Ubuhlungu beqolo: buvelaphi ubuhlungu beqolo?

Ubuhlungu beqolo: buvelaphi ubuhlungu beqolo?

Sikhuluma ngobuhlungu beqolo njenge ububi bekhulunyaka, kwande kangaka lesi sifo.

Kodwa-ke, ubuhlungu be-back abubonisi isifo esithile, kodwa isethi yezimpawu ezingaba nezimbangela eziningi, ezingathí sina noma cha, ezinzima noma ezingapheli, ezivuvukalayo noma zemishini, njll.

Leli shidi alihloselwe ukubala zonke izimbangela zobuhlungu beqolo, kodwa kunalokho ukunikeza isifinyezo sezinkinga ezihlukahlukene ezingase zibe khona.

Igama rachialgie, okusho ukuthi "ubuhlungu bomgogodla", futhi isetshenziselwa ukubhekisela kubo bonke ubuhlungu be-back. Ngokuya ngendawo yobuhlungu emgogodleni, sikhuluma ngalokhu:

Ubuhlungu emhlane ongezansi: ubuhlungu obuphansi emuva

lapho ubuhlungu bubekwe endaweni ephansi emuva ezingeni le-lumbar vertebrae. Ubuhlungu obuphansi emuva yisimo esivame kakhulu.

Ubuhlungu emhlane ongenhla, impela ubuhlungu bentamo

Lapho ubuhlungu buthinta intamo kanye nomgogodla womlomo wesibeletho, bheka ishidi lamaqiniso nge-Muscle Disorders of the Neck.

Ubuhlungu phakathi nomhlane: ubuhlungu beqolo

Lapho ubuhlungu buthinta i-vertebrae yomgogodla, phakathi nomhlane, kubizwa ngokuthi ubuhlungu beqolo

Iningi lezinhlungu ezibuhlungu emuva "zivamile", okusho ukuthi azihlobene nesifo esibucayi esibucayi.

Bangaki abantu abazwa ubuhlungu beqolo?

Ubuhlungu beqolo buvame kakhulu. Ngokwezifundo1-3 , kulinganiselwa ukuthi i-80 kuya ku-90% yabantu izoba nobuhlungu bokubuyela emuva okungenani kanye ekuphileni kwabo.

Nganoma yisiphi isikhathi, cishe i-12 kuya ku-33% yabantu ikhononda ngobuhlungu be-back, nobuhlungu be-back ezimweni eziningi. Esikhathini esingangonyaka owodwa, kucatshangwa ukuthi i-22 kuya ku-65% yabantu ihlushwa ubuhlungu obuphansi emuva. Ubuhlungu bentamo buvame kakhulu.

E-France, ubuhlungu be-back back yimbangela yesibili yokubonisana nodokotela ojwayelekile. Babandakanyeka ku-7% wokumiswa komsebenzi futhi bayimbangela ehamba phambili yokukhubazeka ngaphambi kweminyaka yobudala engama-454.

E-Canada, ziyimbangela evame kakhulu yesinxephezelo sabasebenzi5.

Kuyinkinga yezempilo yomphakathi ekhubaza kakhulu emhlabeni wonke.

Izimbangela zobuhlungu emuva

Kunezici eziningi ezingabangela ubuhlungu emuva.

Kungaba ukuhlukumezeka (ukwethuka, ukuphuka, ukuphuka…), ukunyakaza okuphindaphindiwe (ukuphatha ngesandla, ukudlidliza…), i-osteoarthritis, kodwa futhi nomdlavuza, izifo ezithathelwanayo noma ezivuvukalayo. Ngakho-ke kunzima ukubhekana nazo zonke izimbangela ezingase zibe khona, kodwa qaphela ukuthi:

  • ku-90 kuya ku-95% yamacala, umsuka wobuhlungu awubonakali futhi sikhuluma "ngobuhlungu obuvamile" noma obungacacile. Ubuhlungu bese bufika, ezimweni eziningi, kusukela ezilonda ezingeni le-intervertebral discs noma kusukela ku-vertebral osteoarthritis, okusho ukuthi kusukela ekugqokeni kwe-cartilage yamalunga. I umlomo wesibeletho, ikakhulukazi, zivame ukuxhunyaniswa ne-osteoarthritis.
  • ku-5 kuya ku-10% wamacala, ubuhlungu beqolo buhlobene nesifo esingase sibe sína esiyisisekelo, okumele sitholwe kusenesikhathi, njengomdlavuza, ukutheleleka, i-ankylosing spondylitis, inkinga yenhliziyo noma yamaphaphu, njll.

Ukuze banqume imbangela yobuhlungu emuva, odokotela banikeza ukubaluleka kwezinqubo eziningana6 :

  • isihlalo sobuhlungu
  • indlela yokuqala kobuhlungu (okuqhubekayo noma kungazelelwe, kulandela ukushaqeka noma cha ...) kanye nokuvela kwayo
  • umlingiswa ukuvuvukala ubuhlungu noma cha. Ubuhlungu bokuvuvukala bubonakala ngobuhlungu basebusuku, izinhlungu zokuphumula, ukuvuka ebusuku kanye nomuzwa ongase ube nokuqina ekuseni lapho uvuka. Ngokuphambene, ubuhlungu bemishini buba bubi nakakhulu ukunyakaza futhi bukhululeke ngokuphumula.
  • umlando wezokwelapha

Njengoba ubuhlungu be-back "nonspecific" ezimweni eziningi, ukuhlolwa kwezithombe ezifana nama-x-ray, ama-scan noma ama-MRIs akudingekile ngaso sonke isikhathi.

Nazi ezinye izifo noma izici ezingase zibangele ubuhlungu beqolo7:

  • i-ankylosing spondylitis nezinye izifo ezivuthayo ze-rheumatic
  • ukuphuka kwama-vertebral
  • kwamathambo
  • lymphoma
  • ukutheleleka (i-spondylodiscite)
  • Isimila “se-intraspinal” (i-meningioma, i-neuroma), izimila zamathambo eziyisisekelo noma ama-metastases…
  • ukukhubazeka komgogodla

ukuhlungu obusemhlane8 : Ngaphezu kwezimbangela ezibalwe ngezansi, ubuhlungu obuphakathi nendawo emuva bungase buhlotshaniswe nanoma yini enye ngaphandle kwenkinga yomgogodla, ikakhulukazi ukuphazamiseka kwe-visceral futhi kufanele kusheshe ukubonisana. Ngakho-ke zingaba umphumela wesifo senhliziyo (i-infarction, i-aneurysm ye-aorta, i-dissection ye-aorta), yesifo se-pulmonary, ukugaya (isilonda sesisu noma i-duodenal, i-pancreatitis, umdlavuza womminzo, isisu noma i-pancreas).

Ubuhlungu obuphansi emuva : ubuhlungu obuphansi emuva bungase buhlotshaniswe ne-renal, ukugaya, izifo zabesifazane, ukuphazamiseka kwe-vascular, njll.

Inkambo kanye nezinkinga ezingenzeka

Izinkinga nokuqhubeka ngokusobala kuncike kumbangela yobuhlungu.

Endabeni yobuhlungu be-back back ngaphandle kwesifo esingaphansi, ubuhlungu bungase bube bukhulu (amaviki angu-4 kuya kwangu-12), futhi buphele phakathi nezinsuku ezimbalwa noma amasonto, noma bungapheli (lapho buhlala ngaphezu kwamaviki angu-12). amasonto).

Kukhona ingozi enkulu "yokuphindaphinda" kobuhlungu be-back. Ngakho-ke kubalulekile ukubonana nodokotela wakho ngokushesha ukuze uvimbele ubuhlungu ukuthi bungene unomphela. Kodwa-ke, amathiphu amaningana angasiza ekunciphiseni le ngozi (bheka ubuhlungu obuphansi emuva kanye nokuphazamiseka kwemisipha ye-neck fact sheet).

 

shiya impendulo