Izimbangela zezinhlungu eziphansi emuva emadodeni. Ukuvimbela, ukwelashwa

Imizwa engathandeki ngemuva ijwayele cishe ngamunye wethu. Kwanele ukuhlala noma ukusebenza ngokungahambi kahle okwesikhashana, ukuze izinzwa ezibuhlungu zivele esifundeni se-lumbar.

Izinhlungu ezisezingeni eliphansi emadodeni zivame ukuba nezinsisekelo zazo futhi zingaba yisignali sokuqala kokugula okungathí sina okudinga ukwelashwa. Impendulo yezobuchwepheshe ngemuva kokuxilongwa embuzweni wokuthi kungani izinhlungu ezinjalo zibonakala ziyisinyathelo sokuqala ekwenzeni ukwelashwa okukhiqizayo.

Ubuhlungu emgodleni - kuyini?

Ukuzwa okubuhlungu ku-lumbosacral kungenzeka kuyo yonke impilo engaba ngu-75% kubo bonke abakhileyo emhlabeni. Ngaphezu kwalokho, isilinganiso seminyaka yesifo sinciphisa njalo ngonyaka, futhi manje sekuyiminyaka engu-40-45. Ekusebenzeni kwezokwelapha, izikhalazo zezikhalazo ezisuka ezincane ngisho nezingane ziyaziwa, ukuthi imisipha ye-back back ibuhlungu.

I-Lumbago, i-osteochondrosis, i-radiculitis ivame ukudala ukulahlekelwa okwesikhashana kwamandla omuntu okusebenza. Zithinta isimo somgogodla yonke, futhi zingasetshenziswa endaweni ngayinye yomzimba womuntu.

Kungani izinhlungu zivela engemuva ongemuva?

Ubuhlungu obungapheli noma obuhlungu ngokungazelelwe buwumphumela wezifo ezihlukahlukene ezingenzeka kumadoda nabesifazane. Kwezinye izimo, ubuhlungu emgodleni kungase kube uphawu lokucindezeleka, ukukhuluphala, noma isifo sengqondo.

Ubuhlungu ku-sacrum kanye namadoda aphansi abuyele phambili:

• With bone pathology;
• Izinguquko ezihlukahlukene ezinhlobonhlobo ze-periarticular, muscle, trunks;
• Ukuphazamiseka engxenyeni ye-articular yomgogodla.

Okudingekayo ekuthuthukiseni imizwelo ebuhlungu ngemuva kuyindlela yokuphila yangasese. Ukungahambi isikhathi eside kuholela ekuncipheni kokuzinza kwesiqhwa.

Izimbangela zokuhlukunyezwa emuva emuva kwamadoda

Ukuzwa ubuhlungu emnyangweni we-lumbosacral njengamanje kubhekwa njengesifo se-syndrome esivame kakhulu phakathi kwabameleli besigamu esiphezulu sabantu. Lezi zinkinga zihlobene nokucindezeleka okuqhubekayo emgodleni, ngomsebenzi ohlala phansi noma, ngokuphambene, nomsebenzi osindayo.

Izimbangela zokuhlukumeza emuva emadodeni zimi kanje:

• Ukuqapha ngokweqile;
• Hlala isikhathi eside ngemuva kwesondo noma usebenze kukhompyutheni;
• Ukusebenza kokuhlala (abasebenzi basehhovisi) noma ukuma (abathengisi, abalungisa izinwele) basebenza;
• Ukulimala okuhlukahlukene nokunyakaza okungafundiwe;
• Umsebenzi, okuhlobene nokusebenza komzimba njalo;
• Amandla athwala ejimini;
• Ukuhlala isikhathi eside futhi usebenze emakhazeni noma ebhalweni.

Uma indoda ine-backache encane, udokotela angakwazi ukuthola ukuthi isifo sifana kanjani.

Izifo ezibangela ubuhlungu emuva

Nazi ezinye izifo zezifo ezivame kakhulu ezibangela ubuhlungu ngemuva:

• Ukwehlisa - imbangela yalesi simo kungase kube ukuphakamisa isisindo noma ubuthakathaka bomzimba obukhulu kakhulu;
• I-protrusion - ukunyakaza kwama-disversionbral discs, ngenxa yokuthi baqala ukucindezela izimpande zemizwa (lokhu kuphazamiseka kwenzeka kuphela ngokuzikhandla komzimba);
• I-Metastasis - ukusabalalisa kwama-neoplasms amahle wesitho sobulili besilisa, ngokuvamile ivela emadodeni angaphezu kuka-50;
• Ukuhlukunyezwa kwenzeka lapho uwela endaweni ephakeme noma unomthelela oqinile owuthola endaweni yangemuva, ukulimala okungathí sina kakhulu ukuphazamiseka komgogodla,
• Ukwephulwa kwezimpande zezinzwa emgodini we-intervertebral;
• Ubuhlungu obunikezwa ngasemuva kungase kube isignali ngezifo ze-prostate, izinso, isibindi noma isisu;
• Isifo sikaBechterew sibonakaliswe ukuhamba kwezimoto (ikakhulukazi emahoreni asekuseni) kanti ivolumu yesifuba ngesikhathi sokuphefumula, kubangela ukuvinjelwa komgogodla esifundeni sesifuba;
• I-Osteomyelitis - ubuhlungu obuhlala njalo emuva;
• Izinguquko ze-Dystrophic kule vertebrae lumbar ziholela ekukhuleni kwethambo;
• Izicubu zomgogodla zinezibonakaliso ze-neurological.

Cishe ngaso sonke isikhathi ubuhlungu obusendaweni yangasese buyindlela yokuphendula emzimbeni ngezinqubo ezingavamile kuwo.

Izifo

Ngokuvamile, odokotela bezwa ekwamukelweni kweziguli "Backache ngemuva, ukuthi benzeni?". Njengoba sesivele sikhulume, kunezizathu eziningi ezihlukahlukene eziholela ebuhlungu bokubuyela emuva. Ngakho-ke, ukuthola ukuhlukana kwezifo ezinezimpawu ezifanayo, ucwaningo olwengeziwe lwezokwelapha luqhutshwa:

• I-tomography yekhompyutheni yembula izinguquko emathanjeni nezimpande ezizungezile, ezingahle zihlotshaniswe nokulimala, ukuphuka, izifo, izifo;
• I-X-ray isetshenziselwa ukuxilongwa kwe-osteochondrosis, i-osteoarthritis, i-vertebral defects, yembula ukuba khona kwezimo eziphuzayo ezimbi, i-osteomyelitis, ukuguga kwe-vertebrae;
• I-imaging resonance imaging inikeza ithuba lokuhlola isimo somgogodla bese unquma imbangela yobuhlungu ngemuva;
• I-myelography eyenziwa ukuthola izinqubo ze-pathological in the muscles nokutadisha intambo yomgogodla, i-xenon ijojowe ngokuphambene, bese kwenziwa ucwaningo (uma idatha eyinhloko ingacacile, i-scan radionuclide isenziwa).

Izimbangela zokuhlukumeza emuva emadodeni zihlukahlukene, kodwa asikho isidingo sokuqala ukuxilongwa nge-X-rays nokuhlolwa kwe-tomography ngenxa yokungalondeki kwalezi zindlela. Benza kuphela uma kukhona ukusola kokuphulwa komgogodla.

Ngaphandle kokwenza lezi zifundo, udokotela wenza ukuxilongwa kokuqala kwesiguli:

• Ukuqoqwa kwama-anamnesis - imibuzo ibuzwa mayelana nokuqala kanye nezici zenkambo yesifo;
• Ukuhlolwa jikelele - ukuzwa nokuhlolwa okubukwayo komgogodla, ukuzimisela kokuhamba;
• Ukuhlaziywa kwezikhalazo - yiziphi izinhlobo zobuhlungu ezikhona, ukuthi zivame kangakanani, lapho ngemuva;
• Ukuhlaziywa kwegazi kanye nomchamo ukuze kutholakale ukukhubazeka kwezinso noma izinqubo zokuvuvukala emzimbeni.

Ukuze uthole ukuhlolwa okuphelele, isiguli sithunyelwa iseluleko kwabanye odokotela: i-rheumatologist, orthopedist, neurologist. Ulwazi oluyisisekelo mayelana nobuhlungu be-back emuva lungasetshenziswa lapho kuchaza izinzwa ezibuhlungu ekuqokweni kwe-neurologist.

Izimpawu

Izimbangela zokuhlukunyezwa emhlane emadodeni - izilonda zokuphela kwezinzwa zomzimba, eziphephile zombili nezinsimbi zomzimba. Lokhu kusho ukuthi izimpawu ezibuhlungu zihambisana nokuphazanyiswa komsebenzi olawula ukunyakaza, okungukuthi, ubuhlungu nokukhubazeka kokuhamba kuyahambisana.

Izimpawu ezivame ukubuhlungu emuva zihlukaniswe ngokusho ngezizathu:

• Ukwehlisa - kunesimo se-spasms, kwenza kube nzima ukuba imisipha ihambe esifundeni se-lumbar, irradiate engxenyeni engezansi yomzimba;
• Ukulimala kwezimpande zesibindi - ubuhlungu buya emilenzeni (ngezinye izikhathi kokubili), ukuphelelwa yisiqu kwenzeka, ukutholakala kokuzwa okukhazimulayo (ngokukhwehlela noma ukukhipha, ubuhlungu buqina);
• Izifo ezihlukahlukene - nge-osteochondrosis, ama-radiculitis aveza ukubonakaliswa okubuhlungu kancane kancane, angeke adlule isikhathi eside.

Kubalulekile ukukhumbula: uma emuva kulimaza izinsuku ezingaphezu kwezingu-3, imbangela ingasungulwa udokotela kuphela, ngakho-ke, akudingekile ukulibazisa ukwelashwa esikhungweni sezokwelapha.

Ubuhlungu bebukhoma ngakwesokudla kwesilisa kubonisa ukutholakala kwezifo ezithombeni noma izifo ezithombeni zangaphakathi ezikhona kule ndawo.

Izinhlobo zobuhlungu esifundeni se-lumbar

Ubukhulu bezimpawu zobuhlungu bungabonakala kulesi sifundo:

• Isikhumba - ukujuluka okubonakala ngokucacile;
• Izinhliziyo zokushaya inhliziyo;
• Ukushisa komzimba - isimo se-febrile;
• Abafundi abanamehlo.

Ngokuqondene nendawo yayo, ubuhlungu bungaba:

• Indawo - umthombo ukhona esifundeni se-lumbar;
• Ukucatshangelwa - isifo sobuhlungu besifo esibuhlungu siqala kude nendawo ebuhlungu;
• Irradiating - ukucindezeleka ubuhlungu kungena esifundeni emuva emagatsheni amazinyo.

Izenzo zokubuyiselwa emuva

Ingabe uvame ukuba ne-backache? Yini okufanele uyenze ukuze uthuthukise isimo?

1. Uma izimbangela zobuhlungu zingaziwa, kudingeka ulinganise izinga lokushisa ukuthola ukutheleleka, inqubo yokuvuvukala, ukucacisa ukuthi kukhona khona izimpawu ezihambisanayo: ukuhlanza, ukucasuka kwesisu. Shayela udokotela ukuthola imbangela yokubuyiselwa emuva emadodeni.

2. Uma kukhona ukulimala, welula, udinga ukuthatha izidakamizwa ezilwa nokuvuvukala, okuzosiza ukunciphisa ubuhlungu nokunciphisa ukuvuvukala. Ukuze unciphise i-edema futhi ukwandise ukusakazwa kwamanzi endaweni yokulimala, thatha isisu. Hudula indawo yangemuva yokulungiswa. Thola ukubonisana okhethekile.

Lapho ubuhlungu bukhona, udinga ukubona udokotela kula macala alandelayo:

• Ubukhona be-oncology;
• Izinzwa ezibuhlungu kakade ngaphambili;
• Ukuhlanganiswa kobuhlungu ngokungahambisani nomchamo nemifino;
• Ubude besikhathi esingaphezu kwezinsuku ezintathu;
• Ubuhlungu buvela ngenxa yokulimala;
• Ukulahlekelwa isisindo esikhulu.

Ubuhlungu obuphansi emuva kubantu: ukwelashwa

Ngemuva kokuba kutholakala ukuthi i-diagnostic isenziwa, isiguli sinqunywe imithi (amaphilisi, ama-injection) okuzosiza ukunciphisa ubuhlungu, ukubuyisela izicubu zomzimba kanye nokujikeleza kwegazi. Futhi kuhlinzeka isimo se-therapy (ukushisa, ama-analgesic kanye nama-anti-inflammatory, amafutha okugcoba).

Ukungenelela kokuhlinzwa kuyodingeka, isibonelo, nge-disk intervertebral disk njengomphumela we-osteochondrosis. Noma phambi kokugxila emgodleni.

Kwezinye izimo, isiguli sizophakanyiswa sigqoke i-corset (ibhande) ukunciphisa umthwalo emgodleni. Emva kokunyamalala kokuhlaselwa kobuhlungu obukhulu, isiguli siyobekwa isiguli sokuthi i-physiotherapy, ukuvivinya umzimba noma ukusikhipha.

Abantu abaningi abaqala ukwelashwa bazizwa behle ngesonto. Ngemuva kwamasonto ama-5-6 amabuhlungu aphele ngokuphelele.

Ukuvimbela izifo

Ukuvimbela ubuhlungu emuva, udinga:

• Ukwenza ukwelashwa kwesifo esiyisisekelo;
• Hlangani ukulimala, i-hypothermia, ukukhululeka ngokomzimba;
• Yiba nesimo esifanele;
• Gwema ukubukeka kwesisindo esiningi;
• Njalo uhlanganyele ekuzivocavoca ukuqinisa imisipha engemuva;
• Hlela kahle indawo yokusebenza, yokulala ukuze ungabikho isikhundla esingalungile somgogodla, lapho kuvela khona isikhumba.

Kufanele kukhunjulwe ukuthi uma kunezinhlungu ngemuva, imbangela ingabonakaliswa kuphela udokotela. Yethemba impilo yakho kuchwepheshe, futhi zonke izinkinga zixazululwa.