Kodi mwayamba kumva kupweteka kwa msana, dzanzi m'miyendo yanu, kapena kusasangalala mukamayenda mutakwanitsa zaka 50? Kodi mumamva ngati miyendo yanu yayamba dzanzi mukamayenda mtunda waufupi, kotero muyenera kukhala pansi kwakanthawi kenako n’kuyendanso? Ngati muli ndi zizindikirozi, chifukwa chake chingakhale kuchepa kwa njira za mitsempha m'msana wanu. Mu zamankhwala, timatcha vutoli spinal stenosis . Musaope kumva dzinali. Ngakhale silingathe kuchiritsidwa kwathunthu, pali mankhwala ambiri omwe angakuthandizeni kuthana nalo bwino ndikukhala ndi moyo wokangalika. Choncho tiyeni tikambirane za izi lero.
Chinthu chosavuta kwambiri ndi chabwino kwambiri - Physical Therapy
Nthawi zambiri, dokotala wanu amakulangizani kuti muyambe ndi zinthu zosavuta musanayambe kuchita opaleshoni yaikulu monga opaleshoni. Kuchiza thupi ndi njira yofunika kwambiri yothandizira. Ndi masewera olimbitsa thupi oyenera, mutha kuchepetsa kwambiri zizindikiro zanu.
Taganizirani izi motere: ngati msana wanu uli ngati ndodo, minofu yozungulira imakhala ngati zingwe zomwe zimathandiza kuti ndodoyo ikhale yoyimirira. Choncho kulimbitsa minofu imeneyi kungathandize kuchepetsa kupanikizika kwa msana wanu.
Motsogozedwa ndi katswiri wa zamaganizo, mungathe kusintha:
- Kusinthasintha : Kuchita masewera olimbitsa thupi otambasula minofu ya kumbuyo ndi khosi kungathandize kuchepetsa ululu ndikuwongolera kuyenda.
- Mphamvu: Maphunziro olimbitsa thupi amathandiza kulimbitsa minofu yomwe imathandizira msana. Awa ndi masewera olimbitsa thupi osavuta omwe nthawi zambiri amatha kuchitidwa kunyumba.
- Kulinganiza: Kuchita masewera olimbitsa thupi kumachepetsa mwayi wogwa mukuyenda.
- Kulimbitsa Thupi la Mtima: Mukachita masewera olimbitsa thupi omwe amawonjezera kugunda kwa mtima wanu pang'ono, monga kusambira kapena kukwera njinga , ubongo wanu umatulutsa mankhwala otchedwa endorphins . Mankhwalawa amagwira ntchito ngati mankhwala achilengedwe ochepetsa ululu, omwe amathandiza kuchepetsa ululu wanu.
Kumbukirani, palibe njira imodzi yochitira masewera olimbitsa thupi. Choncho onetsetsani kuti mwalankhula ndi dokotala wanu kapena katswiri wa masewera olimbitsa thupi kuti mudziwe masewera olimbitsa thupi omwe ali abwino kwa inu. Sikoyeneranso kuchita mopitirira muyeso.
Nthawi zina, malamba apadera (corsets kapena braces) ovalidwa mozungulira mimba angagwiritsidwe ntchito panthawi yochita masewera olimbitsa thupi. Komabe, kuvala izi nthawi zonse kumatha kufooketsa minofu, choncho funsani upangiri wa dokotala pankhaniyi.
Mankhwala ochepetsa ululu
Dokotala wanu angakulembereni mankhwala ena kuti akuthandizeni kuchepetsa ululu pamodzi ndi kuchita masewera olimbitsa thupi. Ngakhale ena mwa awa angagulidwe pa sitolo ya mankhwala popanda kulembedwa ndi dokotala, simuyenera kumwa mankhwala aliwonse musanafunse dokotala wanu kaye. Mankhwala ena amatha kuyanjana ndi mankhwala ena omwe mukumwa ndipo angayambitse zotsatirapo zoyipa.
| Gulu la mankhwala | Zitsanzo ndi magwiridwe antchito | Mfundo zofunika |
|---|---|---|
| Mankhwala ochepetsa ululu | Monga acetaminophen (Tylenol, Panadol). Izi zimangochepetsa ululu, osati kutupa. | Kawirikawiri n'kotetezeka, koma kumwa mopitirira muyeso woyenera kumavulaza chiwindi. |
| NSAIDs (Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid) | Ibuprofen, monga Naproxen, imachepetsa ululu ndi kutupa. | Ngati itengedwa mopitirira muyeso, ingayambitse zilonda zam'mimba ndikukhudza impso. Sikoyenera okalamba kapena omwe ali ndi matenda a mtima. |
| Mankhwala ochizira ululu wa mitsempha | Gabapentin, monga Pregabalin, imagwiritsidwa ntchito pochiza ululu womwe umabwera chifukwa cha kupsinjika kwa mitsempha, monga dzanzi ndi kutupa. | Kugona ndi chizungulire zimatha kuchitika. Muyenera kusamala mukayendetsa galimoto. |
| Mankhwala ena oletsa kuvutika maganizo | Monga amitriptyline. Ikaperekedwa mu mlingo wochepa, izi zingathandize kuchepetsa ululu wosatha. | Zotsatirapo zoyipa monga kugona tulo, pakamwa pouma, komanso kunenepa zimatha kuchitika. Ichi ndichifukwa chake nthawi zambiri amalangizidwa kuti amwe usiku. |
Ngati palibe chilichonse mwa izi chomwe chimaletsa ululu, nthawi zambiri, mankhwala amphamvu ochepetsa ululu a opioid angaperekedwe kwa kanthawi kochepa. Komabe, awa sagwiritsidwa ntchito kwa nthawi yayitali chifukwa cha chiopsezo cha kuledzera.
Kodi jakisoni angathandize?
Nthawi zina jakisoni amagwiritsidwa ntchito ngati mankhwala ofunikira kwambiri kuposa mapiritsi. Pali mitundu iwiri ikuluikulu:
1. Jakisoni wa Epidural Corticosteroid : Izi zimaphatikizapo jakisoni wosamala kwambiri m'dera la msana komwe mitsempha imapindidwa. Corticosteroid yomwe ili mu jakisoni iyi imachepetsa kutupa m'derali ndikupereka mpumulo ku ululu. Izi zimachitika ndi katswiri monga dokotala wa opaleshoni.
2. Kutsekeka kwa Mitsempha: Izi zimaphatikizapo kubaya jekeseni mankhwala oletsa ululu pafupi ndi mitsempha yomwe imanyamula ululu, ndikupangitsa kuti mitsemphayo "ikhale yopanda mphamvu" kwakanthawi.
Jakisoni iyi sipereka zotsatira zofanana kwa aliyense. Anthu ena amamva mpumulo waukulu kwa miyezi ingapo. Ena amamva kwa masiku ochepa okha. Ena sangamve kusiyana kulikonse.
Kodi opaleshoni imafunika liti?
Opaleshoni nthawi zambiri imakhala njira yomaliza, koma dokotala wanu angafune kuti muganizire za opaleshoni pazochitika izi:
- Ngati pali ululu wosapiririka .
- Ngati n'kovuta kwambiri kuyenda kapena kuima.
- Ngati mukulephera kulamulira mkodzo wanu kapena ndowe zanu (izi ndi zadzidzidzi).
Kuchita opaleshoni sikungathe "kuchiritsa" vutoli kwathunthu. Koma kungathandize kuchepetsa kupsinjika kwa mitsempha, kuchepetsa ululu, ndikukuthandizani kubwerera ku moyo wabwinobwino.
Mitundu ingapo ikuluikulu ya opaleshoni
- Kuchotsa Laminectomy: Iyi ndi opaleshoni yofala kwambiri. Imachotsa mafupa ochulukirapo, zotupa, ndi mitsempha yokhuthala msana yomwe ikukankhira mitsempha. Zili ngati kuchotsa chotchinga.
- Laminotomy: Njira yopangira dzenje laling'ono kuti muchepetse kupanikizika kwa mitsempha, popanda kuchotsa fupa lonse.
- Kusakanikirana kwa Msana: Nthawi zina kumachitika limodzi ndi laminectomy, njirayi imaphatikizapo kuphatikiza mafupa awiri kapena angapo osakhazikika pamodzi kuti aletse kuyenda kosafunikira m'derali.
- Kuchotsa Chiwalo Cholumikizira Mitsempha: Ngati diski pakati pa vertebrae yatsika ndipo ikukankhira mitsempha, gawo lokha la diski lomwe likukankhiralo ndi lomwe limachotsedwa.
- Opaleshoni Yosavulaza Kwambiri: Njira yochitira opaleshoni popanda kudula kwambiri, poika kamera ndi zida zapadera kudzera m'mabala ang'onoang'ono kwambiri, popanda kuwononga minofu yathanzi.
Nthawi yochira pambuyo pa opaleshoni ikhoza kukhala masiku angapo mpaka miyezi 2-3, kutengera mtundu wa opaleshoni yomwe yachitika komanso thanzi lanu lonse.
Uthenga Wopita Nawo Kunyumba
- Matenda a Spinal Stenosis ndi matenda omwe amapezeka kwambiri munthu akamakula, pomwe njira za mitsempha mumsana zimakhala zochepa. Izi sizoyenera kuopa ndipo zitha kuyendetsedwa bwino.
- Choyamba muyenera kuyesa ndi kuchita masewera olimbitsa thupi ndi masewera olimbitsa thupi omwe dokotala wakupatsani. Izi zingathandize kuchepetsa ululu kwambiri.
- Ngakhale ngati ndi mankhwala ochepetsa ululu omwe mungagule ku pharmacy, musagwiritse ntchito popanda kufunsa dokotala wanu.
- Majakisoni ndi opaleshoni ndi njira zina zochiritsira zomwe muyenera kuganizira. Izi zimangofunika kwa anthu omwe ali ndi zizindikiro zoopsa.
- Ngati muli ndi ululu kapena kuuma kwa msana kapena miyendo yanu, musanyalanyaze ndipo onetsetsani kuti mwawonana ndi dokotala kuti mudziwe chomwe chikuyambitsa.
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