Kupeza chisokonezo cha coccyx chikhoza kuchitika pamene kugwa molimba, pamene akukwera njinga pamsewu. Zoopsazi zimawonetsedwa ndi ululu, kutupa komanso maonekedwe a hematoma. Kupanda chithandizo chokwanira cha kuvulaza kukhoza kukhala chiyambi cha ululu wosatha.
Kusokonezeka kwa mankhwalawa - zizindikiro
Chiphalaphala ndi mbali ya m'mphepete mwa msana, mofanana ndi piramidi yosasinthika ndipo ili ndi mapepala osakanikirana. Ndipotu, tailbone ndi mchira wambiri wa zinyama, koma kwa munthu mankhwalawa ndi ofunikira kwambiri, chifukwa mitsempha, mitsempha ndi minofu zomwe zimagwira ntchito mu matumbo akuluakulu ndi ziwalo za mtundu wa genitourinary zikugwiritsidwa ntchito. Chifukwa cha kayendedwe kameneka, katemera ndi gawo la msana.
Pali kutsutsana kwa katemera pa kugwa kapena zotsatira zina zopweteketsa pamsana. Kutupa kwa msana wa m'munsi kungapezeke ndi zizindikiro zotere:
- mu dera la coccyx munali hematoma kapena mtanda wowawa;
- Wodwalayo amamva kupwetekedwa m'kati mwachisawawa, nthawi yogonana;
- Matenda opweteka amakula atakhala pansi, pamene mukuchezera chimbudzi, kudula;
- ngati kupweteka kwa khokiti kumapitirira ku miyendo - izi zimasonyeza kuvulaza kwakukulu;
- Ngati vutoli litatha, vutoli limapweteka pafupifupi malo onse, koma zimakhala zovuta kuti wovutayo ayimebe;
- kanthawi kochepa pambuyo povulazidwa, ululu ukhoza kufalikira ku perineum, anus, mapako;
- pafupifupi nthawi zonse zimakhudzidwa ndi kugwa kwa khosi, munthu sangathe kukhalapo - amakhala pamng'oma imodzi, kusiya yachiwiri kulemera kwake, kuti asayikane ndi tailbone.
Kusokonezeka kwa tailbone kapena fracture - momwe kudziwa?
Kuti mumvetse zomwe zinachitika chifukwa cha kugwa-kupweteka kapena kupweteka kwa coccyx-n'zotheka ndi zizindikiro zina, koma chidziwitso chomaliza chingathe kupangidwa ndi dokotala atatha kufufuza x-ray kapena computed tomography. Kukayikira kuti kupasuka kumatheka ndizifukwa zotsatirazi:
- pa tsamba la chisokonezo cha coccyx panali edema wamphamvu kapena hematoma ya kukula kwakukulu kwambiri;
- pamene chikopa chimakhudza, pali ululu waukulu, wopereka miyendo;
- pamene akuyang'anitsitsa chipatalachi, dokotala angazindikire kuyenda kwake kwachilendo.
Kodi coccyx yowonongeka imapweteka bwanji?
Funso lodziwika kwambiri mu tailbone lomwe lalandira kuvulazidwa ndi kuchuluka kwa vutoli kungapweteke. Wopweteka amakhulupirira kuti ngati kuwonongeka sikupanda kuchiritsidwa, ndiye kuti izidzachiritsa. Pankhaniyi, ndi mavenda, mahematomas ndi mafinya, omwe amatha kuumitsa ndi kufinya zida zozungulira. Pamalo obwezeretsa magazi, zipsyinjo zing'onozing'ono zingapangidwe, zomwe zimakhudza kwambiri ntchito ya minofu ndi mitsempha yoyandikana nayo. Pitirizani kuvulala, chisokonezo cha coccyx ndi myositis, kuwapweteka kwambiri. Zonsezi zimabweretsa chitukuko cha koktsigodinii - matenda ovutika kwambiri.
Kusokoneza kwa tailbone - chochita chiyani?
Chinthu choyamba chomwe chimakondweretsa munthu wopwetekedwa mtima ndi momwe mungachitire chisokonezo cha coccyx. Pomwe moyo wanu uli pangozi, simuyenera kudalira nzeru zanu komanso malangizo anu kwa anthu omwe ali ndi vutoli, koma pitani ku malo osokoneza bongo ndikuyamba kusiya chovulaza choopsa kwambiri - kutayidwa kwa khola, sacrum kapena msana. Chithandizo cha chisokonezo cha coccyx chikuchitidwa kunyumba, koma poyang'aniridwa ndi dokotala, malamulo omwe ayenera kuwonedwa mosamalitsa.
Wachiritsi wamkulu yemwe ali ndi vuto lalikulu ndi kusokoneza kwa nthawi. Dera lovulala liyenera kutsegulidwa mopitirira malire: musagone kumbuyo kwanu ndipo musakhale pampando wapadera wamatumbo kapena galasi lopiringizika. Zimalimbikitsanso kutsatira zakudya zomwe sizimalola kuoneka kwa kudzimbidwa. Kuletsedwa - kuyendera kusamba ndi ma chubu otentha, ntchito zakuthupi ndi kuvala nsapato ndi zidendene.
Malingana ndi vutoli, dokotala akhoza kupereka njira zochizira matenda ochotsera ululu ndi kutupa, machiritso mofulumira:
- UHF - njira zamakono zothandizira;
- CMT - mankhwala a sinusoidal maulendo oyendetsedwa;
- electrophoresis ;
- kuchitsulo;
- mapulogalamu a matope;
- mankhwala opangira ma radiation.
Mankhwala opatsirana pogwidwa ndi vutoli, kuwonongeka kwa coccyx kumaphatikizapo mankhwala ochepetsa kupweteka, kuchepetsa njira yotupa ndi kutupa, resorption yamatumbo. Mankhwala pogwiritsa ntchito ibuprofen, naproxen, diclofenac, ketoprofen, indomethacin dokotala amalemba ma mapiritsi, makapule, suppositories, mafuta odzola, mavitamini, ma gels kapena machitidwe ena abwino omwe akukhudzidwa. Mukakhala pafupi ndi kudzimbidwa, ndizofunikira kugwiritsa ntchito mankhwala ofewetsa ofewa mumakandulo kapena ma microclysters.
Thandizo loyamba ndi kuvulaza
Ngati chisautso, chisokonezo cha coccyx mu chithandizo chakugwa chimayamba maminiti oyambirira. Poyambirira, nkofunika kugwiritsa ntchito ozizira kwambiri compress ku malo a kuvulaza - izi zidzathandiza kuchepetsa kutaya magazi mkati ndi kuteteza chitukuko cha edema. Munthu wovulalayo ayenera kuikidwa pambali pake kuti pasakhale kanthu kena kamene kamakonzedwa kudera lowonongeka ndikupititsidwa ku malo ovuta. Ngati ndi kotheka, vuto la mankhwala opwetekedwa ndi coccyx lingaphatikizepo anesthesia - wozunzidwa akhoza kupatsidwa analgesic iliyonse.
Kupanikizika ngati kuvulazidwa
Ngati chisautso, chithandizo cha mankhwala a coccyx kunyumba chimaphatikizapo kugwiritsa ntchito mankhwala ochizira ngati mawonekedwe:
- ndi yaiwisi grated mbatata pa yaing'ono grater - bwino relieves ululu;
- ndi madzi atsopano anyezi - ali ndi antibacterial kwenikweni ndipo amachepetsa kutupa;
- pogwiritsa ntchito mzimu wa valerian kapena mayi - kumathandiza kuthetsa ululu;
- ndi uchi - amalimbikitsa resorption yamatenda.
Mankhwala osokoneza bongo komanso ochiritsa odwala
Zosakaniza:
- batala - 2 tbsp. l;;
- tar - 1 tbsp. l.
Kukonzekera ndi ntchito
- Sakanizani zosakaniza mpaka zosalala.
- Ikani chinthucho pa chinsalu ndikugwirizanitsa ndi kuvulaza.
- Sambani mankhwalawa mutatha mphindi 40-60.
Mafuta ndi kuvulaza
Mafuta a pharmacy ndi mkangano wa coccyx amagwiritsidwa ntchito poganizira zotsatira zofunika:
- Troxevasin, mafuta a Heparin - kufulumizitsa resorption ndi maatemom;
- Diclofenac, Ibuprofen - anesthetize, kuchepetsa kutupa;
- Zodzoladzola ndi zigawo za zomera - badyaga, comfrey , arnica - ali ndi regenerative, analgesic ndi anti-inflammatory effect.
Kutsekemera ndi kuvulaza
Wokhudzidwa poyankha funsoli momwe angachiritse coccyx kuvulaza kunyumba nthawi zambiri kumbukirani njira yowonongeka yotero monga kusisita. Pachifukwa ichi, ziyenera kukumbukiridwa kuti m'masiku oyambirira pambuyo pa kuvulala, kudulidwa kulikonse kwa malo okhudzidwa sikuletsedwa. Kutaya minofu kochepa, komwe kudzafulumizitsa kupumitsa kwa mafupa, ndizotheka osati kale kuposa tsiku lachisanu, koma muyenera kukaonana ndi dokotala musanafike.
Kusokonezeka kwa chiwopsezo - zotsatira
Ndi chithandizo chokwanira, ngakhale kuvulazidwa kwakukulu kwa mchira sikubweretsa mavuto aakulu kwa nthawi yaitali kwa wozunzidwayo. Ngati matenda opweteka sakhala ovomerezeka kuchipatala, dokotala akhoza kupereka kapangidwe ka novocaine kapena njira zina zothetsera ululu. Kunyalanyaza zowawa komanso kudzipiritsa mankhwala ndi ululu kungapangitse zotsatira zoopsa, chifukwa kupweteka kungasonyeze:
- kusamuka kapena kusokonezeka kwa umphumphu wamtsempha chifukwa cha kupweteka;
- fibrosis (compaction) ya hematoma, yomwe imachititsa kuti mitsempha ikhale yamapeto;
- njira yotupa, fidgety chifukwa cha fupa losasunthika pamtunda;
- kusweka kwa msana .