Rehab pambuyo pa Opaleshoni Yoyamba Kumbuyo
Ngati muli ndi ululu wopweteka kwambiri kapena sciatica, mukhoza kupindula ndi kugwira ntchito ndi wodwalayo kuti akuthandizeni kuthetsa vuto lanu. PT yanu ingakuthandizeni kuchepetsani ululu wanu ndikuwongolera kuyenda kwanu ndi zochitika zenizeni zothandizira komanso kukonzekeretsa kwaseri .
Ngati kuchita masewero olimbitsa thupi, kukonzekeretsa, kusamalidwa, kapena mankhwala ena opatsirana akulephera kukupatsani mpumulo wokwanira wa zizindikiro zanu, mungafunike kupita kwa dokotala kuti mukambirane njira zina.
Nthaŵi zina, zizindikiro zanu zingakhale zovuta kwambiri moti mumafunikira opaleshoni kuti muthetse mpweya wanu wam'mimba kapena sciatica.
Matenda osokoneza bongo ndi laminectomy ndi opaleshoni ambiri omwe amagwiritsidwa ntchito kukuthandizani kuti mukhale ndi mpumulo ku zizindikiro zowawa zomwe zimachokera kumbuyo kwanu. Njira zopaleshonizi zimapangitsa kuchepetsa kupweteka kwa mitsempha yochokera kumbuyo kwanu yomwe ikuyambitsa sciatica. Ngati mukufuna kuchitidwa opaleshoni pa msana wanu kuti mutha kuchiza matenda, mukhoza kupindula ndi chithandizo chamankhwala mutatha opaleshoni kukuthandizani kubwerera kwathunthu kuntchito yanu yapitayi. Dokotala wanu angapange malingaliro apadera pa maphunziro anu apambuyo ndipo akhoza kukuthandizani kusankha wodwalayo wabwino.
Kodi Ndimasowa PT pambuyo pa Lumbar Laminectomy kapena Discectomy?
Pambuyo pa opaleshoni yanu yapamwamba, mukhoza kukhala bwino ndi zochepa kapena zosavuta. Msana wanu ukhoza kukhala wowawa kuchokera ku opaleshoni, koma muyenera mwamsanga kumverera ululu pang'ono.
Mungayambe kukayikira ngati mutapindula ndi chithandizo chamankhwala pambuyo pa laminectomy ya lumbar.
Kafukufuku amasonyeza kuti anthu omwe amachita nawo masewera olimbitsa thupi pambuyo pa lumbar discectomy amakhala ndi zotsatira zabwino poyerekeza ndi odwala omwe sachita zolimbitsa thupi nthawi zonse. Wodwala wanu wathanzi angakuthandizeni kudziwa zoyenera kuchita mukamaliza opaleshoni.
Kodi Ndiyenera Kuyamba Nthawi Yanji Yopangira Thupi Lumbar Laminectomy kapena Discectomy?
Kawirikawiri, muyenera kuyembekezera kuyamba mankhwala opitirira masabata 4 mpaka 6 mutatha opaleshoni yanu ya lumbar. Ngati pangakhale zovuta zapambuyo poyambitsa matenda monga matenda kapena kupatsirana magazi, ndiye kuti muyenera kuyembekezera nthawi yayitali. Mosiyana ndi zimenezo, ngati zinthu zakhala zikuyenda bwino pambuyo pa opaleshoni yanu, mukhoza kuyamba PT mwamsanga. Pambuyo pa lumbar discectomy, muyenera kukambirana ndi adokotala za nthawi yoyamba kukonzanso
Thandizo lachilengedwe Pambuyo pa Lumbar Laminectomy kapena Discectomy
Mukakhala opaleshoni yanu ndipo dokotala wakukonzerani kuti muyambe mankhwala opatsirana, muyenera kupanga msonkhano wanu kuchipatala chakuthupi. Paulendo wanu woyamba, wodwala wodwalayo adzayesa kufufuza ndi kuyesa. Zomwe zikuyambitsa kuyesedwa koyamba zikuphatikizapo, koma sizingatheke ku:
- Mbiri yolemba . Musanayambe kukambirana bwinobwino, wodwala wanu wa thupi angatenge mbiri yolembedwa kapena yomveka. Mafunso adzafunsidwa za momwe mumamvera, momwe kuvulala kwanu kunayambira, ndipo ngati pangakhale mavuto alionse pambuyo pa opaleshoni yanu. PT yanu ifunsanso za mbiri yakale ya zamankhwala. Ino ndi nthawi yabwino kufunsa mafunso ndikuyamba kupanga ubale ndi wodwalayo.
- Kufufuza kwapositi. Popeza malo oyenerera amawathandiza kukhala ndi thanzi labwino, PT yanu idzayesa momwe mungakhalire. Adzayang'ana msana wanu pamene mukukhala ndi kuimirira ndikulemba zotsatira zokhudzana ndi zomwe mukuchita. Iye akhoza kukuthandizani kupeza ndi kusunga malo abwino pamene mukukhala ndi kuimirira.
- Zambirimbiri. Wothandizira wanu wamthupi adzakuyendetsani kayendetsedwe ka mtundu wanu (ROM) . Chojambulira chotchedwa goniometer kapena bulble inclinometer chingagwiritsidwe ntchito kupeza mndandanda wowerengera wa kuyenda kwanu kwa msana.
- Mphamvu. Wodwala wanu wanyama adzayesa mphamvu zanu panthawi yanu yoyamba. Ngati mutakhala ndi zofooka kapena kufooka kwa thupi chifukwa cha kupweteka kwa mitsempha ya msana musanachite opaleshoni, wodwala wanu wanyama adzayesa mphamvu ya minofu imeneyi. Akhoza kuyesa mphamvu ya mimba yanu ndi kumbuyo, minofu ndi ntchafu, kapena minofu kuzungulira miyendo yanu ya pansi.
- Sakanizani minofu ya minofu. Pambuyo pa lumbar laminectomy kapena discectomy, mudzakhala ndi kamangidwe kakang'ono ka opaleshoni kumbuyo kwanu. Wodwala wanu wanyama amakhoza kufufuza minofu yowopsya kuti atsimikizire kuti khungu ndi ziwalo zapakati sizikulepheretsani kuyenda kwanu.
- Pulogalamu yamakono. Wodwala wanu wathanzi akhoza kupanga pepala la mapulogalamu a ubongo pamene mukuyesa koyambirira. Akhoza kuyesa makina anu otchedwa tendon reflexes ndi nyundo yowonongeka, ndipo mumatha kuwona kuwala kapena kukanikizidwa kungayesedwe.
- Kusintha kwa zovuta. Momwe thupi lanu limasinthira likhoza kuyesedwa pambuyo pa lumbar laminectomy. Magulu a minofu omwe angayesetsedwewo akuphatikizapo hamstrings , quadriceps , ndi minofu ya ng'ombe. Nthawi zina pambuyo pa lumbar laminectomy ndi discectomy, kumangirira mu mitsempha yanu ingakhalepo. Izi zimatchedwa mitsempha yothandizidwa ndi mitsempha ndipo imayamba ndi minofu yaying'ono yopanga mitsempha yomwe imachokera mumtsinje wa msana.
- Kuwunika ntchito. Wothandizira wanu wamthupi adzawonanso ntchito yanu yonse pambuyo pa opaleshoni. Kodi mumatha kugwira ntchito? Kodi mungachite nawo ntchito zanu zosangalatsa? Kodi ndinu ochepa ogwira ntchito mwa njira iliyonse? Mayankho a mafunso awa angathandize pulogalamu yanu PT kuti mukhazikitse zolinga zowonetsera kukonzanso pambuyo pa opaleshoni yanu.
Chithandizo cha Mankhwala Pambuyo Lumbar Laminectomy kapena Discectomy
Zotsatira za kafukufuku wanu wathandizi zidzathandiza wodwalayo kuti apange pulani ya mankhwala pambuyo pa lumbar laminectomy yanu. Nthaŵi zina, dokotala wanu angakufunitseni kutsatira tsatanetsatane yotsatira, ndipo wodwala wanu angakuthandizeni kukhalabe pamtundu.
Pakhoza kukhala zigawo zikuluzikulu za chithandizo chamankhwala anu, kotero onetsetsani kuti mufunse mafunso okhudza chithandizo chimene mumalandira. Mankhwala amodzi pambuyo pa lumbar laminectomy ndi discectomy ndi awa:
Kuchita masewera olimbitsa thupi . Pulojekiti yotsatila ntchito iyenera kukhala imodzi mwazomwe mukutsatila pazomwe mukutsatila. Kafukufuku amasonyeza kuti anthu omwe amachita masewera olimbitsa thupi pambuyo pochita upaleshoni wammbuyo ali ndi zotsatira zabwino kwambiri poyerekeza ndi omwe sachita masewera olimbitsa thupi.
Mazochita apadera amaphatikizapo kuchita masewera olimbitsa thupi a ROM ndi machitidwe olimbitsa thupi . Ngati wodwalayo wodwala amapeza zofooka m'magulu a minofu chifukwa cha kupweteka kwa mitsempha yowonongeka, machitidwe ena enieni angayang'ane pa minofu imeneyi. Kuchita masewera olimbitsa thupi ngati kuyenda pamtunda kungathenso kuuzidwa kuti muthandize kukwaniritsa kupirira kwanu. PT yanu ingakuphunzitseni momwe mungayang'anire bwino ntchito yanu.
Wodwala wanu wathanzi angaperekenso ntchito zolimbitsa thupi kuti zikhale zosavuta kusintha mumtambo wanu wa hamstrings, ng'ombe, ndi quadriceps.
Popeza kuti chithandizo chamtunduwu ndi chofunikira kwambiri chokhalira ndi thanzi la msana, wodwalayo ayenera kukuphunzitsani momwe mungakhalire bwino. Zochita monga njira yowonongeka ingakhale yothandiza kupeza malo abwino.
Makhalidwe abwino. Ngati mukukumana ndi ululu mutatha opaleshoni yanu, wodwalayo angasankhe kugwiritsa ntchito njira zina zomwe zingakuthandizeni kuchepetsa ululu wanu. Makhalidwe monga kukakamiza magetsi ndi TENS angagwiritsidwe ntchito kuthandizira kuchepetsa ululu wanu.
Kutentha kungagwiritsidwe ntchito kuthandiza kutulutsa minofu ndi kusintha kusinthana kumbuyo kwako, ndipo ayezi angagwiritsidwe ntchito kuthandiza kuchepa kutupa ndi kupweteka pafupi ndi malo anu opaleshoni.
Chisamaliro chiyenera kugwiritsidwa ntchito pogwiritsira ntchito machitidwe-kafukufuku amasonyeza kuti mankhwala ena sangapereke zopindulitsa. Katswiri wanu wathanzi ndi katswiri wa kayendetsedwe ka kayendetsedwe kake, kotero ngati mukulandira chithandizo monga kutentha kapena ayezi, muyenera kukayikira ngati mukulandira bwino msana wanu.
Sakanikita minofu . Ngati wodwala wodwalayo amapeza zolimba pafupipafupi, akhoza kutenga njira zothandizira kuwombera .
Kawirikawiri, mankhwala anu enieni amatha kukhalapo kuyambira masabata atatu mpaka asanu ndi limodzi. Wodwala wanu wathanzi ayenera kuonetsetsa kuti muli ndi pulogalamu yomwe mukufuna kuti mupitirize kuchita. Ayeneranso kuonetsetsa kuti mukudziwa zomwe mungachite ngati kupweteka kwa msana kapena sciatica akugweranso .
Kupewa Mavuto Amtsogolo
Chigawo chofunikira pa pulogalamu yanu yachipatala ndiyo kuphunzira momwe mungapewere mavuto amtsogolo ndi msana wanu. Wodwala wanu wathanzi angakuthandizeni kuzindikira zifukwa zomwe zingayambitse kupweteka kwa msana kapena sciatica. Njira zothetsera mavuto a mmbuyo muno ndi awa:
- Kusunga nthawi yoyenera mukakhala
- Pewani kutsogolo kutsogolo
- Pewani kukweza katundu
- Kuchita nthawi zonse
Ngati mwakhala ndi lumbar laminectomy ndi discectomy kukuthandizani kupeza mankhwala anu, mungapindule ndi chithandizo cha mankhwala pambuyo pa opaleshoni. Wodwala wanu wathanzi angagwire ntchito ndi inu kuti akuthandizeni kuti muyambe kuyenda bwino kotero kuti mutha kubwerera mwamsanga kuntchito yanu yachikhalire ndikugwira ntchito.
Chitsime: Beneck, JG, etal (2014) Kuchita masewera olimbitsa thupi, kupititsa patsogolo kwambiri kumapangitsanso umoyo wotsatira lumbar microdiskectomy: kuyesedwa kosasinthika. Chipatala cha Clinic. 2014 Mar 14 [Epub patsogolo pa kusindikiza]