Mitsempha Yothinana Kumbuyo Kwanu Kumtunda? Nazi Zomwe Muyenera Kuchita
Zamkati
- Ndi chiyani?
- Zizindikiro
- Anatomy ya msana
- Zoyambitsa
- Matendawa
- Mankhwala
- Pumulani
- Mankhwala
- Thandizo lakuthupi
- Opaleshoni
- Kutambasula ndi kuchita masewera olimbitsa thupi
- Kutukula mutu
- Kubweza pang'ono
- Nthawi yoti muwonane ndi dokotala
- Mfundo yofunika
Ndi chiyani?
Minyewa yotsinidwa ndi kuvulala komwe kumachitika pamene mitsempha yatambasula kwambiri kapena imafinyidwa ndi fupa kapena mnofu wozungulira. Kumbuyo kwakumbuyo, mitsempha ya msana imakhala pachiwopsezo chovulala kuchokera kumagwero osiyanasiyana.
Nthawi zina, mitsempha yotsinidwa kumbuyo kwanu imatha kubweretsedwa chifukwa chokhazikika kapena masewera kapena kuvulala. Mitsempha yotsinidwa kumbuyo kwanu imatha kupweteketsa, kumva kulasalasa, kapena kufooka pamalo pomwe mwapwetekedwa komanso kwina kulikonse m'thupi lanu.
Zizindikiro
Mitsempha yolimba kumbuyo kwanu imatha kupweteketsa mtima komwe kumatha kupweteka kwambiri mutatembenukira mbali imodzi kapena mukasintha momwe mukukhalira. Mutha kumva kupweteka kwambiri kumanja kwanu kapena kumanzere, kutengera komwe mitsempha ikutambasulidwa kapena kupanikizika.
Nthawi zina ululu umatha kutsika msana kapena kudzera mu torso yanu kotero mumamva m'mapewa ndi pachifuwa. Muthanso kumva kulira, kapena "zikhomo ndi singano" m'malo omwewo.
Zizindikiro zina zamitsempha yam'mbuyo kumbuyo kwanu zimaphatikizapo kufooka kwa minofu kumbuyo kwanu ndi m'mapewa kapena minofu iliyonse yomwe imakhudzidwa ndi mitsempha yomwe yakhudzidwa.
Minofu yanu yakumbuyo singagwirizane mukamayesera kuwerama kapena kutsamira. Mutha kumverera kolimba poyesera kusuntha. Ngakhale kukhala kwa nthawi yayitali kumatha kukhala kovuta ndiminyezi yotsinidwa kumbuyo kwanu.
Anatomy ya msana
Kuti mudziwe momwe mitsempha ya msana imatha kupanikizika, zimathandiza kumvetsetsa zambiri za kapangidwe ka msana.
Muli ndi ma vertebrae 24, omwe ndi mafupa olekanitsidwa ndi ma disc. Ma discs amathandizira kugwirizira mafupa pamodzi ndikukhala ngati mapangidwe pakati pawo. Pamodzi mafupa ndi ma disc amapanga gawo la msana, ndodo yolimba, yosinthasintha yomwe imakupatsani mwayi woti muyime, kukhala, kuyenda, ndikusunthira mbali kupita kutsogolo komanso kutsogolo kupita kumbuyo.
Kutsika pakati pamiyala yonseyo ndi msana, chubu chopangidwa ndi minyewa yaminyewa. Kuchokera pamtsempha wamtsempha kudzera muma disc ndi mizu ya mitsempha ya msana yolumikizana ndi mitsempha yayikulu mthupi lanu lonse.
Zoyambitsa
Chifukwa chodziwika bwino cha mitsempha yotsitsika kumbuyo ndi disc ya herniated. Izi zimachitika pomwe pakatikati pa diski, yotchedwa phata, imadutsa pazitsulo zolimba zakunja, zotchedwa annulus.
Ngati nyukiliya imakankhira motsutsana ndi mitsempha mumtsempha wamtsempha, mutha kukhala ndi mitsempha yotsinidwa ndi zina kapena zizindikilo zake zonse. Izi zimatchedwa radiculopathy.
Radiculopathy imatha kukhala mbali iliyonse ya msana. Msana wanu umatanthauzidwa kuti uli ndi magawo atatu:
- lumbar, kapena kutsikira kumbuyo
- khomo lachiberekero, kapena khosi
- thoracic, yomwe ili kumbuyo kumbuyo pakati pa lumbar ndi gawo lachiberekero
Chomwe chimayambitsa disc herniation ndikumakalata kokhudzana ndi ukalamba. Ma disc amataya madzi ena m'zaka zonsezi ndipo samasinthasintha ndipo amakhala pachiwopsezo chothana ndi ziweto.
Kusokonezeka kwa disk kumeneku kumatha kuchitika kumtunda pang'onopang'ono pang'onopang'ono pakapita nthawi. Ikhozanso kupitilizidwa ndikunyamula china cholemera pamutu panu.
Kupanikizika kwa mitsempha ya msana kungathenso kubwera kuchokera ku mafupa a mafupa, omwe ndi kukula kwachilendo kwa fupa komwe kumayambitsidwa ndi nyamakazi kapena kupsinjika kwa fupa. Mafupa amatuluka omwe amapezeka pama vertebrae anu amatha kutsina mitsempha yapafupi.
Matenda a nyamakazi, matenda otupa omwe amakhudza mafupa, nthawi zina amatha msana. Kutupa kwa msana wamagulu kumatha kuyika mphamvu pamtsempha wa msana.
Matendawa
Dokotala wanu atha kuzindikira mitsempha yotsinidwa kumbuyo kwanu podziwa za zizindikilo zanu, mbiri yazachipatala, komanso poyang'ana msana wanu. Ngati mitsempha yotsinidwa siidziwika, dokotala wanu angakulimbikitseni kuyesa zojambula, monga:
- Kujambula kwa maginito (MRI). Kuyesa kosavutikaku, kopanda chidwi kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti apange zithunzi zamkati mwa thupi lanu. Mosiyana ndi X-ray, yomwe imawonetsa makamaka mafupa ndi ziwalo zazikulu, MRI imatha kuwulula mwatsatanetsatane zithunzithunzi zofewa, monga ma disc omwe ali mgulu lanu la msana. MRI nthawi zina imatha kutenga zizindikilo za kupsinjika kwa mitsempha.
- Kujambula kwa CT. Kuyesaku kosapweteka komanso kosavuta kumabweretsa zithunzi zambiri za mizu yanu yamitsempha. Ultrasound, yomwe imagwiritsa ntchito mafunde akumveka popanga zithunzi, imathanso kuzindikira kupsinjika kwa mitsempha kumtunda kwakumbuyo.
- Kuphunzira kwamitsempha. Izi zimayang'ana mitsempha ya mitsempha ndi momwe mitsempha yanu ndi minofu yanu imayankhira kwa iwo kudzera mu kachingwe kakang'ono ka magetsi kamene kamaperekedwa kudzera maelekitirodi apadera oyikidwa pakhungu lanu.
- Electromyography (EMG). Mu EMG, dokotala wanu amalowetsa singano m'minyewa yomwe mitsempha yawo imakhulupirira kuti yavulala. Momwe minofuyo imayankhira pamagetsi yamagetsi yoperekedwa ndi singano imatha kuwonetsa ngati pali kuwonongeka kwa mitsempha m'deralo.
Mankhwala
Pumulani
Kupuma ndi njira yodziwika bwino yothandizira mitsempha yotsinidwa kumtunda kwakumbuyo. Muyenera kupewa zinthu zomwe zingasokoneze kumbuyo kwanu, monga kukweza zinthu zolemera pamutu panu kapena kukankha kapena kukoka kovuta.
Mankhwala
Pamodzi ndi kupumula, mutha kupwetekedwa mtima mukamwa mankhwala osagwiritsa ntchito ma antisteroidal (NSAID), monga ibuprofen (Advil) ndi naproxen (Aleve). Majekeseni a Corticosteroid amathanso kuchepetsa kutupa ndi kupweteka m'malo omwe akhudzidwa.
Thandizo lakuthupi
Dokotala wanu angakulimbikitseni chithandizo chamankhwala kuti muchite masewera olimbitsa thupi ndikulimbitsa minofu yakumtunda kwanu. Kulimbitsa minofu imeneyi kungathandize kuchepetsa kupanikizika kwa mitsempha.
Katswiri wazachipatala amathanso kukuthandizani kuti muphunzire kusintha momwe mumagwirira ntchito zina, monga kugwira ntchito pabwalo kapena kunyamula zinthu zolemetsa, kuti muthandizire kuchepetsa nkhawa zam'mimbazo. Kusintha mayimidwe anu ndi momwe mungakhalire kungathenso kukhala gawo la mankhwala anu.
Opaleshoni
Ngati kupumula ndi chithandizo chakuthupi sikuthandizira, opareshoni atha kuthandizira kuthana ndi mitsempha yowawa yakumapeto kumtunda. Izi zitha kuphatikizira kuchotsa gawo la disc ya herniated kapena fupa la fupa.
Ngakhale kuti opaleshoni imatha kukhala yothandiza kwambiri, nthawi zambiri imakhala njira yomaliza. Njira zina zowonongera ziyenera kuyesedwa kaye.
Kutambasula ndi kuchita masewera olimbitsa thupi
Ngakhale kupumula minofu yanu yakumbuyo ndikofunikira mukazindikira matenda amitsempha, pali zinthu zingapo zomwe mungachite kuti musinthe kusinthasintha kwanu ndikuchepetsa ululu wanu.
Kumbukirani kukambirana ndi dokotala poyamba musanachite chilichonse chotambasula kapena kuchita masewera olimbitsa thupi chomwe chingakhudze mitsempha yanu.
Kutukula mutu
Kutambasula kumeneku kumatha kuthandiza minofu yanu yakumbuyo ndi khosi.
- Ugone pamimba pako. Kwezani thupi lanu lakumtunda mwa kupumula pazitsulo zanu.
- Lembani chibwano chanu pafupi ndi chifuwa chanu.
- Kwezani mutu wanu pang'onopang'ono kuti maso anu ayang'ane mmwamba momwe angathere osakakamiza khosi kapena kumbuyo.
- Gwiritsani masekondi 5, ndiye pang'onopang'ono tsitsani mutu wanu pamalo oyambira.
- Gwiritsani ntchito poyambira masekondi 5 musanabwereze kukweza mutu wanu.
- Bwerezani mpaka katatu patsiku.
Kubweza pang'ono
Izi ndi zabwino zolimbitsa thupi kuti zithandizire mmaonekedwe.
- Imani ndi mikono yanu pambali ndipo mutu wanu mulowerere.
- Pepani mapewa anu kumbuyo ndi pansi, ngati kuti mukufuna kufinya masamba anu paphewa palimodzi.
- Gwiritsani masekondi 10, kenako mubwerere pomwe mukuyambira.
- Bwerezani kasanu. Chitani 2 kubwereza 5 tsiku lililonse.
Onjezerani kukana potambasula thaulo kapena gulu lotsutsa patsogolo panu pamene mukusuntha ndikufinya mapewa anu.
Nthawi yoti muwonane ndi dokotala
Kupweteka kwapafupipafupi kumbuyo kapena kumva kulira komwe kumatha pakatha masiku angapo kungakhale chifukwa cha kutupa kwakanthawi komwe kumapanikiza mitsempha. Zizindikirozi sizikusowa kuyendera dokotala.
Komabe, ngati ululu wam'munsi wam'mimba ndimavuto obwerezabwereza, fotokozerani za matenda anu. Chida cha Healthline FindCare chitha kukupatsani zomwe mungachite mdera lanu ngati mulibe kale dokotala.
Ngati muli ndi ululu wammbuyo kapena dzanzi lomwe limatha masiku angapo osapumula, muyenera kukaonana ndi dokotala posachedwa. Komanso, ngati ululu ukuwombera msana wanu kapena kunja kwa torso yanu, konzani nthawi yomweyo. Kuyika kapena dzanzi m'manja kapena m'miyendo yanu kuyeneranso kuyambitsa mwachangu kupita kuchipatala.
Mfundo yofunika
Nthawi zambiri, kuchira kwathunthu pamitsempha yotsinidwa kumachitika popanda kupumula pang'ono. Pachizindikiro choyamba cha mitsempha yotsinidwa kumbuyo kwanu, pezani malo abwino ndikupumula. Ngati mutha kutenga NSAID, chitani choncho, koma nthawi zonse tsatirani malangizo kapena chitsogozo cha dokotala wanu.
Ngati kupweteka kapena kufooka kukupitilira kupumula, pitani kuchipatala ndikuyesani kufotokoza mwatsatanetsatane za zomwe mwakumana nazo, kuphatikiza pomwe adayamba komanso chomwe, ngati chilipo, chimabweretsa mpumulo.
Minyewa yowonongeka kwambiri imatha kusabwereranso kapena kupezanso mphamvu ngati kale. Ngati ndi choncho, chithandizo chamankhwala ndi chithandizo china chitha kukuthandizani kuthana ndi zovuta zilizonse zomwe zingakhudze mitsempha yanu kumapeto kwanu.