Kunetseka kwakadzoka kwakanyanya pakati pezvikonzero zvakakosha zvevanhu kuti vatsvake mazano ekurapwa. MuUnited States, kurwadziwa kunorwadza kumashure ndiko nhamba mbiri chikonzero chikonzero nei vanhu vachigadza chiremba, bedzi vanopfuura nepamusoro ekutapukira kwezvirwere . Kutambudzika kunodzoka kwakanyanya kunoshamisa, uye anenge munhu wese anogona kutarisira kuva nechikamu (kana zvisingaverengeki zvikamu) zvehutambudzo shure pane imwe nguva muupenyu hwavo.
Kana uchitarisa marwadzo ekudzokera shure, chiremba wako achacherechedza zvikuru kuti hapana zviratidzo kana zviratidzo zvechinetso chinotambudza. Nemhaka yemhando yekurwadziwa shure, vanhu vanowanzonetseka kuti chimwe chinhu chakakanganisika mumutsipa wavo. Vanhu vazhinji havana kumboona kurwadziwa kwakadaro, uye izvi zvinogona kukonzera kukanganisa kwechiitiko chakakomba kana dambudziko rinogona kuwedzera kuwedzera. Zviratidzo zvekurwadziwa shure zvinowanzosiyana zvakasiyana nezviratidzo zvinowanzoitika zvekudzivirira, kushushikana, kana kupesana. Vanhu vanogona kutsanangura kusuruvara kwakanyanya kunorwadza kwakaoma kubvisa. Izvo zvisingajairika zvekusagadzikana uku zvinogona kuita kuti vanhu vafunge kuti chirwere chakakomba chiripo mukati memumumvuri wavo.
Vaya vanobatwa nekunzwa kurwadziwa kwakanyanya kunetseka kuti vangave vane chimwe chakakomba chakadai sechirwere kana utachiona, kana chirwere chisingazove chiri nani uye pakupedzisira chichaita kuti uwane chirwere chinoparadza.
Ichokwadi ndechokuti izvi hazviwanzo zvakadaro, pasinei nekuoma kwezviratidzo. Izvozvo zvakati, ndezvekuda kwevanhu vazhinji uye saka varwere vanowanzoshamisika kana kufungidzira kwemashoko akadai sai-ray kana MRIs zvingave zvichibatsira mukuongorora kwavo. Hazvisi zvisizvo kune mumwe munhu ane kurwadziwa kwakanyanya kunorwadza kuuya pamwe pamwe Dr. achifunga kuva nechirwere cheMRI kuti aongorore mamiriro avo.
Aya Mazano
Ichokwadi ndeyekuti mafirimu ekufungidzira haawanzobatsiri mumatanho ekutanga ekuongororwa kwekutambudzika kwepashure. Zvechokwadi, masangano akawanda ehupfumi anosanganisira North American Spine Society neAmerican College of Physicians, vakapa mazano chaiwo okufungidzira kuti zvidzidzo hazvifaniri kuwanikwa mumavambo okutanga ezvakarwadza zvakanyanya kumarwadziwa shure.
Pane zvikonzero nei kufungidzira kunogona kubatsira, asi izvi zvinowanzosiyana kunze kwekutonga. Munyika yezvokurapa, vanachiremba vanowanzoshandisa izwi rokuti "mavara matsvuku" zviratidzo. Idzi zviratidzo zvinogona kuva zviratidzo zvemuviri wakaoma zvakadai se:
- Tumor
- Kurwara
- Kuputsika
- Yakanyanya neurologic compromise
Kana zviratidzo zvezviitiko izvi zviripo, zvidzidzo zvekufungidzira zvingabatsira. Zviratidzo zvemamiriro aya zvinogona kusanganisira fivha, kupera kwekurema kwemazuva ano, nhoroondo yekenza, nhoroondo yekushandiswa kwezvinodhaka zvinodhaka, nhoroondo yekushungurudzika kwakakomba, kuchengetedzwa kwemakirini kana kusagadzikana, kana zvimwe zviratidzo. Zvakare, zviratidzo izvi hazviwanzovipo, asi apo aya "zviratidzo zvvuku" zviratidzo zviripo zvinogona kudiwa.
Zvinokurudzirwa hazvisi pachena; zvirokwazvo ivo vari pachena. Iko North American Spine Society inotaura zvakananga kuna vanachiremba: "D haurati kukurudzira kufungidzira (semuenzaniso, MRI) yemupembudzi mukati memavhiki matanhatu ekutanga kune varwere vane marwadzo asina kusimba anorwadza mushure mekusavapo kwemafuro matsvuku." IAmerican College of Emergency Physicians inoudza vanachiremba kuti: "Dzivisa lumbar spine imaging mubazi rekukurumidzira kune vanhu vakuru vane marwadzo asingarwadziri shure mushure mekunge murwere ane dambudziko rakakura kana kuti rinopfuurira neurologic kana kuti anofungidzirwa kuva nemamiriro ezvinhu akaoma." Mutauro weAmerican College of Family Physicians unoti: "Usaita fungiro yekutambudzika kwepamusoro mumasvondo matanhatu ekutanga, kunze kwekuti mabhogi matsvuku aripo."
Rational From Recommendations
Chikonzero chikonzero chevanhu vemasangano aya vanoita izvi zvinonzwisisika zvakajeka, pakupedzisira, kuti zvidzidzo zvekufungidzira hazvipei kukosha maererano nekubatsira varwere kuwana ruzoro kubva mukusava kwavo. Mushonga wehutachiona husingaregi hunochinja hunoenderana nehu-ray uye MRI migumisiro. Kunyangwe kana hutachiona huripo huri pachena zvachose, mazano ekurapa haashanduri. Sezvo mutemo wehuwandu hwechigunwe, muedzo unowanikwa apo migumisiro yechipimo ichocho inogona kutungamirira kune imwe yeviri (kana kupfuura) nzira dzakasiyana dzekurapa. Kana chiitiko chemuedzo chisingaiti kuchinja nzira yekurapa, saka kazhinji kuedzwa hakufaniri kuitwa.
Muchiitiko ichi, zvidzidzo zvekufungidzira hazvishanduri mazano ekurapwa kwechiitiko chinorwadza chinorwadza.
Mukuwedzera, dzimwe nguva zvidzidzo zvekufungidzira zvinogona kukonzera mamiriro acho ezvinhu. Chiyero chekufungidzira chinogona kutungamirira kumagadzirirwo asina kukodzera anowedzera kana kuongororwa kwepamusoro, uyezve kuedza kungasazopedzisira kwakabatsira kubvisa zviratidzo. Kurapa kunorwadza kwakanyanya kunorwadza kunofanira kuiswa pamabasa ekugadzirisa zviratidzo zvinosanganisira kufamba kwakanyatsoita uye basa, kudzivirirwa kwezvinhu zvinowedzera, pamwe chete nemishonga chaiyo inogona kupa rubatsiro runosanganisira:
- Physical therapy
- Kugona kwemasana
- Massage
- Acupuncture
- Kudzidzira muviri kunosanganisira yoga uye Pilates kana tai chi
Chimwe nechimwe chezvinhu izvi kurapwa kwakaratidzwa kupa hurombo huripo mukugadzirisa marwadzo ekurwadziwa. Mukuwedzera pakudzivisa kufungidzira, mazano akafanana akaraira kudzivisa kupiwa mishonga yemishonga, kunyanya nhoroondo yemishonga yekurapa marwadzo ekudzokera shure. Kana mishonga inoshandiswa, inowanzofanira kuva nemishonga inopfuura-the-counter kusanganisira nonsteroidal anti-inflammatory medication uye / kana Tylenol.
Shoko Rinobva
Kutambudzika kwakadzoka shure kunogona kuva chiitiko chinotyisa, kunyanya kana ichiita sechinobuda kunze. Vanhu vanoona marwadzo acho asina kujairika, asinganzwisisiki, uye anotyisa. Nokuda kwezvikonzero izvi, vanhu vakawanda vane marwadzo ekurwadziwa mushure mekunge vachishamisika kana mifananidzo yekufungidzira inogona kudiwa kuti iongorore musana wayo. Ichokwadi ndeyekuti, kunze kwemamiriro ezvinhu chaiwo, kufungidzira kwemupaka ne x-rays, MRIs, kana zvimwe zviedzo zvisinganyanyi kukosha. Zvechokwadi, masangano akawanda ehupfumi akaita zvirongwa zvakananga kuti varwere vanofanira kudzivisa mhando idzi dzemifananidzo yekufungidzira. Kunyange zvazvo vangazopedzisira vava kudikanwa, huzhinji hwevanhu vane kurwadziwa kwakanyanya kumusana hakuzombotoda imaging kubatsira kubvisa zviratidzo zvavo.
> 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.