Kupweteka kwapweteka kwapang'ono ndi gawo loyamba la kuvulala kumbuyo. Koma musadandaule - ngakhale zowona kuti kupweteka kosatha kumachokera ku zowawa zapweteka kwambiri, ndi mankhwala oyambirira, nkotheka kupeĊµa vuto lalitali. Nazi zofunikira zokhudzana ndi zizindikiro, zochititsa, komanso chithandizo cha ululu wa m'mimba.
Kodi Phungu Yam'mbuyo Yovuta Kwambiri Ndi Chiyani?
Kupweteka kwapweteka kwamtundu kumatanthauza kupweteka kwafupipafupi, kuuma ndi / kapena kuthamanga kwa minofu kulikonse kumbuyo, kumayambira pansi pa nthiti ndikukula mpaka pansi pa matako. Kutalika kwa nthawi yomwe mwakumva kupweteka kumasiyanitsa ndi kupweteka kwanthawi yaitali. Akatswiri amasiyana nthawi yake, koma kawirikawiri amakhala osapitirira masabata 12. Monga mitundu yonse ya ululu wammbuyo, zizindikiro zimakhala zogonjera ndipo nthawi zambiri sizingakhale zovomerezeka ndi mayeso kapena mayesero . Chithandizo chimayang'ana kwambiri ululu wokha.
Ululu wowawa wam'mimba ndi chimodzi mwa zifukwa zomveka zomwe zimachititsa anthu kupeza chithandizo chamankhwala, komabe peresenti yokhayo anthu omwe ali nawo.
Nkhani yabwino ndi yakuti ululu wosapweteka wam'mimba nthawi zambiri umathetsa ndekha patatha masabata angapo. Komabe, kupeza mtundu woyenera ndi kuchuluka kwa mankhwala oyambirira kungakuthandizeni kusiya kuchepetsa kupweteka kwapweteka kwanu kuti mukhale matenda aakulu.
Kodi Mukuika Pangozi Yovuta Kwambiri?
Akuluakulu a zaka zapakati pa 35 ndi 55 ndiwo omwe ali pachiopsezo chachikulu chokumva ululu wowawa. Kugwiritsira ntchito nthawi yochuluka mu malo otetezeka - monga pamene mumagwira ntchito tsiku lonse pamakompyuta - ndizowonjezera kwambiri kuopsa kwa mtundu uwu wa ululu.
Zina mwazidzidzidzi zimaphatikizapo ntchito yolemetsa, kupindika ndi / kapena kupotoza kawirikawiri (zomwe zingapangitse kuti adziwitse), ndi kukweza.
Mu 2015, American Academy of Orthopedic Surgeons inakambirana zolemba za odwala mamiliyoni 26 (omwe 1.2 miliyoni anali ndi ululu wammbuyo) pofuna kuyesa kuwonetsa ziopsezo zowonjezera zowawa zapweteka. Apeza kuti 19.3% odwala omwe anapezeka kuti ali ndi vutoli amamva ululu wam'mbuyo, monga momwe anachitira 16.75% mwa odwala kwambiri (mwachitsanzo, iwo omwe ali ndi chiwerengero cha misala kapena kuposa 30.)
Kafukufukuyu anapeza kuti anthu omwe amadalira nicotine komanso omwe amamwa mowa mopitirira muyeso amafotokoza zapamwamba za ululu wammbuyo, komanso.
Zifukwa za Ululu Wovuta Kumbuyo
Matenda ambiri opweteka kwambiri omwe amamva ululu amapezeka ngati "osadziwika," kutanthauza kuti dokotala samadziwa chomwe chimayambitsa. Monga wodwala, izi zingawoneke zokhumudwitsa kwa inu, koma kumbukirani kuti mankhwalawa, ndipo nthawi zambiri kungodikirira, akhoza kuthandizira kupumula kwa ululu.
Pokhapokha ngati dokotala akunyamula zizindikiro za matenda ovuta (omwe amatchedwa mbendera zofiira), mayesero ojambula odwala sagwiritsidwe . Ngati kupweteka kumapitirizabe ngakhale kuchipatala, panthawi imeneyo, mayesero ngati amenewa angakhale othandiza.
Chomvetsa chisoni n'chakuti ngakhale kuti malangizo akuchipatala amasonyeza kuti ntchito zogwiritsa ntchito zojambulazo zimagwiritsidwa ntchito mwanzeru, nthawi zambiri madokotala ambiri amawagwiritsa ntchito, ngakhale kuti amatha kupweteka kwambiri. M'nkhani ya 2009 yakuti "Kuwonjezera Kuvutika Kwambiri Kwambiri: Nthawi Yotsitsimula?" lomwe linafalitsidwa mu Journal of the American Board of Family Medicine, Dr. Rick Deyo, et. al, akuwonetseratu kuti kugwiritsa ntchito lumbar magnetic resonance imaging (MRI) yowonjezera m'madera a Medicare ndi 307% m'zaka 12 kuyambira 1994 mpaka 2006.
Ofufuzirawo akuwonjezera kuti mpaka 2/3 mwa mayesowa mwina ataperekedwa mosayenera.
Zomwe zimapweteka kwambiri m'mbuyo zimaphatikizapo mavuto a disc, mavenda opweteka, misampha ya minofu ndi / kapena ligament.
Kupeza Ululu Wabwino Wathu Wobwerera Kumbuyo Kudedwa ndi Dokotala
Ngakhale malonda okhudzana ndi mafakitale okhudza kugwiritsira ntchito mofulumira zojambula zojambula kwa anthu omwe ali ndi nthawi yoyamba kapena kupweteka kochepa, kupeza mankhwala pa ululu wanu wam'mbuyo kumakhala chinthu chofunikira kuchiritsa kwanu. Chifukwa chake ndi chakuti mankhwala oyambirira angakuthandizeni kupewa vuto lakale lakumbuyo.
Mukapita kwa dokotala chifukwa cha ululu wanu wam'mbuyo, amachititsa kuyankhulana kwachipatala (kutchedwa mbiri) ndi kuunika kwa thupi. Zomwe amasonkhanitsa pamsonkhanowu zidzamuthandiza kuzindikira kuti akukupwetekani mwa kukuyika iwe m'modzi mwa magawo atatuwa: zopweteka zapweteka , kupweteka kwa mitsempha kapena zifukwa zina ndi mbendera zofiira. Chithandizo chanu ndi kuyesedwa kulikonse komwe mukuyenera kuyesetseratu kudzakhazikitsidwa malinga ndi gulu lanu.
Kuchiza Kwambiri Kwambiri Kumeneko
Chithandizo cha ululu wowawa kwambiri chimayamba ndi mankhwala opweteka komanso malangizo. Dokotala wanu angakuuzeni kuti mupitirizebe kugwira ntchito koma muzisintha kuti mukhale ndi zowawa zanu.
Kuwonjezera pa (OTC) kapena mankhwala opweteka odwala amayamba kuyesedwa poyamba, ndipo dokotala wanu akukuphunzitsani momwe angasamalire msana wanu. Ngati mzere woyamba wa chitetezo sugwira ntchito, akhoza kupereka mankhwala, mankhwala achiropractic kapena chithandizo china.
Mofananamo ndi kujambula chithunzi, (tafotokozedwa pamwambapa) mankhwala opweteka opatsirana, makamaka opioids omwe ali ndi chiopsezo chokhala osokoneza bongo, amakhala ndi mwayi wogwiritsira ntchito mopitirira muyeso komanso molakwika. Magazini ya Journal of the American Board of Family Medicine yomwe yatchulidwa koyambirira ija inanenapo kuti kuwonjezereka kwa 423% kwa opioid kwa ululu wammbuyo.
Koma kafukufuku wa 2016 wofalitsidwa mu Journal of the American Medical Association anapeza kuti mankhwala awiri osagwiritsidwa ntchito ndi mankhwala - kupatsirana maganizo ndi kuchepetsa kupanikizika kwa khalidwe - kumapereka mpumulo waukulu ndi ntchito zabwino poyerekeza ndi "chisamaliro chachizolowezi" pa dokotala.
Madokotala ambiri apamtima saphunzitsidwa pang'ono pa ululu wammbuyo, ndipo kotero, mukhoza kuthamangira kwa katswiri mwamsanga, kapena kuti musamangoganizira. Pachifukwa ichi, musazengereze kufunsa dokotala wanu mankhwala a mankhwala kapena malingaliro ochiritsira osiyana ndi ochita masewera olimbitsa thupi .
Mmene Mungagwiritsire Ntchito Mwamtima Kupweteka Kuchokera ku Moyo Wosatha Wosatha
Ngati simusamala, kupweteka kwapweteka kwapweteka kungabweretse kulemala. Pali njira ziwiri zosiyana izi zomwe zingachitike. Choyamba, ngati simugonjetsa kutupa ndi minofu yowonjezera, ingachepetse kusinthasintha kwanu komwe kungayambitse kuvulaza kwambiri. Minofu ingathenso kuwonetsa minofu ya minofu ndi mfundo zoyambira .
Chachiwiri, pakapita nthawi, thupi lanu lingasinthe mosalekeza zomwe zimapangitsa kuti mitsempha yanu yapamwamba iwonongeke ndi kupotoza maganizo, omwe ndi matenda aakulu.
Kuchiza msanga komanso kuchita masewero olimbitsa thupi ndi njira ziwiri zabwino kwambiri zopezera kupweteka kwapweteka kosautsa ndikukhala matenda aakulu.
Kulepheretsa Ululu Wochepa Wobwerera Kumbuyo
Monga momwe akunenera, mankhwala abwino kwambiri ndi kupewa.
Pofuna kuchepetsa kupweteka kwapweteka kwapakhosi, sungani minofu yanu kuti ikhale yolimba komanso yolimba, ndizochita masewera olimbitsa thupi zomwe zimaphatikizapo kugwirizana bwino. Ntchito monga Yoga , Pilates , ndi zina zowonjezera zikhoza kukuthandizani kuti muzigwira ntchito thupi lanu lonse, ndikukupatsani mwayi wophunzitsa minofu yanu kuthandizira ntchito zanu za tsiku ndi tsiku.
Ndipo makina opanga thupi angapite kutali kuti ateteze ululu wamtundu wochepa . Mwachitsanzo, mukakweza zinthu zolemetsa, pendani m'chiuno ndi maondo osati kumbuyo. Izi ndizitetezera msana wanu chifukwa miyendo yanu ndi mchuuno ndi wachibale ndi wamphamvu kuposa msana wanu. Kugwiritsira ntchito mawonekedwe abwino a thupi kumathandizanso kuti msana wanu ukhale bwino bwino pamene mukuwonjezera katundu panthawi yokweza.
> Zotsatira:
> Cherkin, DC (2016) "Kuchepetsa Kupsinjika Maganizo ndi Vuto la Kusamalira Maganizo," JAMA , 315 (12), pp. 1240-1249. lembani: 10.1001 / jama.2016.2323.
> Deyo, R. Overtreating Kubwezeretsa Kwambiri Kubwerera: Nthawi Yotsitsimula? J Am Board Fam Med. Jan-Feb 2009.
> Press Release. Zinthu Zowopsa Kwambiri Zowopsa. American Academy of Orthopedic Surgeon webusaiti. March 2015.