Intlungu ephantsi ye-back back yinqanaba lokuqala lokulimala. Kodwa musa ukuxhalabisa - ngoxa ngokuqinisekileyo ukuba iintlungu ezingapheliyo zingakhula kwiqhekeza leentlungu eziphantsi, xa unyango lwangaphambili, lunokwenzeka ukuphepha ingxaki ede. Nazi izinto ezisisiseko malunga neempawu, izibangela, kunye nonyango lweentlungu ezisezantsi.
Yiyiphi i-Acute Low Back Pain?
Intlungu ephantsi yeentlungu zithetha intlungu yesikhashana, ubunzima kunye / okanye ukuxhatshazwa kwemisipha naphi na ngasemva, uqala ngaphantsi kwembambo kwaye uqhubeka nje ngaphantsi kwamatye. Ubungakanani bexesha oye waba neentlungu ziluhlula kwiintlungu ezingapheliyo. Iingcali zihluke ngexesha layo, kodwa ngokuqhelekileyo azikho ngaphezu kweeveki ezili-12. Njengazo zonke iintlungu zentlungu, iimpawu zivame ukuzithoba kwaye kaninzi azikwazi ukuqinisekiswa ngokulula kwiimviwo okanye iimvavanyo . Unyango lujolise kakhulu kwiintlungu ngokwazo.
Iintlungu zentlungu ephantsi kakhulu yenye yezizathu eziphambili zokuba kutheni abantu bafune ingqalelo yezokwelapha, kodwa ipesenti kuphela abantu abanalo.
Iindaba ezilungileyo kukuba iintlungu ezingapheliyo zentlungu zihlala zixazulula ngokwazo emva kweeveki ezimbalwa. Ngakolunye uhlangothi, ukufumana uhlobo olufanelekileyo kunye nenani lonyango lokuqala luza kukunceda ubeke intlungu yakho yangaphantsi ekhulayo ukuya ekubeni yimeko engapheliyo.
Usemngciphekweni wobuhlungu obunzima obuphantsi?
Abantu abadala abaphakathi kweminyaka engama-35 no-55 basengozini enkulu yokubandezeleka kweentlungu eziphantsi. Ukuchitha ixesha elininzi kwizikhundla ezizenzekelayo - njengokuba usebenza yonke imini kwikhompyutheni - inxaxheba enkulu ekukhuseni ukwanda kohlobo lwentlungu.
Eminye imingcipheko ibandakanya umsebenzi omzimba onzima, ukugoba kunye / okanye ukuguquka rhoqo (oku kunokuba negalelo kwi-disc disc), nokuphakamisa.
Ngo-2015, i-American Academy ye-Orthopedic Surgeons ihlaziye iirekhodi ezingama-26 zezigulane zezigulane (ezizigidi ezi-1.2 ezibuhlungu buhlungu) kwizame zokubona ubunzima bezinto ezinobungozi obukhulu kunye nobuhlungu obungapheliyo. Bafumene ukuba i-19.3% yezigulane ezithe zafumanisa ukuba zinexinzelelo zithi zibuhlungu buhlungu, njengoko kwenza 16.75% yezigulane ezigqithisileyo (oko kukuthi, abo bane-index mass mass or above 30.)
Uphononongo lufumene ukuba abantu abanokuxhomekeka kwe-nicotine kunye nabo baxhatshaza utywala babika amanqanaba aphezulu entlungu, kwakhona.
Iimbangela ze-Acute Low Back Pain
Amatyala amaninzi aphantsi kweentlungu ezisezantsi afunyaniswa "njengento engeyiyo," oko kuthetha ukuba ugqirha akazi into ebangela ukuba. Njengesigulane, oku kunokubonakala kukukhungathekisa kuwe, kodwa khumbula ukuba unyango, kwaye kwiimeko ezininzi ulinde nje, lunokuba luncedo ekuphumuleni ubuhlungu.
Ngaphandle kokuba ugqirha wakho akhuphe kwiimpawu zempilo enzima (ebizwa ngokuba ngamaflegi obomvu), iimvavanyo zokucinga zengqondo azikho imfuneko. Ukuba intlungu iqhubeka nangona kukho unyango, kuloo ndawo, iimvavanyo ezinjalo zinokuba luncedo.
Ngokudabukisayo, nangona izikhokelo zekliniki zincoma kuphela ukusetyenziswa ngokufanelekileyo kweemvavanyo zokujonga izilwanyana ngenxa yokuxilongwa kwintlungu emva koko, oogqirha abaninzi bahlala besetyenziselwa ukuzisebenzisa, nakwiimeko ezinzima zentlungu ephantsi. Kwinqaku elingu-2009 elinesihloko esithi "Ukugqithisa Ukubuyiswa Kwesifo Esibuyiselweyo: Isikhathi Sokubuya?" eyapapashwa kwi- Journal ye-American Board of Medicine Family, uDkt. Rick Deyo, kunye. al, ukuphawula ukuba ukusebenzisa i-lumbar magnetic imaging resonance (MRI) yanda kwi-Medicare yabantu ngo-307% kunyaka we-12 ukususela ngo-1994 ukuya ku-2006.
Abaphandi bongeza ukuba ukuya kutsho kwe-2/3 kwezi vavanyo kungenzeka ukuba zinikezelwe ngokungalunganga.
Imithombo yeentlungu ezisezantsi zintlungu zingabandakanya iingxaki ze-disc, i-vertebral fractures, u-muscle strain kunye / okanye i-ligament.
Ukufumana I-Pain Your Back Back Pain Ikhethwe nguDokotela
Ngaphandle kweengxaki ezinxulumene nezoshishino malunga nokusetyenziswa kakubi kweemvavanyo zengqondo yokuxilonga kubantu abanokuqala okanye ubuhlungu obubuhlungu, ukufumana unyango ngenxa yeentlungu zakho zangasemva kungabangela isinyathelo esibalulekileyo ekuphiliseni kwakho. Isizathu kukuba unyango lwangaphambili lunokukunceda ukuba ugweme ingxaki yokubuyela emva kwexesha elide.
Xa uhamba ugqirha ngenxa yentlungu yakho, uya kuqhuba udliwano-ndlebe lwezonyango (olubizwa ngokuba yimbali) kunye nokuhlolwa ngokomzimba. Ulwazi oluqokelela kule ngqununu kuya kumnceda ukuba ahlolisise intlungu yakho ngokukubeka kwenye yeentlobo ezi-ezintathu: iintlungu ezingezantsi zodwa, iintlungu ezinxulumene neentliziyo okanye ezinye izizathu kunye neeflegi ezibomvu. Unyango lwakho kunye naluphina uvavanyo olufunekayo luyakunikwa ngokusekelwe kwicandelo lakho.
Ukwelashwa Kwangaphantsi Kwemva
Utyando lweentlungu eziphantsi kweentlungu ngokubanzi luqala ngeemvavanyo zentlungu kunye neengcebiso. Ugqirha wakho uya kukuxelela ukuba uhlale usebenza kodwa uguqula phantsi ukuze uhlalise intlungu yakho.
I-over-the-counter (i-OTC) okanye imilenze yezilonda zentlungu idlalwa kuqala, kwaye ugqirha uya kukufundisa ngendlela yokunyamekela umva wakho. Ukuba lo mgca wokuqala wokhuselo awusebenzi, unakho ukunika unyango, ukunyamekela kwezilwanyana okanye unyango.
Kuyafana nokucinga ngomfanekiso wokuxilonga, (kuxutyushwa apha ngasentla) imishanguzo yeentlungu zonyango, ngokukodwa, i-opioids ehambelana nomngcipheko wokuba ngumlutha, unokukwazi ukusetyenziswa kakubi kunye nokusetyenziswa kakubi. Umbhalo we-American Board of Medicine article ekhankanywe ngaphambilana waphelisa ukuba kukho ukunyuka kwama-423% ekuchithweni kwe-opioids ngentlungu.
Kodwa isifundo se-2016 esashicilelwe kwi- Journal ye-American Medical Association sathola ukuba unyango olungaphantsi kweziyobisi ezimbini - ukunciphisa uxinzelelo lokuxinwa kwengqondo kunye nokunyangwa kwengqondo - lunikezela ngokukhululeka nokuphucula ukusebenza xa kuthelekiswa "nokunyamekela ngokuqhelekileyo" kugqirha.
Uninzi oogqirha abaphambili banokuqeqeshwa ngokukhawuleza kwiintlungu zangemva, kwaye unjalo, unokufumana ukuthunyelwa ngokukhawuleza kwizodwa, okanye ufumane ukunyamekela kwakho. Kule meko, unganqikazi ukubuza ugqirha wakho ngomyalelo wonyango okanye iziphakamiso zonyango kunye nokuzivocavoca .
Indlela Yokugcina Ubunzima Obunzima Ukususela Kwi-Back Back Pain
Ukuba awuqapheli, ubuhlungu obuhlungu buhlungu buya kukhokelela ekukhubazekeni. Kukho iindlela ezimbini ezahlukeneyo oku kwenzeka. Okokuqala, ukuba awuyikulawula ukuvuvukala kunye nezicubu zesikhumba esilandelayo, kunokunciphisa ukuguquguquka kwezinto ezinokubangela ukulimala okungakumbi. Iimfucu ze-Scar nazo zingakhokelela kwi- spasm ye-muscle kunye namaphuzu okuqala .
Okwesibini, kunye nexesha, umzimba wakho unokuguquka ngokusisigxina okwenza inkqubo yakho yeentlanzi iphosakele kwaye iphazamise ukuvakalelwa, okuyiimeko ezibuhlungu ezingapheliyo.
Uphulo lwangaphambili kunye nokuzilolonga rhoqo zimbini iindlela ezilungileyo zokugcina intlungu ebuhlungu ekuphumeni ekubeni yimeko yokubuhlungu engapheliyo.
Ukuthintela i-Pain Down Back Pain
Njengoko ilizwi lihamba, unyango olungcono lukhuselo.
Ukuthintela intlungu engaphantsi kweenyawo, gcina imisipha yakho iguquguquke kwaye iqine, kunye nokuzilolonga okubandakanya ukulungelelanisa kakuhle. Imisebenzi enjenge- yoga , i- Pilates , kunye nezinye iinkqubo zokuqinisa eziyinqobo zinokukunceda usebenze umzimba wakho wonke, kukunika ithuba lokuqeqesha imisipha yakho ukuxhasa imisebenzi yakho yemihla ngemihla.
Umzimba womzimba unokuhamba ixesha elide ukukhusela ubuhlungu obukhulu beentlungu . Ngokomzekelo, xa uphakamisa izinto ezinzima, ugoba ukusuka emagqabeni nasemadolweni kwaye kungabi ngasemva. Oku kukukhusela umlenze wakho ngenxa yokuba imilenze yakho kunye neminqweno inkulu kakhulu kwaye inamandla kunxulumene nomgudu wakho. Ukusebenzisa umatshini womzimba omhle unceda ukugcina umqolo wakho kwindawo ehambelana kakuhle njengoko ungeze umthwalo owongezelelweyo ngexesha lokuphakamisa.
> Imithombo:
> I-Cherkin, DC (2016) "Ukunciphisa ingqondo ngokusekelwe kwengqondo ngokuchithwa kwengqondo," uJAMA , 315 (12), iphe. 1240-1249. i-doi: 10.1001 / jama.2016.2323.
> UDeyo, R. Ukugqithisa ubuhlungu obungapheliyo: Isikhathi sokubuya? J I iBhodi Fam Med. Jan-Feyi 2009.
> I-Press Release. Izinto ezinobungozi obubuyiselwayo obuphantsi. I-American Academy ye-Orthopedic Surgeons iwebhusayithi. Matshi 2015.