Kuchiza kwamankhwala pamavuto a minofu ndi mafupa a khosi (chikwapu, khosi lolimba)
ngati kupweteka khosi sichichepa mutatha kupereka mankhwala omwe ali pansipa kwa masiku angapo, ndi bwino kukaonana ndi dokotala kapena physiotherapist.
Gawo labwino
Ma Repos. Kwa masiku angapo, pewani mayendedwe akulu amplitude khosi. Chitani zonse zomwezo kuwala kutambasula, m'njira zosapweteka (kutembenuzirani khosi kuti muyang'ane kumanzere, kenako kumanja; tembenuzani khosi kutsogolo, kubweretsanso pakati, kenaka mutembenuzire ku phewa lakumanzere, ndi kumanja; pewani kusuntha kwa mutu). ndi zilonda zam'mimba ziyenera kupewedwa, chifukwa zimapanga kufooka kwa minofu ndikuthandizira kukulitsa nthawi ya machiritso. Kupumula kwa nthawi yayitali kumathandizira kulimbitsa mgwirizano komanso kumathandizira kuti pakhale kupweteka kosalekeza.
Chithandizo chamankhwala ochizira matenda a minofu ndi mafupa a khosi (chiwopsezo cha khomo lachiberekero, torticollis): mvetsetsani zonse mu 2 min.
Ice. Kupaka ayezi kumalo opweteka katatu kapena kanayi pa tsiku, kwa mphindi 10 mpaka 12, kumachepetsa kutupa. Ndi bwino kuchita izi malinga ngati zizindikiro zowopsa zikupitirirabe. Palibe chifukwa chogwiritsira ntchito compresses ozizira kapena "matumba amatsenga": samazizira mokwanira ndipo amawotcha mumphindi zochepa.
Malangizo ndi machenjezo ogwiritsa ntchito kuzizira Mazira oundana atakulungidwa mu thumba la pulasitiki kapena thaulo lonyowa (sankhani thaulo lochepa thupi) lingagwiritsidwe ntchito pakhungu. Palinso ma sachets a refrigerating gel yofewa (Ice pak®) yogulitsidwa m'ma pharmacies. Izi nthawi zina zimakhala zosavuta, koma siziyenera kuyikidwa pakhungu: izi zimatha kuyambitsa chisanu. Njira ina yothandiza komanso yachuma ndi thumba la nandolo zobiriwira zozizira kapena chimanga, zimapangidwira bwino kwa thupi ndipo zingagwiritsidwe ntchito mwachindunji pakhungu. |
Mankhwala ochepetsa ululu (ochepetsa ululu). Acetaminophen (Tylenol®, Atasol®) nthawi zambiri imakhala yokwanira kuthetsa ululu wochepa kapena wochepa. Mankhwala oletsa kutupa, monga ibuprofen (Advil®, Motrin®, etc.), acetylsalycilic acid (Aspirin®), naproxen (Anaprox®, Naprosyn®) ndi diclofenac (Voltaren®), amakhalanso ndi zotsatira za analgesic. Komabe, zimayambitsa zovuta zambiri ndipo ziyenera kugwiritsidwa ntchito moyenera. Kutupa kotsatira kuvulala ndi gawo la machiritso (mosiyana ndi kutupa kwa nyamakazi, mwachitsanzo) ndipo sikuyenera kuthandizidwa. Mukhozanso kugwiritsa ntchito zonona zochokera ku mankhwala oletsa kutupa monga diclofenac (Voltaren emulgel®), zomwe zimathandiza kupewa zotsatira za machitidwe.
The minofu yopumula zingathandizenso, koma zimakupangitsani kugona (mwachitsanzo, Robaxacet® ndi Robaxisal®). Kuti tithane ndi izi, tikulimbikitsidwa kuwatenga pogona kapena pamlingo wochepa masana. sayenera kugwiritsidwa ntchito kwa masiku angapo. Mankhwalawa ali ndi mankhwala oletsa ululu (acetaminophen ya Robaxacet®, ndi ibuprofen ya Robaxisal®). Ayenera kupewedwa nthawi yomweyo ngati mankhwala ena ochepetsa ululu.
Dokotala akhoza kulangiza kalasi yoyenera kwambiri yamankhwala opweteka, ngati kuli kofunikira. Ngati ululu waukulu, iye angapereke mankhwala opioid painkillers (zochokera ku morphine). Pakakhala ululu wa minyewa, mankhwala oletsa kukomoka kapena mankhwala ena omwe amagwira ntchito pa ma neurotransmitters atha kuperekedwa.
Panthawi yovuta kwambiri, kutikita mofatsa zingathandize kwakanthawi kuthetsa mikangano.
kusintha
pamene kupweteka khosi amachepetsa (pambuyo pa maola 24 mpaka 48), ndi bwino kuchita zolimbitsa thupi kusamala ndi patsogolo, kangapo patsiku.
Zingakhale zothandiza kufunsira kutentha pa minofu mutangoyamba kuchita masewera olimbitsa thupi (pogwiritsa ntchito compress yonyowa yotenthetsera mu uvuni kapena kusamba kotentha). Kutentha kumamasula minofu. Mukamaliza kuchita masewera olimbitsa thupi, mutha kugwiritsa ntchito Chisanu.
Physiotherapist akhoza kufunsidwa ngati kuli kofunikira. Zikuoneka kuti kugwirizana ndi yenda Thandizo lopangidwa kunyumba ndi zolimbitsa thupi zotambasula zimathandiza kwambiri kuthetsa ululu wa khosi.
Corticosteroids ndi jakisoni
Nthawi zina, njirayi ikhoza kuganiziridwa ngati mankhwala am'mbuyomu adatsimikizira kuti alibe mphamvu. The corticosteroids ali ndi anti-yotupa kanthu.
Jekeseni wa lidocaine, mankhwala ogonetsa am'deralo, m'malo opweteka (malo oyambitsa) wasonyeza mphamvu. Madokotala nthawi zambiri kuphatikiza lidocaine wa corticosteroid27.
Pankhani ya ululu wosatha
Chizindikiro cha zizindikiro. Ndi bwino kudziwa zinthu zomwe zimayambitsa ululu, kuzilemba ndi kukambirana ndi dokotala kapena physiotherapist. Kodi amakula kwambiri m'mawa kapena kumapeto kwa tsiku? Kodi masanjidwe a malo ogwirira ntchito ayenera kuwunikiridwa ndi ergonomist? Kodi kupsinjika kwanthawi zonse kungayambitse kupsinjika mu trapezius ndi m'khosi?
Opaleshoni. Ngati pali kupanikizana kwa muzu wa mitsempha m'dera la khosi lomwe lingayambitse dzanzi kapena kufooka m'manja, opaleshoni ikhoza kuwonetsedwa. Diski yowonongeka ya intervertebral imathanso kuchotsedwa ndi opaleshoni. Mitsemphayo imalumikizidwa pamodzi.