Indlela yokuhlola iLumbar Spine

Iimpawu zeentlungu okanye ukuphazamiseka emilenzeni okanye kumzantsi osezantsi zingabonakalisa ingxaki ngesigxina, kunye nesizathu sokuhlola loo nxalenye yomzimba wakho. Xa uvavanya kwiimeko zengqondo zengqondo, ugqirha wakho uza kuhlola uluhlu lwemisebenzi ukujonga indawo kunye nomthombo wengxaki yakho.

Uninzi lwagqirha lusetyenziswa ngendlela echanekileyo yokuvavanya iingxaki zeengxaki zengqondo.

Nangona kukho ukuchithwa ngokungathandabuzekiyo kumgqirha ugqirha, amanyathelo ayisiseko ekuhloleni i-lumbar spine efana ngokufanayo. Ngokuxhomekeke kwiimpawu zakho kunye neziphumo zakho zekliniki, ukugxilwa nokujongwa koviwo kuyahluka.

Amaphuzu ambalwa ebalulekileyo ngaphambi kokungena kwiinkcukacha zokuhlola i-lumbar spine:

1. Okokuqala, uviwo olupheleleyo kunye nokuzimisela komthombo weentlungu zingathatha unokutyelela kancinane kliniki yakho. Ngokuqhelekileyo, injongo yokuphononongwa kokuqala kukuqinisekisa ukuba akukho zibonakaliso zeengxaki zengxowanqa engabangela imeko engxamisekileyo. Xa imeko ibonakala ingahambeli, iinjongo zihlala zilawula iimpawu kunokuba zihlolisise uvavanyo olubanzi.
2. Okwesibini, ukuhlola i-lumbar spine kudinga ukuvavanywa nje kuphela kwinqanaba elingaphantsi komzimba, kodwa kunye neentsholongwane ezibalulekileyo ezivela kulo mmandla ukuya kwiindawo eziphantsi . Yisizathu sokuba kutheni ugqirha unokuchitha ixesha elithile ukuvavanya amandla, ukuvakalelwa, kunye neengcamango kwimigangatho ephantsi.

Iiflegi eziBomvu zeengxaki ezininzi

Njengoko kubonisiwe, xa kuqale ukuvavanya ingxaki ye-lumbar ingxaki ezithile ziimeko ezimbalwa ezinokuthi zibe zikhulu, kwaye ezi ziimeko zongxamisekileyo kunye nezidingo kufuneka zichongwe ngokukhawuleza. Ezi zibandakanya iimeko ezifana nokusuleleka, izicubu, kunye noxinzelelo oluninzi lwentlungu.

Nangona le miqathango ingabonakali, ugqirha uya kukubuza imibuzo kwaye akuhlolisise ukuqinisekisa ukuba ayikho imiqondiso yale miqathango. Ezi zibizwa ngokuthi "iiflegi ezibomvu" zeemeko zentlambo ziquka:

• Iintsholongwane zamva nje, ukuguquka kwesisindo, okanye ukutshiza ebusuku
• Imbali yomhlaza engakwazi ukufudukela kwithambo
• Ubunzima obubuhlungu ekuphumleni okanye ukuvusa ebuthongweni
• Ukunyuka okanye ukugcinwa kwamanzi
• Ukutshatyalaliswa kwangoku

Ezi zibonakaliso 'ezibomvu zeempawu' ziza kukhokela ugqirha wakho ukuba ugxininise uviwo lwabo kwaye mhlawumbi ufumane iimvavanyo ezongezelelweyo ukuvavanya kule miqathango enzima ekhoyo. Kubalulekile ukuqaphela ukuba ngenxa yokuba unomkhuhlane, akuthethi ukuba intlungu yakho yangemuva iyingozi. Nangona kunjalo, le miqondiso inokudibana neemeko ezinzulu, kwaye ziyimpawu ezifunekayo zokubangela ukuvavanya okunzulu.

Ukuphonononga umqolo

Ukuba neendlela ezichanekileyo zokumviwo kunceda ukuqinisekisa ukuba umhloli wakho akayi kubhala phantsi iinkcukacha ezibalulekileyo. Amanyathelo aqhelekileyo okuhlola i-lumbar spine zibandakanya: ukuhlola, ukugada, ukuhamba, umsebenzi weentsimbi kunye neemvavanyo ezizodwa. Ngamanye amanyathelo anokuhlolwa kunye namanyathelo ambalwa, kwaye ukuba ukungaqhelekanga kuphawulwe, uphando olunzulu luya kwenzeka.

• Uhlolo : Uhlolo luquka ukuvandlakanywa kwendlela yokubonakala kwintsiba. Oku kungabandakanya ukuphononongwa kokulungelelaniswa ukusuka kokubili nakwicala lesigulane. Ukuphononongwa kufuneka kuqhutywe ngesikhumba esingenalutho ukuvavanya nayiphi na into engafanelekanga okanye ubungqina bokulimala.
• Igalelo : Inxalenye ithetha ukuthintela umzimba. Umhloli wakho unokuziva nangona nayiphi na imihlaba okanye ezinye izinto ezingekho phantsi kwe-lumbar umgudu kunye nommandla osezantsi wesisu. Ukongezelela, i-palpation kufuneka ihlolisise nayiphi na indawo echaphazelekayo yokuthintela.
• Ukuhamba : Ukuhamba kwe-lumbar spine kungahlolwa ngokucela isigulane ukuba siphume phambili, ngasemva, sitshintshe kwicala ngalinye, kwaye sincike kwicala ngalinye. Ukongezelela, abaninzi abavavanya baya kufuna ukuvavanya nayiphi na into engafanelekanga engabonakalisa iingxaki zomsebenzi wesifo.

• Umsebenzi wemisipha : Ngokuqhelekileyo, umhloli wakho uya kuhlola imisebenzi emithathu yamathambo. Okokuqala, amandla emisipha eyahlukeneyo yomgca wezantsi. Okwesibini, ukuvakalelwa kuzo zonke iindawo eziphantsi. Okwesithathu, umsebenzi weengcamango zakho, ngokuqhelekileyo emadolweni nasemagqabini, nangona kukho ezinye iingcamango ezinokuhlolwa. Ubuthathaka bemisipha, ukungaqhelekanga kokuvakalelwa, kunye neengqungquthela ezingenakulinganiswa nazo zonke zingabonakalisa umsebenzi wesifo esingavamile.
• Iimvavanyo ezizodwa : Kukho inani leemvavanyo ezizodwa eziza kwenziwa ngumhloli wakho. Ezi mvavanyo zingabandakanya iimvavanyo ezizodwa zemisebenzi yesigulane kunye neempawu zomsindo wesifo. Uvavanyo oluqhelekileyo oluqhutyelwayo lubizwa ngokuba ngumlingo ovukileyo wokuphakamisa uvavanyo .

Uvavanyo lweeNzame

Ukulungiswa kwezifundo zengcamango ngokuqhelekileyo akuyimfuneko ekwenzeni unyango lokuqala lwentlungu. Xa kukho impawu malunga neemeko ezinzulu, uvavanyo luyalelwe ukuba luvandlakanywe kwezinye zezimiqathango. Nangona kunjalo ngenxa yentlungu engqondweni ecinga ukuba ivela kumthombo oqhelekileyo (umxube we-muscular, ukungaqhelekanga kwediski, i-arthritis, njl.), Ukuvavanywa kwangaphambili ngokuqhelekileyo akunakunceda, kwaye kwiimeko ezininzi kunokukhokelela kunyango olongezelelekileyo kunokuba lube luyimfuneko.

Xa uvavanyo luyalelwe, ugqirha wakho unokuyalela enye yeemvavanyo ezahlukeneyo. Enye ayilungile kunomnye, kodwa kwiimeko ezithile umntu unokunceda. Abantu abaninzi ndibabona ngentlungu emva bafuna i-MRIs. I-MRIs idla ngokuvavanya, kodwa kungekho kuzo zonke iimeko. Ukongezelela, i-MRIs kufuneka iguqulelwe ngokucokisekileyo, kuba ihlala ibonisa ezinye iziphumo ezinokuba luncedo, kunye nabanye abangenakwenza okungahambiyo. Ukukhohliswa ngokulandela iziphumo zokuvavanya ngaphandle kokubeka abo kumxholo weemviwo kunye neziphumo ezibhalwe ngasentla zingakhokelela ekunyilweni okungafanelekanga okanye okungadingekile.

ILizwi

Kubalulekile ukuqonda ukuba akukho nto ichazwe ngoku kudala kukukwenza uzive ungcono okanye ukhulule iimpawu ezibuhlungu. Nangona kuqinisekiswa ukuba akukho zimo ezinzulu ziza kwenzeka kwaye uzama ukuchaza ingxaki ibalulekileyo amanyathelo, okokuba ukanti unyango abantu bafuna. Ngokuqhelekileyo, unyango aluxhomekeke kwi-diagnostic ngqo. Ngenxa yezona zinto ezibangela ubuhlungu be-back, unyango luqala ngamanyathelo afanayo kungakhathaliseki ukuba ingxaki yinkcuksi yediski, umxube we-muscle, okanye enye into. Kwiimeko eziqhelekanga eziqhelekileyo zibandakanya iimpawu ze 'reg flag' ziya kupheliswa yinyango.

> 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.