Ubunzima Bokubuyisela:
Unyango lwentlungu ephantsi yeyona nto yinkinga enokuthi malunga nomntu wonke uya kulawulo ngexesha elithile ebomini babo. Uninzi lwamaxesha amaninzi, intlungu emva koko iyanqumla ngezokwelapha ezilula. Kukho uninzi lwezinketho ezikhoyo, kwaye akukho unyango olulodwa oluboniswe ukuba lukhulu kunonyango lweentlungu eziphantsi. Ezi zezi ezinye zonyango eziqhelekileyo ezisetyenziselwa intlungu yangemva, kwaye ziboniswe njani ukuba ziyasebenza.
Ulungiso lomsebenzi:
Isinyathelo sokuqala kunyango lweentlungu ezisezantsi liza kukuphepha ukuhlaselwa komva. Izigulane kufuneka ziqonde ukuba iintlungu zentlungu ziqhelekileyo, kwaye zihlala zixazulula ngexesha. Ukuphumla kwebhedlele kwakusoloko kunconywa, kodwa sele ifunyenwe kutshanje ukuba ibuyiswe ngokukhawuleza kwintlungu ebuyayo. Ukuphumla kwexesha lokuhlala ixesha elide kunokukhokelela ekubandezelekeni kwexesha eliqhubekayo, kwaye uphando luye lwabonisa ukuphucula ngokukhawuleza kunye nomsebenzi omzimba.
I-Ice ne-heat application sele ikhuthazwa, kwaye inikezela ukuphulukiswa kwesibonakaliso ngelixa lenza le mi sebenzi, kodwa akukho nzuzo eyaziwayo ngaphandle kwexesha elifutshane lonyango lwempawu.
Imithi echasayo:
Amachiza anxamnye nokuvuvukala awona mayeza aphakanyiswayo ngokugqithiseleyo, kwaye uye waboniswa ukuba enye yeyeza kakhulu. Ukusetyenziswa kwemithi engeyiyo-anti-inflammatory (okanye i-NSAID) ngokunciphisa intlungu kunye nokunciphisa ukuvuvukala .
Akukho mayeza athile aboniswe ukuba angcono kunomnye, kwaye izigulane ezininzi ziya kufumana enye ehamba phambili kubo (abanye bakhetha imithi yansuku zonke, abanye bakhetha imithi enokuthi ithathe rhoqo rhoqo).
Ubuhlungu Ukunciphisa amayeza:
Amachiza okuphucula iimpawu ezibuhlungu zidla ngokunceda ngeempawu ezingenakuxhaswa yi-NSAID.
Ngokuqhelekileyo, ukudibanisa ii-NSAID kunye ne- acetaminophen okanye i-Tramadol kunokukunceda ukuvumela uxinzelelo olwaneleyo, ngaphandle kokuba uphumelele kwiimithi zentlungu . Imithi yezohloko , kuquka i- capsaicin kunye ne-lidocaine, inokunika uncedo, nangona iziphumo azihlali ixesha emva kokuba unyango lususwe.
Ukuba ezi zaneleyo, ugqirha wakho unokujonga inkcazo emfutshane yeyeza zentlungu . Ngenxa yobungakanani bemilutha, izidakamizwa zisetyenziswa kuphela xa ezinye iindlela zonyango zihluleka ukulawula iimpawu zakho.
Abaxhamli beMiscle:
I-spasm ye-muscle iyinkxalabo eqhelekileyo, ingakumbi kwizigaba zokuqala zentlungu ephantsi. Enyanisweni, kwizigulane ezininzi, i- spasm ye-muscle yona nto ibangela ukuxhatshazwa kweentlungu eziphantsi. Ukuncedwa ngamachiza okuphucula amayeza kunokuba luncedo kulezi zigaba zokuqala, kodwa ezi zonyango kufuneka zisetyenziswe ixesha elifutshane nje. Amachiza okuphucula amathambo aneempembelelo ezibandakanya ukulala nokuxhomekeka.
Steroid Medication:
Imithi ye-Steroid isebenzayo ekunciphiseni ukuvuvukala kwaye ilawulwa ngomlomo okanye ijojowe emlanjeni, into ebizwa ngokuba yi- epidural injection . Kwiintlobo ezininzi eziqhelekileyo zentlungu emva, imishanguzo ye-steroid ayibonwanga inzuzo.
Izigulane ezineentsimbi ezinobumba, ezibangela iimpawu zentlungu yomlenze, rhoqo ziphucula ngamachiza e-steroid, kodwa iintlungu ezisezantsi zisoloko zifuna imithi ye-steroid. Ngaphezu koko, oogqirha abaninzi banomuva wokuba nemiphumo yecaladi kunye namayeza e-steroid ayenzi nto.
Ulungiso lwenyama:
Ulwaphulo lwezonyango kunye nokuzivocavoca luye lwaboniswa ukuba luncedo kakhulu kunyango lwentlungu engapheliyo. Ukuzivocavoca kunokuba neenzuzo kuquka ukuphucula ukuphucula, ukuguquguquka nokuqina. Ukongezelela, abantu abasebenzisa unyango lweentlungu zentlungu baye baphucula isimo sengqondo, imfuno encinci yemithi yeentlungu, kunye nokuthintela ukuchithwa kwempahla (ukulahlekelwa kwamandla).
Ingcali yomzimba ingakunceda kakhulu ngokukukhokela kule nkqubo, kwaye unceda ekufumaneni izivo zokuzilolonga ezinokunyamezela. Ukongezelela, ogqirha onamava angakuqinisekisa ukuba wenza iimvavanyo ngokufanelekileyo ukwenzela ukuba angabonakali ukuba ube yingozi.
Ezinye iindlela zokwelapha:
Kukho uninzi lwezonyango ezongezelelekileyo zentlungu engaphinda ibe yinto okanye ngaphezulu kunezo zonyango . Ukwenziwa kwe-Acupuncture yonyango lwezonyango zaseTshayina elisetyenziswe iminyaka engaphezu kwe-2,000. Ukunyuselwa kwamathambo kunye nokunyanga kwamayeza kunye neendlela zokonyango zentlungu.
Abantu abaninzi bacinga ukuba oogqirha abawathobeli unyango oluthile , kodwa inyaniso kukuba njengoko ezinye izigulane zifumene uncedo ngempilo yendabuko, abaninzi banokufumana uxolo ngamanye amayeza. Ndihlala ndikhuthaza izigulane ezinentlungu yokuthetha kum ngeendlela ezahlukeneyo zonyango ukuze zizame kwaye zichane oko kubasebenzelayo.
Uphando lwezobuchopho:
Uninzi lwamaxesha amaninzi, intlungu ebuyela emva iya kuphucula kunye nexesha kunye nonyango oluchazwe ngasentla. Nangona kunjalo, ezinye izigulane zigqitywa ekugqibeleni zifuna ukuhlinzwa ukuba ziphucule kwiimeko zabo. Kukho uninzi lwezinto zokukhetha unyango lweengxaki zangemva . Nangona amaninzi amaninzi amanyathelo ayifuni, kwezinye izigulane, ukuhlinzwa ngethambo kungabakho ukhetho olululo .
Umthombo:
Shen FH, et al. "Ulawulo lwezonyango lwe-Acute and Chronic Chronic Back Pain" J. Am. Acad. IOrpop. Ugqirha, Agasti 2006; 14: 477 - 487.