Momwe mungachiritsire kupweteka kosatha: mankhwala, zochiritsira komanso opaleshoni

Zamkati

• Kodi njira zamankhwala ndi ziti?
• 1. Zithandizo zowawa
• 2. Njira zochiritsira zosagwiritsidwa ntchito masiku onse
• 3. Opaleshoni
• Zomwe zimayambitsa kupweteka kosatha

Kupweteka kosatha, komwe kumakhala kupweteka kwa miyezi yopitilira 3, kumatha kuthetsedwa ndi mankhwala omwe amaphatikizapo ma analgesics, anti-inflammatories, zopumulira minofu kapena mankhwala opatsirana pogonana mwachitsanzo, omwe ayenera kutsogozedwa ndi adotolo. Kuphatikiza apo, ngati ndikumva kuwawa komwe kuli kovuta kusintha, kungakhale kofunikira kuonjezera mlingo kapena kugwiritsa ntchito mankhwala amphamvu, monga ma opioid, kusintha malinga ndi zosowa za munthu aliyense.

Komabe, njira yabwino yothanirana ndi ululu wamtunduwu ndi njira zina zomwe zingayambitsidwe, dokotala atazindikira chomwe chikuyambitsa vutoli, kaya ndi msana wam'mimba, disc ya herniated, nyamakazi, fibromyalgia, herpes zoster kapena kupanikizika kwa mitsempha ya sciatic , Mwachitsanzo. Chifukwa chake, kuwonjezera pa mankhwala, chithandizo chonga physiotherapy, kutema mphini, kuphulika kwa radiation, opaleshoni kapena upangiri wamaganizidwe ungakhale wofunikira.

Kupweteka kosatha kumatha kuoneka mbali iliyonse ya thupi, ndipo kumawonetsa kuti pali kuwonongeka kapena kuvulala kwaminyewa kapena minyewa ya thupi, komanso kumatha kukhudzidwa ndimavuto am'maganizo, chifukwa zinthu monga kuda nkhawa komanso kukhumudwa ndizofunikira kupweteka kwambiri komanso kutalika kwake. Phunzirani zambiri za kupweteka kwakanthawi komanso mitundu.

Kodi njira zamankhwala ndi ziti?

Chithandizo cha ululu wosatha chimasankhidwa payokha, kutsogozedwa kutengera zosowa za munthu aliyense, ndipo zitha kuchitidwa ndi dokotala wamba kapena, nthawi zovuta kwambiri, ndi madotolo omwe ndi akatswiri akumva ululu. Njira zazikuluzikulu zochiritsira ndi izi:

1. Zithandizo zowawa

Malinga ndi World Health Organisation, kuti athane ndi ululu wamtundu uliwonse, adotolo ayenera kusankha mankhwala mosadukiza, ndiko kuti, kuyesayesa kumayesedwa ndi mankhwala ofooka, ndipo kuchuluka kwa mankhwalawo kumatha kukulitsidwa malinga ndi kufunikira . Masitepe oyang'anira kupweteka ndi awa:

Ululu ukayamba mu mitsempha, yotchedwa kupweteka kwamitsempha, chithandizo chimakhazikitsidwa makamaka ndi mankhwala omwe amalowerera m'gawo lino, monga tricyclic antidepressants, monga Amitriptyline kapena Nortriptyline, ndi Antiepileptics, monga Carbamazepine, Gabapentin ndi Pregabalin, kuyambira Mankhwala othetsa ululu ndi ma opioid alibe zotsatira zabwino ndipo amasungidwira pomwe kupweteka sikukuyenda bwino ndi zosankha zam'mbuyomu.

2. Njira zochiritsira zosagwiritsidwa ntchito masiku onse

Njira zochiritsira zina ndi njira zabwino kwambiri zokulitsira kuzindikira kwa thupi, kuthana ndi zovuta komanso zoyipa zamanjenje, zomwe zimakhudza kwambiri ululu. Zosankha zina ndi izi:

• Chidziwitso chamakhalidwe, njira yothandizira ma psychotherapy, yomwe ingakhale yothandiza kwambiri pochiza zowawa zambiri, makamaka pochiza zovuta zamavuto;
• Kusisita, njira yabwino kwambiri yothandizira, makamaka kupweteka kwa minofu komwe kumakhudzana ndi contractures ndi mavuto;
• Kutema mphini ndi singano, ndi njira yabwino yothanirana ndi kupweteka kwa mitsempha, komwe kumalumikizidwa ndi contractures, osteoarthritis ndi zina zowawa zaminyewa zaminyewa;
• Zochita zathupi, ochita pafupipafupi, osachepera katatu pa sabata, ndi othandiza kwambiri kuti athetse mitundu ingapo ya ululu wosatha;
• Njira zopumulira Kuchepetsa kuchepa kwa thupi ndikusintha momwe thupi limadzionera;
• Physiotherapy, ndimachiritso am'deralo kapena kukonzanso kayendedwe, kothandiza pakuthandizira mitundu yonse ya zowawa.

Pamene ululu ukukulira, adotolo amatha kuchotsa mitundu ina ya mankhwala, kuti mankhwala ochepa ndi ochepa agwiritsidwe ntchito. Komabe, njira zina zochiritsira zitha kusungidwa, ndipo ndi njira zabwino zopewera kupweteka kwatsopano.

3. Opaleshoni

Pali zovuta zowawa zomwe zimakhala zovuta kuchiza, chifukwa sizikusintha ndi njira zina kapena mankhwala. Chifukwa chake, njira zina zopangira opaleshoni zimatha kuchitidwa, makamaka ndi ma neurosurgeons, anesthetists kapena orthopedists, omwe amatha kukonza zolakwika za mafupa kapena kutseka mitsempha yomwe imayambitsa kupweteka. Zosankha zina ndi izi:

• Majekeseni am'deralo: Mankhwala ojambulidwa omwe amagwiritsidwa ntchito molunjika kumapeto kwa mitsempha, monga kulowetsedwa ndi anesthetics ndi corticosteroids kapena ma neuromuscular block omwe ali ndi botox, mwachitsanzo, atha kuchitidwa ndi madotolo oyenerera kuti achepetse kumva kwa ululu, kutupa ndi kutuluka kwa minofu, zomwe zimatha milungu ingapo mpaka miyezi;
• Mafilimu: ndi njira yochitira opaleshoni yocheperako, momwe chida chamakono chopangira ma radiofrequency chimagwiritsidwa ntchito, chokhoza kuchititsa kuvulala kwamphamvu kapena magwiridwe amagetsi omwe amathetsa kufalikira kwa zopweteka m'mitsempha, kuchititsa kusintha kapena kuthetsa ululu msana kwa miyezi ingapo ;
• Kuika maelekitirodi mu msana: wotchedwa neurostimulator, kachilomboka kakang'ono kameneka kamatha kukhazikitsidwa kumbuyo kwa msana, kotha kuchita zokopa zomwe zimalepheretsa kulandira ululu. Kukondoweza kwa msana ndikofunikira pochiza kupweteka kwamiyendo kapena thunthu;
• Opaleshoni: Njira zopangira opaleshoni kuti zithetse kusintha kwa kapangidwe kake ndi kusintha kwa msana, monga kuchotsa ma disc a herniated, kukonza ngalande yopapatiza yomwe mitsempha imadutsa, kapena kusintha kwa kusintha kwa ma vertebrae kumatha kuchepetsa kuchuluka kwa mitsempha ndikuchepetsa ululu.

Pambuyo pochita njirazi, ndikofunikiranso kulandira chithandizo chamankhwala ena osagwiritsa ntchito mankhwala, makamaka physiotherapy, kuti zotsatira zake zikhale zazitali.

Zomwe zimayambitsa kupweteka kosatha

Ngakhale sizosangalatsa, kupweteka ndikumverera kofunika kuti munthu apulumuke, chifukwa ndipamene thupi limachenjeza ubongo kuti china chake chalakwika kapena kuvulaza thupi, ndipo chimafunika kuthetsedwa, monga kutentha kapena kudula, mwachitsanzo.

Komabe, vuto limakhala pamene ululu umakhala wanthawi zonse, chifukwa ukuwonetsa kuti kuvulala kapena kutupa kukupitilira, popanda chithandizo choyenera, monga matenda am'mimba, nyamakazi, fibromyalgia, mgwirizano waminyewa, zotupa m'mimba kapena khansa, Mwachitsanzo, kapena pakakhala zosintha zamanjenje ndi ulusi wamitsempha.

Kaya zowawa zimachokera kuti, malingaliro amunthuyo amamulimbikitsa kuti akhale wolimbikira komanso wopitilira muyeso, ndipo izi zimatsimikizika chifukwa anthu opsinjika ndi nkhawa amakhala akumva kuwawa kwambiri kuposa ena. M'malo mwake, anthu omwe amamva kuwawa posakhutira, monga ochita masewera pa mpikisano, mwachitsanzo, samakonda kudandaula za iwo.

Chifukwa chake, ndikofunikira kutchera khutu ndikusamalira mkhalidwe wamaganizidwe, popeza umakhudza kwambiri ntchito zosiyanasiyana za thupi, ndipo amatha kuyambitsa kapena kukulitsa matenda, otchedwa psychosomatics. Fufuzani kuti ndi matenda ati omwe angakhudzidwe mtima.