Okwesithathu ugqirha uthi kwisigulane: "Hamba ekhaya, uthathe ibhafu elitshisayo. Emva koko uvule zonke iifestile endlwini uze ume kwisiqulunqo. " "Kodwa, ndixolele," isigulane sididekile, "Ndiya kuba ne-pneumonia." Ugqirha uthi: "Ndiyazi, kodwa ndiyakwazi ukuphilisa oku." Ukuba unentlungu ebuhlungu, uya kuziva lula kwindawo yeqhawe le-anecdote. Ugqirha ugqwesa iyeza lokuqala, enye enye, yesithathu ... Mhlawumbi, uya kucebisa ukuba aqhube ikhosi yeejoyi, okunye okutshisa kunye nokubanda okubanda ... Emva koko uya kumisela i-massage kunye ne-physiotherapy. Ngoko iinyanga zidlulayo ngeempumelelo ezahlukeneyo. Kodwa ipilisi okanye ibhande elifudumalayo "inja" elingenakunceda yinto enye. Kwaye ukuba usebenze, uchithe iinyanga ulula, kwaye intlungu iyaqhubeka? Makhe sibone indlela yokuphatha intlungu kwimbuyiselo nangemisipha.
Isexwayiso: ukuxilongwa
Ukusebenza emgodini kungabalulekanga ngenxa yesizathu esinye esilula - kwakungekho mfuneko, kuba ugqirha wayibeka ngokufanelekileyo imbangela kunye nomthombo wentlungu. Ngenxa yoko, umntu kwaye emva kokusebenza akaziva ekhululekile kwaye unyanzelekile emva kwexesha ukwenza okwesibini. U-8% wabantu baphinda umsebenzi emva kweminyaka emi-2 emva kokuqala kunye no-20% emva kweminyaka eyi-10. Ngoko ke, kubaluleke kakhulu ukwenza uvavanyo oluchanekileyo. Kwaye isiguli sifuna ukwazi oku kulandelayo: ngokukhawuleza ukuba ibuhlungu emhlane, kuyimfuneko ukuba ibonakale kumgqirha kunye / okanye kwi-neurologist, kwaye ukuba intlungu ayidluli kwiinyanga ezimbini - lixesha elinjalo elibonisa ukuphumelela kwonyango - nangona kunjalo ukuba intlungu uyomeleza, kufuneka uqale ubiza i-neurosurgeon. Kufuneka kwakhona ukwenza i-MRI (imagination magnontic resonance). I-X-ray iyasebenza phantsi kweemeko ezibini: xa kubalulekile ukuqinisekisa ubungqina okanye ukungabikho kwezifucu okanye ukuguqulwa kwamathambo, ukuphulwa kweengqibelelo zabo. Yaye imeko yesibini ebalulekileyo i-radiologist efanelekileyo kakhulu kunye nomgangatho we-X-ray. Inyaniso kukuba ngenxa yesoxhobo esilungileyo, esidala i-X-ray, ugqirha unokwenza i-diagnostic engafanelekiyo, kwaye izigwenxa zingabonakalisa ifilimu okanye i-reagents. Ukongezelela, iimviwo ezininzi ezifana ne-computer tomography (CT) kunye neMRI, ngenxa yoko, kunceda ukugcina ixesha kunye nemali yesigulane. Ngaphezu koko, i-MRI ikhethayo - bhetele "ibona" izicubu ezithambileyo.
Ukusebenza: kungekudala
Ngokusoloko kubonakala ngathi ukusetyenziswa ngumbutho okhuselekileyo, owukhulu kakhulu, kodwa indlela eyona ndlela iphumelelayo yokukrazula ingxaki. Ngamanye amaxesha - ngesifiso esinqwenelekayo sokukrazula intlungu - sizame ukuxhoma phezu kwecandelo leenkqubo ezide kwaye ngokukhawuleza siqhubekele kumanyathelo amaninzi. Ngamanye amaxesha, oku kunjalo, kuyimfuneko, umzekelo, ngesongelo lokukhubazeka, kodwa imeko ezinxamnye nezoxakeka zizinto ezinqabile. Isiphelo: ukuba ugqirha ugunyaza ukusebenza kuwe, soloko uzama ukufumana enye enye, okanye engcono imibono emibili. Hlalani nikhumbule ukuba oogqirha kufuneka banikezele, ngesicelo sakho, yonke imiphumo yophando kunye nerekhodi. Ukuze ufumane umfanekiso othe tye kwaye unokwethenjelwa uze ufumane ukuba umsebenzi uya kukunceda, qhagamshelana neziko lezonyango ezahlukeneyo ngeengcali ezahlukeneyo.
I-algorithm yezenzo
• Qala ukusuka ekuqaleni. Musa ukuxelela ugqirha wesibini malunga neengcebiso zokuqala. Makhe akhangele kuwe kunye neziphumo zophando ngamaso amatsha.
• Xoxa nodokotela wesinye isodwa. Xhumana nomculi olungileyo kunye nomzimba wamazinyo. Mhlawumbi awusebenzise ngokupheleleyo unyango oluthile.
• Ungathembi i-Intanethi. Hlala kude nokubonisana nge-intanethi koogqirha. Ngaphandle kokuhlolwa koomntu kunye nokuhlolwa kweemiphumo zolu vavanyo, oku akusiqondi.
• Fumana umbono wesithathu. Ukuba ugqirha wesibini unikezela into ehluke ngokupheleleyo kwinto yokuqala ephakanyisiweyo, ugqirha wesithathu unokukunceda ukuba ulinganise.
Ngoko ke kunceda ntoni?
Kwenzeka ukuba intlungu emva iyancipha ngexesha, kungakhathaliseki ukuba senza ntoni. Ngokuqhelekileyo sicinga ukuba unyango okanye iinkqubo ezikhethekileyo zanceda, nangona kunjalo kungenjalo. Nangona kunjalo, kukho iindlela ezininzi ezibonakalisiweyo zokuncedisa intlungu yesikhashana:
Iiyure ezingama-48 zokuqala
Uqondisile umva wakho kwaye ... o, yintoni intlungu! Kungaba nzima, kodwa ukuba unenhlanhla, akuyi kuhlala ixesha elide. Ngezantsi uzakufumana iindlela ezininzi "zasekhaya" zokususa uhlazo.
Sebenzisa ama-painkillers
Ukuzimela ngokuzimeleyo "uzincede" ukucindezela - ukufudumala okanye ukupholisa - akukhuthazwa, kunokukhokelela ekudakaleni. Thatha nayiphi na i-anesthetic - ukhilimu okanye i-gel - kwaye usasaze indawo ephosakeleyo ngokunyakaza okulula.
Phumla, kodwa kungekudala
Kungcono ukulala phantsi xa kuyimfuneko, kodwa kubalulekile ukuba i-positi ichanekile. Ulale emhlane wakho, intloko ibe ngcono ukuhlala emcongeni omncinci, kwaye uguqa ngamadolo ukuze ukhulule umqolo wakho. Okanye ulale ngasecaleni lakho ngomnye umlotha entanyeni yakho kunye nomnye phakathi kwamadolo. Ukuphumla kwesibhedlele kuyadingeka kuphela kwiiyure ezingama-48 zokuqala, emva kweli xesha (okanye nangaphambili) ukunyakaza kuya kunciphisa uxinzelelo olubuhlungu kwimisipha.
Anesthetics
Ukukrazula intlungu kwithuba elithile, iintlungu zangaphandle ziyakunceda. Kukholelwa ukuba bazisa "uxolo".
Ukuzivocavoca
Injongo yakho kukukufundisa indlela yokusebenza iimisipha zakho zangemva. Oku kuya kubakhokela ngokubanzi ubomi bakho, kuba ukuzivocavoca okunjalo kukunciphisa uxinzelelo kunye nokuxhatshazwa kwemisipha. Kodwa ungagqithisi kwaye ungenzi nto ngeentlungu. Kungcono ukubonisana nodokotela we-physiotherapy, uya kukuxelela ngokusebenzayo nangokukhuselekileyo.
Unyango lwemiqulu
Ucwaningo luye lwabonisa ukuba unyango olusesikweni alusebenzi ngaphantsi kwe-physiotherapy, imithi yeentlungu okanye ukuzivocavoca, kwizigulane ezineentlungu ezingapheliyo okanye ezinzima.
Epidural analgesia
Abaninzi abasetyhini abazalayo baqhelana nomphumo we-epestural anesthesia. Amagciwane, eyenzelwe ukunciphisa intlungu engemuva, ngokuqhelekileyo iqukethe i-anesthetic kunye ne-steroids yokunciphisa ukuvuvukala. Iilenki ze-epidural anesthetic aziphatheli iingxaki ngomgudu, kodwa ziya kukunika ukuphefumula okwethutyana. Ukukhululeka kudla ngokuthe rhoqo kwaye kungapheli ngaphezu kweenyanga ezintathu. Qaphela ngamayeza! Ama-Analgesics akakwazi ukuthatyathwa ngokungalawulekiyo, ngaphezu koko, abanokulutha.
Ukulwa nokuxhatshazwa
Kubonakaliswe ukuba ipeni elide linokunyusa intlungu emva. Nguwuphi ugqirha kufuneka uphathwe kuqala ngenxa yentlungu? Kungcono ukuqala nge-neurologist. Nangona ootitshala bethu bathetha ukuba ogqirha onobungcali ungcono kunabo nawuphi na ugqirha. Ukuba ugqirha unelungelo elaneleyo, uya kukhetha indlela yokunyanga eyiyo, nangona ekhethekileyo kwindawo ethile. Kunokwenzeka ukujongana kunye neurosurgeon - ukuba kukho umbuzo malunga nokufuneka komsebenzi. Kwaye ugqirha wamazinyo okwazi ukwahlula udibene ne-pathology kunye ne-apparatus okanye i-neurologic ingxaki. Into ephambili kukuba umntu ufumana ugqirha ofanelekileyo, kungakhathaliseki ukuba udidi. Ukufikelela kumcebisi oqeqeshekileyo kuyimpumelelo enkulu. Yaye ukuba isigulane sinokungathandabuzeki, unokuyilathisa njani ugqirha ngendlela efanelekileyo? Kubalulekile ukuthetha ngokuthe ngqo: "Ndifuna ukubonisana neurologist." Ndiza kukuxelela imfihlo, nawuphi na ugqirha ngexesha "inkanyezi" kunye nomnqweno wokusombulula loo ngxaki. Ngako oko kungcono ukuba u-therapist akakwazi ukujamelana neengxaki, kodwa akabhekiseli kwelinye ingcali, abuyele kuye yedwa. Ingaba yi-neurologist, i-orthopedist okanye i-neurosurgeon, ukugcina abantu abagxobhozayo ngumsebenzi wokuzimela ngokwabo ...
Ziziphi iimeko apho utyando luyimfuneko?
Kukho izibonakaliso ezipheleleyo kunye nezihambelanayo zokungenelela. Izibonakaliso ezingapheliyo ngumnqweno wesigulane: ufuna ukuqhutyelwa kuyo, oko kuthetha ukuba kufuneka usebenze. Kodwa, ukuba ingqiqo ephika imfuneko yokusebenza, kunjalo, ayiyi kwenziwa. Le nto sele yinto yokuthembela ubuhlobo phakathi kogqirha kunye nesigulane. Okwesibini - ukuba kukho izibonakaliso zekliniki. Le yonyango elide kwaye elingenakusebenza lentsholongwane yeentlungu, ezingenzi iiphumo, okanye ukuba umphumo ungancinci. Kudinga ukuhlinzwa ngediski ye-herniated, i-compression (compress) yomgudu, xa imisebenzi evelele ilahlekile. Oku kubonakaliswa yimpawu ezinjalo kwimvelaphi yentlungu: ukuphulwa kwentshukumo kwimisipha, (kwaye ukuba i-lumbar esifundeni ichaphazelekayo) ngokuphulwa emilenzeni: ubuthathaka bubonakala, umlenze awuwuthobeli, "uphahlaza", akukho ulungelelaniso xa uhamba. Kwaye uphawu olubi kakhulu luphulo lokungcungcuthwa nokuxhatshazwa. Ezi ngophulaphulo ezinzima kufuneka ziqwalaselwe. Ukuba bayaqhubeka, kufuneka uqhagamshelane ngokukhawuleza ne-neurosurgeon. Kuphela i-neurosurgeon inokugqiba isigqibo sokuba ngaba usebenza okanye cha. Kwaye akukuhle ukudibana nogqirha xa ubuhlungu buvele buye kubamba eso sifo kwisigaba sokuqala? Xa ndisebenza ngokugqithiseleyo nezigulane, ngakumbi ndiyaqiniseka ukuba akunakwenzeka ukuqikelela kwangaphambili oko kukubhetele kunye noko kungenjalo. Ukongezelela, kufuneka unike ithuba lokukhetha uhlobo lwenyango yesigulane ngokwakhe, kwaye umsebenzi wengcali ugqirha ukumxelela ngokupheleleyo: esi sifo unayo. Nazi iindlela ezintathu zonyango: ezilondolozayo, ezisebenza kunye nokuvuselela. Ukongeza, yonke into ixhomekeka kwimeko: ukuba ayibalulekanga, ngoko kufuneka utsho ngokuthe ngqo ukuba lo msebenzi awuboniswa apha. Unokukhusela njani umgudu umonakalo? Ngaba zikho iindlela ezinokuthenjwa zokuthintela? Ukuthintela yi-gymnastics - ubuncinane kwindlela ye-3-7 (iintsuku ezintathu zokusebenza, ukuphumla kwe-7). Le yindlela ephezulu kakhulu. Kwaye kukho iimbono ezininzi kule ngxaki. Okokuqala: iimisipha zangasemva zidinga ukuqiniswa. Okwesibini: iimisipha zangasemva akumele ziqiniswe, kufuneka nje ufundise indlela yokusebenza ngokufanelekileyo. Ikhetho lokuqala lingafaniswa nelokuba uyaphinda uhlaziye umgcini-sandleni sokunxele, uzama ukumenza unene. Ikhetho lesibini: uthatha nabani na - okhohlo okanye ophethe isandla, kungakhathaliseki ukuba uphuhlise ngokwenyama, yintoni umzimba wakhe - kwaye ufundise izihlunu zale mntu ukuba isebenze ngokuchanekileyo nangokuqhubekayo. Ukuze ufundise imisipha ukuba isebenze, ngokuphindaphindiweyo ukunyuswa okuphindaphindiweyo. Iyakwazi ukuqina okanye ukubhukuda - kwimodi yokulayisha imoto. Ngenxa yoko, xa umntu esoloko eqhuba ukunyuka okufanayo, uqeqesho lwesisundu kwaye enze imisebenzi yakhe ngokuchanekileyo, ngaloo ndlela ukukhusela umqolo womgcini. Kubalulekile ukuba umntu uphathwe (kwaye uphathwe) ngokubanzi, njengenkqubo enye. Ngokomzekelo, umgqirha wezobugcisa ayichaphazeli kuphela izihlunu kunye ne-vertebrae, kodwa kunye nezitho zangaphakathi - kungekhona ngokuthe ngqo, kodwa kwiimpahla zazo zeligament. Uxinzelelo kwizandla ezixhobo zeligamente zezitho zikhokelela ekubeni ukuhamba kwezitho zitshintsho, kunye nokuguquka komsebenzi wecala, intlungu iyalala. Ngoko kukho impembelelo enzima.
Umbono oqhelekileyo ngonyango olusesikweni: olu luhlungu kwaye lubuhlungu, luhamba kunye nokugqithisa xa ugqirha ejika entanyeni nasemagxeni. Ngaba kunjalo? Oku kuyinyaniso. Kubalulekile ukwahlula unyango olusesikweni (MT) kwii-classic kunye ne-MT ezicwangcisiweyo. Oogqirha abaneendlela ezinothileyo, ngombono wam, bayakuthanda. Kungenxa yokuba unyango oluthile lonyango luyingozi nangona luyenziwa ngokuchanekileyo. Oogqirha ngokwabo bachonga uhlobo lonyango olufanelekileyo. Ngaba kufuneka ukuba, ukuba awufuni "ukunqumla"? Unokuzibuza ngokuthe ngqo: "Ugqirha, masingabikho." Uninzi lwawo, naluphi na umntu uloyiko lokungcatsha, ukukhohlisa. Ngoko ke, ukuthembela kukagqirha kunye nesigulane kunika umphumo ophezulu kwonyango. Isigulane sifanele sixelelwe ngokunyaniseka ngendlela enokwenzeka ngayo malunga nento oya kuyenza ngayo. Oku kuyimfuneko ukwenzela ukuba loo mntu ayikayiki, ayibuhlungu, ayibi. Emva koko uya kuba ngumonde ngokwenene - igama elithi "isigulane" liguqulelwe njengesigulane ... Yaye loo mntu uya kubekezela - kungekhona intlungu, kodwa ixesha-ekulindeni ukubuyiswa.