Zowawa Zochepa:
Kuchiza kwa ululu wowawa kumapeto ndi vuto lomwe aliyense angakhale nalo nthawi ina pamoyo wawo. Nthawi zambiri, kupweteka kumbuyo kumatsimikizira ndi mankhwala osavuta. Pali njira zingapo zomwe zilipo, ndipo palibe mankhwala amodzi omwe asonyezedwa kuti ndi apamwamba pa chithandizo cha kupweteka kwapweteka komwe kumakhalako. Izi ndi zina mwa mankhwala ochiritsira omwe amagwiritsidwa ntchito pa ululu wammbuyo, ndi momwe amasonyezera kuti ali othandiza.
Kusintha kwa Ntchito:
Gawo loyamba pa chithandizo cha kupweteka kwa kupweteka kwa msana ndiko kupeŵa kupweteka kwa msana. Odwala amafunika kumvetsa kuti ululu wammbuyo ndi wamba, ndipo nthawi zambiri amathetsa nthawi. Kugona kwa ogona kawiri kaŵirikaŵiri kunkavomerezedwa, koma kwapezeka posachedwa kuti ayambe kupumula ku ululu wammbuyo. Kupuma kwa nthawi yayitali kungayambitse kupweteka kwapambuyo kosalekeza, ndipo kafukufuku wasonyeza kupuma mofulumira ndi zochitika zolimbitsa thupi.
Kawirikawiri kugwiritsira ntchito glasi ndi kutentha kumatchulidwa, ndipo kumapereka chithandizo chamankhwala pochita zinthu izi, koma palibe phindu lomwe limadziwika kupatula mpumulo wa nthawi yayitali.
Mankhwala Oletsa Kutentha:
Mankhwala otsutsa-kutupa ndiwo mankhwala omwe amalangizidwa kwambiri chifukwa cha ululu wammbuyo, ndipo asonyezedwa kuti ndi imodzi mwa mankhwala ogwiritsidwa ntchito kwambiri. Mankhwala osakanikirana ndi otsekemera (kapena a NSAID) ogwira ntchito pochepetsa ululu ndi kuchepetsa kutupa .
Palibe mankhwala omwe amasonyeza kuti ndi abwino kuposa ena, ndipo odwala ambiri amapeza mankhwala omwe amawayendera bwino (ena amakonda kumwa mankhwala amodzi kamodzi, ena amakonda mankhwala omwe angatengedwe mobwerezabwereza).
Kupweteka Kuchotsa Mankhwala:
Mankhwala othandizira kuthetsa zizindikiro zopweteka nthawi zambiri amathandiza ndi zizindikiro zomwe sizimasulidwa ndi NSAIDs.
Kawirikawiri, kuphatikiza NSAID ndi acetaminophen kapena Tramadol kungathandize kulola kupumula kokwanira, popanda kugwiritsa ntchito mankhwala opweteka a nthenda . Mankhwala opatsirana pamutu , kuphatikizapo capsaicin ndi lidocaine, angathandizenso, ngakhale kuti zotsatira zake sizikhalapo pakatha mankhwalawa atachotsedwa.
Ngati izi sizikukwanira, dokotala wanu angaganizire mankhwala ochepetsa ululu wosokoneza bongo . Chifukwa cha zovuta zawo, mankhwala osokoneza bongo amagwiritsidwa ntchito pokhapokha ngati mankhwala ena amalephera kuthetsa zizindikiro zanu.
Muscle Relaxers:
Kupweteka kwa minofu ndizodandaula kawirikawiri, makamaka kumayambiriro kwa kupweteka kochepa. Ndipotu, kwa odwala ambiri, kupweteka kwa minofu ndilo vuto lalikulu kwambiri la kupweteka kwa m'mbuyo. Kupulumutsidwa ndi mankhwala opumula minofu kungakhale othandiza pa magawo oyambirira awa, koma mankhwalawa ayenera kugwiritsidwa ntchito kanthawi kochepa chabe. Mankhwala otulutsa minofu amakhala ndi zotsatira zina monga kugona ndi kudalira.
Steroid Mankhwala:
Mankhwala a steroid ndi othandiza pa kuchepa kwa kutupa ndipo angaperekedwe pamlomo kapena jekeseni pafupi ndi msana, chomwe chimatchedwa epidural injection . Mitundu yambiri ya ululu wammbuyo, mankhwala a steroid sasonyeza kuti ndi opindulitsa.
Odwala omwe ali ndi mitsempha yambiri, amachititsa kuti zizindikiro za ululu wa m'mimba, zimapangidwanso ndi mankhwala a steroid, koma kawirikawiri kupweteka kwakumbuyo sikukusowa mankhwala a steroid. Komanso, madokotala ambiri amaona kuti zotsatira zowonjezereka ndi mankhwala a steroid sawapanga kukhala ofunika.
Thandizo Lanyama:
Mankhwala ndi machitidwe opanga thupi awonetsedwa kuti ndi othandiza kwambiri pochiza kupweteka kwapweteka kwanthawi yaitali. Kuchita masewera olimbitsa thupi kungakhale ndi phindu kuphatikizapo kusintha kwabwino, kusinthasintha ndi mphamvu. Kuonjezera apo, anthu amene amachiza ululu wam'mbuyo amatha kusintha maganizo, kuchepa kwa mankhwala opweteka, komanso kupewa kuperewera kwa mphamvu.
Wodwala wathanzi angakhale othandiza makamaka pokutsogolerani mu ndondomekoyi, ndikuthandizani kudziwa zochitika zomwe zingathe kulekerera. Komanso, wodwala wodziwa bwino angathe kuonetsetsa kuti mukuchita masewera olimbitsa thupi kuti asakuwonetseni kuti muvulaze.
Njira Zochiritsira Zina:
Pali njira zambiri zochiritsira zothandizira kupweteka kumbuyo komwe nthawi zambiri zingakhale zothandiza kapena zowonjezera kuposa mankhwalawa . Kuchulukitsa mankhwala ndi mankhwala achipatala achi China omwe amagwiritsidwa ntchito kwa zaka zopitirira 2,000. Mankhwala otsekemera ndi mankhwala amathanso ndi mankhwala omwe angakuthandizeni kuti musamve ululu.
Anthu ambiri amamva kuti madokotala samalandira njira zina zochiritsira , koma zoona zake n'zakuti monga momwe odwala ena amapezera chithandizo ndi mankhwala, ambiri amapeza mpumulo ndi njira zina zothandizira. Nthawi zonse ndimalimbikitsa odwala omwe amamva kupweteka kumbuyo kuti andiuze za njira zosiyana zothandizira kuti ndidziwe zomwe zimawagwirira ntchito.
Opaleshoni Yamakono:
Nthawi zambiri, kupweteka kumbuyo kumakhala bwino ndi nthawi ndi mankhwala omwe atchulidwa pamwambapa. Komabe, odwala ena potsirizira pake amatha kuchitidwa opaleshoni kuti apite patsogolo. Pali njira zingapo zothandizira odwala opaleshoni . Ngakhale kuti nthawi zambiri masitepe amenewa sakufunika, odwala ena, opaleshoni ya msana ikhoza kukhala chithandizo chofunikira .
Chitsime:
Shen FH, ndi al. "Kupanga Nonsurgical Management of Acute and Chronic Low Back Pain" J. Am. Acad. Orthop. Kukula, August 2006; 14: 477 - 487.