Ngaba i-vertebra emqolo wakho iyatyibilika? Masifunde nge-spondylolisthesis!

Iintlungu zomqolo yingxaki eqhelekileyo abantu abaninzi abajongene nayo kule mihla. Ngamanye amaxesha inokuba yintlungu yomqolo nje ebangelwa kukuzibhokoxa. Nangona kunjalo, ukuba le ntlungu ivakala ibukhali kancinci ngezinye iintsuku, okanye ukuba iza nezinye iimpawu, kusenokuba kukho unobangela othile wayo. Oko kukuthi, imeko eyenzeka emgogodleni (Spondylolisthesis) . Nangona igama lisenokuvakala linzima kancinci, masiliqonde ngokulula.

Yintoni iSpondylolisthesis? Ngamafutshane...

Cinga ngomqolo wakho njengenqwaba yamathambo amancinci (abizwa ngokuba zii-vertebrae) abekwe phezu komnye. Kukho ii-vertebrae ezingama-33, ukuba nditsho ngqo. Nangona la ma-vertebrae edibene, anokuhamba kancinci xa sigoba okanye sishukumisa imizimba yethu. Ngoku, kwimeko ebizwa ngokuba yi-spondylolisthesis, enye yala ma-vertebrae iyaphuma endaweni yayo ize ityhale i-vertebrae engaphantsi kwayo. Ifana nekhonkco eliqhekekileyo kwikhonkco. Xa oku kusenzeka, imithambo-luvo kuloo ndawo inokucinezelwa. Kulapho kuvela khona iimpawu ezifana nentlungu yomqolo kunye nentlungu yomlenze. I-Spondylolisthesis inokwenzeka naphi na emgogodleni, kodwa ixhaphake kakhulu kumqolo ongezantsi (umgogodleni we-lumbar) . Kwakhona, le meko ingenzeka entanyeni (umqolo wesibeleko) okanye ukusuka entanyeni ukuya esiphelweni seembambo (umqolo wesifuba). Umqolo ufana nekhonkco elihlala lixhasa umzimba wethu. Ngoko ke, kunokuba yinto eyoyikisayo xa ikhonkco lityibilika. Kodwa, oko akuthethi ukuba lonke itsheyini liphazamisekile. Kudla ngokubakho unyango olufanelekileyo kwimeko ebizwa ngokuba yi-spondylolisthesis. Ukuba unentlungu entsha emqolo okanye emilenzeni yakho kwaye unengxaki yokwenza imisebenzi yemihla ngemihla, qiniseka ukuba ubona ugqirha.

Ziziphi izizathu ezinokubakho ze-spondylolisthesis?

Kukho iindlela ezininzi eziphambili ezinokwenzeka ngayo le meko:

1. Inxulumene nobudala (i-Degenerative Spondylolisthesis)

Olu lolona hlobo luxhaphakileyo. Njengoko sikhula, iindawo ezifana nomqamelo phakathi kwamathambo ethu (ezibizwa ngokuba ziidiski ) ziyawohloka. Njengoko ezi diski zincinci, isithuba esiphakathi kwamathambo siyanda, nto leyo eyenza kube lula ukuba umntu atyibilike. Olu lukwaluhlobo lwesifo sediski esiwohlokayo .

2. I-Congenital Spondylolisthesis

Ngamanye amaxesha, le meko inokwenzeka kuba umqolo womntwana awukakhiwa kakuhle xa esesesibelekweni. Xa oku kusenzeka, iingxaki zinokuvela nokuba kusekutsha okanye kamva kakhulu ebomini.

3. Ngenxa yokuqhekeka apho amathambo omqolo adibana khona (Isthmic Spondylolisthesis)

Xa iqhekeza elincinci lethambo elidibanisa amathambo amabini (elibizwa ngokuba yi-pars interarticularis ) liqhekeka, alikwazi ukuwabamba kakuhle. I-vertebra iyatyibilika emva koko. Oku kunokwenzeka kubadlali bezemidlalo, ingakumbi abo benza umthambo wokutsiba nokutsala .

Ezinye iintlobo ezingaqhelekanga:

• (I-Spondylolisthesis Ebuhlungu):I-vertebra inokutyibilika ngenxa yomonakalo omkhulu kumqolo ngenxa yengozi enkulu okanye ukuwa.
• I-Pathological Spondylolisthesis: Oku kunokubangelwa ziimeko ezenza amathambo abe buthathaka (ezifana ne -osteoporosis okanye ithumba emathanjeni).
• (I-Postsurgical Spondylolisthesis): Ayifane yenzeke le meko njengesiphumo esingesihle sotyando lomqolo.

Ziziphi iimpawu ze-spondylolisthesis?

Okumangalisayo kukuba, abanye abantu bane-spondylolisthesis kwaye abanazo iimpawu. Ukuba i-vertebra etyibilikayo incinci kakhulu (ikumgangatho ophantsi), isenokungabangeli zimpawu kuba ayibeki uxinzelelo olukhulu kwezinye iindawo zomqolo okanye imithambo-luvo. Nangona kunjalo, ukuba iimpawu ziyenzeka, zingabandakanya:

• Intlungu esezantsi komqolo.
• Intlungu ehamba ngeenyawo (ekwabizwa ngokuba yi -sciatica ).
• Ukuziva uxinene kwaye uxinene ngasemva.
• Ubunzima bokuhamba okanye ukuma ngaphezu kwemizuzu embalwa.
• Ukuba ndindisholo, ubuthathaka, okanye ukuziva ndindisholo ezinyaweni.

Ngokuxhomekeke ekubeni amathambo omqolo atyibilike phi, intlungu ingavakala nakwezinye iindawo zomqolo. Le ntlungu ingasasazeka iye ezimpundu okanye emathangeni.

Zithini izizathu ze-spondylolisthesis?

Isizathu se-vertebra etyibilikayo siyahluka ngokuxhomekeke kuhlobo lwe-spondylolisthesis onayo. Ezinye zezizathu eziqhelekileyo ziquka:

• Iidiski zomqolo ziyaphela xa zikhula.
• Iithambo zomqolo ezibhityileyo kunesiqhelo xa zizalwa.
• Iingozi xa udlala imidlalo.
• Ukukhula ngokukhawuleza kubantwana nakubantu abadala abancinci.
• Iingozi ezifana nokuwa kunye neengozi zeemoto.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Nangona nabani na enokuba ne-spondylolisthesis, abanye abantu basengozini enkulu:

• Abantu abangaphezu kweminyaka engama-50 ubudala.
• Abafazi.
• Abadlali (ingakumbi abo badlala imidlalo echaphazela kakhulu, batsiba kakhulu, kwaye benza umthambo wokuzolula).
• Abantu abanembali yosapho lwabo abane-spondylolisthesis okanye izifo ezinxulumene namathambo.

Yintoni enokwenzeka ukuba i-spondylolisthesis ayinyangwa? (Iingxaki)

Ukuba le meko ayifunyaniswanga kwaye ayinyangwanga ngokufanelekileyo, unokujongana nezi zinto zilandelayo:

• Intlungu engapheliyo yomqolo .
• Isifo samathambo somqolo.
• Umonakalo wemithambo-luvo.
• Ukungakwazi ukulawula ukuchama (Ukungakwazi ukuzibamba umchamo) okanye ukungakwazi ukuzibamba kwamathumbu (Ukungakwazi ukuzibamba kwamathumbu) .

Oogqirha baxilonga njani i-spondylolisthesis?

Ugqirha uza kuxilonga isifo se-spondylolisthesis ngokwenza uvavanyo lomzimba kunye novavanyo olukhethekileyo lwemifanekiso. Uza kuxilonga ngononophelo umqolo wakho kunye nomqolo wakho. Kuya kufuneka uxelele ugqirha wakho ukuba uqale nini ukuba neentlungu okanye ezinye iimpawu, zeziphi izinto ezenza intlungu ibe mandundu, kunye nento oyenzileyo ngaphambi kokuba iimpawu zakho ziqale, ingakumbi ukuba ube sengozini. Ugqirha wakho uza kuthatha i -spinal X-ray ukuze athathe imifanekiso yamathambo akho. Ungadinga ne -CT scan okanye i-MRI scan ukuze ujonge umonakalo kwiidiski zakho okanye kwimithambo-luvo yakho.

Amanqanaba eSpondylolisthesis

Ugqirha wakho uza kukunika amanqaku ngokwemeko yakho, kuxhomekeke ekubeni amathambo akho omqolo atyibilike kangakanani. Oku kungaba linani, "eliphantsi" okanye "eliphezulu":

• I-Spondylolisthesis ekumgangatho ophantsi - Ibanga loku-1 nele-II: Olu lolona hlobo luxhaphakileyo. Abantwana abaninzi abancinci abane-isthmic spondylolisthesis kunye nabantu abadala abane-degenerative spondylolisthesis banemeko engembi kangako.
• I-Spondylolisthesis ekumgangatho ophezulu (iBanga lesi-3 nele-IV): Kwezi meko, utyando lunokwenzeka ngakumbi, ingakumbi ukuba unentlungu eqatha okanye ezinye iimpawu.

Ziziphi iindlela zonyango lwe-spondylolisthesis?

Abantu abaninzi banokuzilawula iimpawu zabo ngonyango olungenalo utyando, kuquka:

• Ukuphumla : Ukuthabatha ikhefu kwimidlalo nemisebenzi enzima okwethutyana kuya kunciphisa uxinzelelo kumqolo.
• Amayeza: Ungasebenzisa ii-NSAIDs ezithengiswa ngaphandle kwemvume kagqirha (umz., i-Ibuprofen, i-Diclofenac) okanye i-Acetaminophen (umz., i-Panadol) ukunciphisa iintlungu nokudumba. Nangona kunjalo, musa ukuthatha la mayeza kangangeentsuku ezingaphezu kwe-10 ngaphandle kwengcebiso kagqirha. Thetha nogqirha wakho ngaphambi kokuba uqale naliphi na iyeza, ukuze akuxelele ukuba loluphi unyango olufanelekileyo kuwe.
• IiCorticosteroids: La ngamayeza anamandla anikwe ngugqirha ukunciphisa ukudumba. Anganikwa ngomlomo okanye afakwe ngqo kwindawo ebuhlungu (inaliti ye-cortisone) .
• Ulungiso lwenyama:Ingcali yezonyango iza kukufundisa imithambo yokuqinisa izihlunu ezijikeleze umqolo wakho (ingakumbi umqolo wakho kunye nezihlunu zesisu). Oku kuya kunciphisa uxinzelelo kumqolo wakho kwaye kukuvumele ukuba ushukume ngokulula.
• Ukunxiba i-brace: Ukuba une-vertebra ephukileyo, ugqirha wakho unokucebisa ukuba unxibe i-brace ukuze umqolo wakho uhlale uzinzile. Uza kukuxelela nokuba kufuneka uyinxibe ixesha elingakanani.

Kufuneka nini utyando lwe-spondylolisthesis?

Ayinguye wonke umntu oya kufuna utyando lwe-spondylolisthesis. Ukuba amathambo omqolo atyibilikileyo awenzi zimpawu zinzima okanye awekho emngciphekweni wezinye iingxaki, ungaphila nesi sifo siphantsi. Ugqirha wakho uya kukuxelela xa kufika ixesha lokuqwalasela utyando. Utyando lunokufuneka kwezi meko zilandelayo:

• Ukuba unesifo se-spondylolisthesis esikumgangatho ophezulu .
• Ukuba unentlungu eqatha okanye ezinye iimpawu ezenza kube nzima ukuma, ukuhamba, okanye ukuhambahamba.
• Ukuba iimpawu azikapheli nangona kukho ezinye iindlela zonyango ezingezizo ezotyando .

Ugqirha uza kwenza inkqubo ebizwa ngokuba yi -spinal fusion . Oku kuquka ukulungisa amathambo akho kunye nokuqinisa indawo. Kusenokufuneka wenze inkqubo ebizwa ngokuba yi -spinal decompression ukuze unciphise uxinzelelo kwi-sciatic nerve yakho. Ugqirha okanye ugqirha uza kukuchazela ukuba loluphi utyando olufunekayo kunye noko ungakulindela.

Iziphumo ebezingalindelekanga emva kotyando

Abanye abantu abenza utyando lokudibanisa umqolo banokubona ukwehla kancinci komgama wokuhamba emva kotyando. Oku kungenxa yokuba utyando ludibanisa amathambo amabini ukuze enze ithambo elinye. Nangona kunjalo, kubantu abaninzi, iintlungu zincinci kakhulu kangangokuba banokunyamezela oku kungakhululeki kuncinci. Nangona kunjalo, ungoyiki ukuthetha nogqirha wakho ngale nto ngaphambi kokuba uthathe isigqibo sokwenza utyando. Angachaza iingozi kuwe aze akuncede ubeke ulindelo olusengqiqweni.

Ngaba i-spondylolisthesis ingathintelwa?

Ngamanye amaxesha, i-spondylolisthesis ayinakuthintelwa ngokupheleleyo, ingakumbi ukuba yenzeka ngenxa yengozi okanye ngenxa yendlela umqolo wakho owenziwe ngayo ekuzalweni. Nangona kunjalo, unganciphisa umngcipheko wakho ngokulandela la macebiso:

• Yenza imithambo eqinisa umqolo wakho kunye nemisipha yesisu .
• Landela ukutya okunempilo okukulungeleyo. Oku kunokukhusela amathambo akho kunye nempilo yakho iyonke.
• Thetha nogqirha wakho malunga nempilo yamathambo akho. Uza kukuxelela ukuba kufuneka uyenze nini na uvavanyo lobunzima bamathambo .

Yintoni onokuyilindela ukuba une-spondylolisthesis?

Ukuba une-spondylolisthesis, iimpawu zakho kufuneka ziphucuke ngonyango olungenalo utyando olufana nokuphumla, amayeza, kunye nonyango lomzimba. Wakuba uqalile unyango, ugqirha wakho uza kuthatha ezinye ii-X-ray ukuze abone ukuba amathambo akho omqolo ayatyibilika na ngakumbi. Ugqirha wakho uza kujonga ngokusondeleyo amathambo omqolo atyibilikayo. Ukuba ayatyibilika kakhulu, unokufuna utyando.

Unyango olungelulo utyando alunakubuyisela i-vertebra etyibilikileyo kwindawo yayo yokuqala, kodwa lunokukunceda wenze imisebenzi yakho yemihla ngemihla ngaphandle kwentlungu. Kuphela lutyando olunokubuyisela ulungelelwano lwangaphambili lomqolo.

Kungathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuze uphile ngokupheleleyo emva kotyando lomqolo. Ugqirha wakho uza kukunika ishedyuli yokuchacha efanelekileyo kuwe, ngokusekelwe kwiimfuno zakho.

Ndingaqala nini ukudlala kwakhona?

Uninzi lwabantu abane-spondylolisthesis banokubuyela kwimidlalo neminye imisebenzi yomzimba emva kweeveki ezimbalwa zonyango. Ngokwesiqhelo, kufuneka ulinde ude ukwazi ukuhambahamba ngokukhuselekileyo ngaphandle kwentlungu. Thetha nogqirha wakho okanye ugqirha ngaphambi kokuba uqalise nayiphi na imisebenzi yomzimba. Banokucebisa iindlela ezikhuselekileyo zokuhlala usebenza ngaphandle kokwandisa umngcipheko weengxaki.

Yintoni omele uyenze xa une-spondylolisthesis?

Ugqirha wakho uza kukuxelela ukuba zeziphi izinto ezikhuselekileyo onokuzenza. Kusenokufuneka uyeke ukudlala imidlalo yokudibanisa umzimba okanye ukwenza imithambo ebeka uxinzelelo olukhulu kumqolo wakho okanye equka ukolula umzimba kakhulu.

Ufanele uye nini kugqirha?

Okukhona ubona ugqirha ngokukhawuleza, kokukhona benokukwazi ukuxilonga nokunyanga isifo se-spondylolisthesis. Ukuba uneentlungu zomqolo ezihlala iintsuku ezingaphezu kwezimbalwa, okanye ukuba intlungu inzima kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo, bona ugqirha ngokukhawuleza.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ufumene ingozi, efana nokuwa okanye ingozi yemoto, yiya kwigumbi likaxakeka. Ukuba uziva ungasakwazi ukulawula umchamo okanye ukuhamba kwamathumbu, yiya kwigumbi likaxakeka ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ungabuza ugqirha wakho le mibuzo:

• Ngaba ndine-spondylolisthesis okanye enye ingxaki yomqolo?
• Luhlobo luni lonyango endiludingayo?
• Ngaba kuya kufuneka ndityandwe?
• Ndingabuyela nini kwimisebenzi yomzimba efana nemidlalo?

Yintoni umahluko phakathi kwe (Spondylolisthesis) kunye ne (Spondylolysis)?

I-Spondylolisthesis kunye ne-Spondylolysis ziimeko ezimbini ezinamagama afanayo kwaye zinokubhideka. Umahluko phakathi kwezi zimbini yindlela ezichaphazela ngayo umqolo wakho.

• I-Spondylolisthesis iyenzeka xa i-vertebra ityibilika ize ityhale i-vertebra engaphantsi kwayo.
• (I-Spondylolysis)Kukuqhekeka nje kwethambo okuncinci okwenzeka kwiqhekeza elincinci lethambo (i-pars interarticularis) phakathi kwamathambo amabini. Le meko, ebizwa ngokuba yi-spondylolysis, yeyona nto ibangela i-isthmic spondylolisthesis. Kuba loo kuqhekeka kunokubangela ukuba amathambo atyibilike.

Okokugqibela, into ekufuneka iqwalaselwe.

Kuqhelekile ukuba nabani na azive esoyika xa esiva igama elithi "spondylolisthesis." Xa usiva igama elithi "spondylolisthesis," ithambo liyatyibilika kwinxalenye ebalulekileyo yomzimba, zonke iintlobo zezinto ziyafika engqondweni. Kuyinto eqhelekileyo ukumangaliswa kwaye ube nemibuzo emininzi. Tsala umphefumlo onzulu. I-Spondylolisthesis inokuba nzima ukuyibiza nokuyibhala, kodwa ngethamsanqa, ayizizo zonke izifo ezinamagama anzima ezifuna unyango olunzima. Mhlawumbi uya kufuna iiveki ezimbalwa zokuphumla, amayeza athengiswa ngaphandle kwemvume kagqirha, kunye nonyango lomzimba. Nokuba utyando, emva kokunika umzimba wakho ixesha olidingayo ukuze uphile, uya kukwazi ukubuyela kwimisebenzi yakho yesiqhelo. i-spondylolisthesis, iintlungu zomqolo, i-spondylolisthesis, umqolo, uxinzelelo lwemithambo-luvo, unyango lomzimba, utyando lomqolo