Ukwelashwa kwezifo ze-musculoskeletal of the neck (whiplash, intamo eqinile)
Uma ubuhlungu entanyeni ayinciphi ngemva kokunikeza ukwelashwa okusikiselwe ngezansi izinsuku ezimbalwa, kuyatuseka ukubonana nodokotela noma i-physiotherapist.
Isigaba esibuhlungu
ukuphumula. Izinsuku ezimbalwa, gwema ukunyakaza kwentamo ye-amplitude enkulu. Yenza okufanayo ukukhanya elula, ngezindlela ezingezona ezibuhlungu (vula intamo ukuze ubheke ngakwesobunxele, bese ngakwesokudla; guqula intamo phambili, ubuyisele phakathi nendawo, bese ugoqa ehlombe lesobunxele, futhi kwesokudla; gwema ukunyakaza kokujikeleza kwekhanda). i i-collier yomlomo wesibeletho kufanele kugwenywe, njengoba kudala ubuthakathaka emisipha futhi kusiza ukwandisa isikhathi sokuphulukisa. Ukuphumula isikhathi eside kuqhubeka kusiza ukuqinisa ilunga futhi kunomthelela ekuthuthukiseni ubuhlungu obungapheli.
Ukwelashwa kwemithi yokuphazamiseka kwe-musculoskeletal yentamo (i-cervical sprain, torticollis): qonda yonke into emizuzwini emi-2
Ice. Ukufaka iqhwa endaweni ebuhlungu kathathu noma kane ngosuku, imizuzu eyi-10 kuya kweyi-12, kunciphisa ukusabela kokuvuvukala. Kuhle ukwenza lokhu inqobo nje uma izimpawu ezibucayi ziqhubeka. Asikho isidingo sokusebenzisa ukucindezela okubandayo noma "izikhwama zomlingo": azibandi ngokwanele futhi zishisa emaminithini ambalwa.
Amathiphu nezixwayiso zokufaka amakhaza Ama-ice cubes ahlanganiswe esikhwameni sepulasitiki noma ngethawula elimanzi (khetha ithawula elincanyana) angasetshenziswa esikhumbeni. Kukhona namasaka ejeli epholile efrijini (Ice pak®) ethengiswa emakhemisi. Le mikhiqizo ngezinye izikhathi ilula, kodwa akufanele ibekwe ngqo esikhumbeni: lokhu kungase kubangele isithwathwa. Esinye isixazululo esisebenzayo nesomnotho yisikhwama se-peas eluhlaza efriziwe noma ummbila, sibumba kahle emzimbeni futhi singasetshenziswa ngqo esikhumbeni. |
Imithi yokudambisa izinhlungu (pain relievers). I-acetaminophen (i-Tylenol®, i-Atasol®) ngokuvamile yanele ukukhulula ubuhlungu obuncane kuya kobumaphakathi. Izidakamizwa ezilwa nokuvuvukala, njenge-ibuprofen (i-Advil®, i-Motrin®, njll.), i-acetylsalycilic acid (i-Aspirin®), i-naproxen (i-Anaprox®, i-Naprosyn®) ne-diclofenac (i-Voltaren®), nayo inomphumela we-analgesic. Kodwa-ke, abangela imiphumela emibi eminingi ngakho-ke kufanele asetshenziswe ngokulinganisela. Ukuvuvukala okulandela ukuhlukumezeka kuyingxenye yenqubo yokuphulukisa (okuhlukile ekuvuvukeni kwe-arthritis, isibonelo) futhi akudingeki ukuthi kukhulunywe ngayo. Ungasebenzisa futhi ukhilimu osekelwe emithini elwa nokuvuvukala njenge-diclofenac (Voltaren emulgel®), esiza ukuvimbela imiphumela emibi yesistimu.
The iziphumuli zemisipha zingasiza futhi, kodwa zikwenza wozele (isibonelo, i-Robaxacet® ne-Robaxisal®). Ukuze unqobe lo mphumela, kunconywa ukuwathatha ngaphambi kokulala noma ngemithamo ephansi phakathi nosuku. Akufanele zisetshenziswe ngaphezu kwezinsuku ezimbalwa. Le mithi iqukethe i-analgesic (i-acetaminophen ye-Robaxacet®, ne-ibuprofen ye-Robaxisal®). Ngakho-ke kufanele zigwenywe ngesikhathi esifanayo nesinye isidambisi sobuhlungu.
Udokotela angaphakamisa ikilasi elifaneleka kakhulu lemithi yezinhlungu, uma kunesidingo. Uma kwenzeka ubuhlungu obunamandla, angase anikeze izidakamizwa ze-opioid (okuphuma kwe-morphine). Uma kukhona ubuhlungu bezinzwa, izidakamizwa ze-anticonvulsant noma ezinye izidakamizwa ezisebenza kuma-neurotransmitters zingase zibekwe.
Ngesikhathi se-acute phase, massage emnene kungasiza ukudambisa ukushuba okwesikhashana.
ukulungiswa
Lapho ubuhlungu entanyeni kuncipha (ngemuva kwamahora angama-24 kuye kwangama-48), kuhle ukuzilolonga izivivinyo ezinwebekayo ngokucophelela futhi okuqhubekayo, izikhathi eziningana ngosuku.
Kungase kube usizo ukufaka isicelo ukushisa emisipha ngaphambi nje kokuqala ukuvivinya umzimba (usebenzisa i-compress emanzi efudumele kuhhavini noma ukugeza okushisayo). Ukushisa kukhulula imisipha. Ngemva kokuqeda izivivinyo, ungafaka isicelo Ice.
Kungathintwa i-physiotherapist uma kunesidingo. Kubonakala sengathi ukuhlanganisa ukuhamba Ukwelashwa ngokomzimba okwenziwe ekhaya kanye nokuzivocavoca umzimba kuphumelela kakhulu ekudambiseni ubuhlungu bentamo.
Ama-Corticosteroids kanye nemijovo
Kwezinye izimo, le nketho ingase icatshangelwe uma ukwelashwa kwangaphambilini kubonakale kungasebenzi. I ama-corticosteroids abe nesenzo sokulwa nokuvuvukala.
Umjovo we-lidocaine, isibulali-zinzwa sasendaweni, ezindaweni ezibuhlungu (izindawo ezivusa amadlingozi) ubonise ukusebenza kahle okuthile. Odokotela bavame ukuhlanganisa i-lidocaine ne-corticosteroid27.
Uma kwenzeka ubuhlungu obungapheli
Ilogi yezimpawu. Kuhle ukuqaphela izimo ezibangela ubuhlungu, uzibhale phansi futhi uxoxe ngazo nodokotela wakho noma i-physiotherapist. Ingabe ziba zimbi kakhulu ekuseni noma ekupheleni kosuku? Ingabe ukwakheka kwendawo yokusebenza kufanele kuhlolwe i-ergonomist? Ingabe isimo sokucindezeleka okungapheli singadala ukungezwani ku-trapezius nasentanyeni?
Ukuhlinzwa. Uma kukhona ukucindezelwa komsuka wezinzwa endaweni yentamo okungabangela ukuba ndikindiki noma ubuthakathaka ezingalweni, ukuhlinzwa kungase kuboniswe. I-intervertebral disc eyonakele ingasuswa ngokuhlinzwa. Khona-ke ama-vertebrae ahlanganiswa ndawonye.