Ubuhlungu beqolo wubuhlungu obungemuva obubhekene nomgogodla womhlane. Ngakho-ke izinhlungu ezizwiwayo zenziwa endaweni ezingeni lama-vertebrae ayishumi nambili. Ubuhlungu obuvamile, obusemuva bungaba umphumela wobuhlungu obunophawu, obuqinile noma obusebenzayo. Ngaphambi kokwelapha ubuhlungu be-back back, ngakho-ke kuyadingeka ukuhlukanisa ubuhlungu be-back-symptomatic obuvela ku-cardiovascular, pleuropulmonary, izimbangela zokugaya ukudla noma ezinkingeni ezingaphansi komgogodla kanye nobuhlungu be-back back.

Incazelo yobuhlungu beqolo

Ubuhlungu be-back back buhambisana nobuhlungu beqolo obubhekene nomgogodla we-dorsal - noma i-thoracic. Ngakho-ke izinhlungu ezizwiwayo zenziwa endaweni ezingeni le-vertebrae eyishumi nambili yomgogodla, eqokwe i-D1 kuya ku-D12 - noma i-T1 kuya ku-T12.

Izinhlobo zobuhlungu beqolo

Ubuhlungu beqolo bungahlukaniswa ngezinhlobo ezintathu:

• I-symptomatic back pain, ngokuvamile ibuhlungu;
• Ubuhlungu be-back "Static", obuxhunywe nenkinga yokukhula noma i-static;
• Ubuhlungu bomhlane "obusebenzayo", obuvame ukuhlanganisa ubuhlungu bemisipha kanye nesici esingokwengqondo, buqala kancane kancane ngokuhamba kwesikhathi.

Izimbangela zobuhlungu beqolo

Phakathi kwezimbangela zobuhlungu beqolo obunophawu yilezi:

• I-pathologies yenhliziyo: ukungasebenzi kahle kwe-coronary, i-pericarditis, i-thoracic aortic aneurysm;
• I-Pleuropulmonary pathologies: umdlavuza we-bronchial, i-pleurisy ethathelwanayo noma ehlaselayo (i-mesothelioma, umdlavuza we-bronchial), isimila se-mediastinal;
• I-pathologies yokugaya ukudla: isilonda esiswini noma se-duodenal, isifo se-hepatobiliary, esophagitis, i-pancreatitis noma i-gastritis, umdlavuza wesisu, umminzo, amanyikwe;
• Izimo zomgogodla ezingaphansi: i-spondylodiscitis (ukutheleleka kwe-disc intervertebral kanye nemizimba ye-vertebral eseduze), i-spondyloarthropathy (isifo esihlangene), i-osteoporotic fracture, i-intraspinal tumor, isisu esiyingozi, isisu esibuhlungu, isifo sikaPaget (isifo samathambo esingapheli kanye nendawo yendawo);
• I-dorsal herniated disc - phawula ukuthi ingxenye ye-dorsal nokho ayivamisile ukuthintwa ama-disc herniated.

Ubuhlungu beqolo obungaguquki bungabangelwa:

• I-Kyphoscoliosis noma ukuguqulwa okuphindwe kabili komgogodla, okuhlobanisa ukuphambuka kwe-lateral (scoliosis) nokuphambuka nge-posterior convexity (kyphosis);
• I-dystrophy yokukhula komgogodla (kuhlanganise nesifo sika-Scheuermann) noma ukuguqulwa kwesakhiwo se-disco-vertebral okwenzeka ezinganeni nasebancane. Ekuqaleni kokuphazamiseka kokukhula, kungabangela i-sequelae lapho usumdala.

Ubuhlungu obusebenzayo bokubuyela emuva akunazo izimbangela zangempela ezikhonjiwe kodwa kungaba inhlanganisela yezinto ezihlukene zemishini nezengqondo:

• Ukukhubazeka kwe-Postural lapho imisipha yangemuva ibuthakathaka kakhulu;
• Ukuqina kwemisipha kubhebhethekiswa ukucindezeleka nokukhathazeka;
• Izinguquko kumalunga omgogodla ngeminyaka (i-discarthrosis);
• Ukukhulelwa: isisindo sesisu sanda futhi amahomoni okukhulelwa abangela ukuba imigqa yomgogodla iphumule;
• Ukwelula noma ukulimala emisipha yangemuva ngenxa yokunyakaza okunobudlova noma ukushaqeka;
• Futhi okuningi okuningi

Ukuxilongwa kobuhlungu beqolo

Ngaphambi kokwelapha ubuhlungu obusebenzayo bokubuyela emuva, kuyadingeka ukuhlukanisa ubuhlungu beqolo obunophawu - obuvela ku-cardiovascular, pleuropulmonary, izimbangela zokugaya ukudla noma ezinkingeni eziyisisekelo zomgogodla - kanye nobuhlungu obungemuva obuyi-static okufanele buzuze ekwelapheni okuthile.

Okokuqala, ubuhlungu bomhlane buhlolwa ngokuxoxisana nesiguli:

• Ubuhlungu: isayithi, isigqi, ithonya lokucindezeleka kwemishini, izikhundla, usuku kanye nemodi yokuqala, inkambo, umlando;
• Ukuthuthukiswa ngokudla noma cha, ukuzwela kwezidakamizwa ezingezona ukuvuvukala (ama-NSAID), ukutholakala kwe-irradiation "ebhande" (eceleni kwezimbambo), njll. ;
• Isizinda esingokwengqondo.

Ukuhlolwa komtholampilo kulandela ukuhlolwa:

• Ukuhlolwa komgogodla: i-static, ukuguquguquka kwe-flexion nokwandiswa, amaphuzu abuhlungu ku-palpation, isimo se-thoracic musculature;
• Ukuhlolwa okujwayelekile: i-pleuropulmonary, i-cardiovascular, ukugaya ukudla kanye ne-hepatic;
• Ukuhlolwa kwezinzwa.

Ekugcineni, kufanele kuthathwe i-x-ray yomgogodla we-thoracic.

Ngokuya ngokuqondisa kokuxilonga, ezinye izivivinyo ezengeziwe zingenziwa:

• Sesha izimpawu zebhayoloji zokuvuvukala;
• I-scintigraphy (ukuhlola ikholomu noma izitho kusetshenziswa into ekhipha imisebe enamathela kuzo futhi inikezwe ngamanani amancane kakhulu);
• I-CT scan yomgogodla we-thoracic;
• I-imaging ye-magnetic resonance imaging (MRI) yomgogodla we-thoracic;
• I-endoscopy yesisu;
• Ukuhlolwa kwenhliziyo ...

Abantu abahlukunyezwa iqolo

Nakuba cishe i-14% yabantu ingase ihlupheke ngenxa yobuhlungu obusebenzayo, abesifazane abakhuthele babonakala bethinteka kakhulu kulezi zinhlungu zasemhlane.

Izinto ezithanda ubuhlungu beqolo

Izici ezihlukahlukene zingakhuthaza ubuhlungu beqolo:

• Ukungasebenzi ngokomzimba;
• Ukuntuleka komsebenzi;
• Imisipha yangemuva enganele;
• Ukungakwazi ukuhamba ngenxa yobudala noma ukulaliswa esibhedlela isibonelo;
• Isikhathi sokuya esikhathini;
• Ukukhulelwa noma ukukhuluphala ngokweqile;
• Ukukhathazeka nokucindezeleka;
• Izifo zengqondo noma zengqondo.

Ubuhlungu obukhulu

Ubuhlungu beqolo obunophawu ngokuvamile bubangela ubuhlungu obukhulu emhlane. Kulezi zimo, iseluleko sezokwelapha esiphuthumayo siyadingeka ukuze kuphenywe imbangela.

Sabalalisa ubuhlungu

Ubuhlungu obusebenzayo bokubuyela emuva bungabangela ubuhlungu obusakazekayo phakathi kwamahlombe ehlombe, noma olwendawo kakhulu, futhi buphazamise ukuphefumula. Kungenzeka ukubadidanisa ngobuhlungu bentamo lapho betholakala ezingeni le-vertebrae yokugcina ye-dorsal, ekuhlanganeni nesisekelo sentamo.

Ubuhlungu obungapheliyo

Uma ubuhlungu obusebenzayo bubuya njalo noma buhlala isikhathi esingaphezu kwezinyanga ezintathu, bubizwa ngokuthi ubuhlungu obungapheli.

Ezinye izimpawu

• Izingxabano ;
• Inzwa yokuluma;
• Ukuluma;
• Ukusha.

Ngaphandle kobuhlungu beqolo obuyizimpawu obudinga ukwelashwa okuqondile, ukuphathwa kokwelapha ikakhulukazi kuthinta ubuhlungu obusebenzayo bokubuyela emuva.

Ukwelashwa kobuhlungu beqolo obusebenzayo kungahlanganisa:

• Umkhuba ojwayelekile wokuzivocavoca umzimba oguqulelwe ukuqinisa umhlane kanye nesisu;
• Izikhathi ku-physiotherapist noma i-osteopath ukusiza ukuphumula imisipha, ukuthambisa umgogodla kanye nobuhlungu obuzolile;
• Ukuguqulwa okungenzeka kwe-ergonomics emsebenzini uma kungenzeka;
• Ama-analgesics angase abekwe ngesikhathi sokuqubuka okubuhlungu;
• Umkhuba wokuzivocavoca ukuphefumula - njengokuphefumula kwesisu - noma ukuphumula ukuze uphumule;
• Ukunakekelwa kwengqondo;
• Ama-Antidepressants njengoba kudingeka.

Ukuze uvimbele ubuhlungu obusebenzayo bokubuyela emuva, kunezinyathelo ezimbalwa zokuqapha ezihleliwe:

• Zijwayeze umdlalo owanele ukuze uqinise iqolo futhi uthuthukise izisu eziqinile, kuyo yonke iminyaka;
• Yamukela ukuma okulungile ngenkathi usebenza, ugcine umhlane uqondile;
• Ungagcini isikhundla esifanayo side kakhulu: amakhefu amafushane kodwa avamile ayazuzisa;
• Thatha imithwalo esindayo eduze nomzimba ngangokunokwenzeka;
• Ungafaki ama-twist emgogodleni;
• Gwema izithende eziphakeme eziholela ekumeni okubi kanye nokugoba okuzenzela komgogodla;
• Lala ngohlangothi lwakho futhi ugweme ukulala ngesisu;
• Prakthiza amasu okuphumuza ukukhulula ukukhathazeka;
• Gwema ukukhuluphala ngokweqile.