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Ukuqala kweRehab emva kokuPhepha kweMbuyiselo yangaphantsiUkuba unentlungu ephantsi okanye i- sciatica kwi- disc ye-lniar , ufumana inzuzo yonyango ekuncedeni ukulawula intlungu. Ngamanye amaxesha, unyango olulondolozayo olunjenge-PT okanye iisilisi alukwazi ukubuyisela ngokugcwele ukuhamba kweentlungu eziqhelekileyo emgodleni wakho, kwaye uncedo olungenelelo luyafuneka.
I-lumbar laminectomy kunye ne-discectomy yinkqubo yokuhlinzwa eyenziwa ngu-orthopedic okanye neurologic ugqirha onokukwenza ukunciphisa intlungu yakho nokuphucula ukuhamba kwakho. Inkqubo ibandakanya ukucima i-dis kunye nezinto eziphathekayo zethambo ezingase zixinzelele kwiimbilini ezisuka emlonyeni wakho.
Unokufumana inzuzo yonyango emva kwe-lumbar laminectomy kunye ne-discectomy ukukunceda ufumane kwakhona. Iinjongo zokubuyiselwa emva kokubuya emva kokuhlinzwa kukukunceda ukuba uphinde uhlawule ngokunyaniseka kunye namandla kumgudu wakho kwaye kukuncede ubuyele kwimpilo yakho yangaphambili. I-PT yakho iya kusebenza kunye nawe ukuphuhlisa inkqubo yohambo onokuyenza ukuze uncede ukukhusela iingxaki ezizayo kwintsipho yakho.
Ukuba unesiqhelo esisezantsi, nantsi isicatshulwa-nyathelo-sinyathelo sezinto onokulindela ukuzenza kunyango lomzimba. Ngaphambi kokuqala oku, okanye nayiphi na inkqubo yovavanyo, jonga kunye nogqirha wakho ukuqinisekisa ukuba ukhuselekile ukuba wenze.
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Ukulungiswa kweposiEmva kokuhlinzwa ngokutsha, kufuneka usebenze ukuze uhlale ulungelelaniso olufanelekileyo xa uhleli kwaye umile. Ukulawulwa kweposi emva kokubaluleka kubaluleke kakhulu njengoko kugcina umgangatho wakho ophantsi kwisithuba esiphezulu sokukhusela i-disc lumbar kunye neenthambo zakho.
Umgulana wakho wenyama unokukufundisa ukuba uhlale njani ne-posture efanelekileyo ngokusebenzisa i-lumbar roll ukuze ugcine umlenze wakho kwindawo efanelekileyo. Olunye uqeqesho kunye neendlela zokugcina isimo esifanelekileyo sokubuya kwakho siquka:
Khumbula, ukufumana kunye nokugcina isimo esifanelekileyo kwisithuba sakho esiphantsi ngenye yezona zinto zibaluleke kakhulu ongayenza ukuze uncede ukukhusela umva wakho kwaye ukhusele iziganeko ezizayo zeentlungu ezisezantsi.
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Qala iNkqubo yokuHlola yokuHlolaUkuhamba ngenye yeendlela ezilungileyo kakhulu ongayenza emva kwe-lumbar laminectomy okanye ukuhlinzwa okungaxilwanga. Ngoba? Kuba ukuhamba kunceda ekuphuculeni ukuhamba kwegazi emzimbeni wakho. Oku kunceda ukuzisa i-oksijeni kunye nezondlo kumasipha omzimba kunye nezicubu njengoko ziphilisa.
Ukuhamba kunceda ekuphuculeni impilo yakho ye-cardiovascular, ukugcina intliziyo yakho nemiphunga yakho isebenza ngokufanelekileyo emva kokuhlinzwa okwenziwe lumbar.
Into ehamba phambili ngokuhamba emva kokuhlinzwa ngokugqithisileyo kukuba yinto yokuzivocavoca ngokuthe tye - umlenze wakho uya kuba yindawo efanelekileyo xa uhamba. Oku kunceda ukukhusela iidiski zakho kwiingxaki ezizayo.
Ukuqalisa inkqubo yokuhamba emva kokuvulwa komva ngokulula; uyaphuma kwaye uhambe, kunene? Kukho ngaphezulu, ngoko uhlolisisa kunye ne-PT ukukunceda ukuba usetyenzise inkqubo ehambelana nemeko ethile kunye neemfuno zokuba yinto enokukhetha emva kokuhlinzwa kwangasemva.
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I-Prone Press UpsEnye yezinto ezilula, kodwa zisebenzayo, zisebenzisayo ukukhusela i-back and lumbar diss emva kwe-laminectomy. Lo msebenzi uxinzezela umqolo wakho wokuphulukisa ii-discs kwaye unceda ukuwagcina kwindawo efanelekileyo kwindawo yakho ephantsi. Kwakhona kunceda ukuphucula ubuchule bakho bokuguqula kwisandiso esilungileyo.
Ukwenza umsebenzo, ubhekene ne-yoga mat ephantsi kwaye ubeke izandla zombini phantsi phantsi phantsi kwamahlombe akho. Gcina umqolo wakho kunye neenyawo zakho zikhululekile, kwaye sebenzisa iingalo zakho ukuze ucinezele inxalenye engaphezulu yomzimba wakho ngelixa uvumela ukuba umva wakho ongaphantsi uhlale phantsi. Umele uzive unxinzelelo oluncinci kumqolo wakho ophantsi xa ucinezela.
Gcina indawo yokushicilela phezulu imizuzwana emibini, kwaye ngokukhawuleza uhlehlise ukuya kwindawo yokuqala. Phinda usebenze ngokuphindaphindiweyo ukuya kwi-10 ukuya kwe-15.
Qiniseka ukuba ukhangele kunye nogqirha wakho ngaphambi kokuba uqale lo msebenzi ukuze uqinisekise ukuba ukhusele ukuba wenze emva kwe-lumbar laminectomy kunye ne-discectomy.
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I-Straight Leg LegzeEnye yeenjongo zakho zonyango emva kokuba i-lumbar laminectomy kunye ne-discectomy ingaba kukuphucula amandla kunye nokuzinza kwezihlunu zakho eziphantsi. Oku kuya kuphucula inkxaso yokuba inkqubo ye-muscular yomqolo wakho inika umqolo wakho.
Omnye umsebenzi omncedisayo wokunceda ukuphucula amandla akho okubuya ngasemva kukunyusa umlenze wokunyusa umlenze (SLR) . Ukwenza umsebenzi, silale ngesisu (sithandwe), qinisa izicathulo zakho zesisu, kwaye uphuthume umlenze omnye phezulu emoyeni. Ubambe umlenze othe ngqo kumasekhondi a-2, uze uyiphantsi kancane. Phinda kwakhona ukuphindaphinda kwe-10 ukuya kwe-15.
I-Prone SLR inokwenziwa kanye okanye kabini ngemini, kodwa qiniseka ukuba ukhangele kunye nomzimba wakho ngaphambi kokuba uqalise umsebenzi ukuze uqinisekise ukuba ukhuselekile ukuba wenze.
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Sciatic Nerve GlidingUkuba unentlungu yomlenze evela kumva wakho ngaphambi kokuhlinzwa, unokufumana ukuba unesifo se-sciatica, okanye isicatshulwa sakho senzwa. Emva kokuhlinzwa, ungabona ukuba umlenze wakho uzizwa uqinile nanini na xa ulungisa yonke indlela. Oku kungaba ngumqondiso weengcambu zesigidi se-sciatic, ingxaki efanayo kubantu abane-sciatica.
Emva kwe-lumbar laminectomy kunye ne-discectomy ukuhlinzwa, umphathiswa wakho wezilwanyana unokumisela ukusetyenziswa okuthe ngqo, okubizwa ngokuba yi-sciatic nerve glides, ukunceda ukunweba nokuphucula indlela yakho ye-ncitic ehamba ngayo emva kwakho. Oku kunokunceda ukukhulula umxube we-nerve kunye nokuvumela ukunyakaza okuqhelekileyo ukuba kwenzeke.
Ukuze wenze i-ncial nerve gliding, ulale emhlane wakho kwaye uguqe ngamadolo. Bamba phantsi kwegama zakho ngezandla zakho, uze ulungele idolo lakho ngenkxaso ngenkxaso yakho ngezandla zakho. Emva kokuba idolo lakho lilungele ngokupheleleyo, gcoba kwaye ukhulise isangqa sakho malunga namaxesha amahlanu, uze ubuyele kwindawo yokuqala.
Phinda ubambe i-nerve ye-sciatic izikhathi ezili-10. Umzimba ungenziwa maxesha amaninzi ukuze uncede ukuphucula indlela i-ncius yakho ehamba ngayo kwaye igxininise emhlane nasemlenzeni ophantsi.
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I-Supine Lumbar FlexionEmva kokuhlinzwa kwakho okuphantsi, umguqirha wakho wenyama unokumisela ukunyanzelisa umzimba . Oku kunokukunceda ukukhusela ngokukhuselekileyo imisipha yakho ephantsi. Ingasetyenziselwa ukululaza ngokunyanisekileyo izicubu ezibomvu kwi-back your back from the incision.
Phakamisa i-lumbar flexion enye yezinto ezilula ukuzenza ukuphucula i-ROM yakho ye-flexion ye-lumbar emva kokuhlinzwa okuphantsi kwe-back. Ukuze wenze umsebenzi, silale emhlane wakho ngamadolo akho. Phakamisa ngokukhawuleza amadolo akho agubuke esiya esifubeni sakho, uze uguqe ngamadolo ngezandla zombini. Bamba ngobumnene ngamadolo esifuba sakho, kwaye ubambe isikhundla semizuzu emibini okanye emi-2. Nciphise phantsi amadolo akho abuyele kwindawo yokuqala.
Unokwenza umzobo we-crew lumpar for exercice 10. Qiniseka ukuba umise umsebenzi xa ufumana naluphi na ukwanda kwintlungu kwi-back your back, kumathambo okanye kwimilenze.
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I-Posterior PelvicEmva kwe-lumbar laminectomy kunye ne-discectomy, umguqirha wakho womzimba angabonisa ukuba usebenzise izakhono zokunceda ukuphucula amandla akho esiswini. Omnye umsebenzi uqale ukuphucula indlela yakho yesisu esiswini nesisu esisisigxina se- pelvic .
Ukwenza u-postvic pelvic, ulale emhlane wakho kunye namadolo athelekileyo. Kancinciza i-pelvis yakho ngokukhawuleza njengokungathi uzama ukuphosa umgangatho wakho ophantsi phantsi. Qinisekisa isisu sakho esiswini njengoko ujikeleza i-pelvis yakho emva koko, kwaye ubambe isikhundla sesibini imizuzwana.
Khulisa ngokukhawuleza ukunyuka kweplavic ukubuyela kwindawo yokuqala. Unokwenza i-postvic pelvic incinci yokuphindaphinda i-10 ukuya kwe-15 ngokuphindaphinda. Lo msebenzi ungaba nzima ukwenza kakuhle, ngoko qiniseka ukuba ukhangele kunye ne-PT phambi kokuba uqale ukuphepha iimpazamo eziqhelekileyo ezingenza ukuba umsebenzi ungasebenzi.
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UkuQinisa nokuCinisaEmva kokuba ufumene umgangatho ophezulu we-pelvic, unokuqhuba inkqubo yakho yokuqiniswa kwesisu kunye nesiseko. Oku kubandakanya ukwenza iinqununu ezithile ezinqeni zakho kunye nemilenze ngelixa ugcina indawo yokungathathi hlangothi.
Izenzo zokuqiniswa kwe-hip zoqhagamshelwano zingaqaliswa ukukunceda ufumane amandla kunye nokuzinza kwiimisipha ezijikeleze indawo yakho ye-pelvic kunye ne-back back. Umgulana wakho womzimba unokukunceda ukuba wenze isigqibo sokuba yeyiphi imimiselo eyona nto ifanelekileyo kwiimeko zakho.
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Iindlela zokuKhusela ezifanelekileyo kunye neMisebenzi yokuPhindela kwimisebenziEmva kokuba ufumene i-ROM, i-hip, kunye namandla angcono, kungase kube ixesha ukuqala ukusebenza kwimisebenzi ethile ukukunceda ukuba ubuyele kumgangatho wangaphambili womsebenzi kunye nokuzonwabisa. Ngokuxhomekeke kumsebenzi wakho, unokufuna ukusebenza kwiindlela ezifanelekileyo zokuphakamisa, okanye unokufuna ukuhlolwa kwe-ergonomic xa uchitha ixesha ehleli kwidesksi okanye kwi-terminal yekhompyutha.
Qinisekisa ukuba usebenze ngokusondeleyo kunye nogqirha wakho kunye nodokotela ngaphambi kokuba ubuyele emsebenzini ukuze uqinisekise ukuba ukhusele ukuba wenze kwaye uqiniseke ukuba ulungele umsebenzi oqhelekileyo kunye nemisebenzi yokuzonwabisa.
Ukuhlinzwa okuphantsi, okufana ne-lumbar laminectomy kunye ne-discectomy, kunokuba nzima ukuhlaziya ngokufanelekileyo. Xa usebenza nodokotela wakho kunye nomzimba wenyama, unokuqiniseka ukuba uphucula iROM yakho, amandla kunye nokuhamba ngokusebenzayo ukuze ubuyele kwinqanaba langaphambili lomsebenzi ngokukhawuleza nangokukhuselekileyo.