Zithandizo zowawa mu lumbar msana (kupweteka kwa msana)

Zamkati

• 1. Odwala opweteka
• 2. Mankhwala osagwiritsidwa ntchito poletsa kutupa
• 3. Zotulutsa minofu
• 4. Opioids
• 5. Mankhwala opatsirana pogonana
• 6. Plasters ndi mafuta onunkhira
• 7. Majekeseni
• Njira zina zochiritsira kupweteka kwakumbuyo

Ena mwa mankhwala omwe akuwonetsedwa kuti azitha kupweteka m'dera lumbar la msana ndi ma analgesics, anti-inflammatories kapena relaxants minofu, mwachitsanzo, omwe amatha kuperekedwa ngati mapiritsi, mafuta odzola, pulasitala kapena jakisoni.

Kupweteka kwakumbuyo, komwe kumadziwikanso kuti kupweteka kwakumbuyo, kumadziwika ndikumapangitsa kupweteka kapena kuuma pakati pa gawo lomaliza la nthiti ndi matako. Kupweteka kumatha kukhala kovuta, pomwe zizindikirazo zimawonekera modzidzimutsa, koma zimatha masiku angapo, kapena kupitilira apo, pomwe zizizindikiro zimapitilira milungu ingapo kapena miyezi.

Mankhwala omwe amathandiza kuchiza kupweteka kwakumbuyo, amaphatikizapo:

1. Odwala opweteka

Ma painkiller monga paracetamol (Tylenol) kapena dipyrone (Novalgina), ndi mankhwala omwe angagwiritsidwe ntchito kuchepetsa kupweteka kwakumbuyo pang'ono. Dokotala amatha kupereka mankhwala opha ululuwa okha kapena kuphatikiza mankhwala ena, monga zotupitsa minofu kapena ma opioid, mwachitsanzo.

2. Mankhwala osagwiritsidwa ntchito poletsa kutupa

Mosiyana ndi ma analgesics, adotolo amalimbikitsa mankhwala osagwiritsa ntchito zotupa, monga ibuprofen (Alivium, Advil), diclofenac (Cataflam, Voltaren) kapena naproxen (Flanax), yomwe ingathandize kuthana ndi kupweteka kwakumbuyo kwenikweni.

3. Zotulutsa minofu

Zotulutsa minofu monga cyclobenzaprine (Miosan, Miorex) zitha kuphatikizidwa ndi analgesic kuti iwonjezere mphamvu ya mankhwala. Carisoprodol ndi minofu yopumula yomwe imagulitsidwa kale mogwirizana ndi paracetamol ndi / kapena diclofenac, monga Tandriflan, Torsilax kapena Mioflex, mwachitsanzo, yokwanira kuthetsa ululu.

4. Opioids

Mwachitsanzo, ma opioid monga tramadol (Tramal) kapena codeine (Codein), ayenera kugwiritsidwa ntchito m'malo ovuta, kwakanthawi kochepa, pokhapokha ataperekedwa ndi dokotala. Palinso mitundu ina yomwe imagulitsa zinthu zomwe zimagwiritsidwa ntchito ndi paracetamol, monga Codex, yokhala ndi codeine, kapena Paratram, yokhala ndi tramadol.

Ma opioid sakusonyezedwa pochiza ululu wopweteka kwambiri.

5. Mankhwala opatsirana pogonana

Nthawi zina, adokotala amatha kupereka mitundu ina ya mankhwala opatsirana pogonana, pamlingo wochepa, monga amitriptyline, mwachitsanzo, omwe amathandiza kuthetsa mitundu ina ya ululu wopweteka kwambiri.

6. Plasters ndi mafuta onunkhira

Mapulasitala ndi mafuta onunkhiritsa omwe ali ndi analgesic komanso anti-inflammatory kanthu, monga Salonpas, Calminex, Cataflam kapena Voltaren gel, amathanso kuthandizira kuthetsa ululu, komabe, alibe mphamvu yofananira ndi mankhwala omwe ali ndi machitidwe, chifukwa chake njira yabwino ngati mukumva kupweteka pang'ono kapena ngati chothandizira kuchiza machitidwe amachitidwe.

7. Majekeseni

Ululu wammbuyo ukakhala wolimba kwambiri ndipo pamakhala zisonyezo zakuthina kwa mitsempha yowawa monga kupweteka ndi kuwotcha, kulephera kukhala kapena kuyenda, zikawoneka kuti msana watsekedwa, adotolo amatha kupereka zotsutsana ndi zotupa komanso zopumira minofu mu mawonekedwe a jakisoni.

Kuphatikiza apo, nthawi zina, monga ngati mankhwalawo sagwira bwino ntchito kuti achepetse kupweteka kapena ululu ukamatuluka mwendo, adokotala amalimbikitsa kuti akupatseni jakisoni wa cortisone, womwe ungathandize kuchepetsa kutupa.

Njira zina zochiritsira kupweteka kwakumbuyo

Njira zina kapena zomwe zitha kuphatikizidwa ndi chithandizo chamankhwala zochizira kupweteka kwakumbuyo ndi:

• Physiotherapy, zomwe ziyenera kukhazikitsidwa payekhapayekha kwa munthu aliyense, zomwe zimafunikira kuyerekezera kwake, kuti zosintha zomwe zingakonzedwe zipezeke. Onani momwe physiotherapy imagwirira ntchito kupweteka kwakumbuyo;
• Makina otentha m'dera lopweteka kapena magawo a electrotherapy, omwe amatenthetsa deralo, ndipo atha kukhala othandiza kuthana ndi malowa ndikuchotsa ululu;
• Zochita zakusintha kwakumbuyo, zomwe zitha kuyambitsidwa pambuyo pothana ndi ululu, kuti zisawonongeke komanso zimalimbitsa msana. Clinical Pilates ndi RPG amalimbikitsidwa kwambiri, chifukwa amabweretsa mpumulo ku zizindikilo m'masabata angapo, ngakhale chithandizo chokwanira chitha kutenga miyezi isanu ndi umodzi mpaka chaka chimodzi;
• Kutambasana Kwamsana, zomwe zimathandiza kuthetsa ululu ndikuwonjezera mayendedwe osiyanasiyana. Phunzirani zina zolimbitsa thupi kuti muchepetse kupweteka kwakumbuyo.

Nthawi zina, munthu akamadwala matenda a herniated disc kapena spondylolisthesis, a orthopedist amatha kuwonetsa opareshoni ya msana, koma izi sizikutanthauza kufunikira kwa chithandizo chamankhwala asanafike komanso pambuyo pake.

Phunzirani njira zambiri zothanirana ndi ululu wam'munsi osafunikira mankhwala.