Masifunde ngombindi womqolo wakho? - Oko kukuthi, uMqolo weTyala!

Ngaba wakha wazibuza ukuba umqolo wakho ubaluleke kangakanani? Kukho iindawo ezininzi zalo mqolo ezisinika amandla, zisigcine sime nkqo, kwaye zikhusela umqolo wethu. Namhlanje siza kuthetha ngenxalenye ekhethekileyo kakhulu, ende kancinci. Leyo ngumqolo wesifuba , okanye umphezulu nombindi womqolo wethu.

Yintoni kanye kanye i-Thoracic Spine?

Ngamafutshane, umqolo wakho (okwaziwa ngokuba yi-"Spine" okanye "Backbone" yakho) yingqokelela yamathambo amancinci, adibeneyo aqala kwisiseko sekhakhayi lakho ukuya kwithambo lomsila wakho ezantsi kweempundu zakho. Yile nto ikhusela umqolo wakho.

Ngoku kukho iindawo ezintathu eziphambili zalo mqolo:

• Umqolo Wesibeleko: Le yinxalenye yomqolo entanyeni yakho.
• Umqolo Wesifuba: Nantsi into esithetha ngayo namhlanje, umphezulu nombindi womqolo wakho. Ngokuchanekileyo, isuka ezantsi kwentamo yakho iye ngaphantsi kwembambo yakho. Le yeyona ndawo inde yomqolo.
• Umqolo weLumbar: Le yinxalenye esezantsi yomqolo wakho, eyaziwa ngokuba yi "lower back".

Ngoko ke, umqolo wesifuba wenziwe ngamathambo amancinci ali-12 abizwa ngokuba yi-vertebrae . La abhalwe ngo-T1 ukuya ku-T12 (u-T umele 'i-Thoracic'). Cinga ngala mathambo e-vertebrae njengeebhloko ezincinci ezibekwe phezu komnye nomnye. Xa zidibene, ezi zakha umqolo wakho. Phakathi kwala mathambo, njengee-cushion, kukho iindawo ezithambileyo ezibizwa ngokuba zii-intervertebral disks . Ezi zezona zikuvumela ukuba ugobe kwaye ujijeke, kwaye zikwafunxa ukuthuthumela kumqolo wakho.

Enye into kukuba, kukho izinto ezininzi ezijikeleze lo mqolo wesifuba , ezifana nezihlunu , imithambo-luvo , imisipha (ezi zidibanisa izihlunu namathambo), kunye nemisipha (ezi zidibanisa amathambo). Zonke ezi zinto zisebenza kunye ukukunceda uhambe kakuhle kwaye unike umzimba wakho uzinzo. Umqolo wakho udlula embindini walo mqolo wonke. Njengocingo, ngulo mqolo uthwala imiyalezo esuka engqondweni ukuya kuwo wonke umzimba, kwaye uthwala imiyalezo esuka emzimbeni ibuyela engqondweni.

Zeziphi iingenelo esizifumanayo kumqolo wesifuba?

Iinkonzo ezinikezelwa ngulo mqolo wesifuba emizimbeni yethu aziyonto incinci. Jonga le misebenzi:

• Ukukhuselwa kwentambo yomqolo kunye nemithambo-luvo: Xa amathambo omqolo ebekwe phezu komnye nomnye, enza umngxuma omkhulu (`(vertebral foramen)`) embindini. Zonke ezi mngxuma ziyadibana ukuze zenze indlela efana netyhubhu yentambo yomqolo. Oku kubonelela ngokhuseleko kwintambo yomqolo enobuthathaka kakhulu.
• Uqhagamshelo kwiimbambo:Uphawu olukhethekileyo lwethambo lomqolo lesifuba kukuba iimbambo zakho (`(imbambo)`) ziyafika zize ziqhagamshelane nazo. Nangona kunjalo, iimbambo ezimbini ezisezantsi aziqhagamshelani ngolu hlobo.
• Ukuxhasa isifuba nesisu: Umqolo wakho wesifuba unika uzinzo kwi-rib cage yakho. Kwakhona, i-rib cage yakho inika inkxaso kwi-thoracic cage yakho. Xa zidibene, ezi zimbini zikhusela amalungu abalulekileyo njengentliziyo yakho nemiphunga. Into emangalisayo kukuba nangona la malungu eqinile kakhulu kwaye ekhusela la malungu, akuvumela ukuba ushukume xa uphefumla (uphefumla kwaye ukhupha umoya).
• Ukuvumela intshukumo yomzimba: Iidiski ezithambileyo phakathi kwamathambo omqolo (`(iidiski ze-intervertebral)`) endizikhankanyileyo ngaphambili zizo ezikuvumela ukuba ugobe kwaye ujijeke ngaphandle kokulahlekelwa ngamandla omqolo wakho. Kuwo wonke umqolo, umqolo wesifuba yindawo enokujikeleza kakhulu (`(ukujikeleza)`) . Nangona kunjalo, ukugoba phambili (`(ukujija)`) kunye nokugoba ngasemva (`(ulwandiso)`) kuncinci kancinci kule ndawo.

Ubusazi? Umqolo wethu ngokwendalo uneegophe ezintathu. Umqolo wesibeleko kunye nomqolo we-lumbar zigobile ngaphakathi ngendlela ethi "C" (`(lordosis)`). Nangona kunjalo, xa amathambo omqolo wesi sibeleko edibana, enza igophe eliphuma ngasemva, njenge "backward C" (`(kyphotic curve)`). La magophe abaluleke kakhulu kuthi ukuze sihlale silinganisekile kwaye sime nkqo.

Zeziphi imithambo-luvo ephuma kumqolo wesifuba?

Besitshilo ngaphambili ukuba umqolo wesifuba une-vertebrae ezili-12 (T1-T12). Imithambo-luvo iphuma kumqolo we-vertebrae nganye kwezi. Le mithambo-luvo yiyo enika imvakalelo kunye nentshukumo kwiindawo ezithile zomzimba wakho. Masibone ukuba zeziphi.

• Imithambo-luvo ye-T1 kunye ne-T2: Le mithambo-luvo isebenza ukusuka esifubeni sakho esingaphezulu iye kwiingalo zakho neminwe. Imithambo-luvo ye-T1 yinxalenye yenethiwekhi yemithambo-luvo ("i-brachial plexus") egxalabeni lakho. Le nethiwekhi ithwala imiyalezo yokuhamba kunye neemvakalelo ukusuka kwintambo yomqolo ukuya kwiingalo zakho neminwe.
• Imithambo-luvo T3 ukuya kwi-T5: Le mithambo-luvo iya eludongeni lwesifuba sakho. Xa idibene, le mithambo-luvo ilawula iimbambo zakho, imiphunga, i-diaphragm, kunye nemisipha ekuncedayo ukuphefumla.
• Imithambo-luvo ukusuka kwi-T6 ukuya kwi-T12: Le mithambo-luvo ichaphazela izihlunu zesisu sakho nomqolo. Le mithambo-luvo, kunye nezinye izihlunu, zikunceda ugcine ibhalansi yakho kunye nesimo sakho, kwaye zikwanceda ukukhohlela.

Zeziphi izitho ezibalulekileyo ezinxulumene nomqolo wesifuba?

Imithambo-luvo ephuma kumqolo kumqolo wesifuba idlulisela imiyalezo phakathi kwengqondo yakho kunye nezinye izitho eziphambili. La malungu ngala:

• Imiphunga
• Intliziyo
• Isibindi
• Ndibonise uthando

Ukongeza, njengoko besitshilo ngaphambili, umqolo wesifuba kunye nembambo zisebenza kunye ukukhusela imiphunga yakho kunye nentliziyo njengekhaka.

Yenziwe ngantoni i-thoracic spine?

Makhe sijonge ezinye zezinto ezibalulekileyo ezenza eli candelo libalulekileyo:

• Ii-Vertebrae: Kwi-vertebrae ezingama-33 kumqolo wonke, ezili-12 zikwi-thoracic spinal. Ezi zibekwe phezu kwenye ukuze zenze umjelo womqolo. Ezi vertebrae zinokuhamba, nto leyo esivumela ukuba sihambe kwiindawo ezahlukeneyo.
• Amalungu e-facet: La ngamalungu apho amathambo e-vertebrae adibana khona. La malungu ane-tissue etyibilikayo ebizwa ngokuba yi-cartilage. Oku kuvumela amathambo e-vertebrae ukuba atyibilike phezu komnye nomnye ngokulula. La malungu e-facet yiwo akuvumela ukuba ujike kwaye ujike. Akwabonelela ngokuguquguquka nokuzinza komzimba.
• Iidiski ze-Intervertebral: Sikhe sathetha ngazo ngaphambili. Zizii-cushion ezithe tyaba, ezingqukuva phakathi kwe-vertebrae. Zisebenza njengee-shock absorbers ('i-shock absorbers'). Idiski nganye inesiphakathi esithambileyo, esifana nejeli kunye nesangqa esiguquguqukayo esijikelezileyo.
• Intambo yomqolo kunye nemithambo-luvo: Intambo yomqolo yinqwaba yemicu yemithambo-luvo. Ihamba ukusuka entloko ukuya kwisiseko somqolo. Malunga nezibini ezingama-31 zemithambo-luvo ziphuma kule ntambo yomqolo kwicala ngalinye. Izibini ezili-12 zemithambo-luvo ziphuma kumqolo wesifuba zodwa. Ezi mithambo-luvo zithwala imiyalezo esuka engqondweni ukuya kwimisipha.
• Izicubu ezithambileyo: Iiligamenti zidibanisa i-vertebrae kwaye zinceda ukugcina umqolo usendaweni yawo. Imisipha inika inkxaso kwaye inceda ukuhambisa umqolo. Imisipha idibanisa imisipha namathambo kwaye inceda ukuhambisa umqolo.

Ziziphi izizathu eziqhelekileyo zentlungu yomqolo wesifuba?

Iindaba ezimnandi zezokuba umqolo wesifuba awulula ukwenzakala okanye ukuba buhlungu njengemiqolo yomlomo wesibeleko neyesinqe, kuba uqinile kancinci kwaye uzinzile kunezinye iindawo.

Nangona kunjalo, ukuba uva iintlungu kumqolo wakho ongasentla nophakathi, kunokubakho izizathu ezininzi. Oku kungenxa yokuba kukho amathambo amaninzi adibeneyo, imithambo-luvo, izihlunu, imisipha, kunye nemisipha kule ndawo. Makhe sijonge ezinye zezona zizathu ziphambili:

• Ukurhawuzelelwa okanye ukuxinezeleka kwemisipha: Oku kudla ngokubangelwa kukuhlala kwindawo engafanelekanga nokuhlala ixesha elide . Oku kunokubangela ukuba izihlunu ziqine kwaye zibe buhlungu.
• Ukuqhekeka kwemisipha: Ukuba kukho into eyenzekayo ngequbuliso, njengokujijeka komqolo ongasentla, imisipha apho inokwandiswa ngaphaya kwemida yayo. Nangona kunjalo, intlungu iya kubakho.
• Ukonzakala: Ukuwa okanye ukubetheka nzima emqolo kunokubangela iintlungu. Nangona kunjalo, kuba umqolo wesifuba unamandla kunezinye iindawo zomqolo, kufuna amandla amaninzi ukwaphula ithambo kule ndawo ("ukuqhekeka"). Ukongeza, ukwenzakala kwiimbambo kunokuchaphazela nemithambo-luvo yesifuba kwaye kubangele iintlungu.
• Ukwenzakala ngokugqithisileyo: Xa uphinda-phinda ukwenza iintshukumo ezifanayo, umzekelo, ukuphakamisa, ukugoba, okanye ukujika, iingozi ezincinci (`(iingozi ezincinci)`) zinokwenzeka kwaye zibangele iintlungu emqolo.

Ukongeza koku, iintlungu zomqolo wesifuba nazo zinokubangelwa ziimeko ezinxulumene ngqo nomqolo:

• Iithumba zomqolo: Nangona zinokukhula naphi na emgogodleni, zihlala zikhula embindini nasezantsi komqolo. Zihlala ziyinxalenye yomhlaza osasazeke (umhlaza osasazekayo) uye kwenye inxalenye yomqolo. Nokuba ziyingozi (umhlaza) okanye azinabungozi (azinabo umhlaza), uphawu oluphambili lweethumba zomqolo ziintlungu zomqolo. Le ntlungu idla ngokuba yintlungu ebuhlungu nengathandekiyo. Le ntlungu inokuba mandundu ebusuku kwaye inokuphazamisa ubuthongo.
• Ukuqhekeka komqolo: Nangona ukwaphuka komqolo wesifuba kungaqhelekanga kunezinye ukwaphuka komqolo, abantu abane -osteoporosis (isifo esibangela ukulahlekelwa ngamathambo) basengozini enkulu kuba amathambo abo abuthathaka. Umntu one-osteoporosis unokwaphuka umqolo wesifuba ukuba ujika ngequbuliso okanye uthimla kakhulu.

Zithini iinguqu kumqolo wesifuba, okanye 'iinguqu eziwohlokayo'?

Olu "tshintsho oluwohlokayo lomqolo" lukwabizwa ngokuba yi -spinal osteoarthritis , i-spondylosis, kunye nesifo se-degenerative disk . Ngamafutshane, njengoko sikhula, ii-disc ezithambileyo phakathi kwe-vertebrae ziyaguga, zome, kwaye zibe ncinci. Emva koko isithuba esiphakathi kwe-vertebrae siyancipha, nto leyo ebangela iingxaki ezahlukeneyo.

Nangona kunjalo, olu tshintsho lwenzeka rhoqo entanyeni (umqolo wesibeleko) nasezantsi komqolo (umqolo we-lumbar) kunasesinqeni sesifuba.

Ziziphi iimeko eziqhelekileyo ezichaphazela umqolo wesifuba?

Kukho iimeko ezahlukeneyo ezichaphazela ngqo i-vertebrae, i-spinal cord, okanye iingcambu zemithambo-luvo yomqolo wesifuba:

• I-Kyphosis: Le yindlela egobileyo yomqolo ekhokelela ekubeni ube "nesifumbu" okanye ube nesibindi sokugoba phambili. Oku kwenzeka xa amathambo omqolo wesifuba etshintsha abe yi-wedge-shaped. Kukho iintlobo ze-kyphosis, kuquka i-congenital kyphosis, i-postural kyphosis, kunye nesifo sikaScheuermann.
• I-scoliosis yabantwana kunye neyolutsha: Olu lugobile okanye lugobile umqolo kumntwana. I-Scoliosis inokwahluka ukusuka koluncinci ukuya kolunzima. I-Scoliosis idla ngokuchaphazela umqolo wesifuba. Abantu abadala nabo banokuba ne-scoliosis.
• I-radiculopathy yesifuba:Oku kwenzeka xa ingcambu yemithambo-luvo kumqolo wesifuba (umqolo ongasentla) icinezelwa, nto leyo ebangela iimpawu ezifana neentlungu, ukungaziva, kunye/okanye ukuphelelwa zimvakalelo emzimbeni wonke. Nangona kunjalo, i-radiculopathy ayifumaneki rhoqo kumqolo wesifuba.

Ukongeza koku, ezinye iimeko ezinokwenzeka naphi na emgogodleni, oko kukuthi, emgogodleni wesifuba, ziquka:

• Ii-Bone spurs / ii-Osteophytes: Ezi zizityalo ezikhula ziphuma emathanjeni.
• Idiski ehluthwe yiHerniated: Idiski ehluthwe yiherniated phakathi kwamathambo omqolo.
• I-Myelopathy: Ingqokelela yeempawu ezenzeka xa umqolo ucinezelwe kakhulu.
• I-Osteomyelitis: Usulelo lwebhaktiriya okanye lwefungus kwithambo lomqolo.
• Ukulimala komqolo: Oku kudla ngokubangelwa yingozi engalindelekanga neqatha.
• I-Spinal stenosis: Ukuncitshiswa kwendlela yokungena komqolo.

Yeyiphi eyona nto ixhaphakileyo kumqolo wesifuba?

Ukuqhekeka koxinzelelo lwethambo lomqolo (ii-VCF) zezona zinto zixhaphakileyo kumqolo wesifuba . Zenzeka xa ithambo lomqolo licinezelwe kwaye lityumkile. Oku kunokubangela iintlungu ezinzulu, ukukhubazeka komqolo, kunye nokulahlekelwa bubude.

Ezi zifo zokwaphuka zixhaphake kakhulu kumqolo osezantsi wesifuba. Zidla ngokubangelwa yi -osteoporosis kunye neengozi ezincinci. Nangona kunjalo, nakubantu abangenayo i-osteoporosis, zinokwenzeka emva kwengozi enkulu (njengengozi yemoto) okanye ithumba lomqolo.

Zithini iimpawu zokulimala kwemithambo-luvo yomqolo wesifuba?

Ukuba imithambo-luvo okanye umqolo osemqolo wesifuba wonakele, iimpawu ezenzekayo zixhomekeke kuhlobo lomonakalo (nokuba uphelele okanye awuphelelanga) kwaye apho umonakalo uwenzeka khona emgogodleni wesifuba.

Iimpawu eziphambili ziintlungu , ubuthathaka, kunye/okanye ukungaziva mnandi okubonakala kwiingalo, emilenzeni, okanye ezijikeleze iimbambo .

Ukongeza, ezi mpawu zilandelayo zingabonakala:

• Ukuncipha okanye ukuphelelwa ngokupheleleyo kwemvakalelo ezandleni okanye ezinyaweni.
• Ubunzima bokuphefumla.
• Ukulahlekelwa yimvakalelo ejikeleze isini okanye i-anus.
• Ubunzima bokulawula umchamo okanye isitulo.
• Ukuqhinwa.

Kubalulekile: Ukuba ufumana naziphi na ezi mpawu emva kwengozi, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko.

Oogqirha bazifumanisa njani izifo zomqolo wesifuba?

Okokuqala, ugqirha wakho uza kukubuza ngemeko yakho yempilo, amayeza owaselayo, akubuze ngeempawu zakho, aze akuhlole. Emva koko, uza kuyalela naziphi na iimvavanyo kunye neeskeni ezifunekayo.

Olu vavanyo lungabandakanya:

• I-CT scan (i-Computed Tomography - i-CT scan): Oku kusebenzisa ii-X-ray kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha zangaphakathi lomzimba.
• I-MRI scan (Magnetic Resonance Imaging - MRI): Oku kusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha. Iluncedo kakhulu ekufumaneni iingxaki zomthambo womqolo, imithambo-luvo, kunye neediski.
• Ii-X-reyi: Ezi zithatha imifanekiso yamathambo kunye nezicubu ezithambileyo.
• Izifundo ze-EMG (i-Electromyogram - i-EMG) kunye nokuqhuba imithambo-luvo: Ezi mvavanyo zijonga impilo kunye nokusebenza kwemithambo-luvo kunye nemisipha yakho.
• I-Myelogram: Olu luvavanyo olukhethekileyo lokujonga imifanekiso olujonga unxibelelwano phakathi kwamathambo omqolo kunye neediski, umthambo womqolo, kunye nemithambo-luvo.

Ziziphi iindlela zonyango zezifo zomqolo wesifuba?

Iimeko ezininzi ezichaphazela umqolo wesifuba zineendlela zonyango ezingasebenzisi utyando (umzekelo, unyango lomzimba, i-epidural steroid injections (ESIs)) kunye nonyango lotyando.

Unyango olufumanayo luya kuxhomekeka kwisizathu semeko yakho, ubukhali bayo, kunye nempilo yakho iyonke. Wena nogqirha wakho niza kusebenzisana ukumisela isicwangciso sonyango esifanelekileyo kuwe.

Ndingawugcina njani umqolo wam wesifuba uphilile?

Kukho izinto ezininzi onokuzenza ukuze ugcine umqolo wakho uphilile:

• Nika umqolo wakho ikhefu ngelixa ulele: Khetha umatrasi kunye nemiqamelo ekhululekileyo. Zama ukugcina umqolo wakho ulungelelene ngokwendalo ngelixa ulele.
• Qinisa umqolo wakho kunye nemisipha yesisu: Xa ezi misipha (`(imisipha engundoqo)`) ziqinile, zibonelela ngenkxaso elungileyo kumqolo.
• Gcina ukuma kakuhle kwaye unciphise ukuhlala ixesha elide: Gcina ukuma kakuhle kokubini xa umile naxa uhleli. Kuphephe ukuhlala ixesha elide. Thatha ikhefu rhoqo uze uvuke.
• Nxiba izihlangu ezilungileyo: Izihlangu ezilungileyo zinceda ukugcina umqolo wakho ulungelelene.
• Gcina amathambo akho omelele: Fumana i -vitamin D kunye ne-calcium eyaneleyo ekutyeni kwakho. Oku kubaluleke kakhulu kwabo bane-osteoporosis okanye abasengozini.

Ufanele uye nini kugqirha malunga nomqolo wesifuba?

Njengoko besitshilo ngaphambili, umqolo wesifuba wonakala lula kwaye awunantlungu ingako kunezinye iindawo zomqolo (ezifana nentamo nomqolo ongezantsi).

Uninzi lwexesha, iintlungu zomqolo ophezulu nophakathi zibangelwa yinto ethile yexeshana, njengokuxinana kwemisipha okanye ukuxinana kwemisipha.

Kodwa,

• Ukuba unentlungu ebuhlungu ngequbuliso kumqolo wakho ongasentla kunye/okanye ophakathi ,
• Okanye ukuba intlungu iyanda kancinci kancinci ,
• Kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuba unembali yomhlaza , njengoko iithumba zomqolo zinokwenzeka kakhulu kule ndawo.

Kwakhona, ukuba wenzakele emqolo kwingozi, efana nokuwa okanye ingozi yemoto, kubalulekile ukuya esibhedlele ngoko nangoko.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Umqolo wesifuba yinxalenye ebaluleke kakhulu yomqolo wakho. Nangona kungenakwenzeka ukuba uchaphazeleke kunezinye iindawo, kubalulekile ukuba nexhala ukuba unentlungu engapheliyo kumqolo wakho ophezulu okanye ophakathi. Kungcono ukubona ugqirha kwaye ufumane uvavanyo ukuze kufunyaniswe ukuba yintoni kanye ebangela intlungu. Emva koko unokufumana unyango olufanelekileyo. Nyamekela umqolo wakho kwaye uhlale usempilweni!

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