" Kupweteka kwa msana uku kwayambanso... sindingathe kukhala pansi kapena kuimirira..." Iyi ndi nkhani yomwe anthu ambiri m'dziko lathu amadziwa bwino. Kupweteka kwa msana ndi chinthu chokhumudwitsa kwambiri. Chomwe chimapangitsa kuti kukhale kovutitsa kwambiri ndi pamene sikukuchira ngakhale mutayesa mankhwala ndi chithandizo chamtundu uliwonse. Ngati mukuvutikanso ndi vutoli, nkhaniyi idzakhala yofunika kwambiri kwa inu.
Nchifukwa chiyani mankhwala ena sagwira ntchito? Zinthu zatsopano zomwe zapezeka zikufotokoza nkhaniyi
Kafukufuku wamkulu waposachedwapa adapeza chinthu chodabwitsa kwambiri. Izi zikutanthauza kuti, mwa mankhwala khumi omwe amagwiritsidwa ntchito kwambiri osavulaza omwe timagwiritsa ntchito pochiza ululu wa msana, ndi amodzi okha omwe amagwira ntchito bwino. Tangoganizirani momwe chiwerengero chimenecho chilili chotsika!
Malinga ndi ofufuzawa, ngakhale kuti mankhwala ena amapereka mpumulo pang'ono, nthawi zambiri amakhala akanthawi kochepa komanso ochepa kwambiri. Ndipotu, ngati muyeza ululu pa sikelo ya 100, mankhwala omwe amati ndi opambanawa amangochepetsa ululu pang'ono, monga mapointi 4 mpaka 8.
Onani tebulo ili m'munsimu kuti mudziwe zina mwa njira zochiritsira zomwe zimagwira ntchito, ndi zina zomwe sizigwira ntchito.
| Mtundu wa ululu | Chithandizo chopambana pang'ono | Mankhwala omwe sagwira ntchito bwino |
|---|---|---|
| Ululu Wopweteka Kwambiri wa Msana (zimatenga milungu yosakwana 12) | Mankhwala ochepetsa ululu a mtundu wa NSAIDs (Nonsteroidal Anti-inflammatory Drugs). Mwachitsanzo: Ibuprofen, Diclofenac. | Kuchita masewera olimbitsa thupi, jakisoni wa Glucocorticoid (Cortisone), Acetaminophen (Paracetamol). |
| Ululu Wosatha wa Msana (kupitilira milungu 12) | Kuchita masewera olimbitsa thupi, mankhwala ochiritsira msana, kutema, mankhwala ena oletsa kuvutika maganizo, ma capsaicin plasters. | Mankhwala opha tizilombo toyambitsa matenda komanso mankhwala oletsa ululu monga Lidocaine. |
N’chifukwa chiyani ululu wa msana ndi wofala kwambiri komanso wovuta kuuchiza?
Kupweteka kwa msana ndi chifukwa chachikulu cha kulumala padziko lonse lapansi. Izi zili choncho chifukwa ululu wa msana ukhoza kukhala ndi zifukwa zambiri ndipo ukhoza kupitirira. Ngati chithandizo chomwe mumalandira sichikugwirizana ndi chomwe chimayambitsa ululu wanu, ululuwo ukhoza kupitirira kapena kubwereranso pakapita nthawi.
Mwachidule, pali mitundu iwiri ikuluikulu ya ululu wammbuyo:
1. Kupweteka kwa msana: Izi zimachitika chifukwa cha kusintha kwa thupi komwe kumaonekera bwino, monga kusweka kwa msana kapena stenosis ya msana .
2. Ululu Wosalunjika wa Msana: Chodabwitsa n'chakuti, anthu 85-95 mwa anthu 100 aliwonse ali m'gululi. Izi zikutanthauza kuti palibe chifukwa chimodzi chokha chomwe chimayambitsa ululu wa msana. Zinthu zambiri zokhudzana nazo zingayambitse ululuwu.
Ichi ndi chinthu chofunika kwambiri: choyamba kukumana ndi dokotala wanu kuti mudziwe mtundu wa ululu wa msana womwe muli nawo. Kenako, pamodzi, nonse awiri mutha kusankha chithandizo chomwe chili chabwino kwa inu.
Ndiye kodi timachita chiyani? Njira yoyenera ndi iti?
Ngati muli ndi ululu wa msana 'wosafunikira kwenikweni', apa pali malo abwino oyambira:
Chochita poyamba
Choyamba, lankhulani ndi dokotala wanu ndipo ngati akulangizani, mutha kumwa mankhwala ochepetsa ululu a NSAID kwa kanthawi kochepa. Koma izi ndizofunikira kwambiri:
Chenjezo: Mankhwala a NSAID (monga Ibuprofen, Diclofenac) si oyenera aliyense. Ngati muli ndi mbiri ya kutuluka magazi m'mimba, gastritis, matenda a mtima, matenda a impso, kapena kuthamanga kwa magazi, muyenera kuuza dokotala wanu musanamwe mankhwalawa.
Mankhwala ochepetsa ululu ndi njira yokhayo yothetsera ululu. Nthawi yomweyo, ndikofunikira kupanga dongosolo loti pang'onopang'ono muyambenso kuchita zinthu zanu zachizolowezi, kuyenda, kuchita zinthu zina, ndi zina zotero.
Ngati ululu ukupitirira...
Ngati ululuwu wakhalapo kwa milungu kapena miyezi, tiyenera kuganiza mosiyana. Mankhwala ochepetsa ululu amangoletsa ululu, sachiza vuto lenileni.
"Chinthu chabwino kwambiri chomwe tingachitire wodwala aliyense amene ali ndi ululu ndikupeza chomwe chimayambitsa ululuwo ndikuchiza chomwe chimayambitsa ululuwo."
Mwachitsanzo, taganizirani za munthu amene amakhala pamalo omwewo tsiku lonse. Akachita izi, pamakhala kupanikizika kwakukulu pa mafupa a sacroiliac , omwe amalumikiza msana ndi mafupa a m'chiuno. Izi zingayambitse kupweteka kwa msana. Mu nthawi ngati izi, masewera olimbitsa thupi osavuta omwe angathandize kubwezeretsa mafupawo m'malo oyenera angapereke mpumulo waukulu.
Ngati mankhwala osavuta ngati amenewa sachepetsa ululu, dokotala wanu angaganizire njira zovuta komanso zopweteka.
- Kutulutsa kwa Radiofrequency: Kutenthetsa ndi kuletsa mitsempha yomwe imanyamula ululu.
- Cholimbikitsa Msana: Chipangizo chaching'ono chomwe chimayikidwa mumsana ndikuletsa zizindikiro za ululu.
- Opaleshoni: Kukonza mavuto a kapangidwe ka ziwalo m'ma disc kapena mafupa a msana.
Kusankha chithandizo chabwino kwambiri kwa inu
Kuchokera pa zonsezi, tikumvetsa kuti njira "yofanana ndi yonse" yothetsera ululu wa msana sigwira ntchito. Chinthu chabwino kwambiri choti muchite ndikusankha chithandizo chabwino kwambiri chomwe chili cha wodwalayo komanso chomwe chikugwirizana naye.
Zinthu monga MRI scan zingathandize kwambiri pankhaniyi. MRI imatha kuzindikira mavuto obisika a ma disc, mitsempha, ndi msana.
Taganizirani za munthu ngati uyu:
Pali mwamuna wazaka 40. Ali ndi matenda a disc osachiritsika, wonenepa pang'ono, ndipo ali ndi vuto la maganizo chifukwa cha zomwe zinamuchitikira kale.
Chithandizo chimodzi chokha sichikwanira kwa munthu wotere. Dokotala angaganizire zonsezi ndikulangiza kuphatikiza chithandizo.
- Kuchiza Thupi: Kulimbitsa minofu ndikuwonjezera kusinthasintha.
- Uphungu: Kuwongolera ubale pakati pa kuvulala ndi ululu.
- Kuchepetsa thupi: Kuchepetsa kupanikizika kumbuyo.
- Ngati kuli kofunikira, jakisoni kapena mankhwala ena olunjika ku ma disc a msana.
Mwanjira imeneyi, njira yothandiza kwambiri ndiyo kutenga zonse zokhudzana ndi vuto lanu ndikupanga dongosolo la chithandizo lomwe lingakuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Kupweteka kwa msana ndi vuto lovuta. Chithandizo chimodzi sichigwira ntchito kwa aliyense.
- Mankhwala omwe amagwiritsidwa ntchito kwambiri amapereka mpumulo wakanthawi komanso wochepa.
- Choyamba muyenera kuonana ndi dokotala woyenerera ndikuzindikira chomwe chimayambitsa ululu wanu komanso mtundu wake (wapadera kapena wosakhala wapadera).
- Musamangodalira mankhwala ochepetsa ululu okha. Kuchita masewera olimbitsa thupi, kuchiza thupi, komanso kusintha moyo wanu n'kofunika kwambiri.
- Uzani dokotala wanu za matenda ena omwe muli nawo musanamwe mankhwala aliwonse, makamaka NSAID.
- Ndondomeko ya chithandizo yomwe imapangidwira inuyo, kuphatikiza njira zingapo zochiritsira, nthawi zambiri imakhala yopambana kwambiri. Lankhulani momasuka ndi dokotala wanu za izi.
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