Izindlela zokwelapha zobuhlungu emgogodleni we-lumbar (ubuhlungu obuphansi emuva)

-Delile

• 1. Ama-painkillers
• 2. Izidakamizwa ezingezona ukuvuvukala
• 3. Ukuphumula kwemisipha
• 4. Ama-opioid
• 5. Izidakamizwa zokulwa nokucindezeleka
• 6. Amaplastikhi namafutha okugcoba
• 7. Imijovo
• Ezinye izindlela zokwelapha izinhlungu ezisezingeni eliphansi

Eminye yemithi ekhonjiswe ekwelapheni ubuhlungu esifundeni se-lumbar yomgogodla yi-analgesics, anti-inflammatories noma i-relaxant muscle, ngokwesibonelo, enganikezwa njengephilisi, amafutha, ukhonkolo noma umjovo.

Ubuhlungu obuphansi emuva, obaziwa nangokuthi ubuhlungu obuphansi emuva, bubonakala ngokubangela ubuhlungu noma ngaphandle kokuqina phakathi kwesifunda sokugcina sezimbambo nezinqe. Ubuhlungu bungaba bukhulu, lapho izimpawu zivela ngokuzumayo, kepha zihlala izinsuku ezimbalwa, noma zingapheli, lapho izimpawu ziqhubeka amasonto noma izinyanga.

Ukwelashwa kwezidakamizwa okusiza ekwelapheni izinhlungu ezisezingeni eliphansi, kufaka:

1. Ama-painkillers

Ama-painkillers afana ne-paracetamol (Tylenol) noma i-dipyrone (i-Novalgina), ngamakhambi angasetshenziswa ukudambisa izinhlungu ezisezingeni eliphansi neziphansi. Udokotela anganikeza lawa maphilisi ezinhlungu eyedwa noma ehlanganiswe neminye imithi, efana nezidambisi zemisipha noma ama-opioid, isibonelo.

2. Izidakamizwa ezingezona ukuvuvukala

Njengenye yama-analgesics, udokotela angancoma izidakamizwa ezingezona ukuvuvukala, njenge-ibuprofen (Alivium, Advil), i-diclofenac (i-Cataflam, i-Voltaren) noma i-naproxen (i-Flanax), engasiza ekunciphiseni ubuhlungu obubuhlungu beqolo.

3. Ukuphumula kwemisipha

Iziphumuli zemisipha ezinjenge-cyclobenzaprine (Miosan, Miorex) zingahlanganiswa ne-analgesic ukwandisa ukusebenza kokwelapha. I-Carisoprodol iyi-relaxant yemisipha esivele imakethwa ngokuhlangana ne-paracetamol kanye / noma i-diclofenac, njenge-Tandriflan, i-Torsilax noma i-Mioflex, ngokwesibonelo, eyanele ekunciphiseni ubuhlungu.

4. Ama-opioid

Ama-opioid afana ne-tramadol (Tramal) noma i-codeine (i-Codein), ngokwesibonelo, kufanele asetshenziswe kuphela ezimweni ezinzima, isikhathi esifushane, kuphela uma kunqunywe udokotela. Kukhona neminye imikhiqizo emaketha lezi zinto ezisebenzayo ezihambisana ne-paracetamol, njengeCodex, ne-codeine, noma i-Paratram, ne-tramadol.

Ama-opioid awaboniswa ekwelapheni ubuhlungu obungapheli obuya emuva.

5. Izidakamizwa zokulwa nokucindezeleka

Kwezinye izimo, udokotela angase anikeze izinhlobo ezithile ze-anti-depressants, ngamanani aphansi, njenge-amitriptyline, isibonelo, okusiza ukukhulula izinhlobo ezithile zobuhlungu obungapheli obuya emuva.

6. Amaplastikhi namafutha okugcoba

Ama-plaster nama-ointments anesenzo se-analgesic kanye ne-anti-inflammatory, njenge-Salonpas, i-Calminex, i-Cataflam noma i-Voltaren gel, nakho kungasiza ekudambiseni izinhlungu, kepha-ke, azisebenzi ngendlela efanayo nemithi enesenzo, ngakho-ke inketho enhle ezimweni zobuhlungu obumnene noma njengomphelelisi wokwelashwa kwesenzo se-systemic.

7. Imijovo

Lapho ubuhlungu beqolo bukhulu kakhulu futhi kunezibonakaliso zokucindezelwa kwemizwa ye-sciatic efana nobuhlungu nokusha, ukungakwazi ukuhlala noma ukuhamba, lapho kubonakala sengathi umgogodla ukhiyiwe, udokotela anganikeza izidambisi ezilwa nokuvuvukala nemisipha uhlobo lwemijovo.

Ngaphezu kwalokho, kwezinye izimo, njengalapho ukwelashwa kungasebenzi ngokwanele ukunciphisa ubuhlungu noma lapho ubuhlungu buphuma emlenzeni, udokotela angancoma ukukunika umjovo we-cortisone, ozosiza ukunciphisa ukuvuvukala.

Ezinye izindlela zokwelapha izinhlungu ezisezingeni eliphansi

Ezinye izindlela ezihlukile noma lezo ezingahambisana nokwelashwa kwemithi ekwelapheni izinhlungu ezisezingeni eliphansi yilezi:

• I-Physiotherapy, okumele ibekelwe umuntu ngamunye, edinga ukuhlolwa komuntu siqu, ukuze izinguquko ezingalungiswa zitholakale. Bona ukuthi i-physiotherapy yenziwa kanjani ngezinhlungu ezisezingeni eliphansi;
• Ukucindezela okushisayo endaweni ebuhlungu noma ngezikhathi ze-electrotherapy, ezifudumeza isifunda, futhi ezingasiza ekunciphiseni indawo nokuqeda ubuhlungu;
• Ukuzivocavoca kwangemuva kokulungiswa, engangeniswa ngemuva kokudambisa izinhlungu, ukuvimbela ukuqhuma nokuqinisa imisipha yomgogodla. Ama-Clinical Pilates ne-RPG anconywa kakhulu, ngoba aletha ukukhululeka ezimpawu emasontweni ambalwa, yize ukwelashwa okuphelele kungathatha cishe izinyanga eziyi-6 kuye onyakeni owodwa;
• Ukweluka Kwomgogodla, ezisiza ukuqeda ubuhlungu futhi zenyuse uhla lokunyakaza. Funda ukuzivocavoca okwelulayo ukuze unciphise izinhlungu emuva.

Kwesinye isikhathi, lapho umuntu ehlushwa i-herniated disc noma i-spondylolisthesis, udokotela wamathambo angakhombisa ukuhlinzwa komgogodla, kepha lokhu akusishiyi ngaphandle isidingo sokwelashwa ngaphambi nangemva kwenqubo.

Funda izindlela eziningi zokwelapha izinhlungu ezisezingeni eliphansi ngaphandle kwesidingo semithi.