Umsila uyingxenye engezansi yomgogodla wama-vertebrae ahlanganisiwe angama-3-5, axhunywe kwi-sacrum nge-disc intervertebral. Ngaphandle kweqiniso lokuthi kubhekwa njengensalela yomsila, imicu yemisipha ezinqeni inamathiselwe engxenyeni yayo engenhla, kanye nemisipha yemisipha ehlinzeka ngokusebenza kwezitho zobuntu zomuntu. Ngakho-ke, ukulimazeka kanzima kwethambo lomsila kungaholela ekuphazanyisweni okukhulu kokusebenza kwabo.
Ukuhlukaniswa kokulimala kwamathambo omsila
Ukuwa ngokushelela, ukusonteka umlenze, noma ukwehluleka ukugxuma kuvame ukuwela ezinqeni noma emuva. Kulokhu, ukuhlukumezeka komgogodla womuntu omdala cishe akunakugwenywa. Ngakolunye uhlangothi, ingane, ngenxa yobunzima bayo obuncane nesiqu esincane, imvamisa yenza ngokwesaba okuncane.
Ngokwesilinganiso sokulimala komgogodla womsila, zihlukaniswe zaba:
- Imivimbo (ICD-10 S30.0) - kulapho kuthinteka izicubu zemisipha kuphela, ama-hematomas nezindawo ezilula ezibuhlungu. Ubuhlungu obukhulu buzwakala kuphela emzuzwini wokuqala. Ngemuva kwalokho yehla noma inyamalale ngokuphelele esimweni esizolile, futhi ibuye ibonakale ngokuqina kwemisipha yenyonga nasemuva kokuqina kokuqina okungapheli kwezinqe endaweni yokuhlala. Futhi, ubuhlungu benzeka endaweni ethile yokulimala uma uyicindezela
- Ukuhlukaniswa kanye nokuxoshwa (i-ICD-10 S33.2) - ngokushaya ngamandla noma ukulimala okuphindaphindiwe ku-coccyx, ubuqotho bemigqa buyaphazamiseka futhi i-sacral vertebra engezansi isuswe.
- Ukuphuka okuvaliwe (ICD-10 S32.20) - kwenzeka ngaphandle kokuphazamisa inani langaphandle.
- Ukuphuka okuvulekile (ICD-10 S32.21) - lapho izingcezu zethambo noma amathonya wangaphandle alimaza ubuqotho besikhumba.
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Isithombe somtholampilo
Ukulimazeka kuvame ukubonakala ngokungabikho kokubonakaliswa okusobala komonakalo. Ngemuva kobuhlungu bokuqala obubukhali ngesikhathi somthelela, buya kancane kancane futhi kwesinye isikhathi bunyamalale ngokuphelele. Kungabonakala sengathi konke kuhambe kahle, kepha ngemuva kwesikhashana kutholakala i-hematoma nendawo ebuhlungu esizeni sokulimala. Imizwa ebuhlungu ivela lapho isukuma, ngesikhathi sokuhamba kwamathumbu nokuhlala isikhathi eside endaweni eqinile.
Ezimweni ezimbi kakhulu, ubuhlungu abunciphi futhi lokhu kungenzeka kakhulu kukhombise ukususwa noma ukuphuka kwethambo lomsila. Ngakho-ke, kuyadingeka ngokuphuthumayo ukuxhumana nesikhungo sezokwelapha ukusungula ukuxilongwa okunembile nokubeka ukwelashwa.
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Ukuxilongwa
I-traumatologist yenza ukuhlolwa kokuqala kwezinga lomonakalo ngokuhlolwa okubukwayo nokuzwakala kwendawo ye-coccyx. Ama-X-ray ayathathwa uma kunezimpawu zokwephuka, ukuhlukaniswa, noma ukuqhekeka kwemisipha. Endabeni yokopha kakhulu nokuvuvukala okukhulu, kungenziwa imaging resonance imaging noma i-computed tomography. Ngokulimala okuncane, kwesinye isikhathi kutholakala imbangela yezinhlungu zethambo lomsila. Ngemuva kwalokho isiguli siyiswa kudokotela wezengqondo ukucacisa ukuxilongwa nokwelashwa okuqhubekayo.
Usizo lokuqala kanye nobungozi bokulimala
Usizo lokuqala kufanele lunikezwe ngokushesha nangokucophelela ngangokunokwenzeka ukuze kuvinjelwe ukulimala kwempilo ekulimaleni okuphindaphindwayo. Okokuqala, kufanele ubeke isisulu endaweni eyisicaba esiswini sayo. Bese ufaka iqhwa noma icompress ebandayo ethanjeni lomsila. Ukudambisa ubuhlungu obukhulu, ungasebenzisa ama-analgesics atholakalayo.
Uma kwenzeka ubuhlungu obukhulu, ukunyakaza okuzimele kwesisulu akufanele kuvunyelwe futhi i-ambulensi kufanele ibizwe ngokushesha. Ukugwema izinkinga nganoma yimiphi imihuzuko yomgogodla womsila, kufanele ubonane nodokotela.
Ukuqala ukwelashwa ngokungazelelwe noma ukungabikho kwayo kuvame ukuholela emiphumeleni emibi. Ngaphezu kobuhlungu obujwayelekile, lokhu kungadala izinkinga ebudlelwaneni bezocansi futhi kuvimbele ukusebenza komzimba komzimba.
Ukuphazanyiswa kokusebenza okujwayelekile kwe-coccyx nezicubu ezizungezile kuthinta kakhulu impilo yabesifazane ngesikhathi sokukhulelwa futhi kuvame ukudala ukubeletha okunzima.
Umphumela wokulimala okudala okungalashiwe kungaba ukuvela kwesigaxa, esingabangeli nje ukungakhululeki futhi ngokuhamba kwesikhathi siqala ukulimaza njalo, kepha futhi kungadala izifo eziningi ezimbi - kusuka ekukhubazekeni komgogodla kuya kubuthi begazi kanye nokukhula kwezimila ezimbi.
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Izindlela zokwelapha ezilandelanayo
Okokuqala, kuyadingeka ukunciphisa umthwalo endaweni elimele futhi ugweme ukunyakaza okungazelelwe. Ukuze wenze lokhu, amasonto amabili kuya kwamathathu, kungakuhle ukuthi ukhiphe ngokuphelele ukutholakala komuntu olimele endaweni yokuhlala, izindawo zokugeza ezishisayo namafutha okufudumala, ulale kuphela ohlangothini noma esiswini.
Ukunciphisa ukuvuvukala nobuhlungu, kusetshenziswa izingcindezi ezibandayo bese kunciphisa izinhlungu, izidakamizwa ezingekho emthethweni, ama-gel, namafutha anomphumela wokupholisa. Kulokhu, awukwazi ukugcoba imiphetho yamanxeba nesikhumba esonakele. Ukuze welashwe ngokushesha, izindlela ezikhethekile kufanele zisetshenziswe. Izinkinga ngokunyakaza kwamathumbu ziyakhululwa ngama-laxatives. Imithi ehlukahlukene ye-homeopathic nayo isiza ukunciphisa i-edema, ukuvuselela ama-hematomas nokusheshisa ukubuyiswa kwesikhumba endaweni yokulimala.
Ngemuva kokuzinzisa isimo nokukhulula i-pain syndrome, ukufudunyezwa kokuqina kanye nokuzivocavoca okukhethekile kokubuyisela kabusha i-gymnastics kuqalwa ukuncibilikisa ama-hematomas, kukhulisa kancane inani lezindlela nobubanzi bokuhamba.
Ukusheshisa inqubo yokutakula, izinqubo ezahlukahlukene ze-physiotherapy zibekiwe:
- Umphumela wokushisa - UHF, diathermy.
- Ukukhuthazwa kokuphela kwemizwa ngemisinga ekhethekile - i-electrophoresis, ukwelashwa kokuphazamiseka, ukwelashwa kwe-diadynamic.
- Ukwelashwa kwe-Ultrasound - phonophoresis.
- Ukwelashwa ngemisebe ye-ultraviolet - i-wave-wave UV.
- I-Massotherapy.
Ekhaya ungasebenzisa izingcindezi zotshwala ezinezakhi ezahlukahlukene: uju, iodine, i-analgin. Ukuhlikihla inhlanganisela yoju noviniga, noma uwoyela we-fir endaweni yomsila (uma kungekho ukulimala kwesikhumba), ngokugoqwa okulandelayo komhlane ongezansi ngendwangu yoboya, kusiza kahle.
Ukungenelela kokuhlinzwa
Ukungenelela kokuhlinzwa kusetshenziselwa kuphela ukulimala okunzima okubangela ukopha okukhulu ngaphakathi noma kuyadingeka ukuqeda inqubo yokuvuvukala, noma imiphumela yokwephuka.
Izinyathelo zokuvimbela
Ukuvimbela okuhle kakhulu kokulimala okunjalo ukugcina njalo isimo esihle somzimba, ukuqeqeshwa kwemisipha nokuxhumana kokuhamba. Lokhu kuzogwema ukuwa noma ukunciphisa imiphumela yabo emibi.
Uma, noma kunjalo, kwenzeka ukulimala komgogodla womsila, ukuxilongwa okufika ngesikhathi nokwelashwa okufanele kuzovimbela ukuvela kwezinguquko ezonakalisayo nezifo ezahlukahlukene.
Imiphumela yokuluma
Ukuwa ezinqeni, ngaphezu kokulimaza ithambo lomsila, kudala umthwalo othusayo owedlulele kuwo wonke umgogodla, okuvame ukudala ukuguquguquka kwamathambo kunoma iyiphi yezingxenye zawo futhi kungaba nemiphumela emibi: kusuka ekukhuphukeni kwengcindezi yegazi kuye ekukhubazekeni kwezitho ezingezansi. Ukulimala okunjalo kuvame ukuvusa ukuvela kwemithambo ye-varicose kanye nama-hemorrhoids. Ekuqhekekeni, izingcezu zamathambo zingalimaza izitho zesisu eziseduze.
Ukwelashwa okufika ngesikhathi noma okuhlinzekwayo ezimweni eziningi kuqinisekisa ukubuyiselwa kwe-coccyx nezicubu ezizungezile. Imivimbo noma ukulunywa okungalashiwe kuholela ezinkingeni futhi kube imbangela yezifo eziningi, imbangela yazo kungaba nzima ukuyithola. Ngakho-ke, kungcono ukuqala ukuzitholela ekhaya ngisho nemivimbo emincane ngemuva kokubonisana nodokotela wezifo, udokotela ohlinzayo noma i-vertebrologist.
