Low Back Pain:
Kurapa kwekutambudzika kwakanyanya kunorwadza dambudziko rakaoma iyo inenge munhu wose anenge achifanira kutarisira pane imwe nguva muupenyu hwavo. Kazhinji kazhinji, kurwadziwa shure kunogadzirisa nemishonga isina kuchena. Kune huwandu hwesarudzo dzinowanikwa, uye hapana kusarudzwa kumwe kwakaratidzwa kuti kwakakosha pakurapa kwemazuva ose kunorwadza kwepashure. Aya ndiwo mamwe emishonga yakakwana inoshandiswa pakurwadziwa kwemarwadzo, uye kuti yakaratidzwa sei kuti inoshanda.
Chiito Chinochinja:
Nhanho yekutanga mukurapa kwekutambudzika kwakanyanya kwekusuruvara ndeyekudzivisa kukura kwemashure. Varwere vanoda kunzwisisa kuti kurwadziwa shure kunowanzoitika, uye kazhinji kacho kunogadzirisa nenguva. Kuzorora kwevhesi kwaiwanzokurudzirwa, asi kwave kuwanikwa munguva pfupi yapfuura kunonoka kupora kubva pakurwadziwa shure. Kurara kwenguva yakareba kunogona kutungamirira kune mamwe marwadzo anoramba achidzoka, uye zvidzidzo zvakaratidza kukurumidza kukurumidza nekunyatsoshanda muviri.
Ice uye kushandiswa kwekushandiswa kwave kunowanzokurudzirwa, uye kunopa kuregererwa kwechiratidzo paunenge uchiita mabasa aya, asi hapana ruzivo rwakazivikanwa kunze kwekunonoka kwechirwere chechiratidzo.
Anti-Inflammatory Medication:
Anti-inflammatory medication ndiyo inonyanya kunyorerwa mishonga yemarwadzo ekurwa, uye yakaratidzwa kuva imwe yemishonga inoshanda zvikuru. Mishonga isingashandisi-kupisa (kana kuti NSAIDs) inoshanda kuburikidza nekudzivirira marwadzo uye kuderedza kuputika .
Hapana mishonga imwe chete yakaratidzwa kuva nani pane imwe, uye varwere vazhinji vachawana imwe inoshanda zvakanaka kwavari (vamwe vanosarudza mushonga wezuva nezuva, vamwe vanosarudza mushonga unogona kutorwa kakawanda).
Pain Relieving Mishonga:
Mishonga yekudzivirira zviratidzo zvinorwadza kazhinji inobatsira nezviratidzo zvisingabviswi neNSAIDs.
Kakawanda, kubatanidza NSAIDs ne acetaminophen kana Tramadol kunogona kubatsira kubvumira kuponeswa kwakakwana kwakakwana, pasina kushanda kumarwadzo emarwadzo anonyadzisa . Mishonga yemishumo , iyo inosanganisira capsaicin uye lidocaine, inogonawo kupa rubatsiro, kunyange zvazvo migumisiro isingagumi pashure pokunge mishonga yabviswa.
Kana izvi zvisingakwanisi, chiremba wenyu angarangarira kamufupi kemishonga inorwadza nenyota . Nemhaka yehutano hwavo hunodhaka, narcotics inowanzoshandiswa chete kana mamwe marapirwo asingakwanisi kudzora zviratidzo zvako.
Muscle Relaxers:
Kuputika kwemasese kunonyunyuta kunowanzoonekwa, kunyanya mumatangiro ekutanga ekurwadziwa kunorwadza shure. Ichokwadi, kune vanorwara vakawanda, kuputika kwemisumbu ndiko kunonyanya kukanganisa kunetseka kunorwadza shure. Ruregerero nemishonga-yekuzorora mishonga inogona kubatsira mune izvi zvishoma, asi mishonga iyi inowanzoshandiswa kwenguva pfupi. Mishonga-kunonoka mishonga ine migumisiro inosanganisira kukotsira uye kuvimba.
Steroid Mishonga:
Steroid mishonga inobatsira pakuderera kwechirwere uye inogona kuendeswa mumuromo kana kujowa kumativi ose emusana, iyo inonzi sepidural injection . Pamusoro pemhando dzakawanda dzehutano hwekudzokera shure, mishonga ye-steroid haina kuonekwa kuti inobatsira.
Varwere vane chirwere chepineka, vanoita zviratidzo zvekurwadziwa kwemakumbo, kazhinji vanovandudza nemishonga ye steroid, asi zvinowanzoita kurwadziwa kushure hazviwanzodi steroid mishonga. Uyezve, vanachiremba vazhinji vanofunga kuti zvinogona kukonzerwa nemigumisiro ine steroid mishonga hazviiti kuti zvive zvakakodzera.
Therapy Therapy:
Kurapa kwepanyama uye maitiro zvakaratidzwa kuti zvinonyanya kushanda mukurapa kwekusagadzikana kunorwadza shure. Kuita muviri kunogona kuva nezvikomborero kusanganisira kusimbiswa kunatsika, kushanduka uye simba. Mukuwedzera, vanhu vanoita kurapwa kwemarwadzo ekudzokera shure vakagadzirisa mafungiro, kuderera kwechirwere chemishonga inorwadza, nekudzivirira kwekugadziriswa (kurasikirwa kwesimba).
Muongorori wepanyama anogona kunyanya kukubatsira nekukutungamirira mune izvi, nekubatsira kugona maitiro anokwanisa kubvumirwa. Uyezve, muongorori ane ruzivo anogona kuvimbisa kuti iwe unoita maitiro zvakakodzera kuitira kuti usaisa pachena kuti iwe uwedzere kukuvara.
Alternative Therapies:
Kune dzimwe nzira dzakasiyana- siyana dzokurapa kunorwadza shure zvinogona kuwanzova kana kuti zvakanyanya kupfurikidza nemishonga yemagariro . Kuchengetedzwa kwemazuva ano chirongwa chekurapa cheChina chinoshandiswa kwemakore anopfuura 2 000. Kuchengetedza uye chiropractic mishonga ndeyewo maitiro ekurapa kumarwadzo kumashure.
Vanhu vazhinji vanonzwa vanachiremba vasingagamuchiri dzimwe nzira dzokurapa , asi chokwadi ndechokuti sezvo vamwe varwere vanowana zororo nemararamiro emagariro, vakawanda vanowana zororo nemamwe nzira dzokurapa. Ndinogara ndichikurudzira varwere vane marwadzo kumashure kuti vataure neni pamusoro pezvimwe nzira dzakasiyana-siyana dzokurapa kuedza nekuona kuti chii chinovashandira.
Spine Surgery:
Kazhinji kazhinji, marwadzo ekudzoka achavandudza nenguva nekurapa kunotsanangurwa pamusoro apa. Zvisinei, vamwe varwere pakupedzisira vanoguma vachida kurapwa kuti vavandudze kubva mumamiriro avo. Kune huwandu hwezvingasarudzwa zvekurapwa kwehutano hwemashure . Kunyange zvazvo kazhinji kacho nhanho idzi hadzidiwi, mune vamwe varwere, chirwere chepfungwa chinogona kunge chichibatsira kurapa .
Kunobva:
Shen FH, et al. "Nonsurgical Management of Acute uye Chronic Chronic Back Pain" J. Am. Acad. Orthop. Surgery., August 2006; 14: 477 - 487.