Kumva kupweteka kwapakati ndi chimodzi mwa zifukwa zomwe zimawoneka kuti anthu apite kuchipatala. Ku United States, ululu wopweteka kumbuyo ndi chiwerengero chachiwiri chomwe chimachititsa anthu kusankha dokotala, kupatulapo matenda opuma opuma . Kupweteka kumbuyo kwenikweni kumakhala kofala kwambiri, ndipo pafupifupi aliyense angathe kuyembekezera kukhala ndi chochitika (ngati si magawo angapo) a ululu wammbuyo panthawi inayake pamoyo wawo.
Pofufuza kupweteka kwa msana, dokotala wanu adzaonetsetsa kuti palibe zizindikiro za vuto lalikulu. Chifukwa cha mtundu wa ululu wammbuyo, anthu nthawi zambiri amakhala ndi nkhawa kuti chinachake chalakwika kwambiri msana wawo. Anthu ambiri sanakumanepo ndi ululu wamtundu uwu, ndipo izi zingadetse nkhawa za kuthekera kwa vuto lalikulu kapena vuto limene lingapitirire kuwonjezereka. Zizindikiro za kupweteka kumbuyo nthawi zambiri zimakhala zosiyana kwambiri ndi zizindikiro za matenda, vuto, kapena kusokonezeka. Anthu akhoza kufotokoza kupweteka kwakukulu komwe kumakhala kovuta kuthetsa. Chinthu chachilendo chakumvetsa koteroko chikhoza kupangitsa anthu kuganiza kuti ali ndi vuto lalikulu mkati mwa msana wawo.
Anthu omwe ali ndi vuto lopweteka kwambiri amamva chisoni kuti akhoza kukhala ndi vuto lalikulu monga chifuwa kapena matenda, kapena chikhalidwe chomwe sichidzapeza bwino ndipo potsirizira pake chidzatsogolera ku matenda opweteka.
Chowonadi ndi chakuti nthawi zambiri izi sizili choncho, ngakhale kuti zizindikiro zimakhala zovuta. Izi zikuti, ndizo nkhaŵa kwa anthu ambiri ndipo chifukwa chake odwala nthawi zambiri amadzifunsa ngati kujambula mafilimu monga x-ray kapena MRIs kungakhale othandizira pakuwunika kwawo. Si zachilendo kuti munthu amene ali ndi ululu wowawa kwambiri akubwera palimodzi Dr akuyembekezera kukhala ndi mayeso a MRI kuti adziwe momwe alili.
Malangizo
Chowonadi ndi chakuti kufotokozera mafilimu nthawi zambiri sikopindulitsa pakayambiriro koyeso ka kupweteka kwa msana. Ndipotu, magulu ambiri azachipatala kuphatikizapo North American Spine Society ndi American College of Physicians, apereka ndondomeko yeniyeni yakuti kusanthula maphunziro sikuyenera kupezeka pamayambiriro a zowawa zapweteka zochepa.
Pali zifukwa zomwe zimapangitsa kuti kujambula kungakhale kothandiza, koma izi ndizosiyana kupatula lamulo. M'madera azachipatala, madokotala nthawi zambiri amagwiritsa ntchito mawu akuti "zizindikiro zofiira". Izi ndi zizindikiro zomwe zingakhale zizindikiro za vuto lalikulu monga:
- Mimba
- Kutenga
- Kutaya
- Kugonana kwakukulu kwamagazi
Ngati zizindikiro za mikhalidweyi zilipo, maphunziro ojambula zithunzi angakhale othandiza. Zizindikiro za izi zikhoza kuphatikizapo malungo, kuwonongeka kwaposachedwapa, mbiri ya khansa, mbiri ya ntchito yogwiritsira ntchito mankhwala osokoneza bongo, mbiri ya mavuto aakulu, kusungidwa kwa mkodzo kapena kusadziletsa, kapena zizindikiro zina. Apanso, zizindikirozi zimakhala zosawerengeka, koma pamene zizindikiro za "mzere wofiira" zikupezekapo zina zingakhale zofunika.
Malangizowo samadziwika; Ndipotu iwo akudziwika bwinobwino. Nyuzipepala ya North America Spine imanena kwa madokotala kuti: "D sitingayambe kulongosola zithunzithunzi zapamwamba (mwachitsanzo, MRI) za msana mkati mwa masabata asanu ndi limodzi oyambirira kwa odwala okhala ndi ululu wosapweteka kwambiri wopwetekedwa ngati palibe mbendera zofiira." A American College of Emergency Physicians amauza madokotala kuti: "Pewani kujambula msangamsanga mu chipatala chodzidzimutsa kwa akuluakulu osamva kupwetekedwa pokhapokha ngati wodwalayo ali ndi vuto lalikulu kapena labwino la matenda a ubongo kapena akuganiza kuti ali ndi vuto lalikulu." Nyuzipepala ya American College of Family Physicians imati: "Musamachite chithunzi cha kupweteka kwapweteka kwapakati m'masabata asanu oyambirira, kupatula ngati pali mbendera zofiira."
Malinga ndi Malangizo
Chifukwa chimene mabungwewa amapangitsa kuti malangizidwewa akhale omveka bwino, potsirizira pake, kuti maphunziro ojambula zithunzi sapereka phindu pothandiza odwala kupeza mpumulo ku mavuto awo. Kuchiza kwa ululu wosapweteka kwambiri sikusintha malinga ndi X-ray ndi MRI zotsatira. Ngakhalenso matenda opatsiranawo sali omveka bwino, malangizidwe a mankhwalawa sasinthidwa. Monga chidziwitso cha chiphindi, chiyeso chimapezeka pamene zotsatira za mayeserowa zimatha kutsogolera njira imodzi (kapena yowonjezera) yothandizira. Ngati zotsatira za mayesero sangathe kusintha njira yothandizira, ndiye kuti mayesero sayenera kuchitidwa.
Pachifukwa ichi, kufufuza zojambula sikusintha malingaliro ochizira opweteka kwambiri omwe amatha kupweteka.
Kuphatikiza apo, nthawi zina maphunziro ojambula angasokoneze mkhalidwewo. Chiyeso chojambula chingayambitse njira zosafunikira kapena zoyezetsa zowonjezereka, ndipo kuyesedwa koyeso sikutheka kumathandiza kuthetsa zizindikiro. Mankhwala opwetekedwa mtima kwambiri ayenera kuyang'anitsitsa kuyesetsa kuthetsa zizindikiro kuphatikizapo kayendedwe kabwino ndi ntchito, kupeŵa ntchito zowonongeka, komanso njira zochiritsira zomwe zingapereke chithandizo monga:
- Kuchiza thupi
- Kusokonezeka kwa msana
- Kuchiza
- Kupangidwanso
- Kuchita masewera olimbitsa thupi kuphatikizapo yoga ndi Pilates kapena tai chi
Njira iliyonse yothandizirayi yasonyezedwa kuti imapereka chithandizo cha kupweteka pakakhala zowawa zapweteka kwambiri. Kuwonjezera pa kupeŵa kujambula, malangizowo ofanana akulangiza kupeŵa kumwa mankhwala, makamaka mankhwala osokoneza bongo pofuna kuchiza ululu wammbuyo. Ngati mankhwala amagwiritsidwa ntchito, ayenera kukhala ndi mankhwala owonjezera omwe amaphatikizapo mankhwala osakanikirana ndi otsekemera komanso / kapena Tylenol.
Mawu Ochokera
Kupweteka kochepa kumbuyo kungakhale kochititsa mantha, makamaka pamene zikuwoneka kuti zikuchoka ponseponse. Anthu amapeza kupweteka kwachilendo, kosasangalatsa, ndi koopsa. Pazifukwa izi, anthu ambiri omwe amamva kupweteka kwa kupweteka kumbuyo amadabwa ngati mayesero ojambula angakhale oyenerera kuyesa msana wawo. Chowonadi chiri, kupatula pa zochitika zinazake, kusinkhasinkha kwa msana ndi x-ray, MRIs, kapena mayesero ena sikoyenera. Ndipotu, magulu ambiri a akatswiri apanga malingaliro enieni omwe odwala ayenera kupeŵa mayesero awa. Ngakhale kuti pamapeto pake angakhale ofunikira, anthu ambiri omwe ali ndi ululu wopweteka kwambiri sangafunikire kujambula kuti athetsere zizindikiro zawo.
> 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.