Umqolo obuhlungu

Umqolo obuhlungu

Umqolo kunye nomqolo wenziwa ukuba unike amandla amaninzi, ukukhusela intambo yomgogodla kunye neengcambu zemithambo-luvo, kodwa ziguquguquke, zibonelela ngenkululeko kuzo zonke iinkalo. Kodwa, kukho iindawo ezininzi ezihlukeneyo zomqolo ezinokuthi zenze intlungu emva, njengokucaphuka kwiingcambu ezinkulu ze-nerve ezihamba phantsi kweengalo kunye nemilenze, ukucaphuka kwiintsholongwane ezincinci ngaphakathi komqolo, ukunyanzeliswa kwimisipha emikhulu yangemuva, kunye nakuphi na ukulimala kwidiski, amathambo, amalungu okanye iigaments kumqolo.

Iintlungu ezibuhlungu zomqolo zivela ngequbuliso kwaye zihlala zithatha iintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Iintlungu ezingapheliyo ngasemva zichazwa njengexesha elingaphezu kweenyanga ezintathu.

Iintlobo ngeentlobo zeempawu:

• Intlungu inokuba yinto eqhubekayo, ephakathi, okanye ivele nje ngezikhundla okanye izenzo ezithile
• Intlungu inokuhlala kwindawo enye okanye ifakwe kwenye indawo
• Kungenzeka kube yinto epholileyo, okanye ubuhlungu obubukhali okanye obuvuthayo
• Umba usenokuba entanyeni okanye usezantsi ngaphaya kodwa ungadlulela enyawo okanye emlenzeni (sciatica), isandla okanye ingalo.

Ngethamsanqa, uninzi lweentlobo zeentlungu zomqolo ziba ngcono ngokwazo: malunga ne-50% yabantu banokufumana isiqabu seentlungu emva kweeveki ezimbini kunye ne-90% kwiinyanga ezintathu.

Ukuba iintlungu zihlala iintsuku ezimbalwa, ziba mbi ngakumbi, aziphenduli kumayeza eentlungu zangasemva ezifana nokuphumla, ukusebenzisa ubushushu okanye umkhenkce, ukuzilolonga kweentlungu zangasemva, kunye nezidambisa iintlungu ezingaphaya kwe-counter-counter-counter-counter-counter-counter-pain-counter, ke kudla ngokuba luluvo olulungileyo ukubona. ugqirha osemva. Kukho iimeko ezimbini apho unyango olungxamisekileyo lufuneka khona:

• Ubunzima kunye / okanye ubunzima bokusebenza

Ngethamsanqa, le miqathango ayinqabile.

Uxilongo lweentlungu:

Iimvavanyo zokuxilonga zingabonisa ukuba intlungu yomqolo yesigulane ibangelwa yi-anatomic cause. Nangona kunjalo, ngenxa yokuba iimvavanyo zokuxilonga kwaye ngokwazo azikho ukuxilongwa, ukufika kuxilongo oluchanekileyo lweklinikhi kufuna ukuba naluphi na uvavanyo luhambelane neempawu zentlungu yangasemva kunye novavanyo lomzimba.

• X-reyi. Olu vavanyo lunika ulwazi malunga namathambo kumqolo. I-x-ray isetyenziswa rhoqo ukuhlola ukungazinzi komgogodla (njenge-spondylolisthesis), i-tumor, kunye nokwaphuka.
• CT scan. Olu vavanyo luyi-x-reyi eneenkcukacha kakhulu equka imifanekiso enqamlezileyo. I-CT scans inika iinkcukacha ezithile malunga namathambo kumqolo. Zisenokusetyenziselwa ukuvavanya iimeko ezithile, ezifana ne-disc ye-herniated okanye i-spinal stenosis. Izikena ze-CT zikholisa ukungachaneki kancinci kwiziphazamiso zomnqonqo kune-MRI.
• I-MRI scan iluncedo ngokukhethekileyo ukuvavanya iimeko ezithile ngokubonelela ngeenkcukacha zediski ye-intervertebral kunye neengcambu zemithambo-luvo (enokuthi icaphuke okanye igxininiswe). I-MRI scans isetyenziselwa ukukhupha izifo zomgogodla okanye i-tumor.

Iinaliti zingasetyenziselwa ukunceda ukuxilonga iintlobo ezithile zeentlungu. Ukuba inaliti yeyeza lokudambisa iintlungu kwindawo ethile kumqolo inikezela isiqabu seentlungu zomqolo, oko kuyaqinisekisa ukuba yindawo ebangela iintlungu.

Oonobangela: Iintlungu zomqolo

Okona kuthe gqolo unobangela weentlungu ezisezantsi kumqolo kukuqina kwemisipha okanye omnye umonakalo wezicubu ezithambileyo. Nangona le meko ingekho mandundu, isenokuba buhlungu kakhulu. Ngokuqhelekileyo, iintlungu ezisezantsi ezisuka kuxinzelelo lwemisipha ziya kuba ngcono kwiiveki ezimbalwa.

Unyango ngokubanzi lubandakanya ixesha elifutshane lokuphumla, uthintelo lomsebenzi, ukusetyenziswa kweepakethe ezishushu okanye iipakethi ezibandayo, kunye namayeza eentlungu. Amachiza eentlungu angaphaya kwekhawuntara asetyenziselwa ukunyanga izihlunu anokubandakanya i-acetaminophen (umz. iTylenol), ibuprofen (Advil), iMotrin, okanye i-naproxen (umz. i-Aleve). Amayeza eentlungu ezichazwe ngugqirha angacetyiswa kwiintlungu ezibuhlungu zomqolo.

Ngokuqhelekileyo, abantu abatsha (30 kwi-60-ubudala ubudala) kusenokwenzeka ukuba babe neentlungu zomqolo ezisuka kwindawo yediskhi ngokwayo (umzekelo, i-lumbar disc herniation okanye isifo sedisk esithomalalisayo). Abantu abadala abadala (umz. ngaphezulu kwama-60) kusenokwenzeka ukuba baphathwe ziintlungu ezinxulunyaniswa nokuwohloka kwamalungu (umzekelo, i-osteoarthritis, i-spinal stenosis).

Ngamanye amaxesha, isigulane sinokuba nobuhlungu obungasabonakaliyo bomlenze ngokuchasene nentlungu emva kweemeko ezithile kumqolo ongaphantsi, kuquka:

• I-Disc Lumbar Herniated: Intloko yangaphakathi yediski ingakhokelela kwaye icaphukise ingcambu yesondlo esondelene nayo, ibangela i-sciatica (intlungu yomlenze).
• Lumbar stinalosis. Umgudu womgogodla uyancipha ngenxa yokuncipha, okunokuthi ubeke uxinzelelo kwingcambu ye-nerve kwaye iholele kwi-sciatica.
• Isifo se disk generative. Njengoko i-disc iyancipha inokuvumela amanani amancinci okunyakaza kuloo nxalenye yomqolo kwaye icaphukise ingcambu ye-nerve kwaye iholele kwi-sciatica.
• Spondylolisthesis ye-Isthm. Ukuqhekeka okuncinci koxinzelelo kuvumela i-vertebra enye ukuba iqhube phambili kwenye, ngokuqhelekileyo kwisiseko somqolo. Oku kunokucinezela i-nerve, kubangele iintlungu ezisezantsi kunye neentlungu zomlenze.
• Osteoarthritis. Ukuncipha kwamalungu amancinci ngasemva komqolo kunokukhokelela kwiintlungu zentlungu kunye nokunciphisa ukuguquguquka. Kwakhona kunokubangela i-spinal stenosis kunye ne-nerve pinching.

Kubalulekile ukwazi imeko esezantsi yeso sizathu seentlungu zangasemva, njengoko izilungiso ziya kuhluka ngokuxhomekeke kwizizathu zentlungu yangemva.

Izinto zobungozi

Mininzi imingcipheko yeentlungu zomqolo, kubandakanywa ukuguga, imfuzo, iingozi zomsebenzi, indlela yokuphila, ubunzima, ukuma, ukutshaya, nokukhulelwa. Oko kuthethiweyo, iintlungu zangasemva zixhaphake kangangokuba zinokubetha nokuba awunayo nayiphi na imingcipheko kwaphela.

Izigulane ezinezinye okanye ezinye zezi zinto zingasengozini yokubuhlungu kwintlungu:

• Ukuguga. Ngokuhamba kweminyaka, ukunxiba kunye nokukrazula kumqolo kunokuza kwiimeko (umzekelo, ukuwohloka kwediski, i-spinal stenosis) evelisa iintlungu zomqolo nentamo. Abantu abaneminyaka eyi-30 ukuya kwi-60 banokuthi babe nezifo ezinxulumene ne-disc, ngelixa abantu abangaphezu kweminyaka engama-60 banokuthi babe neentlungu ezinxulumene ne-osteoarthritis.
• Genetics. Kukho ubungqina bokuba iintlobo ezithile zokuphazamiseka komgogodla zinecandelo lofuzo. Ngokomzekelo, isifo se-disc degenerative sibonakala sinecandelo elizuzwe njengelifa.
• Iingozi zengqesho. Nawuphi na umsebenzi ofuna ukugoba okuphindaphindiweyo kunye nokuphakamisa unezehlo eziphezulu zokulimala komqolo (umzekelo, umsebenzi wokwakha, umongikazi). Imisebenzi efuna ixesha elide lokuma ngaphandle kokuphumla (umzekelo, umchebi weenwele) okanye ukuhlala esitulweni (umzekelo, umdwelisi wesoftware) ongawuxhasi kakuhle umqolo ubeka umntu emngciphekweni omkhulu.
• Indlela yokuphila. Ukungabikho kokuzilolonga rhoqo kwandisa imingcipheko yeziganeko zeentlungu ezisezantsi nazo zonyusa ubunzulu beentlungu.
• U bunzima. Ukutyeba ngokugqithiseleyo kwandisa uxinzelelo kumqolo ongaphantsi, ngaphezu kwamanye amalungu (umzekelo, amadolo), kwaye ngumngcipheko weentlobo ezithile zeempawu zentlungu.
• Ukunyameka. Naluphi na uhlobo lokuma okungahambi kakuhle ixesha elide lidala umngcipheko weentlungu zangasemva. Imizekelo ibandakanya ukutyibilika phezu kwekhibhodi yekhompyutha, ukuqhuba urhole phezu kwevili lokuqhuba, nokuphakamisa ngendlela engafanelekanga.
• Ukukhulelwa. Abasetyhini abakhulelweyo kunokwenzeka ukuba baphuhlise iintlungu zomqolo ngenxa yokuthwala ubunzima bomzimba obugqithileyo ngaphambili, kunye nokukhululeka kwemigqa kwindawo ye-pelvic njengoko umzimba ulungiselela ukuhanjiswa.
• Ukutshaya. Abantu abatshayayo kunokwenzeka ukuba babe neentlungu zomqolo kunabantu abangatshayiyo.

Xa uQhagamshelana noGqirha weentlungu zangasemva

Ngokuqhelekileyo, xa intlungu inayo nayiphi na impawu elandelayo, yinto efanelekileyo ukutyelela ugqirha ukuze kuhlolwe:

• Intlungu ebuyela emva eyenzeka ngengozi, njengengozi yemoto okanye ukuwela ekhondweni
• Iintlungu zangasemva ziyaqhubeka kwaye ziya ziba mandundu
• Intlungu iyaqhubeka ngaphezu kweeveki ezine ukuya ezintandathu
• Intlungu inzima kwaye ayiphucukanga emva kweentsuku ezimbalwa zonyango eziqhelekileyo, ezifana nokuphumla, i-ice kunye neentlungu zokunciphisa iintlungu (ezifana ne-Ibuprofen okanye iTylenol)
• Intlungu ebudeni obubusuku obuvusayo, kubakho ebuthongweni obukhulu
• Kukho ubuhlungu kunye nesisu esiswini
• Ukuba ndindisholo okanye ukutshintshwa kweemvakalelo kwindawo engaphezulu yamathanga angaphakathi, impundu, okanye kwindawo yegroin
• Iimpawu ze-neurological, ezifana nobuthathaka, ukuphazamiseka, okanye ukubetha emaphethelweni-umlenze, unyawo, ingalo, okanye isandla
• Umkhuhlane ongachazwanga kunye neentlungu ezikhulayo zomqolo
• Ngequbuliso iintlungu ezisezantsi, ngakumbi ukuba usengozini ye-osteoporosis.

Undoqo ekufuneka wonke umntu awukhumbule kukuba ukuba umntu uyathandabuza, dibana nogqirha. Ukuba iintlungu zangasemva ziya ziba mandundu ekuhambeni kwexesha, azibi ngcono xa uphumla kunye namayeza eentlungu angaphaya kwekhawuntara, okanye ibandakanya iimpawu zemithambo-luvo ngoko luluvo olulungileyo ukubona ugqirha weentlungu zomqolo.

Iintlungu eziPhezulu/Eziphakathi

Ubuhlungu obuphezulu kunye / okanye phakathi kwe-back-back ayiqhelekanga njengentlungu ephantsi okanye entanyeni. Umqolo ongasentla ubizwa ngokuba yikholomu yomgogodla we-thoracic, kwaye yeyona ndawo ikhuselekileyo yomqolo. Ukufikelela kwentshukumo kumqolo ongasentla kukhawulelwe ngenxa yokuqhotyoshelwa kwe-backbone s kwiimbambo (i-rib cage).

Ubuhlungu beentlungu eziphezulu bubangelwa zizilwanyana ezincinci, njengeentlobo okanye iintlobo, ukuxhatshazwa kwemisipha ebangelwa ukunyamezela, okanye ukujonga phantsi ixesha elide (umzekelo, ukuthumela imiyalezo, ukusetyenziswa kwefowuni).

• Ubuhlungu
• Ukuqina
• Ubunzima
• I-muscle spasm
• Ukunyamezela ukuthintela
• intloko ebuhlungu

Yintoni Ebangela Intlungu Ephakathi/Engasentla?

Isiqendu sentlungu engaphezulu singashukunyiswa ziintshukumo kunye nezenzo ezahlukeneyo, kubandakanya:

• Ukuphika
• Ukugqithisa ngokweqile
• I-Whiplash okanye ukulimala kwentamo
• Ukuphakamisa ngokungalunganga
• Iphutha elimnyama lomsindo
• Iintshukumo eziqhubekayo, ukusetyenziswa ngokugqithiseleyo
• Imidlalo yokuthintana
• Ukuthwala umthwalo onzima
• ukutshaya
• Ukugqithisa

I-posture engalunganga esebenza kwikhompyuter ixesha elide ngaphandle kokuthatha ikhefu ukuhamba kunye nokwandisa, okanye ngokubanzi kunokukhuthaza intlungu ephezulu. Zombini ukukhathala kwemisipha kunye nokutsalwa kwemisipha, okuhlala kubangelwa kukungahambi kakuhle, kunokubangela intlungu.

Yintoni Ongayenza Ngayo?

Ngokuqhelekileyo, iintlungu zangasemva azikho isizathu sokukhathazeka; nangona kunjalo, isenokungakhululeki, ibe buhlungu, kwaye ingabinangxaki. Kwakhona, ukuba iintlungu zivela ngesiquphe kwaye zinzulu ezifana nokwenzakala (umzekelo, ukuwa) kwaye, ngokuqinisekileyo ukuba iintlungu kunye neempawu (umzekelo, ubuthathaka) ziqhubela phambili kufuneka ufune unyango.

Ngokuqhelekileyo, unyango olulandelayo lwekhaya lunokunceda ukukhulula iintlungu zangasemva ezingaphezulu.

• Ukuphumla kwexesha elifutshane
• Ukolula okuphakathi
• Amayeza angaphezulu kwe-counter, umzekelo, ibuprofen, (i-Motrin), i-naproxen sodium (i-Aleve), okanye i-acetaminophen (iTylenol). Thatha kunye nokutya, kwaye ungathathi ngaphezu kwedosi ecetyiswayo.
• Sebenzisa ipakethe ebandayo efumaneka kwintengiso okanye ugcwalise ingxowa yeplastiki ngomkhenkce kwaye uyivale. Faka isicelo kwindawo ebuhlungu imizuzu engama-20 rhoqo kwiiyure ezingama-2-3 kwii-2 zokuqala ukuya kwiintsuku ze-3.
• Ukushisa (emva kweeyure zokuqala ze-72). Emva kokusebenzisa ubushushu obumanzi, ngokulula ululabise izihlunu ukuphucula ukuhamba nokunciphisa ukuqina.

Ugqirha wakho unokukuyalela amayeza, njengokuthomalalisa izihlunu okanye enze iinaliti ze-trigger point ukunceda kakhulu ukophula imisipha yezihlunu. Usenokuncoma unyango lomzimba ukwandisa ukuguquguquka, ukuhamba kunye nokunciphisa intlungu. Olunye unyango ugqirha wakho angalucebisa lubandakanya i-acupuncture kunye nokhathalelo lwe-chiropractic.

Uninzi lweemeko zentlungu ephezulu ye-back back ixazulula kwi-1 kwiiveki ze-2 ngaphandle kwonyango olongezelelweyo. Xa ukwazi ukuzenza ngaphandle kweentlungu qalisa kwakhona imisebenzi yakho yesiqhelo ngokucothayo. Musa ukuyingxamela imicimbi, nangona kunjalo: unokuphazamisa ukuphiliswa kwakho kunye nomngcipheko wokwenzakala kwakhona.

Ubuhlungu Bokubuyisela

Iintlungu ezisezantsi nezisezantsi zinokwahluka kwiintlungu ezingacacanga ezithi zikhule kancinci kancinci ziye kwiintlungu zesiquphe, ezibukhali okanye ezizingileyo eziviwa phantsi kwesinqe. Ngokudabukisayo, phantse wonke umntu, ngexesha elithile ebomini unokufumana iintlungu ezisezantsi ezinokuthi zihambe zihle ziye ezinqeni kwaye ngamanye amaxesha zibe enye okanye zombini ezisezantsi. Esona sizathu sixhaphakileyo kukuxinezeleka kwezihlunu kudla ngokunxulunyaniswa nomsebenzi onzima womzimba, ukuphakamisa okanye ukunyakaza ngenkani, ukugoba okanye ukujijeka kwindawo engafanelekanga, okanye ukuma kwindawo enye ixesha elide kakhulu.

Ezinye izinto ezibangela iintlungu ezisezantsi nezisezantsi

Kukho iimeko ezininzi ezahlukeneyo ezibangela okanye ezikhokelela kwiintlungu ezisezantsi nezisezantsi. Uninzi lubandakanya uxinzelelo lwemithambo (umzekelo, i-pinched nerve) enokubangela intlungu kunye nezinye izigulo. Iindidi zeengxaki zomgogodla ziquka izifo ezinxulumene ne-trauma and degenerative; intsingiselo enxulumene nobudala. Ezimbalwa zezi ngxaki zomqolo zinikwe ngezantsi.

• Ukukhupha okanye i-disniated disc. Idiski isenokuphumela ngaphandle. I-disc ye-herniated yenzeka xa into ethambileyo yangaphakathi ibaleka ngokuqhekeka okanye igqabhuke ngoluhlu lwangaphandle olukhuselayo lwediski. Zombini iingxaki ze-disc zingakhokelela ekunyanzeleni kwe-nerve, ukuvuvukala, kunye nentlungu.
• I stenosis ikhula xa umgudu womgudu okanye umgca wentsholongwane unqande kakhulu.
• Isifo samathambo, ebizwa ngokuba yi-spinal osteoarthritis okanye i-spondylosis, yinto engavamile yokuguguza umgudu. Ichaphazela iziqu zengqungquthela yesigxina kunye nokuba negalelo ekuphuhliseni i-spurs bone.
• Spondylolisthesis kwenzeka xa i-lumbar (i-back back) umzimba we-vertebral iqhubela phambili kwi-vertebra engezansi kwayo.
• Ukwaphuka komqolo (ukuqhuma okanye ukucinezelwa kweentlobo) zihlala zibangelwa luhlobo oluthile lokulimala (umzekelo, ukuwa).
• Osteomyelitis lusulelo lwentsholongwane olunokuthi luphuhle kwelinye lamathambo omqolo.
• Izibilini zesisu Ukukhula okungaqhelekanga kweeseli (ubunzima) kwaye kubonwa njengobunobunzima (ongenomdlavuza) okanye obunobungozi (umhlaza).

Ukugqithisa Ubuhlungu Ekhaya

Ukuba usandul 'ukutshatyalaliswa kwinqanaba lakho eliphantsi okanye eliphantsi, nantsi ezinye izinto onokuzenza.

• Iqhwa emva kokutshisa
  Ngexesha le-24 yokuqala ukuya kwiiyure ezingama-48, sebenzisa umkhenkce obhijelwe ngetawuli okanye ilaphu. Umkhenkce uya kunceda ukunciphisa ukudumba, ukuqhawuka kwezihlunu, kunye neentlungu. Emva koko, tshintshela kubushushu. Ubushushu bunceda ukufudumala kunye nokukhulula izicubu ezibuhlungu.

Isilumkiso: Ungaze usebenzise indawo ebandayo okanye yobushushu ngokuthe ngqo eluswini, soloko usongele kwinto ethile.

• Ngaphezulu kweyeza zamanqaku
  I-Tylenol okanye i-Advil, ithathwe ngokwemiyalelo yepakethi, inokunceda ukunciphisa ukuvuvukala nentlungu.
• Yithathe lula
  Ngelixa iintsuku zokuphumla ebhedini azisacetyiswa, kungafuneka uguqule indlela yakho yemihla ngemihla ukunika umqolo wakho osezantsi ithuba lokuchacha.

Xa ufuna Ukunyamekela unyango

Intlungu ebuyiswe emva okanye iya kuba nzima kwaye iphikelela

• Iintlungu ezisezantsi, okanye ziba nzima kwaye ziyaqhubeka
• Ayinanto emva kweentsuku ezimbalwa
• Ukuphelisa imisebenzi yokulala kunye nemini yemihla

Iimpawu ezidweliswe ngezantsi zihlala zifuna ukhathalelo lwezonyango olukhawulezileyo:

• Ubuthathaka be-groin okanye umlenze okanye ukuphazamiseka

Iklinikhi yeChiropractic Eyongezelelweyo: Ukunyamekelwa kweentlungu zangasemva kunye noNyango