Rehab mushure mekureruka kwekudzokera shure
Kana iwe uine kurwadziwa kwepashure kana sciatica, unogona kubatsirwa nekushanda nemutano wepanyama kuti akubatsire kutarisa mamiriro ako. Your PT inogona kukubatsira kuderedza marwadzo ako nekuvandudza kufamba kwako nemamwe maitiro ekurapa uye kururamisa kwemashure .
Kana kurovedza muviri, kugadziriswa kwemashure, kana kurapwa kwepanyama kunokundikana kupa kukununura kwakakwana kwezviratidzo zvako, unogona kushanyira chiremba wako kuti uongorore zvimwe zvingasarudzwa.
Dzimwe nguva, zviratidzo zvako zvinogona kunge zvakanyanya zvokuti unoda kuvhiyiwa kuti uwane rubatsiro kubva pakurwadziwa kwako kwepashure kana sciatica.
A lumbar discectomy uye laminectomy zvirwere zvakajairika zvinoshandiswa kubatsira kukupa zororo kubva kune zviratidzo zvinorwadza zvinobva kumusana wako. Izvi zvinoshandiswa kuderedza kudzvinyirira pamatope anouya kubva shure kwako ari kuunza sciatica yako. Kana iwe uchida nzira yekuvhiya pamusana wako kuti uchengetedze zviratidzo zvako, unogona kubatsirwa nechirwere chepanyama mushure mekuvhiyiwa kuti ikubatsire kudzokera zvakakwana kune yako yekare yehutano. Chiremba wako anogona kuita zvirevo zvakananga pamusoro penzira yako yepas-operative uye inogona kukubatsira kusarudza murwere wepanyama akakodzera kwauri.
Ndinotoda PT here mushure meLumbar Laminectomy kana Discectomy?
Mushure mokunge uchinge uvhiyiwa, iwe unogona kunge uchinzwa zvakanaka nezvishoma kana kuti zvisingaiti zviratidzo. Musana wako unogona kuora mwoyo kubva pakuvhiyiwa, asi iwe unofanira kukurumidza kunzwa urombo hushoma.
Iwe unogona kutanga kumubvunza kana iwe uchizobatsirwa nechirwere chepanyama mushure mokunge lumbar laminectomy.
Kutsvakurudza kunoratidza kuti vanhu vanoita zvepabonde mushure mekunge lumbar discectomy inowanzova nemigumisiro iri nani kana ichienzaniswa nevarwere vasingabatanidzi nguva dzose. Muongorori wako wepanyama anogona kukubatsira kuti uone kugadzirisa kwakakodzera kuita shure kwekuvhiyiwa.
Ndirini Pandinofanira Kutanga Kurapa Kwepanyama mushure meLumbar Laminectomy kana Discectomy?
Muzvizhinji, unofanira kutarisira kutanga chirwere chepanyama kusvika kumasvondo masere mushure mokuvhiyiwa kwako. Kudai paiva nematambudziko e-post-opera sehutachiona kana kubuda ropa zvakanyanya, saka iwe unogona kumira kwenguva refu. Zvimwe, kana zvinhu zvave zvichifamba zvakashambadzira mushure mekuvhiyiwa kwako, unogona kutanga PT nokukurumidza. Mushure mokunge mukana wako weccectomy, iwe unofanirwa kuva nehurukuro nachiremba wako pamusoro pekuzotanga kugadziriswa
Physical Therapy Kuongorora pashure peLumbar Laminectomy kana Discectomy
Kana uchinge waita chirwere chako uye chiremba wako akakusiya kuti utange kurapwa kwepanyama, iwe uchada kuita musangano pane imwe nzvimbo yechipatara yemakiriniki. Munguva yekushanya kwako kokutanga, mushandi wako wepanyama achaitisa kutanga kuongorora nekuongororwa. Zvikamu zvekutanga kuongorora zvinosanganisira, asi hazvirevi kune:
- Nhoroondo inotora . Usati uine hutano hwakanaka, mushandi wako wepanyama achatora nhoroondo yakanyorwa kana yemashoko. Mibvunzo ichabvunzwa pamusoro pekuti uri kunzwa sei, sei kukuvara kwako kwakaitika, uye kana paine matambudziko kana mushure mekuvhiyiwa kwako. Yako PT inobvunzawo nezvehupenyu hwako hwekare hwehutano. Iyi inguva yakanaka yekubvunza mibvunzo uye kutanga kutanga ukama nemuviri wako.
- Postural assessment. Sezvo kumira kwakakodzera kuchiita basa rakakosha zvakadaro mukuchengetedza utano hwakanaka, PT yako inogona kuongorora kutora kwako. Iye achatarisa musana wako paunenge wakagara uye wakamira uye uchitora zvitsva zvakabatana nekunyorera kwako. Anogona kukubatsira kuti uwane uye urambe wakagadzikana kana ukagara uye wakamira.
- Range of motion. Mushonga wako wepanyama achayera zvakare lumbar yako yekufamba (ROM) . Chigadzirwa chinonzi goniometer kana bubble inclinometer chinogona kushandiswa kuwana ruzivo rwekutanga rwemapaupa ako.
- Strength. Murapi wako wepanyama achayera simba rako panguva yekushanya kwako kokutanga. Kana iwe wakanga uine utera kana musimba uchirema nekuda kwekunyengedzwa kwemutsipa wepelinha musati wambovhiyiwa, mushonga wako wepanyama achayera simba remasimba iwayo. Anokwanisawo kuongorora simba remuviri wako uye mushure mako, musana uye chidya chemakumbo, kana misipa yakakomberedza makumbo ako pasi.
- Nyota zvidzidzo zvidzidzo. Mushure mokunge uine lminarminminomy kana kuti discectomy, iwe uchange uine tsvina shoma yekuvhiya mumutsika wako. Muongorori wako wepanyama anogona kuongorora mavara ekuvhara marara kuti ave nechokwadi chokuti ganda uye maitiro ari pasi hazvirevi kutenderera kwako.
- Neurological screen. Muongorori wako wepanyama anogona kuita chinyorwa chepfungwa panguva yaunotanga kuongorora. Anogona kuedza yakadzika yako tendon reflexes ne nyundo yakajeka, uye kukwanisa kwako kugona chiedza kana kugadzirisa kunogona kuongororwa.
- Flexibility assessment. Kuchinja kwako kwose kwemuviri wako kunogona kuongororwa mushure mokunge uine lminar laminectomy. Mapoka emasumbu ayo angangodaro akaongororwa anosanganisira hamstrings , quadriceps , uye mhuru dzemhuru. Dzimwe nguva mushure mekunge uine lminarminomy and discectomy, kusimba mumutsara wako unogona kuvapo. Iko kunonzi inotevedzwa mutsara miviri uye inokonzerwa nekatsva mutsvuku unoita mukati memutsara sezvainobuda mumugero wako wemugero.
- Basa rekuongorora. Mushonga wako wepanyama achaongorora zvakare basa rako rose mushure mekuvhiyiwa. Unokwanisa here kushanda? Unogona here kutora chikamu mumabasa ako ezvokuita zvekuvaraidza? Iwe wakakosha here unoshanda nenzira ipi zvayo? Mhinduro dzemibvunzo iyi inogona kubatsira PT yako basa newe kuti udzike zvinangwa zvekuvandudza mushure mekuvhiyiwa kwako.
Physical Therapy Treatment pashure peLumbar Laminectomy kana Discectomy
Migumisiro yako chaiyo ichaongorora ichabatsira mushandi wako wepanyama kukura chirongwa chekurapa mushure mekunge iwe wakagadziriswa. Pane imwe nguva, chiremba wako angada kuti iwe uite chimwe chinhu chinotevera post-operative protocol, uye mupfungwa wako wepanyama angakubatsira iwe kuramba uri munzira.
Ikoko kunogona kuva nezvikamu zvakasiyana-siyana zvehutano hwepanyama yako, saka iva nechokwadi chekubvunza mibvunzo pamusoro pemishonga yaunogamuchira. Mishonga yakajairika mushure mokunge lumbar laminectomy uye discectomy inosanganisira:
Dzidzira . A post-operative program chirongwa chinofanira kuva chimwe chezvinhu zvakakosha zvekudzoka kwako shure kwechirongwa chemininectomy. Kutsvakurudza kunoratidza kuti vanhu vanoita zvekurovedza mushure mekuvhiyiwa shure vanove nemigumisiro yakakwirira pamwe nekuenzaniswa nevaya vasingashandisi.
Kudzidzira kwakananga kunosanganisira kuenderera mberi kwemaitiro ekuROM maitiro uye hip uye zvakanyanya kusimbisa maitiro . Kana iwe chiremba wepanyama akawana utera muboka remasumbu nekuda kwekugadzirisa kushanda kwehutachiona, maitiro ezvimwe maitiro anogona kuisa pfungwa pamusana iwoyo. Kurovedza muviri sezvinoita treadmill kufamba kunogonawo kunyoreswa kuti ubatsire kuvandudza basa rako rose rinotsungirira. Wako PT anogona kukudzidzisa iwe kunyatsotarisa basa rako.
Muongorori wako wepanyama anogonawo kupa maitiro ekuwedzera maitiro ekugadzirisa zvinhu munharaunda dzenyu, mhuru, uye quadriceps misumbu.
Kubva shure kwekutonga chinhu chakakosha chekuchengetedza utano hwepamuviri, mushandi wako wepanyama anofanira kukudzidzisa iwe kugara zvakanaka. Kuita sezvinoitwa slouch-overcorrect nzira inogona kuva yakakosha kuwana mamiriro akakodzera.
Zviratidzo zvemuviri. Kana uri kurwadziwa kunotevera kuvhiyiwa kwako, mushandi wako wepanyama angasarudza kushandisa zvimwe zvigadziro zvekubatsira kudzora marwadzo ako. Nzira dzakadai sokusimudzira magetsi uye TENS dzinogona kushandiswa kubatsira kubvisa marwadzo ako.
Kupisa kunogona kushandiswa kubatsira kubvisa musuru uye kugadzirisa kupararira kwakapoteredza mushure mako, uye ice rinogona kushandiswa kubatsira kubatsira kuderera nekurwadziwa pedyo nechitoro chako chinoshandiswa.
Kuchengetedza kunofanira kushandiswa paunenge uchishandura-kutsvakurudza kunoratidza kuti mamwe marapirwo angave asingakwanise kupa zvinenge zvataurwa. Muongorori wako wepanyama ndiye nyanzvi yekufamba, saka kana iwe uri kungogamuchira kurapwa kusina kufanana nekupisa kana kuvhara, unofanirwa kubvunza kana iwe uri kuwana zvakanakisisa kutarisira musana wako.
Tsvina massage . Kana iwe chiremba wepanyama akawana simba pedyo nekukanda kwako kwekuvhiya, iye angangobatanidzwa mune dzimwe nzira dzakagadziriswa dzekucheka .
Munowanzo, kurapa kwako kwepanyama episode yekutarisirwa kunofanira kupedzisira kupi zvako kubva mavhiki matatu kusvika matanhatu. Murapi wako wepanyama anofanira kuve nechokwadi kuti une chirongwa munzvimbo kuti urambe uchidzidzira. Anofanirawo kuve nechokwadi kuti unoziva chaunofanira kuita kana kurwadziwa kwepashure kana sciatica ichirova zvakare .
Kudzivirira Kwemangwana Matambudziko
Chimwe chinhu chinonyanya kukosha purogiramu yako yepachirapa ndeyekudzivirira nzira dzekudzivirira matambudziko emangwana nemashure ako. Muongorori wako wepanyama anogona kukubatsira kuona nengozi dzinogona kutungamirira kumarwadzo ekudzivirira shure kana sciatica. Nzira dzokudzivirira matambudziko emangwana kumashure dzinosanganisira:
- Kuramba wakachengetedza zvakakodzera paunogara
- Kudzivisa nguva dzose mberi kupfugama
- Kudzivisa kusimudza zvakasimba
- Kushandisa nguva dzose
Kana uine lumbar laminectomy uye discectomy kukubatsira kuti uite sciatica yako, unogona kubatsirwa nechirwere chepanyama mushure mekuvhiyiwa. Murapa wako wepanyama anogona kushanda newe kuti akubatsire kuvandudza mararamiro ako ose kuitira kuti iwe unogona kukurumidza nekudzoka kubasa rako rakazara uye basa.
Chitubu: Beneck, JG, etal (2014) Kudzidzira kwakasimba, kufambira mberi kunovandudza hupenyu hwehupenyu hunotevera lumbar microdiskectomy: kuedza kusinganzwisisiki kutongwa. Clin Rehabil. 2014 Mar 14. [Epub mberi kwekunyora]