Tailbone trauma - pambuyo pa chisamaliro

Munathandizidwa ndi mchira wovulala. Mchirawu umatchedwanso coccyx. Ndi fupa laling'ono kumapeto kwenikweni kwa msana.

Kunyumba, onetsetsani kuti mukutsatira malangizo a dokotala anu momwe mungasamalire fupa lanu lachikopa kuti lichiritse bwino.

Kuvulala kwambiri kwa mafupa a mchira kumabweretsa zipsyinjo ndi kupweteka. Pazifukwa zochepa pomwe pamakhala kuphwanya kapena kuphwanya fupa.

Kuvulala kwa mchira nthawi zambiri kumachitika chifukwa chakumbuyo imagwera pamalo olimba, monga poterera kapena ayezi.

Zizindikiro zovulala mchira zimaphatikizapo:

• Ululu kapena kukoma m'munsi kumbuyo
• Zowawa pamwamba pa matako
• Kupweteka kapena dzanzi ndi kukhala
• Kutupa ndi kutupa kuzungulira msana

Kuvulala kwa mchira kumatha kupweteka kwambiri ndikuchedwa kuchira. Nthawi yochiritsa ya mchira wovulala imadalira kukula kwa kuvulala.

• Ngati mwathyoka, kuchira kumatha kutenga pakati pa masabata 8 mpaka 12.
• Ngati kuvulala kwa mchira wanu ndikumabola, kuchira kumatenga pafupifupi milungu inayi.

Nthawi zambiri, zizindikilo sizimasintha. Jekeseni wa mankhwala a steroid atha kuyesedwa. Kuchita opaleshoni kuchotsa gawo la mchira kumatha kukambidwa nthawi ina, koma mpaka miyezi 6 kapena kupitilira pambuyo povulala.

Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungachepetsere matenda anu. Izi zitha kulimbikitsidwa m'masiku kapena milungu ingapo mutavulala:

• Pumulani ndi kuyimitsa zochitika zilizonse zomwe zimapweteka. Mukamapuma kwambiri, kuvulala kumachira mwachangu.
• Ikani mchira wanu kwa mphindi 20 ola lililonse mukadzuka maola 48 oyamba, kenako kawiri mpaka katatu patsiku. Osapaka ayezi molunjika pakhungu.
• Gwiritsani khushoni kapena donut donel mutakhala. Dzenje pakati lidzachotsa mchira wanu. Mutha kugula khushoni kusitolo yogulitsa mankhwala.
• Pewani kukhala kwambiri. Mukamagona, gonani m'mimba mwanu kuti muchotse chingwe cha mchira.

Pogwiritsa ntchito ululu, mungagwiritse ntchito ibuprofen (Advil, Motrin, ndi ena) kapena naproxen (Aleve, Naprosyn, ndi ena). Mutha kugula mankhwalawa popanda mankhwala.

• Musagwiritse ntchito mankhwalawa kwa maola 24 oyamba mutavulala. Amatha kuwonjezera ngozi yakutuluka magazi.
• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, matenda a chiwindi, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Musatenge zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena kuposa zomwe woperekayo akukulangizani kuti mutenge.

Kungakhale kopweteka kupita kuchimbudzi. Idyani michere yambiri ndipo imwani madzi ambiri kuti mupewe kudzimbidwa. Gwiritsani ntchito mankhwala ochezerako akamafunika. Mutha kugula zofewetsa m'masitolo ogulitsa mankhwala.

Pamene ululu wanu umatha, mutha kuyamba kuchita masewera olimbitsa thupi. Onjezerani zochitika zanu pang'onopang'ono, monga kuyenda ndi kukhala. Muyenera:

• Pitirizani kupewa kukhala nthawi yayitali.
• Osangokhala pamalo olimba.
• Pitirizani kugwiritsa ntchito khushoni kapena donut mukakhala pansi.
• Mukakhala pansi, sinthani matako anu onse.
• Ice pambuyo pa ntchito ngati pali zovuta zina.

Wopereka chithandizo sangasowe kutsatira ngati chovulacho chikuchira monga momwe amayembekezera. Ngati chovulalacho ndi chachikulu kwambiri, muyenera kuwonana ndi omwe akukuthandizani.

Imbani wothandizira ngati muli ndi izi:

• Kufooka mwadzidzidzi, kumva kulira kapena kufooka mwendo umodzi kapena zonse ziwiri
• Kukula kwadzidzidzi kupweteka kapena kutupa
• Kuvulala sikuwoneka ngati kukuchiritsa monga zikuyembekezeredwa
• Kudzimbidwa kwakanthawi
• Mavuto owongolera matumbo kapena chikhodzodzo

Kuvulala kwa coccyx; Kuphulika kwa coccyx; Coccydynia - pambuyo pa chisamaliro

Mgwirizano MC, Abraham MK.Chisokonezo cha pelvic. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 48.

Cusack S, Kuvulala kwamatenda. Mu: Cameron P, Little M, Mitra B, Deasy C, olemba., Eds. Buku Lophunzitsira la Mankhwala Achikulire Achikulire. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 4.6.

• Zovuta Za Mchira