Nzira Yokuongorora Nayo Lumbar Spine

Zviratidzo zvekurwadziwa kana kusagadzikana mumakumbo kana pasi zvakadarika zvinogona kunge zviri chiratidzo chechinetso nechembera, uye chikonzero chekuongorora chikamu ichocho chemuviri wako. Kana uchitarisisa nezvemamiriro ezvinhu epamusoro, chiremba wako achaongorora huwandu hwemabasa kuti aone nzvimbo uye mhedzisiro yechinetso chako.

Vakawanda vanachiremba vanotora nzira yakarongeka yekutarisa zvinetso zvemakumbo.

Nepo pasina mubvunzo kushanduka kubva kuchiremba kuenda kunechiremba, matanho ekutanga ekuongororwa kwepamusoro kwepumburu inowanzofanana. Zvichienderana nemararamiro ako uye kuwana kliniki yako, kutsvaga nekudzika kwekuongorora kunogonawo kusiyana.

Mamwe mashomanana anokosha tisati tapinda mune tsanangudzo yekuongorora lumbar spine:

1. Chokutanga, kuongorora kwakakwana uye kutsunga kwezvakakonzera kurwadziwa kunogona kutora kanopfuura kamwe kuenda kunechiremba wako. Kazhinji, chinangwa chekutanga chekuongorora ndechekuvimbisa kuti hapana mazviratidzo ehutachiona hwepine chinetso chinogona kukonzera mamiriro ezvinhu akaoma. Apo mamiriro acho ezvinhu anotarisa kuva asina kusimuka, chinangwa chinowanzova chekudzivirira zviratidzo panzvimbo yekutsvaga mune yakawanda yekuongorora.
2. Chechipiri, kuongorora mutsara wegomba kunoda kuongororwa kwete kwete chete chikamu chemashure chemuviri, asiwo noutano hunokosha hunobva munzvimbo ino kusvika kumagumo . Ndiyo chikonzero nei iwe chiremba ungapedza nguva yakati uongorore simba, manzwiro, uye mafungiro mumagumo ekupedzisira.

Tsvuku Mitsvuku ye Matambudziko Akawedzerwa

Sezvakataurwa, paunotanga kuongorora dambudziko rekukanganiswa kwekambar kune zvimwe zviitiko zvingave zvakanyanya kuipa, uye izvi zvinoshandiswa pakudzvinyirira mamiriro uye zvinoda kuzivikanwa pakarepo. Izvi zvinosanganisira mamiriro ezvinhu akadai sehutachiona, matumbo, uye kushungurudzika kwesimba.

Kunyange zvazvo izvi zviitiko zvisingawanzoitiki, chiremba wako achakubvunza mibvunzo uye anokuongorora iwe kuti uone kuti pane zviratidzo zvezviitiko izvi. Izvo zvinonzi "mapuranga matsvuku" emaruva emvura zvinosanganisira:

• Mazuva ano mapepa, kuchinja kuyerwa, kana usiku hunofukura
• Nhoroondo yekenza iyo inogona kutamira kufupa
• Nhamo isingabvumiri pazororo kana kumutsa kubva kurara
• Incontinence kana kuchengetedza urinary
• Idambudziko razvino

Aya 'mavara matsvuku' zviratidzo zvinotungamira chiremba wako kuti aongorore kuongorora kwavo uye zvichida kuwana mamwe mimwe miedzo kuongororwa nekuda kwemamiriro ezvinhu akaoma angave aripo. Zvakakosha kuziva kuti nekuda kwekuti une fivhiri, hazvirevi kuti kurwadziwa kwako kumashure ndekukurumidzira. Zvisinei, zviratidzo izvi zvinogona kusanganiswa nemamwe mamiriro ezvinhu akaoma, uye izvo zviratidzo zvinofanira kutanga kutora zvakadzama kuongorora.

Kuongorora Mutsara

Kuva nehutano hwekuongorora kunobatsira kuve nechokwadi kuti muongorori wako haazokanganwi mashoko anokosha. Matanho anowanzoonekwa nekuongorora mutsara wechipfuva anosanganisira: kuongorora, palpation, kufamba, nerve function, uye miedzo inokosha. Chimwe chetsoka chinogona kuongororwa nematanho mashomanana akareruka, uye kana kusakanganiswa kuri kuonekwa, tsvakurudzo yakawanda inogona kuitika.

• Kuongorora : Kuongororwa kunosanganisa kuongorora kwechitarisiko chemukati wechipfuva. Izvi zvinogona kusanganisira kuongororwa kwekuenzanirana kubva kumativi maviri mberi uye kurutivi rwomurwere. Kuongorora kunofanirwa kutora nzvimbo yeganda risina chinhu kuti riongorore chero zvisiri izvo kana uchapupu hwekukuvara.
• Nhengo : Kupatsanurwa kunoreva kubata muviri. Muongorori wako anokwanisa kunzwa nemarudzi akawanda kana zvimwe zvisiri izvo zvakapoteredza lumbar spine uye pasi pemimba. Mukuwedzera, palpation inofanira kuongororwa kune imwe nzvimbo inenge iri nyore kubata.
• Kufamba : Kufamba kwekambarari yepumbwa kunogona kuongororwa nekukumbira murwere kuti afukidze mberi, kumashure, kumira kumativi ose, uye kusendamira kumativi ose. Mukuwedzera, vaongorori vakawanda vachada kuongororodza chero chero ipi zvayo inogona kuitika isingaenzaniswi inogona kuratidzira matambudziko ane nerve function.

• Nerve basa : Kazhinji, muongorori wako achaongorora mabasa matatu emisungo. Kutanga, simba rezvisikwa zvakasiyana-siyana zvemuzasi. Chechipiri, manzwiro kumativi ose ari pasi. Chechitatu, basa remafungiro ako, kazhinji pamabvi uye pamakumbo, kunyange pane mamwe mafungiro anogonawo kuongororwa. Kushaya simba kwemasumbu, kusagadzikana kwekunzwa, uye mafungiro asina kukwana anogona zvose kuratidza kusagadzikana kwehutano hwebasa.
• Kuongororwa kwakakosha : Kune nhamba yezviedzo zvakakosha izvo muongorori wako angaita. Iyi miedzo inogona kusanganisira kuongororwa kwakaenzana kwehutano hwemagetsi uye zviratidzo zvekutsamwa kwehutano. Kuongorora kunowanzoitwa kunonzi rutsoka rwakananga kuedza kuedza .

Kurayira Miedzo

Kurayira zvidzidzo zvekufungidzira hazvidi kudiwa pakurapa kwokutanga kwekunzwa kurwadziwa kwakanyanya. Kana paine nezvezviratidzo zvehutano hwakakomba, muedzo unogona kurairwa kuti uongorore chimwe chezviitiko izvi. Zvisinei nemarwadzo ekudzokera shure anofungidzirwa kuti ari kubva kune mamwe maitiro anowanzoita (kushungurudzika kwemahuro, disc disc, urthritis, nezvimwewo), kuongororwa kwokutanga hazvibatsiri, uye muzviitiko zvakawanda zvinogona kutungamirira kune kurapwa kwakawandisa kupfuura zvingave zvichidiwa.

Kana chiyero chirairwa, chiremba wako anogona kuraira imwe yezviedzo zvakasiyana siyana. Imwe haisi iyo yakanaka pane imwe, asi mumamiriro ezvinhu chaiwo imwe inogona kuva yakakosha. Vanhu vazhinji vandinotarira pamusoro pemarwadzo ekudzokera shure vanoda MRIs. MIMIs anowanzova muedzo unobatsira, asi kwete mumamiriro ezvinhu ose. Mukuwedzera, mishonga inofanirwa kunyatsotsanangurwa, nokuti inowanzoratidza zvimwe zvitsva zvingave zvinobatsira, uye zvimwe zvisingamboiti neicho chinonyadzisa. Kutungamirirwa kutsauswa nekutevera mhinduro yekuedza pasina kuisa izvo zviri mumamiriro ekuongorora nekuwana zvakanyorwa pamusoro apa zvinogona kutungamirira kune zvisingabatsiri kana kurapwa zvisina kufanira.

Shoko Rinobva

Zvakakosha kubvuma kuti hapana chakatsanangurwa kusvika ikozvino chinogona kuita kuti uchinzwe zviri nani kana kubvisa zviratidzo zvinorwadza. Nekuona kuti hapana mamiriro ezvinhu akaoma ari kuitika uye kuedza kutsanangura dambudziko iri matanho anokosha, chokwadi ndechokuti kurapwa ndizvo izvo vanhu vari kutsvaga. Kazhinji, kurapwa hakubatsiri pane zvakanyatsozivikanwa. Pamusana pezvinhu zvinokonzera marwadzo ekudzokera shure, kurapwa kunotanga nematanho akafanana pasinei nokuti dambudziko iri dhiyo dambudziko, kushungurudzika kwematumbo, kana chimwe chinhu. Mumamiriro ezvinhu asina kujairika anowanzobatanidza zviratidzo zve 'reg flag' chirwere chichaguma chiri chimwe chinhu.

> Sources:

> Kusarudza Nokuchenjera ® ndiyo nzira yeAABIM Foundation. © 2017

> Chou R, et al. Clinical Efficacy Assessment Subcommittee yeAmerican College of Physicians; American College of Physicians; American Pain Society Low Back Pain Guidelines Panel. "Kuongororwa uye kurapwa kunorwadza kwepamusoro-soro: chirongwa chekuchengetedza makiriniki kubva kuAmerican College of Physicians uye American Pain Society." Ann Intern Med. 2007 Oct 2; 147 (7): 478-91.

> Forseen S, Corey A. "Chikamu chekuita sarudzo nekushungurudzika kwepamusoro-soro: uchapupu-hwakagadzirirwa urongwa". J Am Coll Radiol. 2012 Oct; 9 (10): 704-12.