Ukuhlukunyezwa Kwenyanga: Izimpawu, Izimbangela, Nokwelashwa

Ukuhlukunyezwa kwenyanga kuyilitha yomhlane eyenzeka lapho ikhanda lakho liqhaqhazela phambili ngokungazelele ngemuva, njengokuqhekeka kwekamba. Lokhu kuhamba okusheshayo kwenza kube nzima imisipha, ama-ligaments, namanye amafutha athambile ehlombe lakho ngaphezu kokulinganiselwe kokunyakaza.

Nakuba igama lingase lizwakale liyinkimbinkimbi, ukuhlukunyezwa kwenyanga kuyinto evamile futhi ngokuvamile kuyaphola kahle ngokunakekelwa okuqondile. Abantu abaningi bayakuthola ngemuva kwezigameko zezimoto, kodwa kungenzeka ngesikhathi semidlalo, ukuwa, noma noma yisiphi isimo lapho ihombe lakho liya ngamandla futhi ngokungazelele.

Ziyini izimpawu zokuhlukunyezwa kwenyanga?

Izimpawu zokuhlukunyezwa kwenyanga ngokuvamile aziveli ngokushesha ngemuva kokulimaza. Ungase uzizwe uphilile ngemuva kengozi, kuphela ukuvuka ekuseni okulandelayo ngomhlane olukhuni, oluhlungu.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa ubuhlungu bomhlane nokuqina okubi lapho uzama ukuhambisa ikhanda lakho. Abantu abaningi bachaza ukuzizwa sengathi ihombe labo “livaliwe” noma libuhlungu kakhulu uma lithintwa.

Nawa ama-symptom athinta abantu abaningi abane-whiplash:

• Ubuhlungu bomhlane obukhulu uma kunyakaziswa
• Ukuqina nokunciphisa ukunyakaza komhlane wakho
• Izinhlungu zikhanda eziqala ngokuvamile phansi komhlane wakho
• Ubuhlungu behlombe, emhlane ophezulu, noma engalweni
• Ukuqina kwemisipha ehlombe nasemahlombe
• Ukukhathala nokuzizwa ungaphili kahle

Abanye abantu nabo bahlangabezana nezinye izimpawu ezingase zibonakale zingena-xhumano nokulimala komhlane. Lezi zingase zihlanganise ukukhungatheka, ukubona okungacaci, noma ukukhala ezindlebeni. Ungase uzizwe uthukuthele, ube nezinkinga zokugxila, noma ube nezinkinga zokukhumbula.

Kwezinye izimo ezingavamile, ukuhlukunyezwa kwenyanga kungabangela izimpawu ezinkulu njengezinhlungu zikhanda ezinzima, ukungathinti noma ukukhahlela ezingalweni, noma ukukhuluphala kokulala. Nakuba lezi zimpawu zingavamile, kubalulekile ukuxoxa nodokotela wakho uma zenzeka.

Yini ebangela ukuhlukunyezwa kwenyanga?

Ukuhlukunyezwa kwenyanga kwenzeka lapho ihombe lakho lihlangabezana nokuhamba okusheshayo, okunamandla emuva nangaphambili okonakalisa amafutha athambile. Cabanga ngakho njengokudonsa ibhendi ye-rubber – imisipha ne-ligaments yomhlane wakho icindezelwa ngaphezu kwalokho engayikwazi ukukubhekana nako ngokuphepha.

Imbangela evamile kakhulu yizigameko zezimoto eziqhamuka ngemuva, lapho ithonya liqinisile ikhanda lakho ukuthi liqhaqhazela emuva bese liya phambili ngokushesha. Ngisho nezingozi ezihamba kancane zingabangela ukuhlukunyezwa kwenyanga ngoba umzimba wakho uya ngendlela ehlukile kunenkaba yakho ngesikhathi sokuqhakhazela.

Ngaphezu kwezinguquko zezimoto, ezinye izimo zingabangela ukuhlukunyezwa kwenyanga:

• Ukulimala kwezemidlalo, ikakhulukazi emidlalweni yokuxhumana njengebhola noma i-hockey
• Ukuxhashazwa ngokomzimba noma ukuhlaselwa okuhlanganisa ukuqhaqhazela
• Izingozi zokugibela amahhashi
• Izingozi zokugibela ibhayisikili lapho uphonswa phambili
• Ukuwa lapho ikhanda lakho liqhaqhazela ngokushesha
• Ukuhamba kwezinto zokuzilibazisa ngokuyeka okungazelele noma ukushintsha kwezinkomba

Ubungako bokuhlukunyezwa kwenyanga akuhambisani njalo nokuthi ingozi ibonakala iyinkimbinkimbi kangakanani. Ngezinye izikhathi ingozi encane yokushaya ingabangela ukulimala okukhulu komhlane, ngenkathi ezinye izikhathi izingozi ezibukeka zinzima zibangela izimpawu ezincane.

Nini okufanele ubheke udokotela ngokuhlukunyezwa kwenyanga?

Kufanele ubheke udokotela uma uthola ubuhlungu bomhlane noma ezinye izimpawu ngemuva kokulimaza, ngisho noma ingozi ibonakele incinyane. Ukuhlolwa ngokushesha kungasiza ukuvimbela ukuphazamiseka nokuqinisekisa ukuthi uthola ukwelashwa okuqondile.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu bomhlane obukhulu, ubuhlungu obuya emahlombe noma ezingalweni, noma uma ukuhambisa ihombe lakho kuba nzima kakhulu noma akunakwenzeka.

Kunezibonakaliso ezithile zezixwayiso ezidinga ukunakekelwa okusheshayo kwezimo eziphuthumayo:

• Ubuhlungu bomhlane obukhulu obukuvimbela ekuthinteni ukhala wakho esifubeni sakho
• Ukungathinti, ubuthakathaka, noma ukukhahlela ezingalweni noma ezandleni
• Izinhlungu zikhanda ezinzima noma izinhlungu zikhanda eziqhubeka zibe zimbi
• Ukukhungatheka noma ukuphelelwa amandla
• Ukuphefumula noma ukugabha
• Izinkinga zokukhumbula noma ukudideka

Ngisho noma izimpawu zakho zibonakala zincane, kuwukuhlakanipha ukuhlolwa phakathi nosuku noma amabili ngemuva kokulimaza kwakho. Ukwelashwa kwasekuqaleni kuvame ukubangela imiphumela emihle futhi kungasiza ekutholeni noma yikuphi ukuphazamiseka ngaphambi kokuba kube nzima.

Ziyini izinto ezingaholela ekuhlukunyezweni kwenyanga?

Noma ubani angathuthukisa ukuhlukunyezwa kwenyanga, kodwa izinto ezithile zenza abanye abantu babe sengozini yokulimaza. Ukuqonda lezi zinto ezingaholela ekuhlukunyezweni kwenyanga kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi uqonde lapho ungase ube sengozini enkulu.

Ubudala buwumsebenzi obalulekile engcupheni yokuhlukunyezwa kwenyanga nokuphulukisa. Abadala bavame ukuhlangabezana nezimpawu ezinzima futhi bathatha isikhathi eside ukuphulukisa ngoba amafutha abo omhlane awanwebeki futhi aqine njengabantu abasebancane.

Izinto eziningi zingandisa amathuba akho okuthuthukisa ukuhlukunyezwa kwenyanga:

• Ukuba neminyaka engaphezu kuka-65
• Ukuba nokulimala komhlane kwangaphambili noma ubuhlungu bomhlane obuhlala njalo
• Isimo esikhoyo njenge-arthritis ehlombe lakho
• Ukuma okubi noma imisipha yomhlane ebuthakathaka
• Ukuba emotweni encane, elula ngesikhathi sengozi
• Ukusebenzisa izinto zokusekela ikhanda ngokungalungile emotweni yakho
• Ukuba ungalungele ukuqhakhazela (ukungazilungiseleli)

Abesifazane bavame ukuhlangabezana nokuhlukunyezwa kwenyanga kakhulu kunamadoda, mhlawumbe ngenxa yezizathu ezahlukene ezinamandla emisipha yomhlane nokwakheka komzimba. Ukuba nomlando wezinhlungu zikhanda noma ukulimala kwangemuva kwangaphambili kungakwenza ube sengozini enkulu yokuphazamiseka kokuhlukunyezwa kwenyanga.

Ziyini izinkinga ezingase zenzeke ngokuhlukunyezwa kwenyanga?

Abantu abaningi abane-whiplash bayaphola ngokuphelele phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa ngokwelashwa okuqondile. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kungakusiza ukuthi uqonde lapho kufanele ufunani ukunakekelwa kwezokwelapha okwengeziwe.

Inkinga evamile kakhulu yibuhlungu bomhlane obuhlala njalo obuhlala izinyanga noma iminyaka ngemuva kokulimaza okuqalayo. Lokhu kwenzeka kakhulu lapho ukuhlukunyezwa kwenyanga kungelashwa kahle noma lapho abantu bezama “ukuqina” ngaphandle kokuthola ukunakekelwa okuqondile.

Izinkinga ezingase zithuthuke zihlanganisa:

• Ubuhlungu bomhlane obuhlala njalo nokuqina
• Izinhlungu zikhanda eziphindaphindayo
• Ukunciphisa ukunyakaza komhlane wakho
• Ukukhathala okuqhubekayo nezinkinga zokulala
• Ukudideka noma ukukhathazeka okuhlobene nobuhlungu obuhlala njalo
• Ukukhuluphala kokugxila noma izinkinga zokukhumbula

Kwezinye izimo ezingavamile, ukuhlukunyezwa kwenyanga kungabangela izinkinga ezinzima njenge-herniated discs ehlombe lakho noma ukonakala kwama-nerves avela e-spine yakho kuya ezingalweni zakho. Lezi zinkinga zingase zibangele ukungathinti okuhlala njalo, ubuthakathaka, noma izinhlungu eziqhuma ezingalweni noma ezandleni zakho.

Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka noma zinciphisiwe ngokwelashwa kwasekuqaleni, okuqondile nangokulandela iziphakamiso zokuphulukisa zedokotela wakho.

Ukuhlukunyezwa kwenyanga kuhlonzwa kanjani?

Ukuhlonzwa kokuhlukunyezwa kwenyanga kuqala ngodokotela wakho oqaphela indaba yakho mayelana nalokho okwenzeke nokuthi yiziphi izimpawu ozibhekana nazo. Ayikho i-test ethile ebonisa ngokuqinisekile ukuhlukunyezwa kwenyanga, ngakho-ke udokotela wakho uyaqaphela kakhulu incazelo yakho yokulimala nezimpawu.

Udokotela wakho uzoqhuba ukuhlolwa komzimba, ahlole ukuthi unganyakazisa kanjani ihombe lakho, ahlole ama-reflexes akho, futhi azwe izindawo ezinobuhlungu noma ukuqina kwemisipha. Bazohlola namandla ezingalweni nasezandleni zakho ukuqinisekisa ukuthi ayikho ama-nerves abonakele.

Kuye ngezimpawu zakho nobungako bokulimala kwakho, udokotela wakho angase aphakamise ukuhlolwa kwezithombe:

• Ama-X-rays ukuvimbela amathambo aphukile noma ezinye izinkinga zokwakheka
• I-CT scan uma kukhona ukukhathazeka ngokulimala kwamathambo
• I-MRI ukubuka amafutha athambile njengemisipha, ama-ligaments, nama-discs
• Izivivinyo ezikhethekile uma unezimpawu ezihlobene nama-nerves

Kubalulekile ukwazi ukuthi ukuhlolwa kwezithombe ngokuvamile kubonakala kujwayelekile ngisho noma unezimpawu ezinkulu zokuhlukunyezwa kwenyanga. Lokhu akusho ukuthi ubuhlungu bakho abulona iqiniso – kusho nje ukuthi ukuhlukunyezwa kwenyanga kuthinta ikakhulukazi amafutha athambile angabonakali kahle ezivivinyweni.

Ukuphathwa kokuhlukunyezwa kwenyanga kuyini?

Ukuphathwa kokuhlukunyezwa kwenyanga kugxila ekuthambiseni ubuhlungu, ukubuyisela ukunyakaza komhlane ojwayelekile, nokukusiza ukuba ubuyele emisebenzini yakho evamile ngokushesha nangokuphepha ngangokunokwenzeka. Indlela ethile ixhomeke ebunganeni bezimpawu zakho nokuthi ziphendula kanjani ekuqaleni kokwelashwa.

Emasontweni ambalwa okuqala ngemuva kokulimaza, ukuphatha ubuhlungu nokuvuvukala kuyisigaba esiyinhloko. Udokotela wakho angase aphakamise abaphathi bobuhlungu abangaphezu kokuthengwa njenge-ibuprofen noma i-acetaminophen, ezingasiza ekuthambiseni ubuhlungu nokuvuvukala.

Ukuphathwa okuvamile umhlinzeki wakho wezokunakekelwa kwezempilo angase akuphakamise kuhlanganisa:

• Imithi yokuhlupheka (engaphezu kokuthengwa noma yokuzithwala uma kudingeka)
• I-muscle relaxants yokungathinti kwemisipha okukhulu
• I-physical therapy ukubuyisela ukunyakaza nokuqinisa imisipha yomhlane
• I-ice therapy emahoreni angu-24-48 okuqala, bese kuba yi-heat therapy
• Ukuzivocavoca komhlane oluthambile nokuqina
• I-massage therapy ukunciphisa ukungathinti kwemisipha
• Ukukhathalelwa kwe-chiropractic kwezinye izimo

Udokotela wakho cishe uzokukhuthaza ukusetshenziswa kwesikhathi eside se-neck collar, ngoba ukugcina ihombe lakho linganyakazi isikhathi eside kakhulu empeleni kunganciphisa ukuphulukisa futhi kubeka ukuqina. Esikhundleni salokho, bazokukhuthaza ukunyakaza okuthambile ngokushesha nje uma ungakwazi ukubekezelela.

Abantu abaningi babona ukuthuthuka okukhulu phakathi kwamasonto angu-2-4, nakuba ukuphulukisa okuphelele kungathatha izinyanga eziningi. Uma izimpawu zakho ziqhubeka noma zibe zimbi, udokotela wakho angase akuthumele kubachwepheshe njengabachwepheshe bezempilo, ama-neurologists, noma ochwepheshe bokulawula ubuhlungu.

Indlela yokuphatha ukuhlukunyezwa kwenyanga ekhaya?

Ukunakekela wena ekhaya kudlala indima ebalulekile ekuphulukiseni kwakho ukuhlukunyezwa kwenyanga. Ukuhlanganiswa okuqondile kokulala, umsebenzi oluthambile, nokunakekela wena kungasheshisa kakhulu inqubo yakho yokuphulukisa.

Phakathi namazwana ambalwa okuqala, sebenzisa iqhwa ehlombe lakho imizuzu engu-15-20 izikhathi eziningi ngosuku ukunciphisa ukuvuvukala nokunciphisa ubuhlungu. Ngemva kokuba ukuvuvukala okuqalayo sekuyehla (ngokuvamile ngemuva kwezinsuku ezingu-2-3), ungashintshela e-heat therapy usebenzisa i-heating pad noma ishawa elifudumele.

Nawa amasu okunakekelwa ekhaya aphezulu angakusiza ukuthi uphulukise:

• Thatha imithi yokuhlupheka njengoba udokotela wakho ekuphakamisele
• Sebenzisa iqhwa izinsuku ezingu-2-3 zokuqala, bese ushintshela ekushiseni
• Lala ngepilishi elinika ukusekela elihlala ihombe lakho liqondile
• Yenza ukuzivocavoca komhlane oluthambile njengoba umhlinzeki wakho wezokunakekelwa kwezempilo ekuphakamisele
• Gcina ukuma okuhle usuku lonke
• Gwema imisebenzi eyenza ubuhlungu bakho bube bubi
• Hlala uthola amanzi amaningi futhi udle ukudla okunomsoco ukuze usekele ukuphulukisa

Kubalulekile ukuhlala usebenza kancane kunokulala ngokuphelele. Nakuba kufanele ugweme imisebenzi ebangela ubuhlungu, ukunyakaza okuthambile kuvimbela ukuqina futhi kukhuthaza ukuphulukisa. Imisebenzi elula njengokuhamba noma imisebenzi yasekhaya evamile ngokuvamile ilungile.

Qaphela izibonakaliso zomzimba wakho futhi ungadluli ebuhlungwini obukhulu. Uma ukwelashwa ekhaya kungakusizi ngemuva kwezinsuku ezimbalwa, noma uma izimpawu zakho zibe zimbi, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole isiqondiso.

Kufanele ulungiselele kanjani i-appointment yakho yedokotela?

Ukulungiselela ukuvakasha kwakho kudokotela kungasiza ekuqinisekiseni ukuthi uthola ukwelashwa okuphumelelayo kokuhlukunyezwa kwenyanga. Ukuba nolwazi olufanele okulungile kusiza udokotela wakho ukuthi aqonde isimo sakho futhi enze iziphakamiso zokwelashwa ezinhle kakhulu.

Ngaphambi kwe-appointment yakho, bhala phansi ngokuqondile ukuthi kwenzekeni ngesikhathi sokulimala kwakho, kuhlanganise imininingwane mayelana nengozi, ukuthi wazizwa kanjani ngokushesha ngemuva kwalokho, nokuthi izimpawu zakho zaqala nini. Leli thrafu lesikhathi lisiza udokotela wakho ukuthi aqonde uhlobo nobungako bokulimala kwakho.

Letha lolwazi olukhulu e-appointment yakho:

• Incazelo eningiliziwe yokuthi ukulimala kwenzeke kanjani
• Uhlu lwezimpawu zakho zonke nokuthi zaqala nini
• Ulwazi mayelana nalokho okwenza izimpawu zakho zibe ngcono noma zibe zimbi
• Yonke imithi oyithatha njengamanje
• Noma yikuphi ukulimala komhlane kwangaphambili noma umlando wezokwelapha ofanele
• Ulwazi lwe-insurance nokubonakala
• Uhlu lwemibuzo ofuna ukuyibuza

Cabanga ukuthi ulethe ilungu lomndeni noma umngani ongakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi se-appointment. Ubuhlungu nokucindezeleka ngezinye izikhathi kwenza kube nzima ukwamukela konke udokotela wakho akutshela khona.

Ungangabazi ukubuza imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelashwa, isikhathi sokuphulukisa esilindelekile, noma noma yikuphi ukukhathazeka okukukhathazayo mayelana nokubuyela emsebenzini noma emisebenzini. Udokotela wakho ufuna ukukusiza ukuthi uqonde isimo sakho futhi uzizwe uqinisekile ngecebo lakho lokwelashwa.

Iyini into ebalulekile mayelana nokuhlukunyezwa kwenyanga?

Ukuhlukunyezwa kwenyanga kuyilitha evamile futhi ngokuvamile ilapheka elimaza amafutha athambile ehlombe lakho. Nakuba kungaba buhlungu futhi kuphazamise impilo yakho yansuku zonke, abantu abaningi bayaphola ngokuphelele ngokunakekelwa okuqondile nokubekezela.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kubangela imiphumela emihle. Ungalindi ukuthola ukunakekelwa kwezokwelapha uma uthola ubuhlungu bomhlane noma ezinye izimpawu ngemuva kwanoma yiluphi uhlobo lengozi noma ukulimala, ngisho noma kubonakale kuncane ngaleso sikhathi.

Ukuphulukisa kokuhlukunyezwa kwenyanga ngokuvamile kuyinqubo ehamba kancane engathatha amasonto kuya ezinyangeni. Ukulandela iziphakamiso zokwelashwa zomhlinzeki wakho wezokunakekelwa kwezempilo, ukuhlala usebenza kancane, nokunakekela wena ekhaya konke kuhlanganyela ekuphulukiseni okuphumelelayo.

Khumbula ukuthi ukuphulukisa akuhlali kujwayelekile – ungase ube nezinsuku ezinhle nezinsuku ezimbi ngesikhathi sokuphulukisa kwakho. Lokhu kuyinto evamile futhi akusho ukuthi awuphulukisi. Yiba nomonde ngawe futhi ungangabazi ukuxhumana neqembu lakho lokunakekelwa kwezempilo uma unezinkinga mayelana nokuqhubeka kwakho.

Imibuzo evamile ebuzwa mayelana nokuhlukunyezwa kwenyanga

Kuthatha isikhathi esingakanani ukuphulukisa ukuhlukunyezwa kwenyanga?

Abantu abaningi abane-whiplash baqala ukuzizwa bephilile phakathi kwamasonto ambalwa kuya ezinyangeni, ngokuphulukisa okuphelele okwenzeka ngokuvamile izinyanga ezingu-2-3. Noma kunjalo, isikhathi sokuphulukisa sihluka kakhulu kuye ngobunzima bokulimala kwakho, ubudala bakho, impilo yonke, nokuthi uqala nini ukwelashwa. Abanye abantu bazizwa bephilile ezinyangeni ezimbalwa nje, ngenkathi abanye bengase badinge izinyanga eziningi ukuze baphole ngokuphelele.

Kufanele ngigqoke i-neck brace ngokuhlukunyezwa kwenyanga?

Odokotela ngokuvamile abakhuthazi ukugqoka i-neck collar noma i-brace ngaphezu kwamasonto ambalwa ngokuhlukunyezwa kwenyanga. Nakuba kungase kunikeze induduzo ethile ekuqaleni, ukugcina ihombe lakho linganyakazi isikhathi eside kakhulu empeleni kunganciphisa ukuphulukisa futhi kubeka ukuqina. Udokotela wakho cishe uzokukhuthaza ukunyakaza okuthambile nomsebenzi ngokushesha nje uma ungakwazi ukubekezelela ukuze uthuthukise ukuphulukisa okusheshayo.

Ingabe ukuhlukunyezwa kwenyanga kungabangela izinkinga zesikhathi eside?

Nakuba abantu abaningi bayaphola ngokuphelele ekuhlukunyezweni kwenyanga, abanye abantu bahlangabezana nemiphumela yesikhathi eside njengobuningi bomhlane obuhlala njalo, izinhlungu zikhanda, noma ukunciphisa ukunyakaza. Lokhu kwenzeka kakhulu uma ukulimala kunzima, uma ukwelashwa kulibaziseka, noma uma unezinto ezithile ezingaholela ekuhlukunyezweni kwenyanga njengobudala obukhulu noma izinkinga zomhlane kwangaphambili. Ukwelashwa kwasekuqaleni, okuqondile kunciphisa kakhulu ingozi yezinkinga zesikhathi eside.

Ingabe kuyinto evamile ukuthi izimpawu zokuhlukunyezwa kwenyanga zibe zimbi ngaphambi kokuba zibe ngcono?

Yebo, kuyinto evamile ukuthi izimpawu zokuhlukunyezwa kwenyanga zifinyelele izinga eliphezulu emahoreni angu-24-72 ngemuva kokulimaza okuqalayo. Ungase uzizwe uphilile ngokushesha ngemuva kengozi kodwa uvuke ngosuku oluzayo ngobuningi obukhulu nokuqina. Lokhu kuqala ngokulibaziseka kwenzeka ngoba ukuvuvukala nokuqina kwemisipha kuthatha isikhathi ukuthuthuka. Uma izimpawu ziqhubeka zibe zimbi ngemuva kwamazwana ambalwa okuqala, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo.

Ngingazivocavoca ngokuhlukunyezwa kwenyanga?

Ukunyakaziswa okuthambile nokuzivocavoca empeleni kuwusizo ekuphulukiseni ukuhlukunyezwa kwenyanga, kodwa kufanele ugweme imisebenzi ebangela ubuhlungu noma ecindezela ihombe lakho. Udokotela wakho noma i-physical therapist angase aphakamise ukuzivocavoca okuthile okukusiza ukuba ubuyisele ukunyakaza nokuqinisa imisipha yomhlane wakho. Qala kancane ngemisebenzi elula njengokuhamba, bese ukhulisa umsebenzi ngokuhamba kwesikhathi njengoba izimpawu zakho ziphulukisa futhi umhlinzeki wakho wezokunakekelwa kwezempilo ekuphakamisele.