Zizindikiro za ululu kapena zopweteka m'miyendo kapena kumbuyo kwenikweni zingakhale chizindikiro cha vuto la msana, ndi chifukwa choyendera gawolo la thupi lanu. Mukamayesa zochitika za msana, dokotala wanu adzafufuza ntchito zosiyanasiyana kuti adziwe malo ndi magwero a vuto lanu.
Ambiri a madokotala amachita njira yowonongeka yothetsera mavuto a msana.
Ngakhale mosakayikira kusiyana kwa dokotala kupita kuchipatala, njira zofunikira zowonongeka msana ndizofanana kwambiri. Malingana ndi zizindikiro zanu ndi zofufuza zanu zachipatala, cholinga ndi kuzama kwa kafukufuku zingasinthenso.
Mfundo zofunikira zingapo tisanalowetse tsatanetsatane wa kafukufuku wamkati:
- Choyamba, kufufuza kwathunthu ndi kutsimikiza kwathunthu kwa chitsimikizo cha ululu kungatenge maulendo oposa umodzi kuchipatala chanu. Kawirikawiri, cholinga cha kafukufuku woyambirira ndikuonetsetsa kuti palibe zizindikiro za vuto la msana lomwe lingayambitse vuto ladzidzidzi. Pamene zinthu zikuwoneka kuti sizowonjezereka, cholinga chimakhala choletsa mphamvu zowonetsera m'malo moyesa kufufuza.
- Chachiwiri, kufufuza mitsempha ya m'mimba kumaphatikizapo kuyeserera osati mbali yokha ya mmbuyo ya thupi, komanso mitsempha yofunika kuchokera ku dera lino mpaka kumapeto . Ndicho chifukwa chake iwe ndiwe dokotala mukhoza kutenga nthawi kuti muyese mphamvu, zozizwitsa, ndi zokhazikika kumapeto kwenikweni.
Flags Yakufikira Mavuto Ovuta Kwambiri
Monga tafotokozera, pamene poyamba mukuyang'ana vuto la mphuno lakhalapo, pali zinthu zingapo zomwe zingakhale zoopsa kwambiri, ndipo izi ndizofunika kuzindikiritsa nthawi yomweyo. Izi zimaphatikizapo zinthu monga matenda, zotupa, komanso kupweteka kwa mitsempha.
Ngakhale kuti izi sizikusowa, dokotala wanu adzakufunsani mafunso ndikukuyang'anirani kuti muonetsetse kuti palibe zizindikiro zazimenezi. Zomwe zimatchedwa "mbendera zofiira" pazomwe zimapanga mpweya zimaphatikizapo:
- Matenda atsopano, kusintha kwa kulemera, kapena kutuluka kwa usiku
- Mbiri ya khansa yomwe imatha kusamukira ku fupa
- Ululu umene sungathe kupumula kapena umadzuka ku tulo
- Kusuta kapena kusungirako makina
- Zosokonezeka zamakono
Zizindikiro za 'zizindikiro zofiira' zidzatsogolera chipatala chanu kukafufuza ndikusintha mayesero ena kuti awonetsetse mavuto omwe angakhale nawo. Ndikofunika kuzindikira kuti chifukwa chakuti muli ndi malungo, sizikutanthauza kuti kupweteka kwa msana kwanu ndidzidzidzi. Komabe, zizindikirozi zingagwirizane ndi zovuta zina, ndipo zizindikiro zomwe ziyenera kuyambitsa kufufuza kwakukulu.
Kufufuza Zakala
Kukhala ndi njira yowonongeka kumathandiza kuti woyezetsa wanu asanyalanyaze mfundo zofunika. Njira zowonongeka za msana wamphongo zikuphatikizapo: kuyendera, palpation, kuyenda, mitsempha, ndi mayesero apadera. Zonsezi zikhoza kuyesedwa ndi zosavuta zochepa, ndipo ngati zovuta zikuwoneka, kufufuziridwa mwatsatanetsatane kungachitike.
- Kuyendera : Kufufuza kumaphatikizapo kufufuza kwa maonekedwe a msana. Izi zingaphatikizepo kuunika kwa kayendetsedwe ka kutsogolo ndi kumbali ya wodwalayo. Kuyezetsa kuyenera kuchitika pa khungu lopanda kanthu kuti liwone ngati pali vuto lililonse kapena umboni wa kuvulala.
- Kulumikizana : Kuphatikizana kumatanthauza kugwira thupi. Wowunika wanu akhoza kumverera chifukwa cha misala iliyonse kapena zovuta zina zozungulira mphalapala zam'mimba ndi m'mimba mwa m'mimba. Kuonjezera apo, palpation iyenera kuyesa pa dera lililonse lomwe likukhudzidwa kwambiri.
- Kuyenda : Kuthamanga kwa mphalapala kungapangidwe mwa kufunsa wodwala kuti apinde patsogolo, kumbuyo, kupotoza mbali zonse, ndi kumatsamira kumbali iliyonse. Kuonjezerapo, oyezetsa ambiri adzafuna kuwona kuti palibenso vuto lililonse limene lingasonyeze vuto la mitsempha.
- Ntchito ya mitsempha : Kawirikawiri, woyesa wanu adzafufuza ntchito zitatu za mitsempha. Choyamba, mphamvu ya minofu yosiyanasiyana ya m'munsi mwake. Chachiwiri, kumverera kumapeto kwenikweni. Chachitatu, ntchito ya malingaliro anu, kawirikawiri pamadzulo ndi pamimba, ngakhale pali zinthu zina zomwe zingayesedwe. Kufooka kwa minofu, zosavuta za kumva, ndi malingaliro osakanikirana akhoza kukhala chizindikiro cha mitsempha yopanda mphamvu.
- Mayesero apadera : Pali chiwerengero cha mayesero apadera omwe oyezetsa anu angachite. Mayeserowa angaphatikizepo mayesero apadera a mitsempha ndi zizindikiro za mkwiyo wa mitsempha. Kafukufuku amene amachitidwa kawirikawiri amatchedwa mwendo wowongoka .
Kuyesa Mayesero
Kulamulira zojambula zojambula sikofunikira kuti mankhwala oyamba a ululu wochepa. Ngati pali zokhudzana ndi zizindikiro za matenda aakulu, mayesero angapangidwe kuti ayesedwe pa chimodzi mwazimenezi. Komabe chifukwa cha ululu wammbuyo womwe umaganiziridwa kuti ukuchokera ku chitsimikizo choposa (matenda osokoneza bongo, vuto losokoneza ubongo, nyamakazi, etc.), kuyesedwa koyambirira sikuli kothandiza, ndipo nthawi zambiri kumatha kuchiza chithandizo chochuluka kuposa momwe zingakhalire zofunikira.
Mukamayesedwa, dokotala wanu akhoza kulamula mayesero osiyanasiyana osiyanasiyana. Mmodzi sali wabwino kuposa wina, koma pazinthu zina zingakhale zothandiza. Anthu ambiri omwe ndimawawona za ululu wammbuyo amafuna MRIs. MRIs nthawi zambiri ndiwothandiza, koma osati m'mayesero onse. Kuonjezera apo, ma CRIs amayenera kutanthauzira mosamala, chifukwa nthawi zambiri amasonyeza zotsatira zomwe zingakhale zothandiza, ndi zina zomwe sizikugwirizana ndi magwero ovuta. Kutsogoleredwa ndi kutsata zotsatira za mayesero popanda kuika izo pazochitikazo ndikufufuza zomwe zafotokozedwa pamwambazi zingapangitse mankhwala olakwika kapena osafunika.
Mawu Ochokera
Ndikofunika kuvomereza kuti palibe chomwe chafotokozedwa pakali pano chingakupangitseni kumva bwino kapena kuthetsa zizindikiro zowawa. Ngakhale kutsimikiza kuti palibe vuto lalikulu lomwe likuchitika ndikuyesera kufotokozera vutoli ndizofunikira zofunikira, zenizeni ndizo kuti chithandizo ndi chimene anthu akuchifuna. Kawirikawiri, chithandizocho sichidalira kwenikweni matenda. Pazifukwa zambiri za kupweteka kwa kupweteka, mankhwala amayamba ndi njira zomwezo ngakhale kuti vuto ndi dis, vuto la minofu, kapena china. Ndizochitika zosazolowereka zomwe nthawi zambiri zimakhala ndi zizindikiro za 'reg flag' zomwe mankhwala amatha kukhala chinthu china.
> Zotsatira:
> Kusankha Mwanzeru ® ndi njira ya ABIM Foundation. © 2017
> Chou R, et al. Komiti Yogwira Ntchito Yogwira Ntchito Yogwira Ntchito ya American College of Physicians; Chipembedzo; American Pain Society Low Back Pain Guide Panel Panel. "Kuzindikira ndi chithandizo cha kupwetekedwa kwapweteka: chilolezo chogwiritsira ntchito chipatala cha American College of Physicians ndi American Pain Society." Ann Intern Med. 2007 Oct 2; 147 (7): 478-91.
> Wolemba S, Corey A. "Kupereka chithandizo chachipatala ndi kupweteka kwapweteka kwambiri: dongosolo lokhazikitsa umboni". J Am Coll Radiol. 2012 Oct; 9 (10): 704-12.