande zomgogodla. Ngokuvamile ngenxa ye-disc yakhe, kodwa ezinye izimbangela zikhona.
Izimpawu zihlanganisa ubuhlungu bezintambo nezengalo, futhi kungenzeka ukuthi izimpawu zesisindo eziwela phansi ingalo eyodwa. Izibonelo ziyizikhonkwane nezinaliti zezinsizi zohlobo lwezinzwa, ukunganaki, kanye / noma ubuthakathaka obuhlobene nokusabalalisa kwezinzwa ezivela emgodleni we-spinal nerve ocasuliwe noma ocindezelweyo.
Ukwelashwa, kulokhu, kuhloswe "ukugxilisa" ubuhlungu, okusho ukuhambisa izimpawu ezivela emaphethelweni emuva, noma okungenani kusondelene, kumgogodla. Isibonelo singase sibandakanye ukubuyisela emuva ukukhulula izimpawu zomlenze ezihambisana ne-disc yakhe.
Njengesigaba sesihloko, izinga lapho izicubu zakho zingabhekana nokucindezeleka ngokomzimba ingxenye enkulu inquma imisebenzi yakho yokwelashwa. Ngamanye amazwi, ukwelashwa kuzothuthuka ngokuvumelana nokubekezelelana. Futhi njengezinhloko, ukuziphatha okuthile kanye nezici ezingokwengqondo kungase kube nendima ekutheni uphinde uthola.
Esikhathini esiphuthumayo sobuhlungu obukhulu, ungase uthole uhlelo lokuzivocavoca olwenzelwe ukunciphisa izimpawu, ukwandise ukuguquguquka kwakho nokuhamba, uqinise umgomo wakho, futhi uqinise umzimba wakho ngokujwayelekile. Ezinye zokwelashwa zingafaka phakathi i-laser yezinga elincane futhi igqoke ikhola isikhathi esifushane.
Esigabeni esingapheli, ukwelashwa kungase kube nokwelula nokuqiniswa, kanye nokwelashwa okunyatheliswayo entanyeni yakho kanye / noma ngaphezulu. Ukwelashwa okungajwayelekile kungenye ukwelashwa okungenzeka.
Izwi elivela
Ngokuvamile, ubuhlungu bentamo akusona isizathu sokubuyela embhedeni wakho. Ukuhlala nokusebenza okusebenzayo nokusebenza okusemthethweni kuzokusiza kakhulu ukusiza uzizwe ungcono futhi uhambise okuningi.
Kusukela ohlelweni lokuzivocavoca ukuya emithini yokwelapha ngokomzimba nokuningi, inhlanganisela yezokwelapha inganikeza imiphumela engcono kakhulu. Futhi ngokuqondene nesidingo sokuvumelanisa nobuhlungu nokunyakaza kwemikhakha, ungase ucabange ukwelapha okuziphatha okucatshangelwayo. Abantu abaningi babika ukuthi ukusebenzisa le ndlela kubatshela indlela yokubhekana ngokuphumelelayo nesimo sabo ngaphandle kwesidingo sokudela imithwalo yemfanelo nokuphila.
> Imithombo:
> Chien., J., et. al. Iyini ubuhlungu be-back mechanical futhi bungcono kangakanani ukuyiphatha? Isikhwama se-Curr Pain Rep. Dec. 2008.
> Cook, CPT, PhD. Ubufakazi Osekelwe Ukwelashwa Kwesibeletho. Imfundo ye-Medbridge.
> Davies, CI, et. al. Isimo se-centralization: Indima yayo ekuhloleni nasekuphatheni ubuhlungu obuphansi be-BC Medical Journal. September 2004.
> Izinhlungu zomkhuhlane : Izikhombandlela Zokuzikhandla Zomtholampilo Ukubuyekeza Isigaba se-Orthopediki ye-JOSPT. July 2017.