Ubuhlungu Emuva Engenhla

Ubuhlungu esifundeni esingenhla ngemuva okwenzeka noma yikuphi phakathi kwentamo naphakathi emuva okudlulela emahlombe kungabhekwa njengobuhlungu obungenhla. Ubuhlungu behlombe obungenhla kwesokudla nangaphezulu ukuhlungu obusemhlane eduze kwentamo kungase kubangelwe ukuma okungalungile kanye nezikhundla zokulala ezingakhululekile. Ubuhlungu obuphezulu obungalindelekile bungase bubangelwe ukulimala noma ama-disc herniated. Kungase futhi kube nezinye izimbangela eziyinhloko zobuhlungu obungenhla obungase bufuzwe noma buvele ngokuzumayo noma ngokuhamba kwesikhathi. Ukwelashwa kobuhlungu obungenhla kungase kungadingeki futhi kungase kuxazulule ngokwako. Kodwa-ke, uma kwenzeka ukulimala noma ezinye izimo ezimbi, ukuxilongwa okufanele nokwelashwa kungase kudingeke.

Kuyini Upper Back Pain?

Ubuhlungu obungenhla bungase buvele endaweni ephakathi kwesisekelo sentamo (i-nape) efinyelela phansi kwezimbambo. Kungase kubangelwa inombolo ebanzi yezizathu ezifana nokulimala emathanjeni, imigqa, imisipha, nama-disc akhona emhlane ongenhla. 

Yiziphi izimbangela ze-Upper Back Pain?

Ubuhlungu obuphezulu beqolo bungabangelwa izizathu eziningi ezingase zihlanganise izimo ezihlukahlukene zempilo nokulimala. Nazi ezinye zezimbangela ezivame kakhulu zobuhlungu obuphezulu beqolo: 

• Ukumiswa okubi: Abantu abanokuma okungekuhle noma abanokuma okungahambi kahle abahlehlayo lapho behamba noma behlezi bangase babe nobuhlungu obungenhla nomgogodla kanye nobuhlungu obuphakathi nendawo. Ngezinye izikhathi abantu bangase futhi bezwe ubuhlungu obungenhla emhlane ekuseni okungase kubangelwe indawo embi yokulala ebusuku. Lokhu kungase futhi kubangele ubuhlungu obungenhla emuva lapho ulele phansi.
• Ukuzikhandla: Ukusetshenziswa ngokweqile kwemisipha uma izivivinyo zokuqeqesha isisindo noma ngesikhathi semisebenzi kubangela ukucindezeleka nokucindezeleka engxenyeni engenhla yomzimba kungase futhi kubangele ubuhlungu obukhulu obungenhla. Ngokuzikhandla ngokweqile, imisipha nemisipha ingase ilimale futhi ingase ibangele ubuhlungu obungalindelekile obungenhla. 
• Ukulimala: Ukulimala okudabukisayo emzimbeni okufaka ingcindezi engxenyeni engenhla yomzimba nakho kungase kubangele ubuhlungu obukhulu obungenhla. Izingozi, ukushelela nokuwa, noma izingozi ezihlobene nomsebenzi zingase ziholele ekulimaleni okubi ngisho nokuphuka emathanjeni angaphezulu komzimba. Lokhu kungase kubangele ubuhlungu obungenhla emuva phakathi kwamahlombe ehlombe.
• Izinkinga zediski: Ama-Discs ama-cushions phakathi kwe-vertebra ngayinye. Lapho ingxenye yalesi sakhiwo ibhoboza futhi icindezela umgogodla, ingabangela izimpawu eziningi, okuhlanganisa ukuba ndikindiki nokuba buthakathaka engalweni kanye nobuhlungu emhlane ongezansi nangaphezulu. Lesi simo saziwa nangokuthi a i-herniated disc.
• Isifo Sokuqaqamba Kwamalunga: Ngezinye izikhathi ubuhlungu obungenhla emuva nganoma yisiphi isikhathi bungase bubangelwe izinkinga emalungeni. Njengoba abantu bekhula, ukugoba kwamalunga akhiwe uqwanga kungase kuqale ukuguga, okuholela ekubambeni kwamathambo amabili. Lokhu kungase kwenzeke emathanjeni angenhla emhlane, ikakhulukazi emalungeni ehlombe. 
• Inzwa epinkiwe: I-disc ye-herniated ingase iqhubeke futhi iholele ekucindezelekeni kwezinzwa ezivela emgogodleni. Lokhu kungaholela ebuhlungwini bomgogodla obungenhla kwesokunxele noma ubuhlungu obungenhla kwesokudla kanye nezinye izimpawu ezifana nokuba ndikindiki nokuba buthakathaka ezingalweni nasemilenzeni kanye nokulahlekelwa ukulawula emilenzeni nokulahlekelwa ukulawula esinyeni.
• Ubuhlungu be-Myofascial: Ubuhlungu emhlane ongenhla bungabuye buvele ezicubu ezixhumeneyo ngemuva ezaziwa ngokuthi i-fascia. Ubuhlungu be-Myofascial kungenzeka ngenxa yokusebenzisa ngokweqile noma ukulimala. Kungase futhi kube yisimo esingapheli ngemva kokulimala kokuqala.
• Ukutheleleka komgogodla: Ukutheleleka okuvela emgogodleni kungase kubangele ubuhlungu emuva.
• Cancer: Ubuhlungu beqolo bungase bubangelwe nomdlavuza wamaphaphu kodwa akuvamile. 
• Ukukhubazeka komgogodla: Ukukhubazeka komgogodla, njenge-kyphosis, ne-scoliosis kungase kubangele ubuhlungu emuva engxenyeni engenhla.

Izimpawu Zezinhlungu Ezingenhla Emhlane

Ubuhlungu obungenhla beqolo bungase buzwe kanje:

• ukuluma, ukuba ndikindiki, noma ubuthakathaka
• ubuhlungu obushisayo noma obubukhali
• ubuhlungu obukhulu
• ubuhlungu obukhazimulayo obuhambisana nenzwa
• ubuhlungu obuhlabayo
• ukuqina nokuqina emisipha

Itholakala kanjani i-Upper Back Pain?

Uma ubuhlungu obuphezulu be-back back bunzima futhi buphikelela, iseluleko sikadokotela kufanele sifunwe. Udokotela angase acele umlando wezokwelapha wesiguli, imisebenzi yakamuva kanye nezinye izimpawu. Bangase futhi benze ukuhlolwa ngokomzimba okusekelwe kulokho abangancoma ezinye izivivinyo ezifana nalezi:

• I-X-ray yomgogodla
• Ukuskena kwe-MRI
• CT scan
• I-Electromyography (EMG)
• Ukuhlolwa kwegazi

Ukwelashwa Kwezinhlungu Ezingenhla Emhlane

Isizathu sobuhlungu obuphezulu bomgogodla singase sibe sibalulekile ekunqumeni uhlobo lokwelapha ubuhlungu obuphezulu obudingekayo. Kwesinye isikhathi, ingazixazulula yona ngokwayo ngaphandle kokungenelela kwezokwelashwa. Kodwa ubuhlungu bokugwaza emhlane ongenhla kufanele kubikwe ngaso sonke isikhathi kudokotela futhi belashwe ngendlela efanele.

Ukwelashwa kwezinhlungu ezingenhla kungase kuhlanganise ukuphathwa kwemithi yezinhlungu kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) ukuze kuhlinzekwe izinhlungu ezingenhla nokulawula izimpawu ezibuhlungu. Udokotela angase futhi asikisele ukwelashwa ngokomzimba ukuphatha ubuhlungu obunjalo. Esimeni sezempilo esibucayi njengomdlavuza wamaphaphu obangela iqolo elibuhlungu, ezinye izindlela zokwelapha ezifanele zinganconywa.

I-Physiotherapy yezinhlungu ezingenhla

Abantu ababhekene nezinhlungu ezingenhla bangazuza ekuhlolweni nasekuphathweni kwe-physiotherapy. 

A physiotherapist izosebenzisa amasu anhlobonhlobo ahloselwe ukudambisa izinhlungu, ukuqinisa ukuma, nokuthuthukisa ukunethezeka ngesikhathi uhlezi nokuma, konke ngenhloso yokukusiza ukuthi uqalise kabusha imisebenzi yakho yansuku zonke.

Ukwelashwa kwe-Physiotherapy kwezinhlungu ezingenhla kungase kuhlanganise:

• Ukusebenzisa izindlela zokuhlanganisa noma zokukhohlisa ukuze unciphise ukuqina kwamalunga.
• Ukwenza i-massage yezicubu ezithambile ukuze unciphise ubuhlungu nokuqina.
• Ukuphatha ukwelashwa kwe-trigger point.
• I-Acupuncture.
• Ukusebenzisa ukwelapha ukushisa ukuze kukhuthaze ukuphulukiswa nokunciphisa ubuhlungu nokushuba.
• Ukuzilolonga okuchazayo okwenzelwe ukuhlanganisa kanye nokuzinzisa indawo engenhla yomhlane, ngokugxila okukhethekile ekuqiniseni noma ekunwebeni imisipha yasendaweni.
• Ukwenza izivivinyo zokuzinza okuyisisekelo ukusekela ukuzinza komgogodla nokunciphisa ubuhlungu.
• Ukuhlinzeka ngamasu okuphatha kwe-postural ukunciphisa ukungakhululeki lapho uqamba amanga, uhlezi, noma umile.
• Ukwenza ukuhlolwa kwe-ergonomic ukuthuthukisa ukuma nokunethezeka, ikakhulukazi endaweni yokusebenza.
• Ukwelashwa kwe-Physiotherapy ihlose ukusheshisa ukubuyela kwakho emsebenzini ovamile noma emisebenzini yansuku zonke kuyilapho ivimbela ukuphazamiseka kwesikhathi eside ekusebenzeni kwakho okuvamile.

Yini enye engingayenza ekhaya ukuze ngivimbele noma nginciphise Ubuhlungu Beqolo?

Ukwelashwa kobuhlungu obungenhla emuva ekhaya kungenziwa ukuze kulawuleke izimpawu zobuhlungu. Nawa amakhambi ambalwa aphezulu ohlangothini lwesokudla nangaphezulu kwesokunxele ukuze uthole impumuzo ebuhlungwini bomgogodla ongenhla ekhaya.

• Ukusebenzisa imishanguzo yezinhlungu ngaphandle kwe-counter
• Ukusebenzisa i-heat pad ukunciphisa ubuhlungu nokuqina
• Ukusebenzisa ukucindezela okubandayo ukuvuvukala
• Ukubhucunga nokuzivocavoca kancane uma kukhona iqolo elibuhlungu uma uzilula
• Ukuhlala embhedeni

Kufanele ngimvakashele nini umhlinzeki wami wezempilo

Ubuhlungu beqolo bungase bube ngcono ngokwawo ngamakhambi asekhaya. Uma ingabi ngcono ngisho nangemva kwesonto, kungcono ukuthi uhlolwe uchwepheshe. Uma kuphakama eyodwa noma ngaphezulu kwalezi zimpawu ezilandelayo, kungcono ukuthola usizo lwezempilo:

• Ukuluma noma ukuba ndikindiki emilenzeni noma ezinqeni.
• Ubuhlungu obukhulu noma ama-muscle spasms
• Izimpawu ezinjengomkhuhlane, ukuncipha kwesisindo noma izinkinga zamathumbu noma esinyeni

Izici eziyingozi ze-Upper Back Pain

Nakuba ubuhlungu obungenhla bungase bube umphumela wokuhlukumezeka okukhulu noma ukulimala okuphindaphindiwe kokunyakaza, kungase kube nezici ezithile ezingenza umuntu athole ubuhlungu obungaphezulu. Lezi zici zingabandakanya okulandelayo:

• Ukubhema
• Ukuba ngokweqile
• Ukuphakamisa noma ukuthwala ngokweqile
• Ukubamba iqhaza emidlalweni yokuxhumana
• Ukuchitha amahora amade kukhompuyutha (ukuma okungekuhle)
• Ithoni yemisipha ephansi

Isiphetho

Ubuhlungu obungenhla beqolo kungase kungavamile ukuba uphawu lwanoma yini embi kakhulu futhi bungase bube ngcono ngokwabo phakathi nezinsuku ezimbalwa ngokuthatha izinyathelo zokuphepha ezanele. Uma ubuhlungu obungenhla emuva buthinta izinga lokuphila kakhulu, kunconywa ukuvakashela a umhlinzeki wezempilo ukuze uthole ukwelashwa nokuphathwa okufanele.

Imibuzo Evame Ukubuzwa

1. Kufanele ngikhathazeke nini ngobuhlungu obungenhla beqolo?

Ubuhlungu obungenhla bungase bungabi nalutho okumelwe sikhathazeke ngalo futhi bungase bube ngcono bubodwa. Kodwa-ke, uma ingasuki naphezu kokuzama amakhambi asekhaya ngisho nangemva kwesonto noma okuthinta kakhulu izinga lempilo nemisebenzi yansuku zonke, kubalulekile ukuvakashela udokotela ukuze uthole ukwelashwa okufanele.

2. Ingabe ubuhlungu beqolo bujwayelekile?

Ubuhlungu obuphezulu beqolo bungaba yinto evamile futhi evamile, ikakhulukazi ngenxa yokungalali kahle. Kungase futhi kube ngenxa yokuzikhandla ekuphakamiseni izinsimbi ezisindayo noma ukuvivinya umzimba ngokweqile.

3. Ingabe igesi ingabangela ubuhlungu eqolo?

Igesi kanye nezinkinga ezihlobene kungase kube izimbangela eziphambili zomhlane ongenhla. 

4. Ingabe ubuhlungu obungenhla beqolo bungahlobene nenhliziyo?

Ubuhlungu obungenhla emuva akunakwenzeka ukuthi bubangelwe yizinkinga zenhliziyo. Nokho, uma kuba nobuhlungu obuzumayo ohlangothini lwesobunxele lwesifuba nengalo, noma uma kukhona ubuhlungu obuqondile obungaphezulu kwesokunxele obuhambisana nobuhlungu besifuba nengalo, kungase kube uphawu lokuhlaselwa yinhliziyo. Ukuze uvimbele noma yikuphi ukufa, kuyatuseka ukufuna usizo lwezokwelapha

5. Yinde kangakanani ubuhlungu obungenhla emhlane?

Ubuhlungu obungenhla beqolo obuhlala isikhathi esingaphezu kwesonto naphezu kokwelashwa kungase kudinge ukunakwa okukhulu.

CARE Medical Team

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