Iningi labantu like labhekana nobuhlungu bomhlane okungenani kanye empilweni yabo. Ngezinye izikhathi lobu buhlungu abugcini nje emhlane, kodwa bungaphinde buvele ezinqeni, phansi emlenzeni, noma phansi emlenzeni, okubangela ukungakhululeki noma umuzwa wokuba ndikindiki. Uma ubona udokotela ngesikhathi esinjengalesi, kukhona ukuhlolwa okulula kakhulu nokubaluleke kakhulu okungenziwa ukuthola ukuthi yini ngempela ebangela lokhu. Namuhla sizokhuluma ngokuhlolwa kwe- Straight Leg Raise (SLR) . Lokhu ngezinye izikhathi kubizwa ngokuthi i-'Lasegue test'.
Kalula nje, iyini iStraight Leg Raise (SLR) Test?
Cabanga ngemizwa egijima kusukela emhlane wakho iye emilenzeni njengezintambo zikagesi. Lezi zintambo zemizwa zihamba emgogodleni wakho. Ngezinye izikhathi, ngenxa yediski ehlungiwe emgogodleni wakho (`i-Lumbar disc herniation`) noma ezinye izizathu, lezi mizwa zingacindezelwa. Yilapho ubuhlungu buqala khona ukuhamba emilenzeni yakho, njengoba kushiwo ngaphambili. Siphinde sibize lesi simo ngokuthi 'i-Sciatica'.
Ngakho-ke, ukuhlolwa kwe-SLR kuwukuhlolwa udokotela wakho azokusebenzisa ukuze anqume ukuthi ubuhlungu bakho bubangelwa yini ukucindezelwa kwemizwa noma inkinga yomshini emisipheni noma emalungeni akho . Imiphumela yalolu vivinyo izonquma ukwelashwa okungcono kakhulu kuwe.
Udokotela uzokubuza imibuzo embalwa ngaphambi kokwenza lokhu kuhlolwa. Isibonelo:
- Kwaqala nini ukuqaqamba kwemisipha?
- Sekuyisikhathi esingakanani?
- Ubuhlungu bunjani? (isib., ukusha, ukugwaza, ukuqaqamba?)
- Ingabe ubuhlungu buyanda noma buyancipha?
Kubaluleke kakhulu ukuphendula le mibuzo ngokwethembeka nangokucacile ngangokunokwenzeka. Lokhu kuzosiza udokotela ukuqonda kangcono isimo sakho.
Ulwenza kanjani lolu vivinyo?
Lena inqubo elula kakhulu. Ngeke uzizwe ungakhululekile. Udokotela uvame ukwenza lokhu ngenkathi ulele etafuleni lokuhlolwa.
1. Okokuqala, uzocelwa ukuba ulale ubheke phansi embhedeni.
2. Ngemuva kwalokho, egcina idolo lakho liqondile, udokotela uzophakamisa kancane kancane umlenze obuhlungu.
3. Uma uphakamisa umlenze wakho ngale ndlela, kufanele utshele udokotela wakho ukuthi uqala kuphi ukuzwa ubuhlungu obujwayelekile (ubuhlungu emhlane wakho noma phansi komlenze wakho) futhi .
4. Ngezinye izikhathi, ukuze kucindezelwe kancane imizwa, udokotela angase akucele ukuthi ugobe umlenze wakho ohlangothini lwakho, noma ugobe intamo yakho phambili.
Ngaphezu kwalokhu kuhlolwa okuyinhloko, kunezinye izindlela eziningana ezifana nalezi.
| Igama lokuhlolwa | Indlela yokukwenza ilula. |
|---|---|
| Ukuhlolwa Kokuphakamisa Umlenze Oqondile Owela Ngesiphambano | Kulokhu, udokotela uphakamisa umlenze ophilile ongenabuhlungu . Kodwa uma, lapho uphakamisa lowo mlenze, uzwa ubuhlungu komunye umlenze wakho obubuhlungu, lokhu kuwubufakazi obuqinile bokucindezelwa kwemizwa. |
| Ukuhlolwa Kokuphakamisa Umlenze Oqondile Ohleli Ehleli | Bazokubeka embhedeni, bagobe amadolo akho afike kuma-degree angu-90, bese beqondisa idolo elilodwa. Bazohlola ukuthi lokhu nakho kuyabangela ubuhlungu. |
| Ukuhlolwa Kokugoba Kwamadolo Okuthambekele (i-SLR Eguquliwe) | Uzobekwa ngesisu sakho, amadolo akho agobe emuva, futhi izithende zakho zihlanganiswe ndawonye kuze kube yilapho zithinta izinqe zakho. Uma uzwa ubuhlungu ethangeni lakho, lokhu kungabonisa ukuthi une-nerve ecindezelwe emhlane wakho ongenhla (`izimpande ze-nerve ze-L2-L3`). |
Kusho ukuthini uma isivivinyo "Sihle" futhi "Sibi"?
Manje ake sibone ukuthi imiphumela yalolu vivinyo ithini.
Uma ukuhlolwa kwe-SLR kukuhle...
Ungesabi uma uzwa ukuthi “uphilile.” Kwezokwelapha, kusho ukuthi uphawu oluthile seluqinisekisiwe.
Ukuhlolwa kwe-SLR kuba kuhle uma:
- Uma ubuhlungu bakho obujwayelekile (ubuhlungu obuhamba kusukela emhlane wakho buyehla emlenzeni wakho) buphinde buvele uma uphakamisa umlenze wakho phakathi kwama-degree angu-30 no-70 .
- Ikakhulukazi uma lobu buhlungu buphuma edolweni , kuyisibonakaliso esinamandla somthambo ocindezelwe.
Okubalulekile: Kuvamile ukuzwa ukudonswa kwemisipha ye-hamstring ngemuva komlenze wakho uma uphakamisa umlenze wakho. Lokhu akusona isizathu sokuthi ukuhlolwa kube nomphumela omuhle. Kungaba nomphumela omuhle kuphela uma uzwa ubuhlungu obufanayo obubuzwa kusukela emhlane wakho kuya emlenzeni wakho .
Umphumela omuhle cishe usho ukuthi imbangela yobuhlungu bakho yisimo sokucindezeleka kwemizwa njenge-sciatica, i-spinal stenosis, noma i-disc herniation.
Uma ukuhlolwa kwe-SLR kungenayo imiphumela...
Ukuhlolwa "okungekuhle" kusho ukuthi awuzange uzwe ubuhlungu obujwayelekile lapho uphakamisa umlenze wakho.
- Isibonelo, uma ubuhlungu bomhlane kuphela, ngaphandle kobuhlungu obuphuma emlenzeni wakho, lokhu kuhlolwa kungase kube negative.
- Futhi, uma kungekho ubuhlungu kuze kube yilapho umlenze uphakanyiswe ngaphezu kwama-degrees angu-70, lokho kubhekwa njengokubi.
Umphumela ongemuhle awusho ukuthi awunaso isifo. Kusho ukuthi ubuhlungu bakho cishe abubangelwa yimizwa ecindezelwe. Kungaba ubuhlungu emisipheni yakho, emalungeni, noma okunye. Udokotela wakho uzobe esekudlulisela kwezinye izivivinyo ukuze athole imbangela.
Yini oyenzayo ngokulandelayo uma ukuhlolwa kubonisa ukuthi unegciwane?
Uma ukuhlolwa kwe-SLR kutholakala ukuthi kukhona okungahambi kahle, okusho ukuthi kukhona ukusolakala kokucindezelwa kwemizwa, ungesabi. Kunezindlela eziningi zokwelapha ezitholakalayo zalokhu.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo .
Ngokuvamile, udokotela angase ancoma izinto ezifana nalezi:
- Ukuphumula: Uzokwaziswa ukuthi uhlale kude nemisebenzi ekhulisa ubuhlungu (njengokugoba phambili, ukuphakamisa izinsimbi) isikhashana.
- Ukwelapha ngokuzivocavoca: Lokhu kubaluleke kakhulu. Udokotela we-physiotherapist uzokufundisa ukuzivocavoca okukhethekile ukuqinisa imisipha yakho yasemhlane neyesisu nokunciphisa ingcindezi emsipheni.
- Imithi: Udokotela wakho uzokunikeza imithi yokunciphisa ubuhlungu nokuvuvukala.
- Imijovo Yomgogodla: Kwabanye abantu, uma ubuhlungu bukhulu kakhulu , imijovo ekhethekile inikezwa emgogodleni.
- Ukuhlinzwa: Ukuhlinzwa kuyadingeka kuphela kubantu abambalwa kakhulu , okungukuthi, uma kukhona ubuhlungu obukhulu obungenakulawulwa ngemithi, noma uma kunezimpawu ezinkulu ezifana nokushintsha kwemikhuba yamathumbu kanye nesinye.
Ezimweni eziningi, izimo ezifana ne-sciatica zizoxazululeka zingakapheli amasonto ayi-6 ngokuphumula okufanele, ukwelashwa ngokomzimba, kanye nemithi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kokuphakamisa Umlenze Oqondile (i-SLR) kuyindlela elula, engenabuhlungu yokuhlola ukucindezelwa kwemizwa njengembangela yobuhlungu emhlane, ikakhulukazi ubuhlungu obuphuma emlenzeni.
- Ukuhlolwa "okubonisa ukuthi kukhona" kusho ukuthi ubuhlungu obuvamile buvela lapho umlenze uphakanyiswa. Lokhu kusikisela ukuthi kukhona inzwa ecindezelwe.
- Ukuhlolwa "okungekuhle" kusho ukuthi imbangela yobuhlungu akuyona ukucindezelwa kwemizwa, kodwa okunye.
- Kungakhathaliseki ukuthi umphumela uba yini, ungesabi, khuluma nodokotela wakho, bese ulandela imiyalelo yakhe kanye nokwelashwa kwakhe ngqo.
- Abantu abaningi bangalulama ngokushesha ngokwelashwa ngokomzimba nokuphumula.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho