Wake wazizwa umuzwa wokucasuka osuka entanyeni yakho uye ehlombe lakho wehle engalweni yakho? Mhlawumbe lobu buhlungu buyanda uma usebenza phambi kwekhompyutha isikhathi eside, ulala kabi, noma uphakamisa izinsimbi ezisindayo. Nakuba abantu abaningi becabanga ukuthi lobu buhlungu bentamo bujwayelekile, ngezinye izikhathi bungaba uphawu lwenkinga enkulu yangaphakathi. Ngakho-ke, ukuthola imbangela yangempela yalolu hlobo lobuhlungu bentamo, kukhona ukuhlolwa okulula kakhulu kodwa okubalulekile udokotela angakwenza. Namuhla sikhuluma ' ngokuhlolwa kwe-Spurling'.
Kalula nje, iyini i-Spurling Test?
Ukuhlolwa kwe-Spurling ukuhlolwa ngokomzimba okwenziwa udokotela wakho ukuze athole imbangela yobuhlungu bentamo yakho. Akusikho ukuhlolwa kwegazi noma ukuskena. Kuqanjwe ngoRoy Spurling, udokotela ohlinza izinzwa owaqala ukwethula ukuhlolwa ngo-1944.
Kusebenza ngomqondo olula kakhulu. Cabanga ukuthi inzwa ephuma komunye wethambo lomgogodla entanyeni yakho icindezelwe ngesizathu esithile. Kulesi sivivinyo, udokotela uzama ukunikeza ukunyakaza okuthambile, okulawulwayo entanyeni yakho okucindezelwe lowo mthambo, bese ebona ukuthi ubuhlungu obuvame ukubuzwa buyabuya yini. Ngamanye amazwi, yilokhu okwenziwayo ukuze kubangele izimpawu. Uma kwenzeka, udokotela angathola umbono omuhle wokuthi inkinga ikuphi.
Kusho ukuthini uma ukuhlolwa kutholakala ukuthi kuyiqiniso?
Uma ukuhlolwa sekuqediwe, umphumela ungaba 'Omuhle' noma 'Ongemuhle'.
Umphumela omuhle usho ukuthi lapho udokotela ephendula intamo yakho aye ohlangothini oluthile futhi ecindezela kancane, uzwa ubuhlungu obufanayo , ukuqaqamba, noma ukungakhululeki ohlala uzizwa engalweni yakho.
Umphumela omuhle onjengalona uvame ukusho ukuthi impande yemizwa evela komunye wethambo lomgogodla entanyeni yakho iyacindezelwa. Ngokwezokwelapha, lesi simo sibizwa ngokuthi 'i-Cervical Radiculopathy' .
Kungaba nezizathu eziningana zokuthi kungani inzwa ingacindezelwa ngale ndlela:
- I-Herniated Disk : Uma sikhuluma iqiniso, i-cushion efana ne-jelly (i-disk) phakathi kwamathambo amabili omgogodla iyaqhuma bese icindezela i-nerve.
- Ukushintsha kwamathambo: Ushintsho kumathambo omgogodla (i-arthritis) oluvela ngokuguga lungabangela ukukhula kwamathambo amasha ukuthi kucindezele imizwa.
- Ukuvuvukala noma izicubu zesilonda:Ukuvuvukala noma isilonda sezicubu ezenzeka ngemva kwengozi kungabangela ukuba inzwa icindezeleke.
- Ukuqina kwemisipha okukhulu: Imizwa ingacindezelwa ngenxa yokucindezeleka kwemisipha entanyeni.
Uma ubheka umlando wakho wezokwelapha kanye nezinye izimpawu, udokotela angafinyelela esiphethweni esihle ngokugula kwakho ngomphumela omuhle kulolu vivinyo lwe-Spurling.
Udokotela ulwenza kanjani lolu vivinyo?
Abanye abantu bangase besabe kancane uma bezwa ngalolu vivinyo. Kodwa lwenziwa ngokucophelela okukhulu futhi lulawulwa. Uma uzwa ubuhlungu, ukuhlolwa kuzomiswa ngokushesha.
Nazi izinyathelo zokwenza lokhu ngokuvamile:
1. Isinyathelo 1: Udokotela uzokuhlalisa esihlalweni, bese kuthi ngenkathi ikhanda lakho liqondile, ucindezele kancane phezulu kwekhanda lakho. Lokhu kubizwa ngokuthi i-Basic Compression Test . Uma ungazizwa ubuhlungu noma ukungakhululeki kulesi sigaba, ungadlulela esinyathelweni esilandelayo.
2. Isinyathelo 2: Manje udokotela uzothambekisa intamo yakho kancane ohlangothini lapho kukhona khona ubuhlungu . Isibonelo, uma ubuhlungu buyehla engalweni yakho yesokudla, uzothambekisa ikhanda lakho kancane ngakwesokudla.
3. Isinyathelo Sesithathu: Njengoba ikhanda ligobile kulesi simo, umpristi uphinde acindezele kancane phezulu kwekhanda.
Uma kusetshenziswa lokhu kucindezela, uma uzwa ubuhlungu obujwayelekile, ukuqaqamba, noma umuzwa kagesi obulokhu uwuzwa, ehlombe lakho noma engalweni, ukuhlolwa kuba 'okulungile'. Lapho nje uzwa lokho, udokotela uyayeka ukuhlolwa. Uma kungekho buhlungu obuzwakalayo, umphumela uba 'ongemuhle'.
Kubaluleke kakhulu: Akufanele neze uzame lokhu kuhlolwa ekhaya noma omunye umuntu akwenzele kona. Lokhu kufanele kwenziwe udokotela oqeqeshiwe kuphela. Ukukwenza ngendlela engafanele kungalimaza intamo yakho.
Yiziphi ezinye izivivinyo ezenziwayo ngaphandle kwe-Spurling Test?
Ukuhlolwa kwe-Spurling kuyindlela eqondile yokuthola inzwa ecindezelwe. Lokhu kusho ukuthi uma 'ilungile', kungenzeka kakhulu ukuthi kukhona inzwa ecindezelwe. Kodwa-ke, akuyona indlela ebucayi kakhulu yokuhlola. Lokhu kusho ukuthi ngenxa yokuthi ukuhlolwa 'kungalungile', akunakushiwo ngokuqiniseka okungu-100% ukuthi awunankinga. Kungenzeka ukuthi ubuhlungu bubangelwa esinye isizathu.
Ngakho-ke, udokotela angenza nezinye izivivinyo eziningana zomzimba ukuze athole isithombe esiphelele. Nazi ezinye izivivinyo ezinjalo.
| Igama lokuhlolwa | Indlela yokukwenza kalula futhi ube 'nombono omuhle' |
|---|---|
| Uphawu Lokuthunjwa Kwamahlombe (Ukukhululeka) | Uzocelwa ukuthi uphakamise ingalo ohlangothini lwekhanda lakho ebuhlungu. Uma ubuhlungu bakho buncipha uma wenza kanjalo, ukuhlolwa 'Kuhle'. |
| Ukuhlolwa Kokuphazamiseka Kwentamo | Udokotela uzobamba ikhanda lakho ngaphansi kwesilevu sakho nangemuva kwekhanda lakho bese elidonsa kancane. Uma ubuhlungu bakho buncipha kuleli qophelo, ukuhlolwa 'kuqinisekile'. |
| Isibonakaliso sika-L'hermitte | Uma, lapho ugoba ikhanda lakho phansi (libheke esifubeni sakho), uzwa ukushaqeka ngogesi emgogodleni wakho noma ezingalweni nasemilenzeni, ukuhlolwa 'Kuhle'. |
| Isibonakaliso sikaHoffman | Udokotela uzoshaya uzipho lomunwe wakho ophakathi kancane. Uma umunwe wokukhomba nesithupha kugoba ngokungazelelwe, ukuhlolwa kukhomba ukuthi 'kukhona'. |
| Ukuhlolwa kuka-Adson | Ikhanda lakho lizophendulelwa ohlangothini lobuhlungu, isilevu sakho sizophakanyiswa, futhi uzocelwa ukuthi uphefumule ngokujulile. Ngalesi sikhathi, udokotela uzohlola ukushaya kwenhliziyo yakho esihlakaleni sakho. Uma ukushaya kwenhliziyo kuyeka, ukuhlolwa 'Kuhle'. |
Ngokuqoqa ulwazi oluvela kulezi zivivinyo nokukudlulisela ukuze uhlolwe okwengeziwe, njenge-MRI scan, uma kudingeka, udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Spurling kuwukuhlolwa okulula ngokomzimba okwenziwa udokotela ukuhlola ukucindezelwa kwemizwa okubangela ubuhlungu obuvela entanyeni kuye phansi engalweni.
- Ukuhlolwa 'okubonisa ukuthi unegciwane' kusho ukuthi kunobufakazi obuqinile bokuthi umthambo entanyeni yakho ucindezelwe.
- Lokhu kuhlolwa kuyingxenye eyodwa kuphela yokuxilongwa. Udokotela wakho uzocabangela lo mphumela kanye nezimpawu zakho, umlando wezokwelapha, kanye nezinye izivivinyo.
- Ungazami ukwenza lokhu kuhlolwa ekhaya nganoma yisiphi isizathu. Kufanele kwenziwe udokotela oqeqeshiwe kuphela.
- Uma uzwa ubuhlungu, ukuqina, noma ukungakhululeki entanyeni, ehlombe, noma engalweni yakho, ungakushayi indiva futhi nakanjani ubone udokotela ukuze uthole iseluleko nokwelashwa okufanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho