Iintlungu ezisezantsi ziphakathi kwezizathu eziqhelekileyo ukuba abantu bafune iingcebiso zonyango. EUnited States, iintlungu ezisezantsi zenza isibini isizathu sokuba abantu benze ukuqeshwa ngugqirha, kuphela okugqithiswe zizifo zokuphefumula eziphezulu . Intlungu ebuyayo ephantsi iqhelekile, kwaye malunga nayo yonke into inokulindela ukuba neqhekeza (ukuba kungekhona iziqendu ezininzi) zentlungu emva kwexesha lokuphila kwabo.
Xa uvavanya iintlungu ezisezantsi, ugqirha wakho uya kukhathalela ngokukodwa ukuqinisekisa ukuba akukho zibonakaliso okanye iimpawu zeengxaki ezithandekayo. Ngenxa yobume bentlungu, abantu badla ngokuxhalabisa ukuba into ephosakeleyo kakhulu emgodleni. Uninzi lwabantu aluzange lubone olu hlobo lwentlungu ngaphambili, kwaye oku kunokubangela uxhalaba malunga nokuba kunokwenzeka imeko enzima okanye ingxaki engadluka phambili. Iimpawu zentlungu ebuyela emva zihlala zihluke kakhulu kuneempawu ezibonakalayo zentsholongwane, ubunzima, okanye ukuphazamiseka. Abantu banokuchaza ukuvakalelwa okunzulu okunzima okunzima ukukunciphisa. Ubume obungavamile bubuhlungu bangela ukuba abantu bacinge ukuba imeko ephosakeleyo ikhona ngaphakathi komlenze.
Abo bachaphazelekayo ngeentlungu ezibuhlungu beentlungu zixhalabile ukuba banokuba nezinto ezinzulu ezifana ne-tumor okanye intsholongwane, okanye imeko engayi kuba ngcono kwaye ekugqibeleni iholele kwisifo esiyingozi.
Inyani le nto kukuba le nto ayisoloko iyimeko, nangona ubunzima beempawu. Oku kuthetha, kukukhathazeka ngabantu abaninzi kwaye ngenxa yoko izigulane zihlala zizibuza ukuba ukucinga ngomfanekiso we-radiographic okanye i-MRIs kunokuba luncedo ekuhloleni kwabo. Akuqhelekanga ukuba umntu onentlungu ebuhlungu engaphantsi ahlangane kunye noDkt elindele ukuba novavanyo lwe-MRI ukuvavanya imeko yabo.
Iingcebiso
Ukunyaniseka kukuba i-radiography imaging ayinakunceda kakhulu kwiinqanaba zokuqala zokuvavanya iintlungu ezisezantsi. Enyanisweni, uluntu oluninzi lwezakhono olubandakanya iNtshona American Spine Society kunye ne-American College of Physicians, linike iingcebiso ezicacileyo ukuba ukucinga ngeengcamango akufanele kufumaneke kwiinqanaba zokuqala zentlungu ephantsi.
Kukho izizathu zokuba ukucinga ngesoloko kunokuba luncedo, kodwa oku kubakho ngaphandle kokulawula. Kwihlabathi lezonyango, oogqirha badla ngokusebenzisa igama elithi "izimpawu ezibomvu". Ezi ziimpawu ezingase zibe iimpawu zesimo esibi ngakumbi:
- Izidumbu
- Sulelo
- Ukuphuka
- Ukuxhatshazwa kwegazi
Ukuba iimpawu zale miqathango zikhoyo, izifundo zokucinga zingaba luncedo. Iimpawu zeemeko zinokubandakanya umkhuhlane, ukulahleka kwezinto ezisandul 'ukutshabalalisa, imbali yomhlaza, imbali yokusetyenziswa kwezidakamizwa, imbali yexinzelelo olubi, ukugcinwa kwamanzi okanye ukungahambisani nezinye iimpawu. Kwakhona, le miqondiso ibonakala ikhona, kodwa xa le "impawu ezibomvu" iimpawu zikhoyo kukho ukuvavanya okunye okufunekayo.
Iingcebiso azicacanga; Enyanisweni zicacile. Umbutho weNorth American Spine Society uthi ngqo oogqirha: "D musa ukucebisa imifanekiso ephakamileyo (umzekelo, i-MRI) yomgudu phakathi kweeveki zokuqala ezithandathu kwiigulane ezinentlungu engapheliyo emveni kokungabikho kweeflegi ezibomvu." I-American College of Emergency Physicians ixelela oogqirha: "Gweba ukucinga ngeso lengqondo kwisebe eliphuthumayo kubantu abadala abaneentlungu ezingenabuhlungu ngaphandle kokuba isiguli sinamandla okanye siqhubekile ngokwemvelo okanye sikhankanywa ukuba sinenkinga enkulu." Isitatimende se-American College of Family Physicians sifunda: "Musa ukwenza iifoto zentlungu ephantsi emva kweveki ezintandathu zokuqala, ngaphandle kokuba iiflegi ezibomvu zikhona."
Isizathu esivela kwiingcebiso
Isizathu sokuba le mibutho yezobugcisa yenza ukuba ezi ngcebiso zicaca ngokugqithiseleyo, ekugqibeleni, ukuba izifundo zophando aziboneleli ngexabiso lokunceda izigulane zifumane ukukhululeka ekungcoleni kwabo. Unyango lwentlungu ephantsi ye-back back does not change based on x-rays and MRI results. Nangona i-diagnostic engundoqo ayifani ngokupheleleyo, iingcebiso zonyango aziguqukanga. Njengomgaqo jikelele wesohlwayo, uvavanyo lufumaneka xa iziphumo zolu vavanyo zikhokelela ekubini kwimiba emibini (okanye ngaphezulu). Ukuba umphumo wovavanyo awunakwenzeka ukutshintsha umendo wonyango, ngokubanzi uvavanyo alufanele lwenziwa.
Kule meko, izifundo zengcamango azitshintshi iziphakamiso zonyango malunga neentlungu ezisezantsi eziqhelekileyo.
Ukongezelela, ngamanye amaxesha uphando lweengcamango lunokubangela ingxaki. Umvavanyo wokucinga ungakhokelela kwiinkqubo ezingekho mfuneko okanye iimvavanyo ezongezelelweyo, kwaye ukuvavanywa kwangaphambili akunako ekugqibeleni kukunceda ukhulule iimpawu. Ukunyangwa kweentlungu eziphantsi kweentlungu kufuneka kugxilwe kwimigudu yokunciphisa iimpawu ezibandakanya ukunyakaza okunyamekileyo kunye nomsebenzi, ukuphepha kwezinto ezikhubazayo, kunye neendlela ezithile eziza kunika inkxaso ngokuquka:
- Ulungiso lwenyama
- Ukunyanzeliswa kwamanzi
- Ukuhlawula
- Ukwenza i-Acupuncture
- Ukuzivocavoca kuquka i-yoga ne-Pilates okanye i-tai chi
Ngalunye lwale miqathango yonyango luye lwaboniswa ukubonelela ngokukhululeka kwintlungu ekusetyenzisweni kweentlungu ezisezantsi. Ukongezelela ekukhuseleni ukucinga, iziphakamiso ezifanayo zicebise ukuphepha ukunyanga imithi, ngokukodwa imichiza yonyango yokunyanga intlungu. Xa kusetyenziswa iyeza, kufuneka ngokuqhelekileyo ziqulethwe ngamachiza angaphezulu kwama-anti-anti-inflammatory and / okanye iTylenol.
ILizwi
Iintlungu ezibuhlungu ezisezantsi ziba yinto eyoyikisayo, ngakumbi xa ibonakala iphuma ngaphandle. Abantu bafumana intlungu engavamile, engaxhalabisi, kunye noyiko. Ngenxa yezi zizathu, abantu abaninzi abaneentlungu ezibuhlungu bexesha elide bazibuza ukuba ngaba iimvavanyo zengxaki ziyimfuneko ukuvavanya umlenze wazo. Inyani le nto, ngaphandle kweemeko ezithile, ukucinga ngentsingiselo yomgudu nge x-rays, i-MRIs, okanye ezinye iimvavanyo akufuneki. Enyanisweni, uluntu oluninzi lwezakhono luye lenza iziphakamiso ezicacileyo ukuba izigulane kufuneka ziphephe ezi ntlobo zovavanyo. Nangona ekugqibeleni banokubaluleka, uninzi lwabantu abaneentlungu ezidlulileyo ezingasoze zifune ukucinga ngeendlela zokunceda ukukhupha iimpawu zabo.
> Imithombo:
> Ukukhetha Ngokuhlakanipha ® kuyisicwangciso se-ABIM Foundation. © 2017
> Chou R, et al. Ikhomishana yeCandelo loVavanyo loKhuseleko lwe-American College of Physicians; Ikholeji yaseMerika yeeNgcali; I-American Pain Society I-Low Backin Pain Guidelines Panel. "Ukuxilongwa kunye nokunyangwa kweentlungu eziphantsi: umkhombandlela oqhelekileyo weklinikhi e-American College of Physicians kunye ne-American Pain Society." U-Ann Intern Med. 2007 u-Oktobha 2; 147 (7): 478-91.
> Forseen S, Corey A. "Inkxaso yesiganeko kunye neentlungu ezisezantsi: i-order based based order sets". J Am Coll Radiol. 2012 Oct; 9 (10): 704-12.