Ubuhlungu obuphansi emuva - obungapheli

Ubuhlungu obuphansi emuva bubhekisela ebuhlungwini obuzwa emhlane wakho ophansi. Ungase futhi ube nokuqina kwangemuva, ukwehla kokuhamba komhlane ongezansi, nobunzima bokuma uqonde.

Ubuhlungu obuphansi emuva obuthatha isikhathi eside bubizwa ngokuthi ubuhlungu obungapheli obubuhlungu emuva.

Ubuhlungu obuphansi emuva buvamile. Cishe wonke umuntu unezinhlungu zomhlane ngesikhathi esithile empilweni yakhe. Imvamisa, imbangela ngqo yobuhlungu ayitholakali.

Isenzakalo esisodwa kungenzeka asibanga buhlungu bakho. Kungenzeka ukuthi ubusenza imisebenzi eminingi, njengokuphakamisa indlela engafanele, isikhathi eside. Bese kuthi kungazelelwe, ukunyakaza okukodwa okulula, njengokufinyelela entweni noma ukugoba okhalweni lwakho, kuholele ebuhlungwini.

Abantu abaningi abanezinhlungu ezingapheli zomqolo bane-arthritis. Noma bangahle babe nokuguga okweqile komgogodla, okungaba ngenxa ye:

• Ukusetshenziswa okunzima okuvela emsebenzini noma kwezemidlalo
• Ukulimala noma ukuphuka
• Ukuhlinzwa

Kungenzeka ukuthi unediski i-herniated, lapho ingxenye yediski yomgogodla iphushela emithanjeni eseduze. Imvamisa, amadiski anikela ngesikhala nomcamelo emgogodleni wakho. Uma la madiski omile futhi eba mncane futhi aqhephuke ngokwengeziwe, ungalahlekelwa ukunyakaza emgogodleni ngokuhamba kwesikhathi.

Uma izikhala eziphakathi kwemizwa yomgogodla nentambo yomgogodla zincipha, lokhu kungaholela ekuguleni komgogodla. Lezi zinkinga zibizwa ngokuwohloka kokuhlangana noma isifo somgogodla.

Ezinye izimbangela zezinhlungu ezingapheli ezibuya emuva zihlanganisa:

• Ukugoba komgogodla, njenge-scoliosis noma i-kyphosis
• Izinkinga zezokwelapha, njenge-fibromyalgia noma i-rheumatoid arthritis
• I-Piriformis syndrome, ukuphazamiseka kobuhlungu okubandakanya imisipha ezinqeni okuthiwa i-piriformis muscle

Usengozini enkulu yezinhlungu ezisezingeni eliphansi uma:

• Bangaphezu kweminyaka yobudala engama-30
• Ukhuluphele ngokweqile
• Bakhulelwe
• Ungazivocavoci umzimba
• Zizwe ucindezelekile noma ucindezelekile
• Yiba nomsebenzi lapho kufanele wenze ukuphakamisa okunzima, ukugoba nokujija, noma lokho kufaka ukudlidliza komzimba wonke, njengokushayela iloli noma ukusebenzisa i-sandblaster
• Intuthu

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu obubuhlungu obubuhlungu
• Ubuhlungu obukhali
• Ukuzwa noma ukushisa
• Ubuthakathaka emilenzeni noma ezinyaweni zakho

Ubuhlungu obuphansi emuva bungahluka kumuntu nomuntu. Ubuhlungu bungaba mnene, noma bube bukhulu kangangokuba ungakwazi ukunyakaza.

Ngokuya ngesizathu sobuhlungu bakho emuva, ungahle ube nobuhlungu emlenzeni, enqulwini, noma phansi konyawo lwakho.

Ngesikhathi sokuhlolwa ngokomzimba, umhlinzeki wezokunakekelwa kwempilo uzozama ukukhomba lapho kukhona khona ubuhlungu futhi abone ukuthi kuthinta kanjani ukunyakaza kwakho.

Ezinye izivivinyo onazo zincike kumlando wakho wezokwelapha nezimpawu.

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi, njengokubala okuphelele kwegazi kanye nesilinganiso sedimentation se-erythrocyte
• I-CT scan yomgogodla ongezansi
• Ukuskena kwe-MRI komgogodla ongezansi
• I-Myelogram (i-x-ray noma i-CT scan yomgogodla ngemuva kokuba idayi ifakiwe kukholamu lomgogodla)
• I-X-ray

Ubuhlungu bakho bangemuva bungase bungapheli ngokuphelele, noma bungaba buhlungu kakhulu kwesinye isikhathi. Funda ukunakekela umqolo wakho ekhaya nokuthi ungazivimbela kanjani iziqephu eziphindiwe zobuhlungu emuva. Lokhu kungakusiza uqhubeke nemisebenzi yakho ejwayelekile.

Umhlinzeki wakho angancoma izinyathelo zokunciphisa ubuhlungu bakho, kufaka phakathi:

• I-brace yangemuva yokuxhasa umhlane wakho
• Amaphakethe abandayo kanye nokwelashwa kokushisa
• Ukudonsa
• Ukwelashwa ngokomzimba, okubandakanya ukuzelula nokuzilolonga
• Ukwelulekwa ukuze ufunde izindlela zokuqonda nokuphatha ubuhlungu bakho

Laba abanye abahlinzeki bezempilo bangasiza futhi:

• Umelaphi we-Massage
• Umuntu owenza i-acupuncture
• Umuntu owenza ukuxhaphaza umgogodla (i-chiropractor, udokotela we-osteopathic, noma owelapha ngokomzimba)

Uma kudingeka, umhlinzeki wakho angakunikeza imithi ezosiza ngobuhlungu bakho emuva:

• I-Aspirin, naproxen (Aleve), noma ibuprofen (Advil), ongayithenga ngaphandle kwemithi kadokotela
• Imithamo ephansi yemithi kadokotela
• Ama-narcotic noma ama-opioid lapho ubuhlungu bukhulu kakhulu

Uma ubuhlungu bakho bungathuthuki ngemithi, ukwelashwa ngokomzimba, nokunye ukwelashwa, umhlinzeki wakho angancoma umjovo we-epidural.

Ukuhlinzwa komgogodla kubhekwa kuphela uma unokonakala kwezinzwa noma imbangela yobuhlungu beqolo ingapholi ngemuva kwesikhathi eside.

Kwezinye iziguli, umgqugquzeli wentambo yomgogodla ungasiza ukunciphisa izinhlungu emuva.

Ezinye izindlela zokwelashwa ezinganconywa uma ubuhlungu bakho bungathuthuki ngemithi nangokwelapha ngokomzimba kufaka:

• Ukuhlinzwa komgogodla, kuphela uma unokulimala kwezinzwa noma imbangela yobuhlungu bakho ingapholi ngemuva kwesikhathi eside
• Ukugqugquzela intambo yomgogodla, lapho idivayisi encane ithumela khona ugesi emgogodleni ukuvimba amasiginali obuhlungu

Abanye abantu abanezinhlungu ezisezingeni eliphansi bangadinga futhi:

• Umsebenzi uyashintsha
• Ukwelulekwa ngomsebenzi
• Ukuqeqeshwa kabusha kukaJobe
• Ukwelashwa emsebenzini

Izinkinga eziningi emuva zibangcono zodwa. Landela iseluleko somhlinzeki wakho ngezindlela zokwelashwa nokuzinakekela.

Shayela umhlinzeki wakho uma unezinhlungu ezibuhlungu zomqolo ezingapheli. Shayela ngokushesha uma unenkinga, ukulahlekelwa ukunyakaza, ubuthakathaka, noma izinguquko zamathumbu noma zesisu.

Ubuhlungu bangemuva obungacacisiwe; Iqolo - okungamahlalakhona; Ubuhlungu be-Lumbar - obungapheli; Ubuhlungu - emuva - okungapheli; Ubuhlungu obungapheli emuva - obuphansi

• Ukuhlinzwa komgogodla - ukukhishwa

• I-spinal stenosis
• Ubuhlungu beqolo

U-Abd OHE, u-Amadera JED. Uhlobo oluphansi emuva noma ukugaya. Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 48.

UMaher C, Underwood M, Buchbinder R.Ubuhlungu obungemuva obungaqondile obucacisiwe. I-Lancet. 2017; 389: 736-747. PMID: 27745712. www.ncbi.nlm.nih.gov/pubmed/27745712.

UMalik K, uNelson A. Sibutsetelo sokuphazamiseka kobuhlungu obuphansi emuva. Ku: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, ama-eds. Okubalulekile Kwemithi Yezinhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 24.