Rehab emva kokuPhupha kweNtshonalanga
Ukuba unentlungu ephantsi okanye i-sciatica, unokufumana inzuzo ekusebenzeni nomgulana wenyama ukukunceda ukulawula imeko yakho. I-PT yakho inokukunceda unciphise intlungu yakho kwaye uphucule ukuhamba kwakho kunye nokuzivocavoca okuthe ngqo kunye nokulungiswa kwangasemva .
Ukuba umsebenzi, ukulungiswa kwangemva, okanye unyango oluthile lonyango lukwahluleka ukunika uncedo olwaneleyo lweempawu zakho, unokufuna ukutyelela ugqirha wakho ukujonga ezinye iindlela.
Ngezinye izihlandlo, iimpawu zakho zinokuba nzima kangangokuba ufuna ukuhlinzwa ukuze ufumane ukukhulula kwiintlungu zakho eziphantsi okanye i-sciatica.
I- lumbar discectomy kunye ne-laminectomy ziqhelo eziqhelekileyo zisetyenziselwa ukukunceda ukukhupha iimpawu ezibuhlungu ezivela kumva wakho. Ezi nkqubo zogqirha zenzelwe ukunciphisa uxinzelelo kwiimbilini ezivela kumqolo wakho ezibangele i-sciatica yakho. Ukuba ufuna inkqubo yokucubungula kwimpumputhe ukulawula iimpawu zakho, unokufumana inzuzo yonyango emva kokuhlinzwa ukuze uncede ubuyele ngokupheleleyo kwizinga langaphambili lomsebenzi. Ugqirha wakho angenza iziphakamiso ezithile malunga nekhosi yakho yokuthunyelwa kunye kwaye unokukunceda ukhethe umphathiswa ofanelekileyo wenyama.
Ingaba Ndifuna iP PT emva kweLumbar Laminectomy okanye Discectomy?
Emva kokuhlinzwa kwakho, ungase uziva kakuhle okanye ungenayo impawu. Umqolo wakho unokuba luhlungu ngenxa yokuhlinzwa, kodwa kufuneka ukhawuleze ube neentlungu ezincinane.
Unokuqala ukubuza ukuba ngaba uya kuzuza ngonyango lomzimba emva kwe-lumbar laminectomy.
Uphando lubonisa ukuba abantu abathatha inxaxheba ekuzilolweni ngokomzimba emva kokungaxilwanga kwe-lumbar badla ukufumana iziphumo ezingcono xa kuthelekiswa nezigulane ezingenzi ukuzibandakanya rhoqo. Umgulana wakho womzimba unokukunceda uqonde ukusetyenziswa okufanelekileyo emva kokuhlinzwa.
Ngifanele ndiqale nini unyango lomzimba emva kweLumbar Laminectomy okanye Discectomy?
Ngokuqhelekileyo, kufuneka ulindele ukuqala unyango lwamazi-4 ukuya kwiiveki ezi-6 emva kokuhlinzwa kwakho kwe-lumbar. Ukuba kukho nayiphi na inkxalabo yokuqhubela phambili njengokwentsholongwane okanye ukuphuma kwegazi ngokugqithiseleyo, ngoko unokufuna ukulinda ixesha elide. Ngakolunye uhlangothi, ukuba izinto ziye zahamba ngokuhamba kakuhle emva kokuhlinzwa kwakho, ungaqalisa iP PT ngokukhawuleza. Emva kwe-discectomy yakho ye-lumbar, kufuneka ube nengxoxo kunye nogqirha wakho malunga nexesha lokuqalisa ukuvuselelwa
Ulwaphulo lweMpilo emva kokuLumbar Laminectomy okanye Discectomy
Emva kokuba utyunyiwe kwaye ugqirha wakho uye wakusula ukuba uqale unyango lomzimba, kuya kufuneka wenze i-aphoyintimenti kwiklinikhi yonyango yangokwenyama. Ngethuba lokutyelela kwakho kokuqala, umphathiswa wakho wenyama uza kwenza uvavanyo lokuqala kunye novavanyo. Izixhobo zovavanyo lokuqala zibandakanya, kodwa azithethi:
- Imbali ithatha . Ngaphambi kovavanyo olusesikweni, umgqirha wakho wenyama uza kuthatha ingxelo ebhaliweyo okanye yezwi. Imibuzo iya kubuzwa malunga nendlela ovakalelwa ngayo, ukuba kwenzeka njani ukulimala kwakho, kwaye ukuba kukho naziphi iingxaki emva kokuhlinzwa kwakho. I-PT yakho iya kuphinda ibuze malunga nembali yakho yonyango. Leli lixesha elifanelekileyo lokubuza imibuzo kwaye uqale ukuhlakulela ulwalamano kunye nomzimba wakho wenyama.
- Uvavanyo lwangemva. Ekubeni i-posture efanele idlala indima ebalulekileyo ekugcineni umgudu ophilileyo, i-PT yakho iya kuhlola i-posture yakho. Uya kukhangela umqolo wakho xa uhleli kwaye umi kwaye urekhode iziphumo ezihambelana nokuhamba kwakho. Unokukunceda ufikelele kwaye ulondoloze i-posture efanelekileyo ngexesha uhleli kunye nokuma.
- Ukuhamba kwesindululo. Umgqirha wakho wenyama uza kulinganisa i-lumbar ye-motion ye-motion (ROM) . Ifowuni ebizwa ngokuba yi- goniometer okanye i-bublin inclinometer ingasetyenziselwa ukufumana isiseko sokufunda kokuhamba komgudu wakho.
- Amandla. Ingcali yakho yomzimba iya kulinganisa amandla akho ngexesha lokutyelela kwakho okokuqala. Ukuba unobuthathaka okanye ukukhubazeka ngenxa yexinzelelo lomgudu wamagogxa ngaphambi kokuhlinzwa, umgulana wakho wenyama uza kulinganisa amandla abo. Unako ukuvavanya amandla akho emathunjini nasemva, emisipha, nasemiswini, okanye emisipha emilenzeni yakho ephantsi.
- Uvavanyo lokuhlola izicubu. Emva kwe-lumbar laminectomy okanye i-discectomy, uya kuba nokuncinci okuncinci kwi-back your back. Umgulana wakho womzimba angavavanya ukuhamba kweethambo ezinobunzima ukuqinisekisa ukuba ulusu kunye nezicubu ezisezantsi azikuthinteli ukunyuswa kwakho.
- Isikrini se-neurological. Umgulana wakho womzimba angenza isikrini se-neurological ngexesha lokuvavanya kwakho okokuqala. Unokuvavanya i-tendon yakho ejulile i-reflexes ne-hammer, kwaye ukwazi kwakho ukuqonda ukukhanya okanye uxinzelelo lungavanywa.
- Uvavanyo lokuthobeka. Ubunzima bomzimba wakho buya kuhlolwe emva kwe-lumbar laminectomy. Amaqela emisipha aya kuhlolisiswa afaka i- hamstrings , quadriceps , kunye neengxube zamathole. Ngamanye amaxesha emva kwe-lumbar laminectomy kunye ne-discectomy, u-tightness kwi-nerve yakho ye-sciatic ikhona. Oku kubizwa ngokuba yingcambu yomgca kwaye kubangelwa izicubu ezinqabileyo ezenza phakathi kwentsholongwane njengoko iphuma emgodini wakho womgudu.
- Uvavanyo olusebenzayo. Ingcali yakho yomzimba iya kuhlola kwakhona umsebenzi wakho emva kokuhlinzwa. Ngaba unako ukusebenza? Ngaba unokuthatha inxaxheba kwimisebenzi yakho yesiqhelo yokuzonwabisa? Ngaba ulinganiselwe ngokusebenza nangayiphi indlela? Izimpendulo zale mibuzo zingancedisa umsebenzi we-PT kunye nawe ukuphuhlisa iinjongo ezithile zokubuyisela emva kokuhlinzwa kwakho.
Unyango lweZonyango emva kweLumbar Laminectomy okanye Discectomy
Iziphumo zovavanyo lwakho oluthile ziya kunceda umphathiswa wakho wenyama aphuhlise isicwangciso sonyango emva kwe-lminar laminectomy yakho. Ngamanye amaxesha, ugqirha wakho unokufuna ukuba ulandele umgaqo-nkqubo othize emva kokusebenza, kwaye umgulana wakho wenyama unokukunceda uhlale endleleni.
Kukho iinxalenye ezahlukahlukeneyo zononophelo lwonyango, ngoko qi niseka ukuba ubuze imibuzo malunga nenkatho oyifumanayo. Iingonyango eziqhelekileyo emva kwe-lumbar laminectomy kunye ne-discectomy ziquka:
Ukuzivocavoca . Inkqubo yokusetyenziswa kwemisebenzi emva kokusebenza kufuneka ibe yintloko yeyona nto igxininise ngayo i-rehab yakho emva kwe-lumbar laminectomy. Uphando lubonisa ukuba abantu ababandakanyeka ekusebenzeni emva kokuhlinzwa ngokutsha baye bafumana iziphumo eziphezulu xa kuthelekiswa nabangenalo.
Izivivinyo ezicacileyo zibandakanya ukuqhutyelwa kwe-ROM yokuqhubekayo kunye nokuziqhelanisa okusemgangathweni kunye nokuqinisa . Ukuba umguqirha wenyama ufumene ubuthathaka kwiqela le-muscle ngenxa yokunyanzeliswa kwangaphambili kwe-nervous, ukuzivocavoca okuthe ngqo kunokugxila kwi-muscle. Ukuvuthwa kwe-cardiovascular like walking stroll walking can also be prescribed for help to improve your overall endurance endurance. I-PT yakho inokukufundisa indlela yokujonga kakuhle ubungqina bakho bokusebenza.
Umgulana wakho wezilwanyana unokumisela umzenzelo wokunyusa ukuguquguquka jikelele kwiintambo zakho, amathole, kunye neentsimbi ze-quadriceps.
Ekubeni ulawulo lwangasemva luyingxenye ebalulekileyo yokugcina impilo yomgudu, umphathiswa wakho wenyama kufuneka akufundise indlela yokuhlala ngokufanelekileyo. Ukuzivocavoca njengenkqubo ye- slouch-overcorrect ingaba luncedo ukufikelela kwithuba elifanelekileyo.
Iimpawu zomzimba. Ukuba ufumana intlungu elandela ukuhlinzwa kwakho, ugqirha wakho wenyama ungakhetha ukusebenzisa iindlela ezithile zokunceda ukulawula intlungu yakho. Iimpawu ezifana nokuvuselela ugesi kunye ne- TENS zingasetyenziswa ukukunceda ukulawula intlungu yakho.
Ukushisa kungasetyenziselwa ukunceda ukuhlutha izihlunu kunye nokuphucula ukujikeleza kwinqanaba lakho, kwaye i-ice ingasetyenziselwa ukunciphisa ukuvuvukala nentlungu ecaleni kwendawo yakho yokucoca.
Ukunyamekela kufuneka kusetshenziswe xa usebenzisa iindlela zokuzibonakalisa-uphando lubonisa ukuba ezinye zonyango zingenako ukubonelela ngezibonelelo ezicetywayo. Ingcali yakho yomzimba yinkcazo yentshukumo, ngoko ke ukuba ufumana nje unyango olunjengobungqingili okanye iqhwa, kufuneka umbuze ukuba ufumana uncedo olungcono kumqolo wakho.
Ukucoca umzimba . Ukuba umgulana wenyama ufumana ubungqingili malunga nokugqitywa kwakho, unokuthi angene kwiinkqubo ezithile zokubambisa inkunkuma .
Ngokuqhelekileyo, isiqhelo sakho sonyango sokunyamekela kufuneka sigcine khona ukusuka kwiiveki ezintathu ukuya ezintandathu. Umguqirha wakho wenyama kufuneka aqinisekise ukuba unenkqubo eqhubekayo ukuze uqhubeke nokusebenzisa. Kwakhona kufuneka aqinisekise ukuba uyazi ukuba wenzeni ukuba intlungu ephantsi okanye i-sciatica iphinda iphinde ibuye .
Ukuthintela iingxaki zexesha elizayo
Icandelo elibalulekileyo kwiprogram yakho yokwelapha yonyango kukufunda indlela yokukhusela iingxaki zexesha elizayo ngasemva kwakho. Umgulana wakho wenyama unokukunceda ukuba ubone ingozi engakhokelela ekubuhlungu kwintlungu okanye kwi-sciatica. Izindlela zokuthintela iingxaki zangemva zangaphambili ziquka:
- Ukugcinwa kwesithuba esifanelekileyo xa uhleli
- Ukuphepha ukuqhuma phambili
- Ukuphepha ukuphakamisa okunzima
- Ukusebenzisa rhoqo
Ukuba unayo i-lumbar laminectomy kunye ne-discectomy ukukunceda ukuphatha i-sciatica yakho, unokufumana inzuzo yonyango emva kokuhlinzwa. Ingcali yakho yomzimba ingasebenza nawe ukukunceda ukuphucula ukuhamba kwakho ngokubanzi ukuze ukwazi ukubuyela ngokukhawuleza kwimisebenzi yakho yesiqhelo kunye nomsebenzi.
Umthombo: Beneck, JG, etal (2014) Ukuzilolonga okunzulu, ukuqhubela phambili kuphucula umgangatho wobomi emva kwe-microdiskectomy lumbar: ityala elilawulwa ngokungahleliwe. KwiKlinikhi yokubuyisela. 2014 uMatshi 14. [Epub ngaphambi kokuprinta]