Mukati
Kurapwa kwemasculoskeletal kusagadzikana kwemutsipa (whiplash, yakaoma mitsipa)
kana marwadzo mutsipa haina kuderera mushure mekupa marapirwo ataurwa pasi apa kwemazuva mashoma, zvinokurudzirwa kubvunza chiremba kana chiremba wefiziotherapist.
Acute phase
Zorora. Kwemazuva mashoma, dzivisa yakakura amplitude mitsipa kufamba. Ita zvose zvakafanana chiedza kutambanudza, nenzira dzisiri dzinorwadza (shandura mutsipa kuti utarise kuruboshwe, wozoenda kurudyi; shandura mutsipa mberi, udzose pakati, wozoshandura kufudzi rekuruboshwe, uye kurudyi; dzivisa kufamba kwekutenderera kwemusoro). the collier cervical inofanira kudziviswa, sezvo inogadzira kushaya simba mumasumbu uye inobatsira kuwedzera nguva yekuporesa. Kuzorora kwenguva refu kunobatsira kuomesa mubatanidzwa uye kunobatsira pakukura kwekurwadziwa kusingaperi.
Mishonga yekurapa kwemusculoskeletal kusagadzikana kwemutsipa (cervical sprain, torticollis): nzwisisa zvese mu2 min.
chando. Kuisa aizi kunzvimbo inorwadza katatu kana kana pazuva, kwemaminetsi gumi kusvika gumi nemaviri, kunoderedza kuzvimba. Zvakanaka kuita izvi chero bedzi zviratidzo zvakakomba zvichiramba. Hapana chikonzero chekushandisa inotonhora compresses kana "magic mabhegi": haatonhore zvakakwana uye anopisa mumaminitsi mashoma.
Mazano uye yambiro yekushandisa inotonhora Ice cubes yakaputirwa muhombodo yepurasitiki kana mumucheka wemvura (sarudza tauro shoma) inogona kushandiswa paganda. Kune zvakare masaga efiriji yakapfava gel (Ice pak®) inotengeswa muma pharmacy. Izvi zvigadzirwa dzimwe nguva zviri nyore, asi hazvifanirwe kuiswa zvakananga paganda: izvi zvinogona kukonzera chando. Imwe mhinduro inoshanda uye yehupfumi ibhegi rechando peas kana chibage, inoumba zvakanaka kumuviri uye inogona kuiswa zvakananga paganda. |
Mishonga yekubvisa marwadzo (pain relievers). Acetaminophen (Tylenol®, Atasol®) inowanzokwana kubvisa marwadzo akapfava kusvika pakati. Anti-inflammatory drugs, zvakadai se ibuprofen (Advil®, Motrin®, etc.), acetylsalycilic acid (Aspirin®), naproxen (Anaprox®, Naprosyn®) uye diclofenac (Voltaren®), inewo mhedzisiro yeanalgesic. Nekudaro, ivo vanokonzeresa mimwe mhedzisiro uye saka inofanirwa kushandiswa zvine mwero. Kuzvimba kunotevera kukuvadzwa chikamu chekurapa (zvakasiyana nekuzvimba muArthritis, semuenzaniso) uye hazvidi hazvo kugadziriswa. Iwe unogonawo kushandisa kamu cream inobva kune anti-inflammatory drugs zvakadai se diclofenac (Voltaren emulgel®), iyo inobatsira kudzivirira systemic side effects.
The tsandanyama kudzikama inogonawo kubatsira, asi inoita kuti utsike (semuenzaniso, Robaxacet® neRobaxisal®). Kuti ukunde mhedzisiro iyi, zvinokurudzirwa kuvatora panguva yekurara kana mune yakaderera doses mukati mezuva. Hazvifanirwe kushandiswa kweanopfuura mazuva mashoma. Mishonga iyi ine analgesic (acetaminophen yeRobaxacet®, uye ibuprofen yeRobaxisal®). Naizvozvo dzinofanira kudziviswa panguva imwe chete neimwe marwadzo.
Chiremba anogona kupa kirasi yakakodzera kwazvo yemishonga yemarwadzo, kana zvichidikanwa. Muchiitiko chekurwadziwa kwakasimba, angarayira opioid pain relievers (morphine derivatives). Kana paine kurwadziwa kwetsinga, anticonvulsant zvinodhaka kana mamwe madhiragi anoshanda pane neurotransmitters anogona kunyorerwa.
Munguva yeacute phase, masaja zvinyoro inogona kubatsira kwenguva pfupi kuderedza kushushikana.
kudzoreredzwa
apo marwadzo mutsipa inoderera (mushure memaawa 24 kusvika ku48), zvakanaka kudzidzira kutambanudza maekisesaizi kungwarira uye kufambira mberi, kakawanda pazuva.
Zvingabatsira kunyorera kupisa pamhasuru nguva pfupi usati watanga maekisesaizi ekutambanudza (uchishandisa yakanyorova compress inodziya muchoto kana bhati rinopisa). Kupisa kunozorodza nyama. Mushure mekupedza maekisesaizi, unogona kunyorera ice.
A physiotherapist anogona kubvunzwa kana zvichidikanwa. Zvinoratidzika kuti kubatanidza vachifamba kumba-yakagadzirwa muviri kurapa uye kutambanudza kurovedza muviri kunoshanda zvakanyanya mukubvisa marwadzo emutsipa.
Corticosteroids uye majekiseni
Mune zvimwe zviitiko, sarudzo iyi inogona kutariswa kana kurapwa kwakamboratidza kusashanda. The corticosteroids vane anti-inflammatory action.
Jekiseni re lidocaine, mushonga wekutindivadza munharaunda, munzvimbo dzinorwadza (nzvimbo dzinokonzera) zvakaratidza kushanda zvakanaka. Vanachiremba vanowanzobatanidza lidocaine ne corticosteroid27.
Muchiitiko chekurwadziwa kusingaperi
Symptom log. Zvakanaka kuziva mamiriro ezvinhu anokonzera kurwadziwa, kuanyora pasi uye kukurukura nachiremba wako kana physiotherapist. Vanowedzera kuipa here mangwanani kana kuti pakupera kwezuva? Iko kurongeka kwenzvimbo yekushanda kunofanirwa kuongororwa neergonomist? Mamiriro ekushushikana kusingaperi angakonzeresa kushushikana mu trapezius uye mumutsipa?
Surgery. Kana paine kudzvinyirirwa kwetsinga midzi mumutsipa iyo inogona kukonzera chiveve kana kupera simba mumaoko, kuvhiyiwa kunogona kuratidzwa. Yakakuvadzwa intervertebral disc inogonawo kubviswa nekuvhiyiwa. Mavertebrae anobva asanganiswa pamwechete.