Lumbago
Leli gama lingase ungalijwayele, kodwa wena noma obathandayo nakanjani nihlangabezane nalesi simo ngokwaso. Futhi kwabaningi, i-lumbago icishe ibe yinto engokoqobo yansuku zonke. Kuyini futhi kanjani ukubhekana nakho?

Khumbula zonke lezo zikhangiso mayelana namaphilisi ezinhlungu namafutha okufudumala? Kulowo nalowo kubo kukhona umlingiswa oguqa ngenxa yobuhlungu emhlane ophansi. Yebo, ngeshwa, "idubula" ngemuva cishe kuwo wonke umuntu wesibili - ikakhulukazi uma iminyaka engu-40+, ikakhulukazi uma kuwumsebenzi onzima. Le "lumbago" ezimweni eziningi i-lumbago eneshwa kakhulu.

Izimpawu ze-lumbago

Kuyaphawuleka ukuthi i-lumbago ngokwayo ngokuvamile ayisona isifo esihlukile.

I-Lumbago (noma i-lumbalgia) ibhekwa njengobuhlungu obukhulu emgodleni we-lumbar. Kodwa lokhu cishe akukona ukuxilongwa, kodwa i-syndrome. Njengoba izimbangela zobuhlungu zingahluka, futhi ziningi zazo. Isibonelo, i-spondyloarthritis, i-myofascial syndrome, i-microrupture ye-fibrous ring, i-spinal disc herniation, i-trauma, i-benign ne-tumor eyingozi, izilonda ezithathelwanayo zomgogodla.

Naphezu kweqiniso lokuthi cishe noma iyiphi inkinga ngomgogodla ingabangela i-lumbago, izimpawu zivame ukufana - ubuhlungu bokudubula obubukhali emhlane ophansi, okungenzeka ukuthi bucwebezele (i-radiating - cishe. Aut.) ezinqeni, emilenzeni. Ubuhlungu buyanda ngokunyakaza (ukutsheka, ukuphenduka, ukuphakamisa). Lokhu kukodwa kuyisenzakalo esingemnandi, kubonisa kumuntu: kunenkinga, hamba kudokotela!

Diagnostics

Kwenzeka ukuthi "ihlumela", umuntu ubamba umoya wakhe futhi abuyele emsebenzini - futhi ubuhlungu abubuyi. Kodwa kungase kube nezinye intuthuko.

Uma ezinsukwini ezimbalwa emva kwe-lumbago isiguli sizwa ubuhlungu obuningi, ukungabi khona kokulala, kukhona ukuphazamiseka kokuchama noma ukuthunjwa, kufanele uthintane nodokotela ngokushesha.

Kodwa, njengomthetho, ngemva kwendaba enjalo engathandeki, abantu baqala ukuzinakekela: hamba kancane, uphumule kakhulu, futhi ubuhlungu buyancipha. Nokho, ngisho nangemva kwenyanga, izimpawu zingase zihlale.

Ngemva kokudlula ibanga elithile, ubuhlungu buyaqina, ukuzwa okuvuthayo kubonakala emaphethelweni aphansi, isiguli sidinga ukuhlala phansi noma ukuncika kokuthile, siphumule, ngemva kwalokho singaphinde sihambe ibanga elifanayo. Lokhu kubizwa ngokuthi "i-neurogenic lameness", futhi kulokhu, futhi, awudingi ukubambezeleka ukuvakashela udokotela.

Kungakhathaliseki ukuthi kuyini, uchwepheshe kuphela ongenza ukuxilongwa okunembile. Ukuxilongwa kwalesi sifo, ngokusho kuka-Alexei Shevyrev, ngokuvamile kwehla ekuhlolweni komtholampilo kwesiguli, ngesisekelo lapho ukuhlolwa kwelabhorethri noma i-electroneuromyography, i-CT, i-MRI, ne-radiography inqunywe.

Izokwelapha

Njengoba i-lumbago ingabangelwa izimbangela ezahlukene, ukwelashwa, ngokulandelana, kuzohluka esimweni ngasinye. Futhi ziningi izindlela zokubuyisela isiguli embonweni waso wangaphambili.

Ngokuya ngesizathu sokubonakaliswa kwe-lumbago, udokotela ukhetha ukwelashwa. Kungaba ukwelashwa kwezidakamizwa, i-physiotherapy. Kwezinye izimo, lapho ukwelashwa kwezidakamizwa kanye ne-physiotherapy kungalethi umphumela oyifunayo, umuntu kufanele aphendukele ku-neurosurgeon.

Yini esetshenziswa ekwelapheni izidakamizwa:

  1. ama-NSAID (izidakamizwa ezingekho-steroidal eqeda ukuvuvukala) - anti-inflammatory, antipyretic, analgesic effect.
  2. Glucocorticosteroids - ama-analogues ama-hormone emvelo we-adrenal cortex (anti-allergic, anti-inflammatory, anti-shock effect).
  3. Ama-anticonvulsants - esetshenziselwa amajaqamba emisipha.
  4. I-Vascular - ukwandisa ukukhanya kwemithambo yegazi.
  5. Vitamins nezinye izidakamizwa.

I-Physiotherapy ihlanganisa: i-electrophoresis, i-UVT therapy, i-carboxytherapy, i-ultrasound, i-laser, i-PRP therapy. Lokhu kufaka phakathi i-acupuncture, ukwelapha ngesandla, ukubhucunga umzimba, ukuvivinya umzimba.

Ukuvimbela i-lumbago ekhaya

Zonke lezi zinkimbinkimbi ezingenhla - futhi ezesabekayo - amagama angeke akhunjulwe uma ulandela imithetho yokuvimbela ukuvimbela i-lumbago. Futhi lezi zindala njengomhlaba, futhi imithetho elula kakhulu: imfundo yomzimba, ukuphumula, ukulala okunempilo, ukudla okunomsoco. Ngokuvamile, lokho okuvame ukubizwa ngokuthi indlela yokuphila enempilo.

Kunoma yikuphi, uma ukubonakaliswa kwe-lumbago kuphazamisa isiguli isikhathi eside, akufanele ugweme ukuvakashela udokotela, ngoba lesi sifo singadideka ne-pathology yezitho zangaphakathi, noma ukubonakaliswa kokulimala kwezinye izingxenye zesistimu ye-musculoskeletal. .

Imibuzo nezimpendulo ezidumile

Ubani osengozini yokuthola i-lumbago?

I-Lumbago ubuhlungu obubukhali obungazelelwe (njenge-lumbago) emgogodleni we-lumbosacral. I-Lumbago ingenzeka kuwo wonke abesilisa nabesifazane banoma iyiphi iminyaka. Kodwa kuvame kakhulu kwabesilisa abaneminyaka engama-30-50.

I-Lumbago ingenzeka ngesikhathi sokugoba, ukunyakaza okungazelelwe noma okungalungiselelwe, ukuphakamisa okunzima, ukukhwehlela. Isizathu singase sibe ama-pathologies ahlukahlukene, ngokwesibonelo, ukugcwala ngokweqile kanye ne-spasm yemisipha yomhlane ophansi - inkambo yesifo esibi kakhulu, futhi sinzima kakhulu ngama-disc intervertebral herniated, ukufuduka kwama-vertebrae, ukuthuthukiswa kwe-anomalies, ukwakheka kwe-volumetric, izifo ze-rheumatological.

Kwenzekani uma i-lumbago ingelashwa?

Ukwelashwa kufanele kuqale ngokuxilonga. Lokhu kudinga ukuhlolwa kukadokotela, ukuhlolwa kwe-X-ray, i-MRI, ukuhlolwa kwegazi okujwayelekile, umchamo. Njengoba kunikezwe ukuthi i-lumbago iyi-syndrome yobuhlungu eyenzeka ngokumelene nesizinda sezinqubo ze-pathological endaweni yomgogodla we-lumbosacral, ukuqonda okucacile komthombo wobuhlungu kuyadingeka.

Izinkinga ngokungabikho kokwelashwa kwezifo eziholela ku-lumbago (ubuhlungu obungapheli, i-paresis (ubuthakathaka) yemikhawulo ephansi, ukulahlekelwa ukuzwela nokuzethemba ekuphumuleni emilenzeni, ukungasebenzi kahle kwe-pelvic, ukungasebenzi ngokocansi) kungaholela ekukhubazekeni nasekukhubazekeni.

shiya impendulo