Ngaba intlungu yakho emqolo ibangelwa yi-spondylolysis? Makhe sithethe ngayo!

Ngaba nawe ukhathazwa ziintlungu zomqolo? Ngamanye amaxesha ucinga ukuba oku kuqhelekile, kodwa kusenokuba kukho ezinye izizathu ezibangela ezinye iintlungu. Namhlanje siza kuthetha ngemeko enokubangela iintlungu zomqolo, kodwa asithethi kakhulu ngayo.

Yintoni iSpondylolysis?

Ngamafutshane, i-spondylolysis yingxaki encinci okanye ukwaphuka phakathi kwamathambo amabini emqolo wethu. Ubusazi na ukuba umqolo wethu wenziwe ngamathambo amancinci angama-33 abekwe elinye phezu kwelinye ngokulandelelana? Sibiza ngalinye lala mathambo ngokuthi 'yi-vertebra'. La mathambo emqolo adityaniswe ndawonye ukuze enze umqolo wethu. Oogqirha ngamanye amaxesha babiza le meko ngokuthi 'yi-pars defect' okanye 'i-pars fracture' . Isizathu soku kukuba olu qhekeko lwenzeka kwinxalenye encinci yethambo ebizwa ngokuba yi- 'pars interarticularis' edibanisa amathambo emqolo. Cinga ngayo njengebhulorho encinci edibanisa amathambo amabini emqolo. Kulapho ingxaki ivele khona. Uninzi lwexesha, i-spondylolysis ichaphazela inxalenye esezantsi yomqolo wethu (umqolo we-lumbar) . Kodwa ngamanye amaxesha, oku kunokwenzeka kumqolo wesibeleko, kumqolo wesifuba, okanye kumqolo ophakathi.

Ixhaphake kangakanani le meko?

Nangona kungekho zibalo zichanekileyo eSri Lanka, iingcali kumazwe afana ne-United States ziqikelela ukuba esi sifo (i-Spondylolysis) sichaphazela ngaphantsi kwe-10% yabemi ngonyaka. Nangona kunjalo, sixhaphake kakhulu kubantwana abancinci nakubantu abadala abaselula , ingakumbi abo badlala imidlalo yokudibanisa.

Zithini iimpawu zoku?

Uphawu oluphambili kubantu abaninzi ziintlungu ezisezantsi komqolo . Le ntlungu ingachazwa ngolu hlobo:

• Usenokuva iintlungu eziqala emqolo wakho ongezantsi zize zisasazeke ziye emathangeni nasemaqakaleni.
• Isenokuvakala ngathi kukuxinwa kwemisipha emqolo ongezantsi.
• Intlungu iyanda xa usenza nawuphi na umsebenzi womzimba , kwaye iyancipha xa uphumla okanye ungashukumi kakhulu.

Kodwa into engaqhelekanga kukuba, abanye abantu banale meko (iSpondylolysis) kodwa abanazo iimpawu . Bafumanisa ngayo kamva xa uvavanyo lomfanekiso , olufana neskeni, lwenziwa ngesizathu esithile.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko benditshilo ngaphambili, unobangela oyintloko we- spondylolysis kukonakala kwenxalenye yethambo lethu elibizwa ngokuba yi-(pars interarticularis) . Khumbula, oku (pars interarticularis)Ezi ziingceba ezincinci zamathambo ezidibanisa amathambo angasemva nangasentla kwaye zinceda umqolo wethu ukuba ushukume ngokulula. Nantoni na eyonakalisa ezi zinto inokubangela ukuba zaphuke, okanye ziqhekeke . Kukho izizathu ezininzi eziphambili zokuba ezi ngxwelerha zamathambo zisoloko zenzeka:

1. Ukusetyenziswa ngokugqithisileyo:

Xa usenza iintshukumo eziphindaphindayo nezibangela uxinzelelo ezibeka ubunzima obukhulu kumqolo wakho ongezantsi, amathambo akho anokonakala kancinci kancinci. Ngokuhamba kwexesha, lo monakalo unokuqokelelwa kwaye ukhokelele ekuqhekekeni kwe-pars . Umzekelo, ukuba umsebenzi wakho ubandakanya ukuphakamisa okunzima, udlala imidlalo yokudibanisa, okanye uhlala ulimaza umqolo wakho ongezantsi, usengozini enkulu.

2. Ukukhula ngokukhawuleza:

Abanye abantwana kunye nabantu abadala abasebatsha banexesha lokukhula ngokukhawuleza, esilibiza ngokuba yi-growth spurt . Ngezo xesha, abanye abantu banokukhula nge-spondylolysis . Oku kungenxa yokuba utshintsho olukhawulezileyo lwenzeka kwinkqubo yamathambo omzimba ngelo xesha.

3. I-genetics:

Abanye abantu bazalwa benomqolo omncinci kancinci. Oku kuthetha ukuba umqolo wabo ubuthathaka kancinci kunabanye. Aba bantu banamathuba amaninzi okuba ne- pars fracture .

Ngubani osengozini enkulu yokuhlaselwa yile meko?

I-Spondylolysis inokwenzeka nakubani na, kodwa amanye amaqela asengozini enkulu yokuba ne- pars fracture . Oku kuquka:

• Abantu abadlala imidlalo yokudibanisa : Umzekelo, abo badlala imidlalo efana nebhola ekhatywayo, ijimnastiki, kunye nokuphakamisa iintsimbi .
• Abantwana kunye nabantu abancinci abanemizimba ekhula netshintsha ngokukhawuleza .
• Abantu baseAlaska abazalwa ngabantu bomthonyama : Ezinye izifundo zifumanise ukuba aba bantu banamathuba amaninzi okuzalwa benamathambo abhityileyo.

Zeziphi iingxaki ezinokuvela kule meko?

Intlungu yomqolo ehambisana ne -spondylolysis inokunciphisa ukuhambahamba kwakho, nto leyo ethetha ukuba kulula kangakanani na ukuhambahamba . Okubaluleke ngakumbi, ukuba ayinyangwa , i-spondylolysis inokuqhubela phambili kwimeko ebizwa ngokuba yi-spondylolisthesis . Ngaba uyazi ukuba yintoni i-spondylolisthesis ? Kuthetha ukuthi,I-Spondylolisthesis yimeko apho i-vertebra ishenxa endaweni yayo ngenxa yokuqhekeka okanye ubuthathaka kwi-vertebra. Cinga ngayo njengesitena esikwizitena ezithe tyaba phambili. Ukuba i-vertebra ethe tyaba icinezela umthambo, inokubangela intlungu enzima (sciatica) evakala ngathi kukubetheka ngombane emlenzeni wakho. Abanye abantu abanale meko (spondylolisthesis) banokufuna utyando ukuze kuncitshiswe iimpawu kwaye babuyele ekusebenzeni okuqhelekileyo.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ugqirha uza kuxilonga i-spondylolysis ngokwenza uvavanyo lomzimba kunye nokwenza uvavanyo lwemifanekiso (ii-scans) . Uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Kuya kufuneka uxelele ugqirha iinkcukacha ezifana nokuba waqala nini ukuva iintlungu zakho zomqolo kunye nento obuyenza ngaphambi kokuba intlungu iqale.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha wakho uza kusebenzisa uvavanyo lwemifanekiso ukuthatha imifanekiso yethambo lomqolo kunye nezicubu ezijikeleze umqolo wakho. Ezona ziphambili zezi:

• Uvavanyo lwe-X-ray .
• Uvavanyo lwe-MRI (Magnetic Resonance Imaging - MRI ) lokuskena .
• Uvavanyo lwe-CT (Computed Tomography - CT) scan.

Luluphi unyango lwale nto?

Ugqirha wakho uza kuqala azame ukulawula iintlungu zakho kunye nezinye iimpawu aze anike ixesha lokuphola kwethambo , okanye ukuqhekeka kwethambo. Ngokuxhomekeke ekubeni loluphi umqolo oluchaphazelekileyo kunye nokuba lunzima kangakanani na uqhekeko, ungadinga unyango kangangeeveki ezimbalwa ukuya kwiinyanga ezimbalwa. Unyango oluphambili lwe -spondylolysis zezi:

• Ukuphumla : Zigcine kude nemidlalo kunye neminye imisebenzi enzima yomzimba ebangela uxinzelelo emqolo wakho okwethutyana. Oku kuya kunciphisa uxinzelelo emqolo wakho.
• Amayeza : Izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha ( ii-NSAID ) (umz., i-ibuprofen, i-naproxen) zinokunceda ukunciphisa iintlungu nokudumba. Nangona kunjalo, musa ukuzithatha ezi zithomalalisi zentlungu kangangeentsuku ezingaphezu kwe-10 ngexesha ngaphandle kwengcebiso kagqirha.
• IiCorticosteroids : La ngamayeza anamandla anciphisa ukudumba. Ugqirha wakho angakunika ipilisi ukuba uyisele ngomlomo, okanye angakunika inaliti ngqo kwindawo yentlungu.
• Ulungiso lwenyama: Ingcali yezonyango yingcali yezempilo ekuncedayo ukuba ushukumise umzimba wakho ngcono. Banokukunceda ulawule iintlungu, ukuqina, kunye nezinye iimpawu ezenza kube nzima ukushukuma. Banokukufundisa imithambo yokuqinisa izihlunu ezijikeleze umqolo wakho.
• Ukuxhasa ngenkxaso : Ugqirha wakho unokucebisa ukuba unxibe i-back brace ukuze umqolo wakho uhlale uqinile de i- pars fracture iphole.

Ngaba wonke umntu udinga utyando?

Utyando alufuneki rhoqo kwi- spondylolysis . Abantu abaninzi bayachacha ngonyango olungelulo utyando. Abanye abantu banokufuna utyando ukuze bazinzise umqolo wabo. Kutyando lokulungisa ii-pars , ugqirha otyandayo unokulungisa ukwaphuka kwee-pars ngaphandle kokudibanisa ii-vertebrae ezimbini ( i-spinal fusion ). Ukuba udinga utyando, ugqirha wakho okanye ugqirha otyandayo uya kukuchazela aze akuxelele ukuba kuza kuthatha ixesha elingakanani ukuze uphile.

Kuza kuthatha ixesha elingakanani ukuba oku kuphiliswe?

Ukuphuka kwemisipha ye-pars kungathatha ukuya kwiinyanga ezintandathu ukuphola. Nangona kunjalo, abantu abaninzi abane- spondylolysis baqala ukuziva bebhetele emva nje kokuqala unyango. Nokuba iimpawu zakho ziphucuka kwangethuba, landela isicwangciso sakho sonyango de ugqirha wakho okanye ingcali yezonyango ikuxelele ukuba wenze njalo. Kubalulekile ukunika umqolo wakho ixesha lokuphola ngokupheleleyo. Buza ugqirha wakho ukuba ungaqala nini ukudlala imidlalo okanye ukuphakamisa izinto ezinzima kwakhona.

Ngaba oku akunakuthintelwa?

I-Spondylolysis idla ngokuba nzima ukuyithintela, kodwa unganciphisa umngcipheko wokuqhekeka kwe-pars ngokulandela ezi ngcebiso zokhuseleko ngokubanzi:

• Soloko unxibe ibhanti yakho yesihlalo xa uqhuba , kuquka nomtya wegxalaba.
• Nxiba izixhobo zokhuseleko ezifanelekileyo kuyo yonke imisebenzi nemidlalo.
• Jonga ekhaya lakho nasendaweni osebenza kuyo izinto ezingabalulekanga ezinokukukhubekisa okanye zikhubeke komnye umntu, uze uzisuse ukuba zikhona.
• Xa uthatha into ephezulu endlwini , sebenzisa isixhobo okanye isixhobo esifanelekileyo kuloo msebenzi . Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina impilo entle yamathambo.
• Ukuba uneminyaka engaphezu kwama-50 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo , thetha nogqirha wakho malunga novavanyo lokuqina kwamathambo.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Kuza kwenzeka ntoni ukuba ndinesi sifo?

Wena (iSpondylolysis)Ukuba ikhona, unyango olungelulo utyando olufana nokuphumla, amayeza, kunye nonyango lomzimba kufuneka luncede iimpawu zakho ziphucuke. Olu nyango lusenokungaluphelisi ngokupheleleyo ukwaphuka , kodwa lunokukunceda ubuyele kwimisebenzi yakho yemihla ngemihla ngokukhawuleza kangangoko kunokwenzeka ngaphandle kwentlungu.

Ndingaqala nini ukuzilolonga nokudlala imidlalo kwakhona?

Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uqalise ukwenza umthambo onzima. Nokuba iintlungu zakho kunye nezinye iimpawu ziyaphucuka, amathambo akho adinga ixesha lokuphola. Ugqirha wakho uya kujonga inkqubela yakho ngonyango. Njengoko iintlungu zakho zincipha kwaye ukuguquguquka kwakho kuyanda, ungabuyela kancinci kancinci kwimisebenzi yakho eqhelekileyo. Abantu abachachayo kwi -spondylolysis badla ngokufuna iiveki ezininzi (kwaye ngamanye amaxesha iinyanga) zonyango ngaphambi kokuba baqalise imisebenzi enzima yomzimba, njengokudlala imidlalo okanye ukuphakamisa iintsimbi.

Ndifanele ndimbone nini ugqirha?

Okukhona ubona ugqirha ngokukhawuleza, kokukhona benokwazi ukuxilonga nokunyanga esi sifo (iSpondylolysis) . Ukuba unentlungu esezantsi yomqolo ehlala iintsuku ezingaphezu kwezimbalwa, okanye inzima kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo, bona ugqirha ngokukhawuleza.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ufumana isiganeko esibuhlungu, njengokuwa okanye ingozi yemoto, yiya kwigumbi likaxakeka. Kwakhona, ukuba ulahlekelwa luvakalelo nakweyiphi na inxalenye yomzimba wakho okanye awukwazi ukuyishukumisa, yiya esibhedlele ngoko nangoko.

Yintoni umahluko phakathi kweSpondylolysis kunye neSpondylolisthesis?

I-Spondylolysis kunye ne -Spondylolisthesis ziimeko ezimbini ezinxulumeneyo ezichaphazela umqolo wakho.

• I-Spondylolisthesis kuxa i-vertebra enye kumqolo wakho ityibilika phezu kwe-vertebra engaphantsi kwayo, njengesitena esilandelelanayo endisikhankanyileyo ngaphambili esityibilika phambili.
• I-Spondylolysis yimbangela eqhelekileyo ye -spondylolisthesis . I-Spondylolysis ibangela ukwaphuka ( i-pars fracture ) kwi-vertebra, nto leyo eyenza ibe buthathaka kwaye inokubangela ukuba isheleleke isuka endaweni yayo, nto leyo ebangela i-spondylolisthesis .

Ngamafutshane, (iSpondylolysis) ithetha ukwaphuka. (iSpondylolisthesis) ithetha ukutyibilika kwethambo lomqolo ngenxa yoko kwaphuka. Uyayazi?

Yintoni umahluko phakathi kweSpondylolysis kunye neSpondylosis?

Nangona amagama (iSpondylolysis) kunye (iSpondylosis) evakala efana, kukho umahluko phakathi kwala magama mabini, nangona omabini ezi ziimeko ezichaphazela umqolo. Zombini zinokubangela iimpawu ezifana nentlungu kunye nokuqina.

• (I-Spondylolysis)Kuthetha ukwenzakala okuthile - oko kukuthi, ukwaphuka kwenxalenye yomqolo wakho ebizwa ngokuba yi-pars interarticularis , oko kuthetha ukuba kukho ukuqhekeka.
• I-Spondylosis ligama eliqhelekileyo elisetyenziselwa ukuchaza ukuwohloka okuqhelekileyo komqolo njengoko sikhula . Oku kufana nokuwohloka kwamanye amalungu emizimbeni yethu njengoko sikhula.

Oko kukuthi, (iSpondylolysis) yimbangela (ukuqhekeka) , (iSpondylosis) yimeko eqhelekileyo (ngenxa yobudala) .

Ngaba le meko (iSpondylolysis) iya kuba ngcono ngokwayo?

Ukuqhekeka kwemisipha okunxulunyaniswa ne -spondylolysis kudla ngokuphola ngokuhamba kwexesha. Nangona kunjalo, kubalulekile ukuba ugqirha akuxilonge aze akunyange . Ukuba unentlungu esezantsi yomqolo ehlala iintsuku ezingaphezu kwezimbalwa, okanye inzima ngokwaneleyo ukuba ingaphazamisana nemisebenzi yakho yemihla ngemihla, qiniseka ukuba ubona ugqirha. Banokucebisa unyango olufanelekileyo ukunceda amathambo akho aphiliswe ngokukhuselekileyo nangokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, i-spondylolysis yimeko eyenzeka xa kuvela imifantu emincinci kumalungu omqolo wethu. Oku kudla ngokubangela iintlungu kumqolo ongezantsi. Iindaba ezimnandi zezokuba uninzi lwabantu abane- spondylolysis banokubuyela kwimidlalo nakwimisebenzi eqhelekileyo xa amathambo abo epholile kwaye intlungu iphelile.

Ungaze uyityeshele intlungu emqolo ongezantsi - ingakumbi ukuba ihlala iintsuku ezingaphezu kwezimbalwa okanye inzima kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo. Kungcono ukubona ugqirha ukuze afumanise unobangela wentlungu yakho kwaye ufumane unyango oluya kukhusela umqolo wakho kwaye luwuncede uphile.

Ukuba uneminye imibuzo malunga noku, ungoyiki ukubuza ugqirha wakho okanye umongikazi. Baza kukunceda. Intlungu yomqolo, i-spondylolysis, i-spondylolisthesis, i-pars interarticularis, umqolo, ukwenzakala kwezemidlalo, unyango lomzimba