Makhalidwe Abwino Owonjezereka Opaleshoni Yam'mimba
Njira zambiri zomwe zimakhalapo pakusanthula ndi kutchula msana, kapena khosi, ululu ndilo chifukwa chake mankhwala opweteka pamtima amasiyana. Zigawo zosiyanasiyana zimakhala ndi zizindikiro ndi zizindikiro, kusintha kwa thupi m'magawo ena a msana (kaya amachokera kumaliseche , majeremusi, kapena kupwetekedwa mtima), ndipo ngati mitsempha yanu ya m'mimba imakhudzidwa.
Osati izo zokha, koma chizindikiro cha mtundu wina wa ululu wa khosi mwina chingakhale ndi magawo awiri kapena oposa "ovomerezeka".
Koma m'zaka makumi angapo zapitazi, njira zomwe opanga amachititsa kuti azimva kupweteka kwa khosi ayamba kusintha. Poyamba, malo ndi nthawi ya zizindikiro pamodzi ndi mafilimu omwe amavumbulutsidwa ponena za kutuluka kwa m'mimba mwa msana amaimira zofunikira kwambiri ndi zofunikira zomwe zimafunikira kuti adokotala azindikire ululu wa msana. Tsopano, chikhalidwechi chikuyang'ana njira yopangira chithandizo, makamaka pankhani yodzisamalira, osati yopaleshoni.
Othandiza amakhulupirira kuti njira yabwino kwambiri yodziwira ndi kupweteka kupweteka kwa khosi komanso kupweteka kwa khosi.
Mankhwala Amagulu
Chitsanzo cha mankhwala, mosiyana ndi "chitsanzo cha pathoanatomical," chimachokera pa zolinga za chithandizo ndi momwe zolingazo zikukwaniritsidwira. Mwa kuyankhula kwina, pa gulu lirilonse lokhazikika-kutayika, kuyenda bwino, kuchita masewero olimbitsa thupi, kupweteka mutu, kapena kupweteka kwambiri-chitsanzocho chimapereka chithandizo ndi / kapena njira zomwe zingagwiritse ntchito bwino kuti mutembenuzire khosi lanu kuntchito ndi dziko lopweteka.
Gawo lirilonse la mankhwala likuphatikizidwanso mwa magawo ang'onoang'ono: zovuta, zochepa, ndi magawo osatha. Mndandanda wa tsatanetsatanewu ndi wothandiza, popeza nthawi yochokera ku chiwonongeko kapena zizindikiro zimakhala ndi mbali yofunikira popanga mitundu ndi mphamvu ya chithandizo chomwe chingagwire ntchito bwino.
Mungapeze kuti kugwa kwanu kukugwera m'gulu limodzi.
Mwachitsanzo, zovuta, zotupa , ndi whiplash makamaka zimatumizidwa kupweteka, komatu malinga ndi Chad Cook, wodwalayo ndi PhD, amatha kupezeka muzochita zomwe zikuchitika.
Mu 2008, machitidwe ochizira mankhwalawa anaphatikizidwa monga mbali ya APTA Orthopedic Guidelines. Zotsatira izi tsopano zikugawa ululu wa khosi muzinayi mwa njira zisanu zotchulidwa pamwambapa. Amasiya zochitika zolimbitsa thupi, koma ena amadziwongolera, mwina chifukwa chochita masewera olimbitsa thupi ndi imodzi mwa njira zothandiza kuthetsera ululu womwe umakhala nawo pakati pa mimba ya msana.
Mwanjira iliyonse, akatswiri akupitirizabe kukula ndikupatsanso njira zothandizira anthu atsopano.
Kuwunika
Asanayambe kulandira chithandizo cha mankhwala, dokotala wanu angakuwonetseni matenda aakulu kapena matenda a msana, omwe amatchedwa mbendera zofiira . Nthawi zambiri, mavuto awa ndi omwe amayambitsa zizindikiro. Ngati dokotala wanu atapeza chinachake chomwe chikusonyeza kuti ali ndi matenda aakulu, mwina angakuuzeni katswiri kapena kuyesa.
Akhoza kukuwonetsani zinthu zakuthupi, zotchedwa chikasu. Izi zikugwirizana ndi maudindo omwe mumasewera m'zinthu zosiyanasiyana za moyo wanu, komanso momwe mumagwirira ntchito komanso ndalama zanu komanso maganizo anu pazinthu.
Kuwonetsetsa kotereku kumamuthandiza kuzindikira ngati muli woyenera kuchipatala pakalipano.
Mukatha kuthetseratu mavutowa, mukhoza kutchulidwa kuchipatala. Ngati ndi choncho, tsopano ndi nthawi yoti mudziwe gulu la mankhwala omwe mumagwa.
Kuchokera Mthunzi Wosautsika Pakhosi
Anthu omwe ali m'gulu la anthu odwala matendawa amamva kupweteka kwa khosi, kapena kupweteka kwa mutu kumbali imodzi yokha. Ngati zikukufotokozerani, mungapeze kuti khosi lanu liri lopanda malire momwe angathere, koma kuti mukamasunthira, izi zimabweretsa zizindikiro zanu. Chizindikiro china chokhala ndi vuto lotha kuyenda m'khosi kumatchulidwa kapena kupweteka kwa manja.
Mbiri ya zachipatala ndi kafukufuku wamthupi zomwe adokotala amamupatsa zimamuthandiza kuzindikira pakati pa zina ngati mukufuna kutumizidwa kwa katswiri.
Dokotala wanu angayang'ane zomwe zimadziwika kuti nkhani za maganizo, zomwe ambiri m'madera opweteka amakhulupirira zimapangitsa kusiyana pakati pa chithandizo cha chithandizo komanso ngati simukukhala ndi chikhalidwe cha nthawi yaitali. Ngati apeza zinthu zakuthupi mu chithunzi chanu chachipatala, akhoza kukuwongolera kuchipatala chaching'ono chomwe chimatchedwa kuti chidziwitso cha khalidwe labwino. Mankhwalawa angakuthandizeni kudziwa mmene mungasungire ululu ndi kulemala moyenera.
Mu gulu losauka, chogogomezera ndikutulutsa khosi lanu. Chithandizo cha cholinga ichi chingaphatikizepo manja pa kukakamiza kapena kupweteka kwa khosi lanu kapena kumbuyo kwapamwamba, masewera olimbitsa khosi kuti awonjezere kayendetsedwe ka kayendetsedwe kake komanso onse omwe akuyang'aniridwa ndi kukhazikitsa mapulogalamu ndi kukhazikitsa kwawo. Mwinanso mudzalimbikitsidwanso kuchita ntchito zowonongeka ndikukhalabe ogwira ntchito m'moyo wanu wa tsiku ndi tsiku.
Pamene chithandizo chanu chikupita, kuyanjana ndi kuphunzitsidwa kwanu kungapangidwe ku mapulogalamu anu ochita masewera olimbitsa thupi.
Mukadutsa gawo lachimake, yambani mankhwala monga osowa omwe akuwuma, otsika laser laser , ultrasound, traction, TENS, ndi muscle e-stim akhoza kuwonjezeredwa.
Kupweteka kwachisoni, Kukonzekera, & Whiplash
Olemba amasiyana mofanana ndi momwe amawatchulira ndi kufotokoza gululi koma makamaka amapezeka pambuyo pozunzika, kukwapulidwa , ndi / kapena kusunthira kapena kusinthana kwa nyumba. Kawirikawiri, ziphuphu zanu zimakwiyitsa kwambiri m'gulu lino, ndipo ngati muli ndi vuto kapena kupweteka, ululu umakhala wowawa kwambiri.
Zizindikiro zikhoza kuphatikizapo ululu wopweteka pamapewa ndi / kapena mkono, zizindikiro zotsutsana, chizungulire kapena kunyoza, kupweteka mutu, kusokonezeka kapena kukumbukira mavuto, kupsinjika, kuthamangitsidwa , kukhumudwitsa, kuwala ndi zina zambiri, minofu yanu ya khosi.
Mukamalankhula ndi dokotala wanu zizindikiro, zomwe mungathe komanso zomwe simungathe kuzichita, kuphatikizapo zambiri pazochitika zina zaumoyo, adziwongolera zoyenera kutsata. Amachita zimenezi pozindikira komanso kulingalira kayendetsedwe ka kayendetsedwe kake komanso kupweteka pakati pa zinthu zina.
Mofanana ndi mitundu ina yonse ya chithandizo, mtundu wa ululu umasintha ngati mankhwala akupita. Izi zikutanthauza kuti kuyambiranso kawirikawiri kudzakuthandizani kukhalabe paulendo ndi machiritso anu.
Chithandizo cha ululu kawirikawiri chimaphatikizapo njira zakuthupi, zochita zamphamvu, ndikulimbikitsana kapena mankhwala othandiza.
Zowawa Zothandizira Odwala
Pa nthawi yapadera, dokotala wanu kapena wodwalayo angakulimbikitseni kuti mupitirizebe kugwira ntchito ndi kuyambiranso ntchito zanu zachilendo ndipo ndikupatsani pulogalamu ya kunyumba. Kuwonjezera khosi lanu kusinthasintha ndi kukhazikika kudzakhala zolinga zofunika panthawiyi. Nthawi zina, kuvala kolala nthawi zina kumatchulidwa.
Mofanana ndi gawo lachimake, panthawi yapadera, wodwala wanu angakulimbikitseni kuti mupitirize kugwira ntchito. Pulogalamu yanu yowonetsera kunyumba ikhoza kuyendetsa kusinthasintha kwa khosi, kuphatikizapo mphamvu. Zina zapakati zovuta zapweteka zothandizira chithandizo cha mankhwala zimaphatikizapo kuwonjezereka kwa minofu, kukulitsa kugwirizana kwanu, kuwongolera malo, ndi kukhazikitsa mtima wanu.
Manual therapy ndi / kapena kukakamiza ndi mankhwala ena omwe angapangidwe panthawiyi. Chipale chofewa, kutentha , ndi ndondomeko yoyang'anira zochitika muzipatala ndizofala.
Nthawi yokwanira itatha, mudzakhala mu gawo losatha. Panthawi imeneyi, kuyang'anira kupweteka ndikofunika kwambiri.
Bwalo liri m'bwalo lanu nthawi yayitali, ndipo kukhalabe nawo mbali mu machiritso anu ndi chinthu chofunikira kwambiri cha kupambana. Pogwirizana ndi zolinga zotchulidwa pamwambapa, wodwala wanu angakupatseni zovuta zovuta komanso / kapena zovuta, komanso maphunziro otsogolera.
Ndipo mbali yofunikira ya kuyendetsa ululu wokhudzidwa ndi momwe mumayankhira pa zovuta. Monga tafotokozera pamwambapa, chithandizo cha khalidwe lachidziwitso ndichidziwitso chafupipafupi chomwe chimathandiza anthu ambiri kuyika kupweteka kwawo kosalekeza ndikuwapatsa zida zoyendetsera bwino tsiku ndi tsiku.
Kuchiza Mutu
Ngati vuto lanu la khosi limapweteketsa mutu, mungapeze kuti matenda anu ofewa amakhumudwa-njira ina yodziwiritsira kuti matenda anu sangathe kuvutika maganizo nthawi zonse. Kukhumudwa koteroko kungakhale kokhudzana ndi momwe chithandizo chanu chimayendera, ndi / kapena kuchuluka kwa kutupa kuli m'matenda anu.
Makhalidwe ena a moyo wanu ndi maganizo anu akhoza kugwira ntchito pano, naponso. Izi zimaphatikizapo, koma sizinali zokhazokha, kuchuluka kwa ubongo umene muli nawo komanso ngati kugona kwanu kusokonezeka ndipo ngati zili choncho, mpaka kufika pati. Kuchuluka kwa mankhwala omwe mumatenga komanso momwe mumagwirira nawo ntchito m'moyo ndizofunikira.
Kawirikawiri, chithandizochi chimangogwira ntchito yolimbikitsa komanso zolimbikitsana. Pamene kupweteka kwa minofu kumayambitsa kupweteka kwa kupweteka kwa khosi ndi kupwetekedwa mutu, kupaka minofu ndi kutambasula kungathenso kutonthozedwa.
Pazigawo zosalephereka, kubwezeretsa kumbuyo kumatha kuwonjezeredwa, monga momwe machitidwe ena angagwiritsire ntchito khosi, chapamwamba kumbuyo, ndi mapewa. Kuchita masewera olimbitsa thupi mu gawoli kungakhale kulimbikitsa kulimbitsa, kupirira minofu, kulamulira, kugwirizana, ndi kukhazikika.
Zizindikiro Zambiri (Centralization)
Gawo lomalizira pazochitika zothandizira mankhwala ndi kupweteka kwakukulu. Akatswiri ena amatchula zayiyi monga centralization.
Kupweteka kwakukulu kumapweteka chifukwa cha kupanikizika kapena kupsa mtima kwa msana wa msana. Kawirikawiri zimachokera ku diseni ya herniated, koma zifukwa zina zimakhalansopo.
Zizindikiro zimapweteketsa khosi ndi mkono, ndipo mwina zizindikiro za mitsempha zomwe zimapita pansi. Zitsanzo ndizitsulo ndi masingano a mitundu yosiyanasiyana, zofooka, ndi / kapena zofooka zogwirizana ndi kugawa mitsempha yomwe imachokera ku mitsempha ya msana wam'nsana yomwe imakhumudwitsidwa kapena kuumirizidwa.
Kuchiza, pakali pano, kumafuna "kuikapo" ululu, kutanthauza kusuntha zizindikiro kuchokera kumapeto kumbuyo, kapena pafupi, kumsana. Chitsanzo chingaphatikizepo kugwedeza msana wanu kuti athetse zizindikiro za m'mimba zomwe zimagwiritsidwa ntchito ndi disc.
Monga momwe zilili ndi mutu wa mutu, momwe matenda anu amatha kupanikizika kwambiri pamaganizo amadziwitsa ntchito zanu. M'mawu ena, chithandizo chidzapitirira mogwirizana ndi kulekerera. Komanso monga ndi mutu, kukhala ndi moyo komanso maganizo anu kungathandize kuti mukhale ndi moyo.
Pa nthawi yowawa kwambiri, mungathe kuchita masewera olimbitsa thupi omwe amathandiza kuthetsa zizindikiro, kuwonjezera kusintha kwanu ndi kuyenda, kukhazikika kwanu, ndi kulimbikitsa thupi lanu lonse. Mankhwala ena angaphatikizepo otsika laser laser ndi kuvala kolala kwa kanthawi kochepa.
Pazigawo zosalekeza, mankhwala angaphatikizepo kutambasula ndi kulimbikitsa, kuphatikizapo mankhwala othandizira khosi lanu ndi / kapena kumbuyo kwake. Kusakanikirana kwapadera ndi njira ina yothandizira.
Mawu Ochokera
Kawirikawiri, kupweteka kwa khosi si chifukwa chobwerera ku bedi lanu. Kuchita mwakhama ndikuchita zozizwitsa zomwe zingakulimbikitseni kungakuthandizeni kuti mukhale bwino ndikusuntha zambiri.
Kuchokera pa zochitika zolimbitsa thupi mpaka njira zamankhwala zakuthupi ndi zina, kuphatikiza kwa mankhwala kungapereke zotsatira zabwino kwambiri. Ndipo ponena za kufunika koyendetsa ululu ndi kuchepa kwa kayendetsedwe kake, mukhoza kulingalira chithandizo chamaganizo. Anthu ambiri amanena kuti kugwiritsa ntchito njira imeneyi kumawaphunzitsa momwe angagwirire bwino ndi vuto lawo popanda kufunikira kupereka moyo ndi maudindo awo.
> Zotsatira:
> Chien., J., et. al. Kodi kupweteka kwa magetsi ndi njira yabwino yotani? Kupweteka kwapakhosa Mutu wa Mutu Rep. Dec. 2008.
> Cook, CPT, PhD. Umboni Wochiritsidwa wa Cervical Spine. Maphunziro a Medbridge.
> Davies, CI, ndi. al. Chochitika cha centralization: Udindo wake pakuwunika ndi kusamalira ululu wa m'mbuyo BC Medical Journal. September 2004.
> Nkhungu Yam'mimba: Malangizo Othandizira Amakono Kupititsa patsogolo 2017 JOSPT Orthopedic Section. July 2017.