Ingabe ngezinye izikhathi uzizwa ubuhlungu, ukuqina, noma umuzwa wokushisa emhlane wakho ongenhla, ngaphansi nje kwentamo yakho nangaphezu nje kwesikhala sezimbambo zakho, ngemva nje kokuvuka ekuseni noma ngemva kosuku olude emsebenzini? Nakuba sonke sikhuluma ngobuhlungu obuphansi emhlane, ubuhlungu obuphezulu emhlane bungaba yisithiyo esikhulu emisebenzini yethu yansuku zonke. Ngakho-ke, namuhla sizoxoxa ngokuthi kungani lokhu kwenzeka, yini engenziwa ngakho, nokuthi nini lapho kufanele nakanjani sibone udokotela.
Kalula nje, kuthiwani lo mhlane ongenhla?
Cabanga ngakho, umgogodla wethu awulona ithambo elilodwa elide. Ufana nentambo yobuhlalu, eyenziwe ngezingcezu ezincane zamathambo (esizibiza ngokuthi ama-vertebrae) axhumene. Engxenyeni engenhla yomhlane wethu, okungukuthi, kusukela entanyeni kuya ekugcineni kwekheji lezimbambo, kunezinhlungu ezingu-12 ezinjalo. Kwezokwelapha, le ngxenye siyibiza ngokuthi i-Thracic Spine .
Ngayinye yalezi zinhlungu zomgogodla ixhunywe ezimbanjeni ezimbili. Lezi zimbambo ziyajikeleza bese zixhuma ethanjeni eliyisicaba eliphakathi kwesifuba (sternum) ukuze zakhe ikheji lethu lezimbambo. Umsebenzi walo oyinhloko ukuvikela izitho ezibaluleke kakhulu njengenhliziyo namaphaphu ethu. Ngenxa yalokhu, umhlane ongaphezulu awugobi noma usonteke njengentamo yethu kanye nomhlane ongezansi. Kuzinzile kancane. Yingakho ubuhlungu bomhlane ongaphezulu bungavamile kancane kunobuhlungu bomhlane. Kodwa-ke, uma kwenzeka, kungaba yinkinga enkulu.
Ngakho-ke, kungani lo mhlane ongaphezulu ubuhlungu?
Kungaba nezizathu eziningana zalobu buhlungu. Ezinye ziyizimo ezilula ezibangelwa izinto esizenzayo noma esizishoyo, kanti ezinye ziyizizathu zezokwelapha ezidinga ukunakwa okwengeziwe.
| Imbangela | Kalula nje... |
|---|---|
| Ukucindezeleka kwemisipha nokuklwebheka | Lena imbangela evame kakhulu. Ukuphakamisa into esindayo ngendlela engafanele, ukusonta ngokuzumayo, noma ukuqala inqubo entsha yokuzivocavoca kungalimaza imisipha, imisipha, noma imisipha kule ndawo yangemuva. |
| Ukuma kabi | Kuyinto esivame ukuyenza singaqapheli. Izinto ezifana nokusebenza ugobile phambi kwekhompyutha usuku lonke, ubheke ifoni yakho, nokuhlala endaweni efanayo ngenkathi ushayela kungabeka ingcindezi engadingekile emgogodleni wakho, okungaholela ebuhlungwini ngokuhamba kwesikhathi. |
| Izinkinga zediski | Kukhona ingxenye efana nejeli (idiski) phakathi kwemigogodla yethu emibili esebenza 'njenge-shock absorber'. Lokhu kungaphuma (idiski eshelelayo) bese kucindezela inzwa eseduze (inzwa). Kungaphinde kuncinzwe. Siyibiza ngokuthi (idiski ehlungiwe) . |
| Ukuphuka kwamathambo | Ukulimala komgogodla kungenzeka ngenxa yokuwa okukhulu noma ingozi yemoto, okungaba buhlungu kakhulu. |
| Isifo samathambo | Lobuhlungu bungabangelwa nezifo eziwohloza amalunga njengoba ekhula. I-Osteoarthritis iyisimo esivame kakhulu. |
Kuzwakala kanjani lokhu kubuhlungu?
Ubuhlungu obungaphezulu komhlane bungazwakala buhlukile kuwo wonke umuntu. Bheka ukuthi unanoma yiziphi zalezi zimpawu:
- Ubuhlungu obubukhali, njengokusha noma ukugwazwa.
- Ubuhlungu obuhlabayo nobuhlabayo obufika budlule.
- Umuzwa wokuqina nokuqina emisipheni.
- Ubuhlungu obufana nokushaqeka kukagesi okwehla noma okuhambisana nomthambo.
- Ukuthintitha, umuzwa wokuthintitha, noma umuzwa wokuntuleka kwamandla endaweni yobuhlungu.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onalolu buhlungu, uzoqala ngokukubuza imibuzo ethile bese ethola incazelo eningiliziwe.
Ubuhlungu buqale nini? Bubuhlungu kuphi kakhulu? Ingabe ukwenza noma yini kuyabuqeda ubuhlungu? Yini eyenza ubuhlungu bube bubi kakhulu? Uhlobo luni lomsebenzi owenzayo? Izinto ezinjalo.
Ngemuva kwalokho, udokotela uzokuxilonga. Bazokucela ukuthi uphakamise futhi ugobe izingalo nemilenze yakho ukuze babone ukuthi ubuhlungu buyashintsha yini. Bangase bavivinye amandla emisipha yakho kanye nokusabela kwayo.
Ngezinye izikhathi, kungadingeka ukwenza ezinye izivivinyo ukuze kutholakale imbangela eqondile.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-X-ray yomgogodla | Ungahlola izinto ezifana nendawo yamathambo, ukwaphuka, noma ukwaphuka. |
| I-MRI Scan (Umfanekiso Wokuzwakala Kwe-Magnetic Resonance) | Lokhu kukuvumela ukuthi ubone kahle hhayi amathambo kuphela, kodwa nezinto ezibucayi njengemisipha, ama-disc, kanye nemizwa. |
| I-CT Scan (i-Computed Tomography) | Lokhu kuvumela ukuthi kutholakale izithombe zomgogodla ezinezinhlangothi ezintathu (3D) futhi kuvumela ukuthi kufundwe ngokujulile amathambo nezicubu ezizungezile. |
| I-EMG (i-Electromyography) | Lokhu kuhlolwa kusiza ukuhlola umonakalo wezinzwa (i-neuropathy). Lokhu kungenziwa uma unezimpawu ezifana nokungazweli. |
| Ukuhlolwa Kwegazi | Kuyasiza ukuthola ukuthi zikhona yini ezinye izimo zezokwelapha ezingase zibangele ubuhlungu, njengezinhlobo ezithile ze-arthritis. |
Yini engenziwa ngalobu buhlungu?
Izindaba ezinhle ukuthi isikhathi esiningi, lobu buhlungu bomhlane bungalawulwa ngezinto ezilula ongazenza ekhaya.
- Iziqeda-zinhlungu: Ungasebenzisa iziqeda-zinhlungu ezifana ne-acetaminophen kanye nemithi elwa nokuvuvukala engeyona i-steroidal (NSAIDs) njengoba kuqondiswe udokotela wakho. Kodwa khumbula, kuphephile ukukhuluma nodokotela wakho ngalokho okukulungele kanye nomthamo.
- Iphedi yokushisa:Ukusebenzisa ibhodlela lamanzi ashisayo kusiza ekunciphiseni ukuqina kwemisipha nokuthuthukisa ukujikeleza kwegazi.
- Amaphakethe eqhwa: Ungafaka iphakethe leqhwa ukuze unciphise ubuhlungu nokuvuvukala.
- Ukuphumula: Gwema imisebenzi ekhulisa ubuhlungu usuku olulodwa noma ezimbili.
- Ukubhucungwa kwezokwelapha: Ukuthola ukubhucungwa kumuntu oqeqeshiwe kungasiza ekuphumuzeni imisipha.
Ezinye izindlela zokunciphisa ubuhlungu ekhaya
- Ukuzivocavoca: Kubaluleke kakhulu ukwenza izivivinyo eziqinisa futhi zelule imisipha emhlane wakho ongaphezulu. Kodwa-ke, uma uzwa ubuhlungu, thintana nodokotela noma isazi se-physiotherapist ukuze uthole ukuthi yiziphi izivivinyo ezikulungele.
- Ukuma okuhle: Kwenze umkhuba ukuhlala nokuma uqonde. Ungasheleli noma ugobe phambili. Yenza isihlalo sakho sasehhovisi kanye nedeski kube lula kuwe.
- Nciphisa ukucindezeleka: Imisipha iyaqina uma ucindezelekile. Izinto ezifana nokuphefumula okujulile nokuzindla zingasiza kulokhu.
Kufanele ubonane nini nodokotela?
Nakuba isikhathi esiningi lobu buhlungu buzophela ezinsukwini ezimbalwa, ngezinye izikhathi akufanele singabunaki. Lokhu kungaba izimpawu zesimo esibucayi.
| Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela. |
|---|
| - Uma ubuhlungu bungapheli ngemva kwesonto. |
| - Uma uzwa ukuqaqamba, ukungazweli, noma ubuthakathaka emilenzeni noma ezinqeni zakho. |
| - Uma uzwa ubuhlungu obungabekezeleleki noma ukuqaqamba kwemisipha. |
| - Uma lobu buhlungu buhambisana nezimpawu ezintsha ezifana nomkhuhlane, ukwehla kwesisindo, noma ukungakwazi ukulawula amathumbu noma isinyi . |
Uma unalezi zimpawu, sicela ubonane nodokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Izimbangela ezimbili eziyinhloko zobuhlungu beqolo eliphezulu ukucindezeleka kwemisipha kanye nokuma kabi komzimba.
- Esikhathini esiningi, lobu buhlungu bungaphathwa ekhaya ngokuphumula, ukusetshenziswa kokushisa/ukubanda, kanye nokuzivocavoca okulula.
- Uma ubuhlungu buhlala isikhathi esingaphezu kwesonto, uma kuba nokungezwani komzimba, noma uma kukhona ezinye izimpawu ezinkulu njengomkhuhlane, bona udokotela wakho ngokushesha.
- Ukuhlala uqonde, ukuzivocavoca umzimba, nokunciphisa ukucindezeleka kungasiza kakhulu ekuvimbeleni lolu hlobo lobuhlungu.
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