Umlobi: John Stephens
Usuku Lokudalwa: 2 Ujanuwari 2021
Ukuvuselela Usuku: 24 Unovemba 2024
Anonim
Yini Ebangela Ubuhlungu Emhlane Wami Osezansi ohlangothini lwesobunxele? - Impilo
Yini Ebangela Ubuhlungu Emhlane Wami Osezansi ohlangothini lwesobunxele? - Impilo

-Delile

Cishe abantu abadala babika ukuthi banezinhlungu ezisezingeni eliphansi ngesikhathi esithile ezimpilweni zabo. Ubuhlungu bungaba ohlangothini olulodwa lwekholomu lomgogodla noma ezinhlangothini zombili. Indawo eqondile yobuhlungu inganikeza izinkomba mayelana nembangela yayo.

Umhlane wakho ongezansi unama-vertebrae amahlanu. Ama-disc phakathi kwawo aqinisa amathambo, imisipha ibambe amathambo omzimba endaweni yawo, futhi imisipha inamathisela imisipha kukholamu lomgogodla. Umhlane ongezansi unezinzwa ezingama-31. Futhi, izitho ezinjengezinso, amanyikwe, ikholoni, nesibeletho zitholakala eduze komhlane wakho ongezansi.

Zonke lezi zingabhekana nobuhlungu ohlangothini lwesobunxele lomhlane wakho ophansi, ngakho-ke kunezimbangela eziningi ezingaba khona. Yize abaningi bedinga ukwelashwa, iningi alinzima.

Ubuhlungu obuphansi emuva ohlangothini lwesobunxele kubangela

Kunezimbangela eziningi ezingaba khona zobuhlungu obuphansi emuva ohlangothini lwesobunxele. Ezinye ziqonde kuleyo ndawo, kanti ezinye zingadala ubuhlungu kunoma iyiphi ingxenye yangemuva. Izimbangela ezivamile zifaka:

Uhlobo lwemisipha noma ukugaya

Ukucindezeleka kwemisipha noma ukugaya imbangela kuyimbangela ejwayelekile kakhulu yezinhlungu ezisezingeni eliphansi.


Uhlobo ukukhala noma ukunwebeka kuthenda noma imisipha, kuyilapho umgogodla uyisililo noma welula ku-ligament.

Izimpande nezinkinga kuvame ukwenzeka lapho usonta noma uphakamisa okuthile ngokungafanele, uphakamisa okuthile okusindayo, noma welula imisipha yakho yangemuva.

Lokhu kulimala kungadala ukuvuvukala, ubunzima bokuhamba, kanye nokuphazamiseka emuva.

ISciatica

I-Sciatica ubuhlungu obubangelwa ukucindezelwa kwemizwa ye-sciatic. Le yinzwa egijima ezinqeni zakho yehle nangemuva komlenze wakho.

I-Sciatica ivame ukubangelwa i-disc ye-herniated, i-bone spur, noma i-spinal stenosis compressing ingxenye ye-sciatic nerve.

I-Sciatica imvamisa ithinta kuphela uhlangothi olulodwa lomzimba. Kubangela izinhlungu ezibuya emuva zikagesi noma ezivuthayo ezikhipha umlenze wakho. Ubuhlungu bungaba buhlungu kakhulu uma ukhwehlela, uthimula, noma uhlala isikhathi eside.

Izimbangela ezinkulu ze-sciatica zingadala ubuthakathaka nokuba ndikindiki emlenzeni wakho.

Idiski ye-Herniated

I-disc ye-herniated yenzeka lapho eyodwa noma eziningi zama-disc phakathi kwama-vertebrae wakho ecindezelekile futhi eqhubekela phambili ngaphandle komsele womgogodla.


Lawa madiski aqhumayo avame ukududula izinzwa, kubangele ubuhlungu, ukuba ndikindiki, nobuthakathaka. I-disc ye-herniated nayo iyimbangela evamile ye-sciatica.

Ama-discs e-Herniated angabangelwa ukulimala. Zibuye zivame kakhulu njengoba ukhula, ngoba amadiski ayawohloka ngokwemvelo. Uma une-disc ye-herniated, kungenzeka ukuthi ube nezinhlungu ezisezingeni eliphansi zakamuva.

I-osteoarthritis

I-osteoarthritis kulapho uqwanga phakathi kwama-vertebrae wakho luqala ukonakala. Umhlane ongezansi uyindawo ejwayelekile ye-osteoarthritis, ngenxa yengcindezi yokuhamba.

I-osteoarthritis ivame ukubangelwa ukuguga okujwayelekile, kepha ukulimala emuva kwangaphambilini kungayenza ibe nokwenzeka kakhulu.

Ubuhlungu nokuqina yizimpawu ezivame kakhulu ze-osteoarthritis. Ukusonteka noma ukugoba umhlane wakho kungaba buhlungu kakhulu.

Ukungasebenzi kwamalunga we-sacroiliac

Ukungasebenzi kwamalunga we-sacroiliac (SI) kubizwa nangokuthi i-sacroiliitis. Unezihlanganisi ezimbili ze-sacroiliac, eyodwa ohlangothini ngalunye lomgogodla wakho lapho ixhuma khona ngenhla kwesikhumba sakho. I-Sacroiliitis ukuvuvukala kwalelijoyinti. Kungathinta uhlangothi olulodwa noma zombili.


Ubuhlungu emhlane wakho ophansi nasezinqeni kuyisifo esivame kakhulu. Ubuhlungu buvame ukwenziwa bubi kakhulu ngu:

  • emi
  • ukukhuphuka izitebhisi
  • egijima
  • ukubeka isisindo esiningi emlenzeni othintekile
  • ukuthatha izinyathelo ezinkulu

Amatshe ezinso noma ukutheleleka

Izinso zakho zidlala indima ebalulekile ekukhucululeni imfucuza emzimbeni wakho. Amatshe ezinso angakha kulezi zitho. Lawa matshe angavela ezimbangela ezahlukahlukene, ezinjengokwakhiwa kukadoti noma uketshezi olwanele ezinso zakho.

Amatshe amancane ezinso kungenzeka angabangeli zimpawu, futhi angadlula ngokwawo. Amatshe amakhulu, angadinga ukwelashwa, angadala lezi zimpawu:

  • ubuhlungu ngenkathi uchama
  • ubuhlungu obubukhali ohlangothini olulodwa lwangaphansi lwakho
  • igazi emchameni wakho
  • ukuhlanza
  • isicanucanu
  • imfiva

Ukutheleleka kwezinso kuvame ukuqala njengokutheleleka komgudu womchamo (UTI). Kubangela izimpawu eziningi ezifana namatshe ezinso. Uma ungelashwa, ukutheleleka kwezinso kungalimaza izinso zakho unomphela.

I-Endometriosis

I-Endometriosis yenzeka lapho uhlobo lweseli olwakha ulwelwesi lwesibeletho sakho lukhula ngaphandle kwesibeletho. Lawa maseli angavuvukala futhi aphume njalo ngenyanga uma uthola isikhathi sakho, esidala izinhlungu nezinye izinkinga.

I-Endometriosis ivame kakhulu kwabesifazane kubo.

Ubuhlungu yisifo esivame kakhulu, kufaka phakathi:

  • amajaqamba abuhlungu kakhulu okuya esikhathini
  • ubuhlungu beqolo
  • ubuhlungu be-pelvic
  • ubuhlungu ngesikhathi socansi
  • ukunyakaza kwamathumbu okubuhlungu noma ukuchama lapho usesikhathini

Ezinye izimpawu zifaka:

  • ukopha phakathi nezikhathi (ukubona)
  • izikhathi ezinzima
  • izingqinamba zokugaya ukudla ezifana nohudo
  • ukuqunjelwa
  • ukungazali

Ama-Fibroids

Ama-Fibroids yizicubu ezikhula odongeni lwesibeletho. Zivame ukuba nobungozi.

Izimpawu ze-fibroids zifaka:

  • ukopha kakhulu ngezikhathi
  • izikhathi ezibuhlungu
  • ukuqunjelwa kwesisu okuphansi
  • umuzwa ogcwele esiswini sakho esingezansi
  • ubuhlungu obuphansi emuva
  • ukuchama kaningi
  • ubuhlungu ngesikhathi socansi

Ezinye izimbangela ezingaba khona zobuhlungu obuphansi emuva ohlangothini lwesobunxele

I-Pancreatitis ne-ulcerative colitis zombili zingadala ubuhlungu obuphansi emuva. Kodwa-ke, lokhu kuyisifo esingavamile sobabili. Lapho zibangela ubuhlungu beqolo, kuvamise ukuba phezulu ngemuva. Zombili lezi zimo kufanele zelashwe ngokushesha okukhulu ngudokotela.

Ubuhlungu obuphansi emuva ohlangothini lwesobunxele ngesikhathi sokukhulelwa

Ubuhlungu emuva buvame kakhulu phakathi nokukhulelwa. Lokhu kungahle kube ngenxa:

  • umphambili osindayo womzimba wakho uhlunga imisipha yangemuva
  • izinguquko zokuma
  • imisipha yakho yesisu iba buthakathaka njengoba isisu sakho sikhula, okusho ukuthi umgogodla wakho awusekelwa kahle
  • sciatica
  • ama-hormone abangela ukuba imisipha ethangeni lakho ikhululeke, ukulungiselela ukuzalwa (f iba mobile kakhulu, lokhu kungadala ubuhlungu)
  • Ukungasebenzi okuhlangene kwe-SI
  • ukutheleleka kwezinso (uma izifo zomgudu womchamo ezivame kakhulu ekukhulelweni aziphathwa kahle)

Ubuhlungu beqolo amafulegi abomvu

Yize izimbangela eziningi zobuhlungu obuphansi emuva zingelapheka ngokuhamba kwesikhathi nangamakhambi athengiswayo, ezinye zingadinga usizo lwezempilo. Bheka udokotela uma unayo:

  • ubuhlungu obungabi ngcono emva kwamasonto ambalwa
  • ukuba ndikindiki, ukuncinza nobuthakathaka, ikakhulukazi emilenzeni
  • izinkinga zokulawula izibilini zakho
  • inkinga yokuchama
  • ubuhlungu obukhulu, ikakhulukazi uma kungazelelwe
  • imfiva
  • ukuncipha kwesisindo okungaqondakali
  • ubuhlungu ngemuva kokuwa noma ukulimala

Ukuhlonza ubuhlungu obuphansi emuva

Ukuthola izinhlungu ezisezingeni eliphansi, udokotela uzoqala ahlole ngokomzimba. Bazobheka ukuthi uhamba kanjani kahle futhi uma umhlane wakho unezinkinga ezithile ezibonakalayo.

Ngemuva kwalokho bazothatha umlando wezokwelapha. Lokhu kuzomboza izimpawu zakho, noma yikuphi ukulimala kwakamuva, izingqinamba zangaphambilini zangaphambilini, nobukhulu bezinhlungu zakho.

Ukuhlolwa ngokomzimba kanye nomlando wezokwelapha imvamisa kwanele ukuthi udokotela anqume imbangela yobuhlungu bakho. Noma kunjalo, bangahle futhi badinge ukwenza isivivinyo sokuthatha izithombe. Ukuhlolwa okungenzeka kufaka:

  • I-X-ray, engathola amathambo aphukile noma angaqondile.
  • I-CT scan, ekhombisa izicubu ezithambile njengama-discs phakathi kwama-vertebrae kanye nezicubu ezingaba khona
  • i-myelogram, esebenzisa udayi ukuthuthukisa umehluko ku-CT scan noma i-X-ray ukusiza udokotela ukuthi abone ukucindezelwa kwemizwa noma komgogodla
  • ukuhlolwa kwemizwa uma udokotela esola izingqinamba zezinzwa
  • ukuskena amathambo ukubona ukuthi unezinkinga ezithile zethambo (akusetshenziswanga njengokujwayelekile njenge-X-ray)
  • i-ultrasound ukubheka kakhulu izicubu ezithambile (ezingasetshenziswanga njengokuvivinya kwe-CT)
  • ukuhlolwa kwegazi uma udokotela esola ukuthi kunesifo
  • Ukuskena iMRI uma kunezimpawu zenkinga enkulu

Ukwelapha izinhlungu ezisezingeni eliphansi ohlangothini lwesobunxele

Ngokuvamile, abukho ubufakazi obuningi bezokwelapha ngezinhlungu ezisezingeni eliphansi ezingabangelwa inkinga ethile. Ezimweni eziningi, isikhathi, ukuphumula, nokunciphisa izinhlungu kuzosiza. Ezinye izindaba zidinga ukunakekelwa nokwelashwa.

Ngaphandle kokuthi unezimpawu zesimo esibi noma ube nokulimala kwakamuva, ungahlala uzama amakhambi asekhaya kuqala bese ubona udokotela uma usenobuhlungu.

Ukuzinakekela

Ukwelashwa kwasekhaya kungafaka:

  • iqhwa
  • amaphakethe ashisayo
  • ubuhlungu be-topical obudambisa i-lotion noma ukhilimu
  • izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
  • ukuphumula (inqobo nje uma kungaphumuli isikhathi eside embhedeni)
  • imisebenzi ekhawulelayo edala ubuhlungu obuningi
  • ukuzivocavoca umzimba

Ukwelashwa

Ukwelashwa kungahluka ngokuya ngesizathu sobuhlungu. Ukwelashwa okungenzeka kufaka phakathi:

  • ukwelashwa ngokomzimba
  • umuthi we-anticonvulsant wezinkinga ezithile zezinzwa
  • ukuphumula kwemisipha
  • ama-antibiotic wokutheleleka kwezinso
  • izinzwa zivimba
  • imijovo ye-steroid uma unesifo sokuvuvukala
  • ukugqashula noma ukususa itshe leso
  • i-acupuncture (yize ucwaningo ngokusebenza kwalo kobuhlungu beqolo luxubekile)
  • ukuhlinzwa uma unenkinga enkulu, njengokucindezelwa kwemizwa, noma uma ezinye izindlela zokwelapha zehluleka

Ukuthatha

Ubuhlungu obuphansi emuva ohlangothini lwakho lwesobunxele, ngaphezu kwezinqe, kunezimbangela eziningi ezingaba khona. Iningi lingelashwa ngamakhambi asekhaya. Kepha ezinye zingathí sina.

Uma ngabe uke walimala muva nje, waba ndikindiki noma ubuthakathaka emilenzeni, ube nezimpawu zokutheleleka, noma uzwa ubuhlungu obubonakala buxhumene nomjikelezo wakho wokuya esikhathini, shayela udokotela.

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