Anthu ambiri adakumanapo ndi ululu wa msana kamodzi kokha m'miyoyo yawo. Nthawi zina ululu uwu sumangokhala kumbuyo kokha, koma ukhozanso kutuluka m'matako, pansi pa mwendo, kapena pansi pa mwendo, zomwe zimapangitsa kuti munthu asamve bwino kapena kumva ngati wachita dzanzi. Mukapita kwa dokotala nthawi ngati iyi, pali mayeso osavuta komanso ofunikira kwambiri omwe angachitike kuti adziwe chomwe chikuyambitsa izi. Lero tikambirana za Mayeso Okwera Miyendo Yowongoka (SLR) . Izi nthawi zina zimatchedwa `Lasegue test`.
Mwachidule, kodi mayeso a Straight Leg Raise (SLR) ndi chiyani?
Ganizirani za mitsempha yomwe imayenda kuchokera kumbuyo kwanu kupita ku miyendo yanu ngati mawaya amagetsi. Mitsempha iyi imayenda kudzera mu msana wanu. Nthawi zina, chifukwa cha disc ya herniated mu msana wanu (`Lumbar disc herniation`) kapena zifukwa zina, mitsempha iyi imatha kupsinjika. Pamenepo ndi pomwe ululu umayamba kuyenda m'miyendo yanu, monga tafotokozera kale. Timatchanso vutoli kuti `Sciatica`.
Choncho, mayeso a SLR ndi mayeso omwe dokotala wanu angagwiritse ntchito kuti adziwe ngati ululu wanu umayamba chifukwa cha kupsinjika kwa mitsempha kapena vuto la makina ndi minofu kapena mafupa anu . Zotsatira za mayesowa ndi zomwe zingakuthandizeni kusankha chithandizo chabwino kwambiri.
Dokotala adzakufunsani mafunso angapo musanachite mayesowa. Mwachitsanzo:
- Kodi kupweteka kwa m'mimba kunayamba liti?
- Kodi kwakhala nthawi yayitali bwanji?
- Kodi ululu umamveka bwanji? (monga kutentha, kubaya, kuyabwa?)
- Kodi ululu ukuwonjezeka kapena ukuchepa?
Ndikofunikira kwambiri kuyankha mafunso awa moona mtima komanso momveka bwino momwe mungathere. Izi zithandiza dokotala kumvetsetsa bwino za vuto lanu.
Kodi mumayesa bwanji mayeso awa?
Iyi ndi njira yosavuta kwambiri. Simudzamva kupweteka kulikonse. Dokotala nthawi zambiri amachita izi mukagona patebulo loyezera.
1. Choyamba, mudzapemphedwa kugona chafufumimba pabedi.
2. Kenako, posunga bondo lanu molunjika, dokotalayo adzakweza mwendo wopweteka pang'onopang'ono mmwamba.
3. Mukakweza mwendo wanu motere, muyenera kuuza dokotala wanu komwe mumayamba kumva ululu wamba (ululu kumbuyo kwanu kapena pansi pa mwendo wanu) kachiwiri .
4. Nthawi zina, kuti awonjezere mphamvu pa mitsempha, dokotala angakupempheni kuti mukweze mwendo wanu chammbali, kapena kuti muweramire khosi lanu patsogolo.
Kuwonjezera pa mayeso akuluakulu awa, palinso njira zina zingapo ngati izi.
| Dzina la mayeso | Njira yochitira izi ndi yosavuta. |
|---|---|
| Mayeso Okweza Miyendo Yowongoka | Pankhaniyi, dokotala amakweza mwendo wathanzi womwe suli ndi ululu. Koma ngati, mukakweza mwendo umenewo, mukumva kupweteka mwendo wina womwe umapweteka, uwu ndi umboni wamphamvu wa kupsinjika kwa mitsempha. |
| Mayeso Okweza Miyendo Yowongoka | Adzakupangitsani kukhala pabedi, kuwerama mawondo anu kufika madigiri 90, kenako adzawongola bondo limodzi. Adzafufuza ngati izi zikuyambitsanso ululu. |
| Mayeso Opindika Bondo (Reversed SLR) | Mudzaikidwa chagada, mawondo anu adzawerama, ndipo zidendene zanu zidzasonkhanitsidwa pamodzi mpaka zitakhudza matako anu. Ngati mukumva kupweteka m'ntchafu yanu, izi zitha kusonyeza kuti mitsempha yakhudzidwa kumbuyo kwanu (`mizu ya mitsempha ya L2-L3`). |
Kodi mayeso amatanthauza chiyani ngati "abwino" ndi "oipa"?
Tsopano tiyeni tiwone zomwe zotsatira za mayesowa zikunena.
Ngati mayeso a SLR ali ndi kachilombo...
Musachite mantha mukamva kuti "ndi zabwino." Mu mankhwala, zikutanthauza kuti chizindikiro china chatsimikizika.
Mayeso a SLR amakhala abwino ngati:
- Ngati ululu wanu wamba (ululu womwe umayenda kuchokera kumbuyo kwanu kupita ku mwendo wanu) ukubwereranso mukakweza mwendo wanu pakati pa madigiri 30 ndi 70 .
- Makamaka ngati ululu uwu ukuchokera pansi pa bondo , ndi chizindikiro champhamvu cha kupsinjika kwa mitsempha .
Chofunika: Ndizachibadwa kumva kukoka kwa minofu ya hamstring kumbuyo kwa mwendo wanu mukakweza mwendo wanu. Ichi si chifukwa choti mayesowo akhale ndi zotsatira zabwino. Ndi zabwino zokha ngati mukumva ululu womwewo womwe mwakhala mukumva kuyambira kumbuyo mpaka mwendo .
Zotsatira zabwino mwina zikutanthauza kuti chomwe chimayambitsa ululu wanu ndi vuto la mitsempha monga sciatica, spinal stenosis, kapena disc herniation.
Ngati mayeso a SLR ali negative...
Mayeso "oipa" amatanthauza kuti simunamve ululu wamba mukakweza mwendo wanu.
- Mwachitsanzo, ngati mukuvutika ndi msana kokha, popanda ululu womwe umatuluka m'mwendo mwanu, mayesowa akhoza kukhala oipa.
- Komanso, ngati palibe ululu mpaka mwendo utakwezedwa pamwamba pa madigiri 70, zimenezo zimaonedwanso kuti ndi zoipa.
Zotsatira zoyipa sizikutanthauza kuti mulibe matenda aliwonse. Zimatanthauza kuti ululu wanu mwina sunayambitsidwe ndi kupsinjika kwa mitsempha. Kungakhale kupweteka kwa minofu yanu, mafupa, kapena china chilichonse. Dokotala wanu adzakutumizani kuti mukayesedwenso kuti apeze chomwe chikuyambitsa.
Kodi mungatani pambuyo pake ngati mayeso anu akuwonetsa kuti muli ndi kachilomboka?
Ngati mayeso a SLR ali ndi kachilombo, zomwe zikutanthauza kuti pali kukayikira kuti pali kupsinjika kwa mitsempha, musachite mantha. Pali njira zambiri zochizira izi.
Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola .
Kawirikawiri, dokotala angakulimbikitseni zinthu monga:
- Kupuma: Mudzalangizidwa kuti mupewe kuchita zinthu zomwe zimawonjezera ululu (monga kuwerama patsogolo, kunyamula zolemera) kwa kanthawi.
- Physiotherapy: Izi ndizofunikira kwambiri. Katswiri wa physiotherapy adzakuphunzitsani masewera olimbitsa thupi apadera kuti alimbitse minofu yanu yam'mbuyo ndi m'mimba ndikuchepetsa kupanikizika kwa mitsempha.
- Mankhwala: Dokotala wanu adzakupatsani mankhwala ochepetsa ululu ndi kutupa.
- Jakisoni wa Msana: Kwa anthu ena, ngati ululu uli woopsa kwambiri , jakisoni wapadera amaperekedwa mumsana.
- Opaleshoni: Opaleshoni ndi yofunika kwa anthu ochepa okha, kutanthauza kuti, ngati pali ululu waukulu womwe sungathetsedwe ndi mankhwala, kapena ngati pali zizindikiro zazikulu monga kusintha kwa matumbo ndi chikhodzodzo.
Nthawi zambiri, matenda monga sciatica amatha mkati mwa masabata 6 ngati mutapuma mokwanira, kupatsidwa chithandizo chamankhwala, komanso mankhwala.
Uthenga Wopita Nawo Kunyumba
- Mayeso a Straight Leg Raise (SLR) ndi mayeso osavuta komanso osapweteka omwe amafufuza ngati mitsempha ya msana imapanikizika, makamaka ululu womwe umatuluka pansi pa mwendo.
- Kuyezetsa "koyenera" kumatanthauza kuti ululu wamba umachitika mwendo ukakwezedwa. Izi zikusonyeza kuti pali mitsempha yotsekeka.
- Mayeso "oipa" amatanthauza kuti chifukwa cha ululu si kupsinjika kwa mitsempha, koma china chake.
- Kaya zotsatira zake zikhale zotani, musachite mantha, lankhulani ndi dokotala wanu, ndipo tsatirani malangizo ndi chithandizo chake molondola.
- Anthu ambiri amatha kuchira msanga pogwiritsa ntchito mankhwala olimbitsa thupi komanso kupuma.
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