Ndi zinthu zina zakumbuyo, malo enieni amadziwika kuti athandizidwe kuyang'anira zizindikiro. Malo awa amadziwika kuti amataya. Pali mitundu itatu ya zosokoneza: kujambulidwa, kufalikira ndi kusalemera. Kuphatikizidwa pamodzi, zotsutsanazi zimatchedwa zokonda zapamwamba.
Ngati bwenzi lanu limakhala bwino komanso / kapena kuti zizindikiro zanu zimakhala zovuta mukamawerama, ndiye kuti kuvulaza kapena chikhalidwe chanu mumakhala ndi chilakolako cha kutulukira.
Mwachitsanzo, msana wamtsempha , womwe ndi malo omwe amachepetsera malo mu intervertebral foramen, nthawi zambiri amakhala ndi ubweya wambiri. Anthu ambiri omwe ali ndi stenosis a msana amapeza kuti kugwedezeka msana (aka khungu) kumapangitsa kuti azikhala bwino. Chifukwa chake ndikuti kubwerera patsogolo kumapanga malo ambiri mu intervertebral foramen . Izi zimathandizanso mitsempha yomwe imadutsa mu toamin kuti ichite popanda kuthandizidwa kapena kuponderezedwa pafupi (ndipo nthawi zambiri imatuluka chifukwa cha nyamakazi) fupa.
Zochitika zina zomwe nthawi zambiri zimakhala ndi phokoso lakumaphatikizapo spondylosis ndi spondylolisthesis .
Chifukwa cha kuvulala komanso kupweteka kwa thupi, zizindikiro zimakula pamene msana wanu ukutambasulidwa.
Zokonda Zowonjezera
Kusiyana kwa kujambula kwapakati ndi chisokonezo. Monga momwe mungaganizire, chisokonezo chimachitika pamene kuyenda kwa msana wanu kumachititsa kuti zizindikiro zanu zikhale bwino. Zitsanzo za mikhalidwe yomwe imakhala ndi zowonjezereka zowonjezera ndizoyambitsidwa ndi disk.
Anthu omwe ali ndi zikhalidwezi nthawi zambiri amapeza kuti akamagwedezeka (mkati mwa msana) zizindikiro zawo zimakhala zoipitsitsa, ndipo monga momwe tafotokozera, atagwedeza kumbuyo kwawo, zimakhala bwino.
Mapangidwe Otsogola Thandizo Thandizani Bwino Lako Lomwe Lamukubwerera
Zosangalatsa zamakono (kuphatikizapo kusakanikirana ndi zosawerengeka) ndi mbali ya machitidwe osagwiritsa ntchito patho-anatomical omwe amachititsa kuti munthu asamve ululu, makamaka mavuto a disk, kupweteka kwapadera kapena kupweteka, kuperewera kwa sacroiliac komanso kusagwedera kwa msana chifukwa cha vuto ku pars (yomwe ili kumbuyo kwa vertebra kumene njira zimayambira.
Njira izi zimakhala mbali ya zigawo zina.)
Ndikuzindikira kuti "palibe-patho-anatomical" ndi kamodzi kotsekemera kotero tiyeni tipeze nthawiyo.
M'malo mofotokozera MRI kapena X-ray yanu za msana, njira yosagwiritsira ntchito patho-anatomical imatengapo mbali (pofuna kufufuza ndi kusankha mankhwala) kuchokera ku zizindikiro zomwe mumanena ndi zomwe wodwala wanu akuwona mukuyenda kwanu.
Njirayi imagwiritsidwa ntchito mu McKenzie ndi njira zina zothandizira mankhwala.
Njira yowonetsera kuchepetsa kupweteka kwapweteka kwapweteka imagwiritsidwa ntchito kwambiri, ndipo makamaka ku ofesi ya dokotala, osati kuchipatala chakuthupi. Izi zikhoza kutulutsa odwala ena pamaganizo, momwe njira yawo yogwirira ntchito imakhudzira maso ndi maso kumagwirizana ndi wodwala.
Ponena za izi, Nachemson, m'nkhani yake, "Scientific diagnosis kapena chizindikiro chosatsutsika cha odwala opweteka kwambiri." Lumbar Segmental Instability, "akuti:
Njira ya patho-anatomical yozindikiritsa ululu wopwetekedwa m'mimba ingakhale yopindulitsa kwa Amankhwala ndi Ochita Opaleshoni, koma kodi njira zothandizira mankhwalawa zimathandizira bwanji opaleshoni mu machitidwe awo a MLBP? Kodi othandizira enieni angasinthe zinthu zilizonse za patho-anatomical ndi njira zawo zosachizira zosavuta? Kodi ma ARV angathe kuchepetsedwa, kapena akhoza kusintha kusintha kwa zygapopseseal mfundo ndi intervertebral discs amatha kusintha njira zotsatirazi zothandizira mankhwala?
Ndipotu, kudalira kwambiri njira yosavuta yodziŵikiratu zodziŵira ndi kuchitiratu zowawa zomwe zapangitsa kuti azimva kupweteka kwachititsa kuti pakhale kuyesedwa koyesa matenda, kupuma kwa kama, kugwiritsira ntchito mankhwala osokoneza bongo, ndi opaleshoni. (Waddell 1998).
Chitsime:
Kinser, C., Colby, LA, Kuchita Zochita Zochizira: Maziko ndi Njira. 4th Edition. FA Davis Company. Philadelphia, PA. 2002.
Dunsford, A., Kumar, S., Clarke, S. Kuphatikizapo umboni wogwiritsidwa ntchito: kugwiritsa ntchito mankhwala a McKenzie chifukwa cha ululu wopweteka kwambiri. J Multidiscip Healthc. 2011.
Nachemson, A. Scientific diagnosis kapena chizindikiro chosatsutsika cha odwala ululu. Lumbar Segmental Instability. Szpalski M, Gunzburg R, Papa MH eds. Philadelphia: Lippincott William & Wilkins, 297-301.