Ululu Wabwerere: Vuto Lowoneka, Koma Ndi Chiyani, Zoonadi?

Kupweteka kumbuyo ndi vuto lodziwika mosavuta lomwe lingabweretse kumverera kosiyanasiyana ndi kusayendayenda . Ikhoza kudziwonetsa yokha pamalo alionse pamsana, msinkhu wa mafupa 26 okhudzana ndi mitsempha, minofu ndi ma diski opweteka. Zonse zomwe zimapanga msana zimapweteka kwambiri.

Kupweteka kumbuyo ndi chimodzi mwa zodandaula zomwe zimabweretsa madokotala ku United States.

Milandu yoposa sikisi miliyoni imapezeka chaka ndi chaka, ndipo ambiri amakhala m'munsi kumbuyo. Ndizofunika mtengo, komanso, kuyika matenda atatu a mtima ndi khansa. Pafupifupi 80 peresenti ya anthu amamva ululu nthawi zina m'miyoyo yawo.

Ngakhale kupweteka kwapambuyo kungapangidwe m'njira zosiyanasiyana, zoonekeratu ndi malo. Zinthu zofanana zimaphatikizapo (koma sizingatheke) zotsatirazi:

Ululu Wakumananso

Kupweteka kumbuyo kwenikweni kumachitika kumbuyo komwe kumachokera pansi pamunsi pa nthiti mpaka ku tailbone . Zikhoza kuyambitsa nambala iliyonse ya zinthu kuchokera ku fupa la fupa, kuphulika kwa mitsempha, kutayika kwapakhosi, kumtsempha, kapena kuphulika kwa minofu .

Malingana ndi New England Journal of Medicine , pafupifupi aŵiri mwa atatu mwa anthu akuluakulu adzamva kupweteka kwapweteka panthaŵi ina.

Phunziro la 2005 kuchokera ku Toronto Western Hospital Research linasonyeza kuti ngakhale kupweteka kwam'mbuyo kwapang'ono kumakhala kochepa kwambiri, osachepera 1/3 mwa milandu amakonza chaka chimodzi. Phunziroli limanenanso kuti okalamba amakhala ndi zowawa zambiri kuposa abambo akuluakulu, ndipo 20 peresenti ya matenda opweteka m'mbuyo amabwerera mkati mwa miyezi isanu ndi umodzi.

Nthawi zina kupweteka kwapweteka kumaphatikizapo ululu kumapita kumtunda, momwe anthu ambiri amawatcha sciatica . Sciatica imapangidwa pamene kuponderezedwa kumayikidwa mwachindunji pa mitsempha yeniyeni mwanjira ina. Chitsanzo cha izi ndi pamene minofu yamtundu wotchedwa piriformis imakhala yolimba kwambiri (matenda a piriformis.) Kawirikawiri, sciatica imayamba chifukwa cha mimba kapena msana. Dothi la herniated limakhudza mizu ya msana yomwe imatuluka mitsempha ya sciatica, zizindikiro za sciatica, makamaka ululu ndi zizindikiro zina zomwe zimapita pansi pamlendo umodzi, zimadziwika bwino ngati radiculopathy.

Ndipo ndemanga ya 2016 yofalitsidwa ndi bungwe la Healthcare Quality ndi Research inapeza kuti pali mankhwala ambiri omwe amachititsa kupweteka kwapweteka komwe kumapatsa koma phindu lochepa. Kawirikawiri amati, mankhwalawa amapereka mpumulo wabwino kusiyana ndi kusintha kwa ntchito. Njira imodzi imene opaleshoni ya thupi imagwiritsira ntchito pochiza odwala omwe amamva ululu ndi kuphatikiza mankhwala angapo kuti athetse bwino.

Mitundu ya Kupweteka Kwambiri Kumbuyo

Zotsatira Zowawa Zomwe Zimabweretsa

Zingakhale zovuta kupeza chifukwa cha ululu wosatha.

Ngakhale pogwiritsa ntchito mafanizo atsopano ndi mayesero ena , madokotala nthawi zambiri samatha kudziwa chifukwa cha ululu wammbuyo. Pafupipafupi, nthawi zambiri kuyerekezera mayeso monga MRIs akuwonetsa mavuto pamtsempha wa wodwala amene samva ululu wammbuyo.

Kupweteka kumbuyo sikungokhala koopsa pangozi. Koma ngati mwataya mphamvu kapena mulibe vuto m'matumbo anu kapena chikhodzodzo, ngati miyendo yanu ikukula pang'onopang'ono ndipo / kapena ngati simungathe kumva kalikonse pampando wanu (ngati muli mu chingwe), pitani kuchipatala mwamsanga .

Zosautsa ndi Zovuta Komanso Kubwerera Kumtima

Kupweteka kumbuyo kungakhale kovuta kapena kosatha . Kusiyanitsa pakati pa mitundu iwiri ya ululu kungakuthandizeni kudziwa zoyenera kuchita pa zanu.

Zizindikiro zovuta zimabwera mwadzidzidzi, nthawi zambiri poyankha kuchitika ngati kuvulaza. Nthawi zambiri amatha masiku angapo mpaka masabata angapo; Nthawi zambiri amasankha okha, kapena ntchito zowonongeka ndi mankhwala ophweka (kuphatikizapo mankhwala opweteka kwambiri omwe sagwiritsidwe ntchito monga anti-inflammatory anti-inflammatory and / kapena masewero osavuta.)

Koma kuvulala koopsa kwa msana kungakhale kosasintha, makamaka ngati simusintha zinthu zanu kuti musamve ululu, kapena ngati mukufuna chithandizo chimene simukuchipeza nthawi yake.

Kupweteka kwakumbuyo komwe kungakuchititseni kwa nthawi yaitali, ndipo nthawi zina kungakukakamizeni kusintha moyo wanu kwambiri. Akatswiri amasiyana ndi ululu wa nthawi kuti asakhalepo asanayambe kuutcha kupweteka kosalekeza, komabe kawirikawiri imakhala pakati pa 3 mpaka 6 miyezi. Ngati ululu wanu wammbuyo wakhala ukukuvutitsani kwa miyezi itatu, funsani dokotala wanu.

Zotsatira:

Chou R., Deyo R., et. al. Matenda Osapulumutsidwa Ovutika Kwambiri. Kuchita Kufananitsa kwa AHRQ Zongowonjezera. Rockville (MD): Bungwe la Healthcare Research ndi Quality (US); 2016 Feb.

Deyo, R., & Weinstein, J. (2001). "Kubwerera Kumbuyo". New England Journal of Medicine, 344.

"Munthu Wokalamba Wobwerera Kumbuyo." Institute for Improvement Systems (ICSI), (June 1994, Rev. Sept. 2006).

"Tsamba Loyamba Kwambiri". National Institute of Neurological Disorders ndi Stroke (NINDS).

"Kuwonongeka kwa nthawi yogwira ntchito ndi matenda: Makhalidwe ndi Nthawi Yopindulitsa Kuchokera kuntchito". 2005. Bureau of Labor Statistics.

Cassidy, J., Cote, P., Carroll, L., & Kristman, V. (2005) "Kuwonjezeka ndi Mchitidwe Wopweteka Kwambiri M'mabungwe a General Population". Mphepete, 30 (24).