Izimpawu ze-whiplash ephansi emuva zikhululeka kanjani?

owesifazane onezinhlungu ezivela ku-lumbar whiplash

I-whiplash ephansi emuva iyimbangela evamile yokukhubazeka okuhlobene nomsebenzi. Okungenani amaphesenti angu-80 abantu azothola ubuhlungu obuphansi emuva ekuphileni kwabo. Ubuhlungu obuningi buwumphumela wokulimala, njengama-sprains noma izinhlungu zokunyakaza okungazelelwe noma ukungasebenzi kahle komzimba ekuphakamiseni izinto ezisindayo.

Ubuhlungu obukhulu bokubuyela emuva bungathatha izinsuku ezimbalwa kuya emasontweni ambalwa, kuyilapho ubuhlungu obungapheli bubuhlungu obuhlala isikhathi esingaphezu kwezinyanga ezintathu.

Yiziphi izimbangela ze-whiplash ye-lumbar?

Imisipha nemigqa yangemuva inganwetshwa noma idatshulwe ngenxa yokusebenza ngokweqile. Izimpawu zihlanganisa ubuhlungu nokuqina emhlane ophansi, kanye nama-muscle spasms.

ukulimala kwediski

Amadiski angemuva ajwayele ukulimala. Le ngozi iyanda ngokuya ngeminyaka. Ingaphandle le-disc lingaqhuma noma li-herniate.

I-disc ye-herniated, eyaziwa nangokuthi i-disc ephukile noma ephukile, kwenzeka lapho i-cartilage ezungeze i-disc iphushela umgogodla noma izimpande zezinzwa. I-cushion ephakathi kwe-vertebrae yomgogodla inwetshiwe ngaphandle kwendawo yayo evamile.

Lokhu kungabangela ukucindezelwa kwempande yezinzwa njengoba iphuma entanjeni yomgogodla nangamathambo e-vertebral. Ukulimala kwediski ngokuvamile kwenzeka ngokuzumayo ngemva kokuphakamisa noma ukusonta umhlane wakho. Ngokungafani ne-back strain, ubuhlungu obuvela ekulimazeni kwe-disc ngokuvamile buhlala isikhathi eside kunamahora angu-72.

ISciatica

I-Sciatica ingenzeka nge-disc ye-herniated uma i-disc icindezela ku-nerve ye-sciatic. I-sciatic nerve ixhuma umgogodla nemilenze. Ngenxa yalokho, i-sciatica ingabangela ubuhlungu emilenzeni nasezinyaweni. Lobu buhlungu ngokuvamile buzwakala njengokushiswa noma ukuluma.

Ubuhlungu be-Sciatica bubangelwa ukucasuka, ukuvuvukala, ukucindezelwa, noma ukucindezelwa kwenzwa emhlane ophansi. Isizathu esivame kakhulu i-hernia ecindezela impande yezinzwa. Abantu abaningi abane-sciatica baba ngcono bebodwa ngesikhathi kanye nokwelashwa kokuzinakekela.

I-stenosis yomgogodla

I-Spinal stenosis yenzeka lapho ikholomu yomgogodla incipha, ibeka ingcindezi kumgogodla kanye nezinzwa zomgogodla. I-Spinal stenosis ivame kakhulu ngenxa yokuwohloka kwama-disc phakathi kwama-vertebrae. Umphumela uba ukucindezelwa kwezimpande zezinzwa noma umgogodla ngama-bone spurs noma izicubu ezithambile ezifana nama-disc.

Izimpawu ze-spinal stenosis zihluka kakhulu kumuntu nomuntu, kusukela ekungabini kwezimpawu kuya ebuhlungu emhlane noma entanyeni kanye nokuba ndikindiki, ukugubha, nobuthakathaka ezingalweni kanye/noma emilenzeni. Yiqiniso, i-whiplash ingenye yezimpawu.

ukugobeka okungavamile komgogodla

La i-scoliosis, lo kyphosis futhi i i-Lordososis Zonke ziyizimo ezibangela ukugoba okungavamile emgogodleni. Lezi yizimo zokuzalwa ezivame ukutholwa kuqala ebuntwaneni noma ebusheni. Ukugoba okungavamile kubangela ubuhlungu nokuma kabi ngoba kubeka ingcindezi emisipha, imisipha, imisipha, nama-vertebrae.

Ukuba khona kobuhlungu obuphansi emuva kanye ne-lumbar kyphosis "kuyizimpawu zomtholampilo eziwusizo" ezingase zibonise kokubili ukukhubazeka okusebenzayo kanye nezimpawu zamadolo kubantu abane-osteoarthritis yamadolo, ikakhulukazi phakathi kwabesifazane.

Ingozi yethrafikhi

I-Lumbar spine sprains kanye nezinkinga kungenye ukulimala okuvamile ngemuva kwengozi yemoto. Amandla omthelela angabangela imisipha, imisipha kanye nemigqa engaphansi komhlane ukuthi inwebe ngokweqile noma idabuke. Ama-sprains nama-strains ngokuvamile abangela ubuhlungu obubukhali obuphansi beqolo, ukucinana, kanye nama-muscle spasm.

Ukushayisana kwezimoto kungabangela izifo eziningi ezingathandeki, kodwa okuvame kakhulu ukugoqa kwemisipha noma izinyembezi ezenzeka lapho ikhanda liphonswa ngamandla emuva naphambili; lokhu kwaziwa ngokuthi i-low back whiplash. Ngenxa yalokhu kunyakaza, ukulimala kuma-spinal discs, ama-facet joints, kanye nesakhiwo samathambo kungenzeka, kuye ngokuthi ubunzima bengozi.

Ezinye izimo

Kunenombolo yezinye izimo ezibangela ubuhlungu obuphansi emuva. Lezi zimo zihlanganisa:

  • La i-arthritis Ukuvuvukala kwamalunga. Lesi sifo ngokuvamile sibangela ubuhlungu ezingxenyeni eziningi zomzimba, kuhlanganise nomgogodla ophansi.
  • La i-fibromialgia Kuwubuhlungu besikhathi eside nokuzwela emalungeni, imisipha, nemisipha.
  • La i-spondylitis Ukuvuvukala kwamalunga phakathi kwamathambo omgogodla. I-Spondylosis yisifo esiwohlozayo esingabangela ukulahlekelwa kwesakhiwo esivamile somgogodla kanye nomsebenzi. Nakuba ukuguga kuyimbangela eyinhloko yalesi simo, indawo kanye nezinga lokuwohloka kuqondene nomuntu ngamunye.
  • Izinkinga zezinso nesinye. Mhlawumbe kuyindlela enhle yokuzihlola lapho sizwa ubuhlungu obuningi emhlane ongezansi. Kungenzeka ukuthi kungenxa yenkinga ethile yangaphakathi futhi ubuhlungu buphuma emhlane ongezansi.
  • Ukukhulelwa. Izinyanga zokugcina zokukhulelwa, lapho isisu sisinda kakhulu, kungabangela ubuhlungu obuphansi emuva. Uma ukunyakaza okubi kwengezwa kulokhu, i-whiplash ye-lumbar ingenza ukubonakala.
  • I-Endometriosis. Abesifazane abaphethwe yilesi sifo ngokuvamile baba nezinhlungu eziqinile zokuya esikhathini. Kodwa-ke, abagcini nje ngokuzizwa kuma-ovari noma ngaphambili, kungenzeka ukuthi ubuhlungu bubuye buphumele emhlane ophansi.
  • ama-ovarian cysts. Lesi simo sezempilo siphinde sifane nesedlule. Ama-cysts angaba ne-benign futhi abangele ubuhlungu obanele emhlane ophansi. I-Whiplash ingenzeka ngokunyakaza okwedlulele komhlane.
  • Imicu yesibeletho. I-uterine fibroids ngokuvamile ayiyona ingozi, kodwa ingabangela ubuhlungu, ukopha okukhulu, nezinkinga zokuzala noma ukukhulelwa.
  • Umdlavuza. Ukwelashwa komdlavuza kungenza kube nokwenzeka ukuphindaphinda i-whiplash. Hhayi nje ngenxa yokwelashwa ngokwayo, kodwa futhi ngenxa yobuthakathaka bemisipha lesi sifo esikhiqiza kuwo wonke umzimba.

indoda enobuhlungu be-whiplash ye-lumbar

Izimpawu nezinhlobo zobuhlungu

I-whiplash ephansi emuva ingafaka izimpawu ezihlukahlukene. Kungaba mnene futhi kucasule nje, noma kungaba nzima futhi kuqede amandla. Ubuhlungu obuphansi emuva bungaqala ngokuzumayo, noma bungaqala kancane kancane futhi bube bubi nakakhulu ngokuhamba kwesikhathi.

Ngokuya ngembangela yobuhlungu, izimpawu zingabonakala ngezindlela ezihlukahlukene. Ngokwesibonelo:

  • dolor izithulu, equkethwe engxenyeni engezansi yomhlane.
  • dolor ukuhlaba kanye nokushiswa okusuka kwencane ngemuva kuya ngemuva kwamathanga, ngezinye izikhathi kuya engxenyeni engezansi yemilenze noma izinyawo; kungase kuhlanganise ukuba ndikindiki noma ukuluma (sciatica)
  • Ama-Spasms kwemisipha kanye nokuqina komgogodla ongezansi, i-pelvis, nezinqulu.
  • Ubuhlungu oba bubi kakhulu ngemva kokuhlala noma ukuma isikhathi eside
  • Ubunzima bokuma uqondile, ukuhamba, noma ukusuka ekumeni uye endaweni yokuhlala

Ukwengeza, izimpawu zobuhlungu obuphansi emuva ngokuvamile zichazwa ngohlobo lokuqala nobude besikhathi:

  • dolor bukhali. Lolu hlobo lobuhlungu ngokuvamile lufika ngokuzumayo futhi luhlala izinsuku ezimbalwa noma amasonto, futhi lubhekwa njengempendulo evamile yomzimba ekulimazeni. Ubuhlungu buyaphela kancane kancane njengoba umzimba ululama.
  • ubuhlungu obuphansi be-subacute. Ukuhlala phakathi kwamaviki angu-6 nezinyanga ezingu-3, ​​lolu hlobo lobuhlungu ngokuvamile luwumshini ngokwemvelo (njengobunzima bemisipha noma ubuhlungu obuhlangene), kodwa buhlala isikhathi eside. Kuleli qophelo, ukuhlolwa kwezokwelapha kungase kucatshangelwe, futhi kuhle uma ubuhlungu bukhulu futhi bukhawulela ikhono lokuhlanganyela emisebenzini yansuku zonke yokuphila, ukulala, nokusebenza.
  • Ubuhlungu obungapheli beqolo. Ngokuvamile kuchazwa ubuhlungu obuphansi emuva obuhlala isikhathi esingaphezu kwezinyanga ze-3, lolu hlobo lobuhlungu luvame ukuba nzima, aluphenduli ekwelashweni kokuqala, futhi ludinga ukuhlolwa okuphelele kwezokwelapha ukuze kutholakale umthombo oqondile wobuhlungu.

I-whiplash itholakala kanjani?

Udokotela wakho cishe uzoqala ngokuthatha umlando wezokwelapha ophelele futhi enze ukuhlolwa okuphelele ngokomzimba ukuze anqume ukuthi uzwa kuphi ubuhlungu. Ukuhlolwa ngokomzimba kungase futhi kunqume ukuthi ubuhlungu buthinta uhla lwakho lokunyakaza.

Ngaphandle uma unezimpawu ezikhathazayo noma eziqeda amandla noma ukulahlekelwa yizinzwa, udokotela wakho cishe uzoqapha isimo sakho amasonto ambalwa ngaphambi kokukuhlola. Lokhu kungenxa yokuthi iningi lobuhlungu obuphansi emuva buxazululeka ngokwelashwa okulula kokuzinakekela.

Izimpawu ezithile zidinga ukuhlolwa okwengeziwe, okuhlanganisa:

  • Ukungakwazi ukulawula amathumbu
  • Ubuthakathaka
  • Umkhuhlane
  • Ukwehla kwesisindo

Ngokufanayo, uma ubuhlungu bakho obuphansi emuva buqhubeka ngemva kokwelashwa ekhaya, udokotela wakho angase afune uku-oda ukuhlolwa okwengeziwe. Izivivinyo zokucabanga ezifana nama-X-ray, ama-CT scan, ama-ultrasound, nama-MRIs angase adingeke ukuze udokotela wakho ahlole izinkinga zethambo, i-disc, noma i-ligament kanye ne-tendon emhlane wakho.

i-physiotherapy ye-whiplash

Ukwelashwa kobuhlungu obuphansi emuva

Kukhona amakhambi asekhaya noma ezokwelapha okuthuthukisa ubuhlungu be-whiplash ephansi. Nokho, kuyatuswa ukubonana nodokotela kusengaphambili ukuze ahlole isimo sethu.

Ukunakekelwa kwasekhaya

Kubaluleke kakhulu ukwazi ukuthi yini okufanele uyenze uma sine-whiplash ye-lumbar. Izindlela zokuzinakekela ziwusizo emahoreni okuqala angu-72 ngemva kokuqala kobuhlungu. Uma ubuhlungu bungathuthuki ngemva kwamahora angu-72 wokwelashwa ekhaya, kufanele sibize udokotela.

  • iqhwa ngemuva ukunciphisa ubuhlungu. Misa imisebenzi yakho evamile yomzimba izinsuku ezimbalwa bese ugcoba iqhwa emhlane wakho ongezansi. Sizokwenza imizuzu engu-20-30 njalo ngamahora angu-3-4 ngezinsuku ezingu-2-3. Singakwazi futhi ukubeka iqhwa emhlane ngemuva kokusebenza ngokomzimba.
  • Faka ukushisa, kodwa kuphela ngemva kwezinsuku ezingu-2-3 zokugcoba. Sizosebenzisa ukushisa emhlane kuphela ngemva kokuba ukuvuvukala kokuqala kwehlile. Singasebenzisa i-pad yokufudumeza kagesi noma ibhodlela lamanzi ashisayo. Noma singacwila ebhavini elishisayo. Odokotela ngokuvamile batusa ukusebenzisa iqhwa emahoreni okuqala angu-48 kuya kwangu-72, bese ushintshela ekushiseni. Elinye iqhwa nokushisa ukuze uphumuze imisipha. Kunconywa i umthetho RICE (ukuphumula, iqhwa, ukucindezelwa, nokuphakama) phakathi namahora angu-48 okuqala.
  • Toma ama-painkiller i-over-the-counter, njenge-ibuprofen yokunciphisa ubuhlungu. Izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala zizosiza ngobuhlungu obuphansi nokuvuvukala. Nokho, le mithi ingaba nemiphumela engemihle. Kufanele zisetshenziswe ngezikhathi ezithile kuphela, ngaphandle uma udokotela wakho esho okuhlukile. Ngezinye izikhathi izidambisi zinhlungu ezinikezwa udokotela kanye neziphumuza imisipha ziyadingeka.
  • Ngezinye izikhathi ukulala ngomhlane kubangela ukungakhululeki okwengeziwe. Uma kunjalo, injongoa lala phansite ohlangothini lwakho amadolo agobile nomcamelo phakathi kwemilenze. Uma ukwazi ukulala kahle ngomhlane, beka umcamelo noma ithawula eligoqe ngaphansi kwamathanga akho ukuze unciphise ingcindezi emhlane wakho ongezansi.
  • Un i-tibio noma i-massage ingaphumuza imisipha yangemuva eqinile, enamafindo.
  • sizosebenzisa ukwesekwa. Sizobuza udokotela noma umelaphi kuqala, kodwa sizocabangela ukuthola ibhande noma ibhande ukuze singeze ukwesekwa. Sizoyisebenzisela isikhathi esifushane kuphela noma njengokweseka ngokuphakamisa okusindayo noma okuphindaphindayo.

Ukwelashwa

Ubuhlungu be-whiplash obuphansi emuva bungenzeka ngezimo eziningana ezihlukene, okuhlanganisa ukungezwani kwemisipha nobuthakathaka, izinzwa ezipinkiwe, nokungahambi kahle komgogodla.

Kunenqwaba yezindlela zokwelapha ezingaba khona njengemithi, izinsiza zezokwelapha, nokwelashwa ngokomzimba. Udokotela wakho uzonquma umthamo ofanele kanye nokusetshenziswa kwemithi nemithi ngokusekelwe ezimpawini zakho.

Eminye imithi udokotela wakho angase ayinikeze ihlanganisa:

  • Iziphumuli zemisipha
  • Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
  • Izidakamizwa ezifana ne-codeine zokudambisa izinhlungu
  • Ama-steroid ukunciphisa ukuvuvukala
  • imijovo ye-corticosteroid

Udokotela wakho angase futhi akunikeze ukwelashwa ngokomzimba ngokubhucunga umzimba, ukunwetshwa, ukuvivinya umzimba okuqinisayo, nokuxhaphaza iqolo nomgogodla.

Ukuhlinzwa

Ukuhlinzwa kuvame ukuba yinketho kuphela lapho zonke ezinye izindlela zokwelapha zingaphumeleli. Kodwa-ke, uma kukhona ukulahlekelwa ukulawulwa kwamathumbu noma esinyeni, noma ukulahlekelwa yizinzwa okuqhubekayo, ukuhlinzwa kuba inketho ephuthumayo.

  • Una i-discectomy ikhulula ingcindezi evela empandeni yemizwa ephintshwe i-disc eqhumayo noma i-bone spur. Udokotela ohlinzayo uzosusa ingxenye encane ye-lamina, ingxenye engamathambo yomsele womgogodla.
  • Una i-foraminotomy Kuyinqubo yokuhlinzwa evula i-foramen, imbobo engamathambo emseleni womgogodla lapho impande yemizwa iphuma khona.
  • La I-intradiscal electrothermal therapy (IDET) ihlanganisa ukufaka inaliti ngecatheter kudiski bese uyishisisa imizuzu engu-20. Lokhu kuqinisa udonga lwe-disc futhi kunciphisa ukuqhuma nokucasuka kwenzwa ye-disc yangaphakathi.
  • Una i-nucleoplasty isebenzisa idivayisi efana ne-wand efakwa ngothi lokuloba kwirekhodi. Izinto ezikudiski yangaphakathi zingasuswa. Umshini ube ususebenzisa amaza omsakazo ukushisa nokushwabanisa izicubu.
  • La indlwabu noma i-radiofrequency lesion iyindlela yokusebenzisa amaza omsakazo ukuphazamisa indlela imizwa exhumana ngayo yodwa. Udokotela ohlinzayo ufaka inaliti ekhethekile emithanjeni futhi ayishise, eqeda imizwa.
  • Una i-laminectomy umgogodla, eyaziwa nangokuthi i-spinal decompression, isusa i-lamina ukuze ikhulise ubukhulu bomgogodla womgogodla. Lokhu kukhulula ingcindezi emgogodleni nasezinzwa.

Ingabe i-whiplash ingavinjelwa?

Kunezindlela eziningi zokuvimbela ubuhlungu obuphansi emuva. Ukuzijwayeza amasu okuvimbela nakho kungasiza ekunciphiseni ukuqina kwezimpawu uma unokulimala okuphansi emuva.

Ukuvimbela kuhilela ukuzivocavoca imisipha yakho yesisu nengemuva, ukulahlekelwa isisindo uma ukhuluphele, ukuphakamisa ngendlela efanele ngokuguqa amadolo akho nokuphakamisa ngemilenze yakho, nokugcina ukuma ngendlela efanele. Kuyathakazelisa nokulala endaweni eqinile, uhlale ezihlalweni ezisekelayo eziphakeme ngendlela efanele, ugweme izicathulo ezinezithende eziphakeme, futhi uyeke ukubhema. I-Nicotine ibangela ukuwohloka kwamadiski omgogodla futhi ibuye inciphise ukugeleza kwegazi.

Ungalala kanjani nge-lumbar whiplash?

Indlela engcono kakhulu yokulala nge-lumbar whiplash iyona evumelana kakhulu nathi. Okusho ukuthi, ayikho ifomula yendawo yonke esebenza kuwo wonke umuntu. Nokho, ezinye izincomo zingenziwa ukuze sithole isikhundla sethu esingcono kakhulu.

Lala ngomhlane Yindawo enconywa kakhulu uma sinezinhlungu emhlane ongezansi. Uma siphakamisa amadolo kancane ngokubeka umcamelo ngaphansi kwawo, ungazizwa ukhululekile. Kodwa-ke, i-whiplash ephansi ingavela kuleyo ndawo, ngakho-ke abantu abaningi bazizwa bekhululekile kakhulu lala ngecele. Ngakho-ke kuwumqondo omuhle ukugoba kancane amadolo akho ngasesifubeni sakho bese ubeka umcamelo phakathi kwemilenze yakho. Lokhu kunciphisa ingcindezi emhlane ongezansi. Ukulala ngomcamelo phakathi kwemilenze yakho kukhulula kakhulu ubuhlungu lapho ulele ngohlangothi lwakho, njengoba kunciphisa ukucindezeleka okubekwa emisipha ye-hip.

Kubalulekile futhi ukuthola umatilasi ofanele. Kumelwe silale kwenye ekwazi ukusabalalisa ngokulinganayo umkhondo umzimba oshiya kuwo, kanye nesisindo sethu. Kufanele ukhethe umatilasi obonisa ukwesekwa okwanele ukuze umgogodla ugcine ukuma kwawo kwemvelo ngaphandle kokuhlupheka ebusuku.

Ukuzivocavoca kwe-lumbar whiplash

Ukuze ugweme noma uthuthukise i-whiplash ephansi emuva, kunezinye izivivinyo ezingasiza.

Umdwebo 4

  1. Ngeke silale ecansini noma phansi.
  2. Sizophakamisa unyawo olulodwa bese sibeka iqakala kwelinye idolo.
  3. Sizophusha kancane idolo lomlenze ophakanyisiwe sibheke phansi.

Uma lokhu kubangela ubuhlungu ezinqeni zethu noma emhlane ophansi, singase sibe nobuhlungu obuhlobene nokukhulelwa obuphansi emuva.

I-lateral flexion

Ubuhlungu noma ukuqina emhlane ophansi ngalokhu kunyakaza kungase kubonise ukuphazamiseka kokunyakaza noma i-muscle spasm emhlane ophansi.

  1. Sizoma ngokukhululeka izinyawo zethu zihlukene kancane nezingalo zethu zilenga emaceleni ethu.
  2. Sizogoqa eceleni.
  3. Sizohlehla kancane ngokusemandleni ethu bese sikhuphukela phezulu.
  4. Sizophinda lokhu kunyakaza kolunye uhlangothi.

Mashi

Uma sinomuzwa wokuthi umlenze esimi kuwo awulingani noma uma sizwa ubuhlungu emlenzeni ohambayo, ubuhlungu obuphansi emuva bungase bube ngenxa yokuphazamiseka kokunyakaza okuhlobene nokukhulelwa.

  1. Sizoma ngokukhululeka izinyawo zethu zihlukene kancane nezingalo zethu emaceleni.
  2. Sizobeka sonke isisindo onyaweni olulodwa bese siphakamisa omunye umlenze ngomnyakazo wokumasha.

umnsalo uweta

  1. Sizosukuma, izinyawo zethu zihlukene kancane.
  2. Sizozama ukutshekisa i-pelvis emuva, sinciphise umhlane ongezansi.
  3. Sizogcina umhlane ongezansi kanye nawo wonke umhlane uphansi futhi uqondile ngangokunokwenzeka ngenkathi sincike kancane kancane.
  4. Sizoncika ngokusemandleni ethu futhi sizobuyela phezulu, sigcine ingemuva liyisicaba futhi liqondile ngangokunokwenzeka.

Uma uzwa ubuhlungu noma ukuqina emhlane wakho ongezansi noma ngemuva kwamathanga akho, ungase ube ne-spasm engezansi yemisipha.


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  1. Ubhekele idatha: I-Actualidad Blog
  2. Inhloso yedatha: Lawula Ugaxekile, ukuphathwa kwamazwana.
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  4. Ukuxhumana kwemininingwane: Imininingwane ngeke idluliselwe kubantu besithathu ngaphandle kwesibopho esisemthethweni.
  5. Isitoreji sedatha: Idatabase ebanjwe yi-Occentus Networks (EU)
  6. Amalungelo: Nganoma yisiphi isikhathi ungakhawulela, uthole futhi ususe imininingwane yakho.