Nguva yechitatu chiremba anoti kumurwere: "Enda kumusha, uye utore kushamba. Ipapo uzarura mahwindo ose muimba uye umire muzvinyorwa. " "Asi, ndiregererei," murwere anokanganisika, "Ini, ndichawana pneumonia." "Ndinoziva," anodaro chiremba, "asi ini ndinogona kuporesa izvi." Kana iwe uchitambura nemarwadzo ekudzokera shure, iwe unongonzwa zviri nyore iwe panzvimbo yegamba reyi anecdote. Chiremba anokugadza iwe mumwe mushonga wekutanga, mumwewo, wechitatu ... Zvichida, acharayira kuti aende mune imwe nzira yejojo, zvimwe zvinopisa uye zvinotonhora zvinokonzera ... Ipapo achagadza massage uye physiotherapy. Saka mwedzi inopfuura nekubudirira kwakasiyana. Asi mapiritsi kana bheni rinopisa "ibhu" risingabatsiri chinhu chimwe chete. Uye kana iwe ukazovhiya, wakapedza mwedzi uchirapa, uye marwadzo anoenderera mberi? Ngatitsvakei nzira yekurapa marwadzo mushure uye musimba.
Warning: diagnosis
Kuitwa pamusana wechipfuva kunogona kunge kusina maturo nokuda kwechikonzero chimwe chete - hazvina kudiwa, sezvo chiremba asina kuisa chikonzero uye chinokonzera marwadzo. Somugumisiro, munhu wacho uye mushure mekushanda haanzwi kunzwa kusununguka uye anomanikidzwa mushure mechinguva kuita wechipiri. 8% yevanhu vanodzokorora basa racho makore maviri mushure mekutanga uye 20% mushure memakore gumi. Nokudaro, zvakakosha kuti zvive zvakajeka. Uye murwere anoda kuziva izvo zvinotevera: achangoshungurudzika kumusana wake, zvakakosha kuonekwa kumurapi uye / kana neurologist, uye kana kurwadziwa kusingapfuuri mumwedzi miviri - iyo nguva yakadaro inoratidza kushanda kwehutano-uye kunyange zvakadaro kana kurwadziwa inokurudzira, iwe unofanira kubva uchitumidza neurosurgeon. Izvo zvinodiwawo kuita MRI (magnetic resonance imaging). X-ray inobudirira pasi pemamiriro maviri: kana zvakakosha kusimbisa kuvapo kana kusavapo kwemaputsi kana kuperevedza kwemapfupa, kuputsa kwekuvimbika kwavo. Uye yechipiri chiitiko chakakosha inonzi radiologist yakakosha uye mhando yehu X-ray. Ichokwadi ndechokuti nekuda kwezvakaipa, zvekare zvekare X-radhi, chiremba anogona kuita kuti kuongororwa kusina kunaka, uye avo vane mhosva vangave vasina mafirimu akanaka kana reagents. Mukuwedzera, kuongororwa kwakawanda kwakadai semakombiyuta tomography (CT) uye MRI, somugumisiro, anobatsira kuchengetedza nguva nemarwere. Uyezve, MRI inoshandiswa - zviri nani "inoona" zvinyoro zvishoma.
Kushanda: kwete nekukurumidza
Kazhinji zvinoratidzika kwatiri kuti chirwere chacho chinorema zvombo, izvo zvakanyanya, asi nzira yakanakisisa yekubvisa dambudziko racho. Dzimwe nguva - mune chido chakashata chokubvisa marwadzo - tinokurumidzira kuti tifambe pamusoro penhandare yemitambo yakareba uye pakarepo tinoenderera kumatanho makuru. Dzimwe nguva izvi, zvisinei, zvakakosha, somuenzaniso, nekutyisidzika kwekuora mitezo, asi zviitiko zvekukurumidzira hazvishamisi. Mhedziso: kana chiremba anokurudzira kushanda kwako, nguva dzose edza kuwana imwezve, kana zviri nani maonero maviri. Ramba uchifunga kuti vanachiremba vanofanirwa kupa, pakukumbira kwenyu, tsvakurudzo dzose uye zvinyorwa zvese. Kuti uwane mufananidzo wakavimbika uye wakavimbika uye uone kana kushanda kuchakubatsira iwe, taura nechechirapi yakasiyana nedzimwe nyanzvi.
Algorithm yezviito
• Tanga kubva pakutanga. Usaudza chipiri chiremba pamusoro pezvirongwa zvekutanga. Rega iye atarise kwauri nemigumisiro yekutsvakurudza nemaziso matsva.
• Taura nachiremba wechimwe chizivo. Tsvaga muongorori akanaka uye orthopedist. Zvichida hauna kushandisa zvizere nzira dzokurapa.
• Usavimba neInternet. Gara kure nevanoongorora veInternet vechiremba. Pasina kuongororwa kwega uye kuongororwa kwemigumisiro yekuongororwa, izvi hazvina maturo.
• Tora pfungwa yechitatu. Kana chiremba wechipiri achipa chimwe chinhu zvakasiyana zvachose nezvakataurwa pakutanga, chiremba wechitatu anogona kukubatsira kuti uzvione.
Saka chii chinobatsira?
Izvi zvinoitika kuti kurwadziwa kumashure kunopera nenguva, pasinei nezvatinoita. Kazhinji tinofunga kuti kurapwa kana nzira dzakasiyana-siyana dzakabatsira, kunyange zvazvo zvingasava zvakadaro. Zvisinei, kune dzimwe nzira dzakawanda dzinopupurirwa zvekurwadziwa kwenguva pfupi:
Kutanga maawa 48
Iwe wakaruramisa musana wako uye ... o, zvinorwadza sei! Zvinogona kuva zvinotyisa, asi kana iwe uine rombo, hazvizoperi kwenguva refu. Pasi paunowana huwandu hwe "imba" nzira dzokubvisa kusagadzikana.
Shandisa painkillers
Kuzvimiririra "ita" iwe pachako kuomesa - kunopisa kana kupisa-hakukurudzirwi, kunogona kutungamirira pakuora. Tora chero upi zvaunofungidzira - kamuti kana gel - uye uparidze nzvimbo yakaoma nemafambiro echiedza.
Zorora, asi kwete kwenguva refu
Zviri nani kurara pasi kana zvichidikanwa, asi zvinokosha kuti pose iri yakarurama. Nhema pamusana wako, tora zviri nani kuti urarame pane imwe mutezo mutsvuku, uye gwadama namabvi kuti udzorere mushure mako. Kana ureve parutivi rwako nemumwe mushure mushure memutsipa wako uye imwe iri pakati pemabvi ako. Kuzorora kwevheche kunowanikwa mumaawa makumi maviri okutanga, mushure mekunge nguva (kana kunyange mberi) chikamu chichabvisa kukanganiswa kunorwadza mumisungo.
Anesthetics
Kuti abvise marwadzo kwekanguva, kurwadziwa kwekunze kunoderedza kunogona kubatsira. Zvinotendwa kuti zvinounza "zororo".
Kudzidzira
Chinangwa chako ndechekudzidzisa iwe kuti ushande sei mushure mako. Izvi zvichaita kuti hupenyu hwako huve hukuru, sezvo maitiro akadaro anoderedza marwadzo uye kushungurudzika kwemisimba. Asi usapfuurira uye usaita chinhu kuburikidza nekurwadziwa. Zviri nani kutaurirana nachiremba we physiotherapy, iye achakuudza iwe zvinobudirira uye zvakachengeteka maitiro.
Manual therapy
Zvidzidzo zvakaratidza kuti kurapwa kwechikoro hakusi kupfurikidza kune physiotherapy, mishonga inorwadza kana maitiro, kune varwere vane kurwadziwa kusingaperi kana kurwadza.
Epidural analgesia
Vakadzi vazhinji vanozvara vanoziva nemigumisiro ye epidural anesthesia. Ijojo, yakagadzirirwa kubvisa marwadzo kumashure, kazhinji inosanganisira anesthetic uye steroid kuti isunungure kuputika. Majekesheni epidural anesthetic haabate zvinetso nemutsana, asi achakupa kukurumidza kwenguva. Ruyamuro kazhinji runoenzanisa uye harusviki kudarika mwedzi mitatu. Ngwarira nemishonga! Analgesics haigoni kutorwa kusingadzorwi, uyezve, inogona kuiswa muropa.
Kurwisana Kunetseka
Zvinoratidzwa kuti chirwere chinogara kwenguva refu chinogona kukurisa marwadzo kumashure. Ndeupi chiremba anofanira kutarisirwa kutanga pamarwadzo emarwadzo? Zviri nani kutanga neweurologist. Kunyange zvazvo vadzidzisi vedu vakataurawo kuti unyanzvi ane ruzivo ari nani kupfuura chero chiremba upi zvake. Kana chiremba akakwana zvakakwana, achasarudza nzira yekurapa yakakodzera, kunyange kana iye akazviisa mune imwe nzvimbo. Zvinogona kutarisana uye neurosurgeon - kana pane mubvunzo pamusoro pekudiwa kwekushanda. Uye nyanzvi yemapfupa anokwanisa kusiyanisa inobatanidza nehutachiona pamwe nemagetsi ekutengesa kana nechinetso chepfungwa. Chinhu chikuru ndechekuti munhu anoenda kune chiremba anokwanisa, pasinei nekuziva. Kusvika kune mumwe mudzidzi anoziva ndiko kubudirira kukuru. Uye kana murwere ane chokwadi, angatungamira sei chiremba nenzira yakarurama? Zvakakosha kutaura zvakananga: "Ndinoda kutaurirana neurologist." Ini ndichakuudza chakavanzika, chero chiremba ane nguva pane imwe "nyeredzi" uye chido chokugadzirisa dambudziko iwe pachako. Saka zviri nani kana mutapi asingagoni kukurira dambudziko racho, asi haarevi kune imwe nyanzvi, tendeukira kwaari oga. Iyo inogona kuva nyanzvi yezveuroyoti, nyanzvi yemapfupa kana neurosurgeon, kuchengetedza vanhu vanokonzera kunyura ndiko basa rekudzikisa ivo pachavo ...
Ndezvipi zviitiko zvinovhiyiwa zvinodiwa?
Kune mhedzisiro uye zvirevo zvinoratidza kuongororwa kwekuvhiya. Zviratidzo zvachose ndezvido zvemu murwere: anoda kushandiswa pane, zvinoreva kuti munhu anoda kushandiswa. Asi, kana pfungwa dzisinganzwisisiki dzikaramba kudiwa kwekuvhiya, hongu, hazvizoiti. Izvi zvatova nyaya yekuvimba nehukama pakati pechiremba uye murwere. Chechipiri - kana pane zviratidzo zvechirwere. Iyi inguva refu uye isingabatsiri yehutano syndrome, iyo haina kuunza chigumisiro, kana kana chigumisiro chacho hachikwanisi. Anoda kuvhiyiwa kwekodhi yekodhi, kukonzerwa (kukanganiswa) kwemupenya, kana mabasa asina kunaka akarasikirwa. Izvi zvinoratidzirwa nezviratidzo zvakadaro pamusana pekutambudzika kwemarwadzo: kutyora kwechikwata mumisungo, (uye kana nzvimbo inonzi lumbar inobatwa) nekuputsa mumakumbo: utera hunooneka, mhanzo haunoteereri, "splashes", hapana kuwirirana kana uchifamba. Uye chiratidzo chakakomba zvikuru kuputsa kuramba nekuzvidzivirira. Izvi ndezvakaipa zvinokanganisa zvinofanira kuverengwa. Kana vachifambira mberi, iwe unoda kukurumidza kutaura neurosurgeon. Chero neurosurgeon chete inogona kusarudza kana iri kuita chirwere kana kwete. Uye hazvina kunaka here kubvunza chiremba apo marwadzo akangobuda kuti abate chirwere chepakutanga? Kunyanya ndinoshanda nevarwere, kunyanya ndine chokwadi chokuti hazvibviri kutsanangurira mberi zviri nani uye zvisingaiti. Mukuwedzera, unoda kupa mukana wekusarudza rudzi rwekurapa kumurwere pachake, uye basa rechiremba nderokumuudza zvizere: ichi ndicho chirwere chaunacho. Pano pane maitiro matatu ekurapa: kuchengetedza, kushanda uye kugadzirisa. Mukuwedzera, zvinhu zvose zvinoenderana nemamiriro acho ezvinhu: kana zvisingakoshi, saka iwe unoda kutaura zvakananga kuti kushanda hakuratidzi pano. Nzira yekudzivirira sei musana wechipfuva kubva mukukuvara? Pane nzira dzakatendeka dzekudzivirira here? Kudzivirira ihwohwo gymnastics - zvishoma ne3-7 mode (mazuva matatu basa, 7 - zororo). Iyi ndiyo nzira yakanakisisa. Uye pane maonero akawanda pane izvi. Kutanga: misumbu yemashure inoda kusimbiswa. Chechipiri: mitsipa yemushure haifaniri kusimbiswa, unongoda kuvadzidzisa kuti vashande sei zvakanaka. Chinhu chokutanga chinogona kuenzaniswa nechokuti iwe uri kudzorera munhu ari kuruboshwe, uchiedza kumururamisa. Chisarudzo chechipiri: iwe unotora munhu - kuruboshwe-kuruboshwe kana kururamisa, zvisinei kuti wakakura zvakadini, chii chaanoita muviri wake - uye kudzidzisa maziso omunhu uyu kushanda zvakanaka uye nguva dzose. Kuti udzidzise mishonga kuti ishande, kazhinji kacho kudzokorora kufamba. Inogona kuva yakakwana kana kushambira-mu cardio-loading mode. Somugumisiro, kana munhu kazhinji achiita kufamba kumwe chete, chitima chemashuga uye kuita mabasa avo nenzira yakarurama, nokudaro kudzivirira mutsara wemupfupa. Zvakakosha kuti munhu apiwe (uye apiwe) sewese, sehurongwa humwe chete. Semuenzaniso, bhuku rekurapa rinopikisa kwete chete maronda uye vertebrae, asiwo nhengo dzomukati - kwete zvakananga, asi pamagetsi avo. Kushushikana pamaoko pamusoro pezvigadzirwa zvezvikamu zve nhengo zvinotungamirira kukuti kufamba kwezvikamu kunoshanduka, uye kushandiswa kwebasa kunoshanduka, kurwadziwa kunonyangarika. Saka kune chinetso chakaoma.
Maonero akafanana pamusoro pemishonga yekurapa: izvi zvinorwadza uye zvinorwadza, pamwe chete nekuderera apo chiremba anotendeuka mutsipa nemapfudzi. Ndizvozvo here? Ichi chikamu chechokwadi. Izvo zvakakosha kupatsanangura manual therapy (MT) muchikoro cheklasi uye maTT soft. Vanachiremba vane unyanzvi hwakanaka, maonero angu, vanofarira. Nokuti classical manual therapy inoshungurudza kunyange kana yakaitwa zvakanaka. Vanachiremba ivo pachavo vanoona kuti ndeapi nzira yekurapa zvikwereti iwe. Nzira yekuve nayo, kana iwe usingadi ku "cheka"? Iwe unogona kukumbira zvakananga: "Chiremba, ngatirege kukurira." Chizhinji chezvose, munhu chero upi zvake anotya kutengesa, kunyengera. Nokudaro, kuvimba kwachiremba uye murwere kunopa huwandu hwehutano kubva mukurapa. Murwere anofanira kuudzwa sekuvimbika sezvinobvira pamusoro pezvauri kuzoita nayo. Izvi zvakakosha kuitira kuti munhu arege kutya, zvinorwadza, zvisingafadzi. Zvadaro achava murwere chaiye - shoko rokuti "murwere" rinoshandurwa sevarwere ... Uye munhu achabvumira - kwete kurwadziwa, asi nguva - mukutarisira kugona.