Kachitatu dokotala akumuuza wodwalayo kuti: "Pita kunyumba, ndipo usambe kusamba. Kenaka mutsegule mazenera onse m'nyumba ndikuyimira. " "Koma, ndikhululukireni ine," wodwalayo amakhumudwa, "Ine, ndipeza chibayo." Dokotala anati: "Ndikudziwa, koma ndikhoza kuchiritsa." Ngati mukumva ululu wammbuyo, mumadzimva nokha pamalo amodzi wa msilikali wa mndandanda uwu. Dokotala amakupatsani mankhwala amodzi oyambirira, kenako wina, wachitatu ... Mwinamwake, adzalangiza kuti adziwe jekeseni, kutentha pang'ono ndi kuzizira ... Kenako adzaika massage ndi physiotherapy. Choncho miyezi imatha kupambana mosiyana. Koma mapiritsi kapena lamba "lotentha" lomwe silikuthandiza ndi chinthu chimodzi. Ndipo ngati mutachita opaleshoniyi, mwakhala miyezi yambiri ndikuchira, ndipo ululu ukupitirizabe? Tiyeni tione momwe tingachitire ululu kumbuyo ndi minofu.
Chenjezo: matenda
Opaleshoni ya msana ikhoza kukhala yopanda phindu chifukwa chophweka - sizinali zofunikira, popeza adokotala sanamvetsetse chifukwa chake ndi chifukwa cha ululu. Chotsatira chake, munthuyo ndi pambuyo pa opaleshoni samamva kuti amatsitsimutsidwa ndipo amakakamizidwa pakapita kanthawi kukachita kachiwiri. Anthu 8% amabwereza ntchito 2 zaka pambuyo pa zaka zoyamba ndi 20% pambuyo pa zaka 10. Choncho, ndikofunikira kuti mudziwe bwinobwino. Ndipo wodwalayo ayenera kudziwa zotsatirazi: Akangomva kupweteka kumbuyo kwake, m'pofunika kuonekera kwa wodwalayo ndi / kapena matenda a ubongo, ndipo ngati ululu sukupitirira miyezi iwiri - ndi nthawi yomwe imasonyeza kuti mankhwalawa ndi othandiza - komanso ngakhale kupweteka kuwonjezereka, muyenera nthawi yomweyo kuyitanira a neurosurgeon. M'pofunikanso kupanga chithunzi cha MRI (magnetic resonance imaging). X-ray ikugwira ntchito pansi pa zifukwa ziwiri: pamene kuli kofunikira kutsimikizira kupezeka kapena kusakhala kwa fractures kapena kupunduka kwa mafupa, kuphwanya umphumphu wawo. Ndipo chikhalidwe chachiwiri chofunika ndi radiologist oyenerera kwambiri ndi makina abwino X-ray. Chowonadi n'chakuti chifukwa cha chipangizo choipa cha X-ray, dokotala akhoza kupanga matenda osokoneza bongo, ndipo ochimwawo akhoza kukhala filimu yabwino kapena ma reagents. Kuphatikiza apo, mayeso okwera mtengo monga kompyuta tomography (CT) ndi MRI, zimathandizira kupulumutsa nthawi ndi ndalama. Komanso, MRI ndi yabwino - ndi bwino "kuwona" minofu yofewa.
Ntchito: osati mofulumira
Kawirikawiri zimawoneka kuti opaleshoniyi ndi zida zolemetsa, zomwe ndizoopsa, koma njira yabwino kwambiri yothetsera vutoli. Nthawi zina - mwachilakolako chofuna kuchotsa ululu - timathamanga kudumpha pa siteji ya njira yayitali ndipo nthawi yomweyo timapitabe patsogolo. Nthawi zina izi zimakhala zofunikira, mwachitsanzo, ndi kuopsa kwa ziwalo, koma zochitika zosayembekezereka sizodziwika. Kutsirizitsa: ngati dokotala akukulimbikitsani opaleshoni kwa inu, nthawizonse yesetsani kupeza chimodzi, kapena bwino maganizo awiri. Kumbukirani kuti madokotala akuyenera kupereka, pa pempho lanu, zonse zofufuzira ndi zolemba zotsatira. Kuti mupeze chithunzi chodalirika komanso chodalirika ndikupeza ngati opaleshoniyo ikuthandizani, funsani malo ena azachipatala ndi akatswiri osiyanasiyana.
Zosintha zamaganizo
• Kuyambira pachiyambi. Musamuuze dokotala wachiwiri za zomwe adalangizidwa. Aloleni akuyang'ane ndi zotsatira za kafukufuku ndi maso atsopano.
• Lankhulani ndi dokotala wina wapadera. Funsani wodwala wabwino ndi wamagulu a mafupa. Mwina simunagwiritse ntchito njira zina zothandizira.
• Musakhulupirire Intaneti. Khalani kutali ndi maulendo a intaneti pa madokotala. Popanda kukapenda ndi kufufuza zotsatira za kafukufuku, izi sizikupangitsa kuzindikira.
• Pezani maganizo atatu. Ngati dokotala wachiwiri amapereka chinthu chosiyana kwambiri ndi zomwe poyamba adanena, dokotala wachitatu akhoza kukuthandizani kuzilingalira.
Ndiye chimathandiza bwanji?
Zimakhala kuti ululu kumbuyo kumadutsa ndi nthawi, mosasamala zomwe timachita. Kawirikawiri timaganiza kuti mankhwala kapena njira zothandizira zimathandizira, ngakhale kuti zenizeni sizingakhale choncho. Komabe, pali njira zambiri zotsimikiziridwa kuti zithandize kupweteka kwa kanthaŵi kochepa:
Maola 48 oyambirira
Inu munakonza msana wanu ndipo ^ o, ndi zopweteka bwanji! Zingakhale zoopsa, koma ngati muli ndi mwayi, sukhalitsa. M'munsimu mudzapeza njira zingapo za "nyumba" zochotsera mavuto.
Gwiritsani ntchito painkillers
Mwadzidzidzi "lembani" nokha kupanikizika - kutentha kapena kuzizira - sikulimbikitsidwa, zingayambitse kuwonongeka. Tengani mankhwala amodzi - kirimu kapena gel - ndi kufalitsa malo owawa ndi kayendedwe kabwino.
Pezani, koma osati kwa nthawi yayitali
Ndi bwino kugona ngati n'koyenera, koma nkofunika kuti vutoli likhale lolondola. Lembani kumbuyo kwanu, khalani bwinoko kuti mukhale ndi thupi lochepa thupi, ndipo muwerama kuti mulole msana wanu usangalale. Kapena bodza pambali pako ndi mtolo umodzi pamutu pako ndi wina pakati pa mawondo ako. Kupuma kwa bedi kumafunikira kokha m'maola 48 oyambirira, pambuyo pa nthawiyi (kapena ngakhale kale) kayendetsedwe kameneko kadzathetsa vuto lopweteketsa mu minofu.
Anesthetics
Kuti tichotse ululu kwa kanthaŵi, kupweteka kwakunja kumathandiza kungathandize. Amakhulupirira kuti amabweretsa mpumulo.
Zochita
Cholinga chanu ndikukuphunzitsani momwe mungagwiritsire ntchito minofu yanu yammbuyo. Izi zidzakuthandizani kwambiri moyo wanu, popeza zochitika zoterezi zimachepetsa mpweya ndi minofu. Koma musadwale ndipo musachite chilichonse kupweteka. Ndibwino kuti mufunsane ndi dokotala wa physiotherapy, iye adzakuuzani machitidwe abwino ndi otetezeka.
Mankhwala othandiza
Kafukufuku wasonyeza kuti mankhwala opangira mankhwala amathandiza kwambiri kuposa physiotherapy, mankhwala opweteka kapena kuchita masewera olimbitsa thupi, odwala omwe amavutika kwambiri.
Epidural analgesia
Amayi ambiri omwe amabereka amazindikira zotsatira za epidural anesthesia. Majekeseniwa, othandizira kuthetsa ululu kumbuyo, kawirikawiri amakhala ndi mankhwala osokoneza bongo komanso steroids kuti athetse kutupa. Majekeseni a matendawa amachititsa kuti asamapweteke msana, koma amakupatsani mpumulo. Mpumulo umakhala wochepa ndipo sukhalitsa miyezi itatu. Samalani ndi mankhwala! Mafilimu sangathe kutengedwa mosalekeza, kuphatikizapo, akhoza kumwa mankhwala osokoneza bongo.
Limbani Modzichepetsa
Zimatsimikiziridwa kuti mphala wautali ukhoza kupweteka ululu kumbuyo. Kodi ndi dokotala ati amene ayenera kuchiritsidwa koyamba chifukwa cha ululu wammbuyo? Ndibwino kuyamba ndi katswiri wa zamagulu. Ngakhale aphunzitsi athu ananenanso kuti wodwala waluso amaposa dokotala aliyense opaleshoni. Ngati dokotala ali wokwanira, adzasankha njira yoyenera yothandizira, ngakhale atakhala mwapadera kudera lina. Ndizotheka kuyankhula ndi kwa neurosurgeon - ngati pali funso lokhudza kufunika kochita. Ndipo katswiri wa zamagetsi amene amatha kusiyanitsa amagwirizanitsa ndi matenda ndi zipangizo zamagetsi kapena vuto la ubongo. Chinthu chachikulu ndi chakuti munthu amapita kwa dokotala woyenerera, mosasamala kanthu za kudzidziwitsa. Kupita kwa katswiri wodziwa bwino ndiko kupambana kwakukulu. Ndipo ngati wodwalayo ali ndi kukayikira, angamuuze bwanji adokotala njira yoyenera? Ndikofunika kunena mwachindunji: "Ndikufuna kukaonana ndi katswiri wa zamagazi." Ndikukuuzani chinsinsi, dokotala aliyense amene ali ndi nthawi "nyenyezi" ndi chilakolako chothandizira kuthetsa vuto lanu. Chifukwa chake ndi bwino ngati wodwalayo sakulimbana ndi vutoli, koma salankhula kwa katswiri wina, khalani naye yekha. Kungakhale katswiri wa m'maganizo, wamagulu a zamagetsi kapena a neurosurgeon, kupulumutsa anthu akumira ndi ntchito ya kudzimira okha ...
Kodi ndi zochitika ziti zomwe opaleshoni zimafunikira?
Pali zochitika zenizeni komanso zogwirizana ndi opaleshoni. Zonsezi ndizolakalaka chilakolako cha wodwalayo: akufuna kuti azigwira ntchito, zomwe zikutanthauza kuti wina akuyenera kugwira ntchito. Koma, ngati nzeru zachilendo zimatsutsa kufunikira kwa opaleshoni, ndithudi, sizingatheke. Izi ndi nkhani yodalirika ndi ubale pakati pa dokotala ndi wodwalayo. Yachiŵiri - ngati pali zizindikiro za matenda. Ichi ndi mankhwala aakulu komanso osagwira ntchito a matenda opweteka, omwe samabweretsa zotsatira, kapena ngati zotsatira zake sizing'ono. Akufunika opaleshoni ya disk ya herniated, compression (compression) ya msana, pamene ntchito zowopsya zimatayika. Izi zikuwonetseredwa ndi zizindikiro zotere kumbuyo kwa ululu wammbuyo: kusokoneza kayendetsedwe ka minofu, (ndipo ngati dera la lumbar likukhudzidwa) ndi kuphwanya miyendo: kufooka kumawoneka, mwendo sumvera, "splashes", palibe kugwirizana pamene mukuyenda. Ndipo chizindikiro chachikulu kwambiri ndi kuphwanya kukodza ndi kutaya. Izi ndi zolakwa zazikulu zomwe ziyenera kuwerengedwa. Ngati apita patsogolo, muyenera kulankhulana mwamsanga ndi neurosurgeon. Nthenda yotchedwa neurosurgeon yokha ingasankhe kaya ichita opaleshoni kapena ayi. Ndipo kodi si bwino kuonana ndi dokotala pamene ululu umangowamba kuti upeze nthendayi kumayambiriro koyambirira? Pamene ndimagwira ntchito kwambiri ndi odwala, m'pamenenso ndimatsimikiza kuti ndizosatheka kudziwa pasadakhale chomwe chiri chabwino ndi chomwe sichiri. Kuonjezerapo, muyenera kupereka mwayi wosankha mtundu wa chithandizo kwa wodwalayo mwiniwake, ndipo ntchito ya dokotala ndikumudziwitsa bwino: ichi ndi matenda omwe muli nawo. Nazi njira zitatu zothandizira mankhwala: zowonongeka, zothandiza komanso zowonongetsa. Kuonjezera apo, zonse zimadalira pazimenezi: ngati sizili zofunikira, ndiye kuti mukuyenera kunena kuti opaleshoniyo sinawonedwe pano. Kodi mungatani kuti muteteze msana? Kodi pali njira zodalirika zopewera? Kupewa ndi masewera olimbitsa thupi - osachepera 3-7 mawonekedwe (masiku atatu ntchito, 7 - kupumula). Iyi ndiyo njira yabwino koposa. Ndipo pali malingaliro angapo pa nkhaniyi. Choyamba: minofu ya kumbuyo imayenera kulimbikitsidwa. Chachiwiri: minofu ya kumbuyo sikufunika kulimbikitsidwa, mumangofunika kuwaphunzitsa momwe angagwiritsire ntchito bwino. Njira yoyamba ikhoza kufanizidwa ndi kuti mukubwezeretsanso dzanja lamanzere, mukuyesera kumupangitsa kuti apereke m'manja. Njira yachiwiri: Mutenga aliyense - wamanja kapena wamanja, mosasamala kanthu momwe adakhalira, momwe thupi lake lirili - ndi kuphunzitsa minofu ya munthuyu kuti agwire ntchito molondola komanso mosasinthasintha. Pofuna kuphunzitsa minofu kuti igwire ntchito, kawirikawiri kayendedwe kabwereza kangapo. Zingakhale zowonongeka kapena kusambira - muwonekedwe wa cardio-loading. Zotsatira zake ndizo, pamene munthu nthawi zambiri amachita zofanana, treni ya minofu ndikuchita ntchito yake molondola, motero amateteza mzere wa msana. Ndikofunika kuti munthu azisamalidwa (ndi kuchiritsidwa) lonse, monga dongosolo limodzi. Mwachitsanzo, wothandizira bukuli amakhudza osati minofu ndi mavitenda okha, komanso ziwalo za mkati - osati mwachindunji, koma pamagetsi awo. Kupanikizika pa manja pa ziwalo zogwiritsira ntchito ziwalo kumapangitsa kuti kusintha kwa ziwalo kusinthe, ndipo ntchito yamagulu ikusintha, kupweteka kumatha. Kotero pali zotsatira zovuta.
Lingaliro lodziwika ponena za mankhwala othandizira: izi ndi zopweteka komanso zopweteka, kuphatikizapo kugwedeza pamene dokotala akutembenuzira khosi lake ndi mapewa. Kodi ndi choncho? Izi ndi zoona zoona. Ndikofunika kugawa njira yothandizira (MT) mu njira zamakono komanso za MT. Madokotala omwe ali ndi njira zofewa ali, mwa kulingalira kwanga, osakondera. Chifukwa chakuti njira zamakono zopangira mankhwala zimakhala zopweteka ngakhale zitapangidwa molondola. Madokotala okha amadziŵa mtundu wa mankhwala omwe amakugwiritsani ntchito. Momwe mungakhalire, ngati simukufuna "kuphwanya"? Mukhoza kufunsa mwachindunji kuti: "Dokotala, tiyeni tisamawonongeke." Koposa zonse, munthu aliyense amaopa kupandukira, chinyengo. Choncho, kudalira kwa dokotala ndi wodwalayo kumapereka zotsatira zokwanira kuchokera kuchipatala. Wodwala ayenera kuuzidwa moona mtima momwe mungathere ndi zomwe mukuchita. Izi ndizofunika kuti munthuyo asamaope, zopweteka, zosasangalatsa. Ndiye adzakhala wodekha weniweni - mawu oti "wodwala" amatembenuzidwa ngati wodwalayo ... Ndipo munthuyo amalekerera - osati kupweteka, koma nthawi - kuyembekezera kuchira.