Masifunde ngokucinezelwa kwentambo yomqolo wesibeleko (Cervical Myelopathy)

Ngaba ngamanye amaxesha uvuka kusasa unentamo eqinileyo kunye nentlungu eyenza kube nzima ukujika intloko yakho? Okanye uzive ngathi iingalo zakho ziyarhawuzelela okanye zibuthathaka? Ngamanye amaxesha ezi zinto zinokuhlala usuku olunye okanye ezimbini zize ziphele. Kodwa ukuba ezi mpawu ziyaqhubeka, inokuba luphawu lwemeko ebizwa ngokuba yiCervical Myelopathy. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni i-Cervical Myelopathy?

Ngamafutshane, i-Cervical Myelopathy kuxa intambo yomqolo entanyeni yakho icinezelwe. Kanye njengokuba umbhobho wamanzi ucinezelwe kwaye amanzi eyeka ukuhamba, xa intambo yomqolo wethu icinezelwe, imiyalezo yemithambo-luvo edlula kuyo iyaphazamiseka. Olu cinezeleko lunokwenzeka ngezizathu ezahlukeneyo. Lunokubangelwa kukwenzakala entanyeni, ithumba, okanye idiski ehluthwe yi-herniated.

Kukho uhlobo oluqhelekileyo lwale meko, olubizwa ngokuba yiCervical Spondylotic Myelopathy . Oku kwenzeka rhoqo njengoko sikhula. Njengayo yonke eminye imizimba yethu, amathambo, iidiski, kunye nemisipha entanyeni ziyaphela kancinci kwaye zilahlekelwa bukuguquguquka kwazo. Olu tshintsho lubangela le meko. Kufana nodonga lwendlu endala oluya lusiba buthathaka kancinci.

Ixhaphake kangakanani le meko?

Enyanisweni, le yinto ebizwa ngokuba yiCervical Spondylotic Myelopathy. Ukuba ujonga izibalo zamanye amazwe ehlabathini, amawaka abantu alaliswa esibhedlele enezi mpawu minyaka le. Le meko ayikho naseSri Lanka. Oku kuxhaphake kakhulu kubantu abaneminyaka engaphezu kwama-40-50 ubudala.

Zithini iimpawu zoku?

Kulungile, ngoku makhe sijonge ukuba zeziphi iimpawu onokuzifumana nge-cervical myelopathy. Ezi zinokwahluka kancinci kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Intlungu okanye ukuqina kwentamo: Le yinto yokuqala abantu abaninzi abayivayo. Akufani nokuba basuke bakrune intamo, kodwa yintlungu engapheliyo, ngamanye amaxesha eyanda.
• Ukuba ndindisholo okanye ukurhawuzelela ezandleni naseminweni: Kusenokuvakala ngathi kukurhawuzelela, okanye ngathi ziimbovane ziyakhasa. Oku kungenzeka ngesandla esinye okanye ngezandla zombini.
• Ubuthathaka kwimisipha yezandla neengalo: Usenokukufumanisa kunzima ukwenza izinto ebezilula ngaphambili. Umzekelo, ungaziva ubuthathaka kwiingalo zakho xa uvula ibhotile yamanzi okanye uphakamisa into enzima.
• Ukulahlekelwa yibhalansi xa uhamba, ubunzima bokuhamba: Kusenokuvakala ngathi awunyatheli kakuhle emhlabeni, okanye ungaziva ngathi uyatyibilika kwaye uyawa. Kwabanye, indlela abahamba ngayo inokutshintsha.
• Ubunzima ngezakhono zokuqhuba kakuhle:Oku kuthetha ukuba, umzekelo, kuba nzima ukwenza imisebenzi emincinci nebuthathaka, njengokuqhobosha ihempe, ukubhala ngepeni, ukusebenzisa izixhobo zokusela, okanye ukufaka isitshixo emnyango. Kusenokubonakala ngathi izinto ezisesandleni sakho ziyawa nje phantsi.

Kutheni oku kuchaphazela nemilenze?

Ngoku usenokuba ucinga, 'Ukuba kukho ingxaki entanyeni, kutheni ichaphazela nemilenze?' Kunjalo. Umqolo wethu ufana nendlela ephambili kwinkqubo yemithambo-luvo ehamba emzimbeni wethu wonke. Kukule ndlela apho imiyalezo evela ebuchotsheni ihamba khona iye ezingalweni, emilenzeni, nakweyiphi na indawo emzimbeni. Ngoko ke, xa le ndlela iphambili ixinge entanyeni, inokuphazamisa nemiyalezo eya emilenzeni. Kufana nocingo lwefowuni oluqhekekayo kwindawo enye, kwaye wonke umgca uyeke ukusebenza.

Yintoni ebangela oku?

Kulungile, makhe sijonge ukuba yintoni ebangela ukucinezelwa komqolo wesibeleko. Nazi ezinye izinto ezinokuchaphazela oku:

• I-Bone Spurs: Njengoko sikhula, ii-bone spurs ezincinci (ezifana nee-spines) zinokukhula kwi-vertebrae yethu. Ezi zinokucinezela i-spinal cord.
• I-Herniated Disk: Idiski ephakathi kwamathambo ethu omzimba ifana nomqamelo ofana nejeli. Ngamanye amaxesha inokudumba iphume ize icinezele umthambo womqolo.
• Ukuncitshiswa komjelo womqolo entanyeni (Umjelo Womlomo Wesibeleko Omxinwa): Abanye abantu banokuzalwa benomjelo omxinwa kancinci. Kwimeko enjalo, notshintsho oluncinci lunokubangela ukucinezeleka ngokulula.
• I-Rheumatoid Arthritis: Le yimeko yokuvuvukala echaphazela amalungu. Ingachaphazela amalungu entanyeni kwaye icinezele umqolo.
• I-Spondylolisthesis: Oku kwenzeka xa elinye ithambo lomqolo lityibilika phambili phezu kwelinye. Oku kunokucinezela umthambo womqolo.
• Ukuwohloka koMgogodla: Le yeyona nto iphambili ebangela i-Cervical Spondylotic Myelopathy ekhankanyiweyo ngaphambili. Utshintsho kumqolo lwenzeka ngokukhula.
• I-Spinal Stenosis: Ukuncitshiswa komjelo womgogodla ngenxa yezizathu ezahlukeneyo.
• Ukulimala Okubuhlungu: Le meko inokubakho ngenxa yokwenzakala okukhulu entanyeni, njengengozi yemoto okanye ukuwa.
• Ithumba: Ithumba elenzeka phezu okanye kufutshane nentambo yomqolo linokucinezela intambo yomqolo.

I-Cervical Spondylotic Myelopathy, ngokukodwa, ibangelwa lutshintsho lwendalo kumqolo entanyeni yethu njengoko sikhula. Kanye njengoko iingcango neefestile zendlu yethu ziwohloka ngokuhamba kwexesha, umsebenzi kunye nolwakhiwo lwamalungu omqolo wethu nalo luyatshintsha. Oku kunciphisa indlela yomqolo, kubeka uxinzelelo kuwo. Le yinxalenye yendalo yokwaluphala.

Ngubani onokuthi aphuhlise oku ngakumbi?

Le meko, ebizwa ngokuba yiCervical Myelopathy, inokwenzeka nakubani na ubudala, kodwa ezinye izifundo zibonise ukuba ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-30 ubudala, ingakumbi abo banemvelaphi yaseAsia.

I-Cervical Spondylotic Myelopathy inokuchaphazela nabani na, kodwa ixhaphake kakhulu kumadoda nakubantu abangaphezu kweminyaka engama-40 ubudala. Ubudala obuqhelekileyo bokuxilongwa bumalunga neminyaka engama-64.

Kuza kwenzeka ntoni ukuba ayinyangwa?

Ukuba le meko ayinyangwa kakuhle, iimpawu zingaba mandundu kancinci kancinci. Ukuba oku kuyenzeka, iingxaki ezifana nezi:

• Intlungu enzima kakhulu.
• Ukungasebenzi kakuhle kwamathumbu nesinyi: Oku kuthetha ubunzima bokukhupha indle, ukuchama, kunye nokulahlekelwa kulawulo.
• Ukonakala kwemithambo-luvo: Oku kunokuba yinto engapheliyo.
• Ubunzima bokuhamba: Ukulahlekelwa yibhalansi, ukuwa rhoqo, nokuba buthathaka kakhulu ukuba ungahamba.
• Ukusetyenziswa okulinganiselweyo kweminwe, izandla, neengalo: Usenokungakwazi ukwenza imisebenzi ngezandla zakho.
• Ukukhubazeka: Kwiimeko ezinzima kakhulu, amalungu omzimba anokuba buthathaka.

Ngoko ke, ukuba uneempawu ezinje, kubaluleke kakhulu ukuba ungazityesheli kwaye ufune iingcebiso zonyango ngokukhawuleza.

Uyifumana njani le nto?

Kulungile, ngoku ukuba unale mpawu, ugqirha uyixilonga njani i-cervical myelopathy?

Okokuqala, ugqirha uza kukubuza ngeempawu zakho aze athathe imbali yezonyango. Emva koko, baza kwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo. Ngeli xesha, banokuvavanya ibhalansi yakho, i-reflexes, kunye nezakhono zakho zokunyakaza. Ukuba kunokwenzeka, banokujonga nendlela ohamba ngayo ukuze babone ukuba iimpawu zakho zikuchaphazela njani.

Ukongeza, usenokuba neemvavanyo ezikhethekileyo zokujonga ingaphakathi lomqolo wakho. Ezi ziquka:

• I-X-reyi: Oku kungasetyenziselwa ukujonga naluphi na utshintsho emathanjeni, olufana nokuqhekeka kwamathambo.
• I-MRI Scan: Oku kukuvumela ukuba ubone ngokucacileyo imeko yezicubu ezithambileyo ezifana nomqolo, iidiski, kunye neengcambu zemithambo-luvo. Ungafumanisa ngqo apho kukho ucinezelo kunye nobukhulu balo.
• I-CT scan: Oku kunokubonelela ngomfanekiso oneenkcukacha ngesakhiwo samathambo.
• Uvavanyo lweMyelogram:Kule nto, kufakwa into ekhethekileyo kumjelo womqolo kwaye kwenziwa i-X-ray okanye i-CT scan. Oku kuvumela ukuba iindawo zoxinzelelo lomqolo zibonakale ngokucacileyo.

Ngaba inganyangeka ngokupheleleyo?

Umbuzo abantu abaninzi abawubuzayo ngowokuba, ingaba inganyangeka ngokupheleleyo na? Ukuthetha inyani, akukho nyango lupheleleyo lwazo zonke izizathu ze-cervical myelopathy. Nangona kunjalo, utyando lunokunciphisa kakhulu iimpawu, luyekise imeko ukuba ibe mandundu, kwaye luthintele iingxaki. Nangona kunjalo, nasemva konyango, ngenxa yotshintsho ngokweminyaka, ezinye iindawo zomqolo zinokuchaphazeleka kwixesha elizayo. Oku kuthetha ukuba nokuba elinye ilungu lilungisiwe, kukho ithuba lokuba elinye ilungu liza kuba nengxaki, ingakumbi njengoko ukhula.

Zithini iindlela zonyango?

Kulungile, ngoku makhe sibone ukuba loluphi unyango olufumanekayo koku. Kukho unyango oluphambili olubini:

1. Ulawulo Olungelulo Utyando

2. Unyango lotyando

Ugqirha uhlala eza kuqala ezama iindlela ezingezizo zotyando ukulawula iimpawu. Nangona kunjalo, oku kunokwahluka ngokuxhomekeke kubukhali beempawu zakho kunye nokuba yintoni ebangela ezo mpawu.

Ulawulo Olungelulo Utyando

Kubantu abane-myelopathy yomlomo wesibeleko engephi, oogqirha banokucebisa oku kulandelayo:

• Ukunxiba i-brace yentamo: Oku kunceda entanyeni kwaye kulawula nokunyakaza kwentamo okungeyomfuneko.
• Unyango Lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo yokuqinisa izihlunu zentamo yakho, yonyuse ukuguquguquka, kunye nokuma ngendlela efanelekileyo.
• Ukusebenzisa Amayeza:
• Amayeza Angalwiyo Nee-steroidal Alwa Nokuvuvukala (NSAIDs): Umzekelo, i-ibuprofen kunye ne-naproxen. La mayeza anciphisa iintlungu kunye nokudumba.
• IiCorticosteroids: Ezi zizinto ezinamandla zokulwa nokudumba. Zinokunikwa ixesha elifutshane.
• Izithomalalisi zentlungu: Unganika izithomalalisi zentlungu eziqhelekileyo ezifana neparacetamol okanye ezomeleleyo.

Kodwa khumbula, nangona olu nyango lungenalo utyando lunokubonelela ngoncedo olukhawulezileyo kwiimpawu, aluboneleli ngoncedo oluhlala ixesha elide okanye luwandise umjelo womqolo onciphileyo.

Unyango lotyando

Ukuba imeko ye-Cervical Myelopathy inzima, oko kuthetha ukuba:

• Ukuba kukho intlungu enzima,
• Ukuba izihlunu zibuthathaka,
• Ukuba ukungaziva kakuhle kwamalungu kuyaqhubeka,
• Ukuba uneengxaki zokuhamba nokulinganisela,
• Ukuba kunzima ukwenza umsebenzi onzima,

Ugqirha wakho unokucebisa utyando lokunciphisa uxinzelelo lomqolo.

Uhlobo lotyando olucetyiswa ngugqirha wakho lunokwahluka ngokuxhomekeke kwiimpawu zakho, impilo yakho ngokubanzi, kunye nobudala. Ezinye zeendlela ziquka:

• I-Diskectomy: Oku kuquka ukususa inxalenye okanye yonke idiski ebangela i-herniation.
• Ukutshintshwa kweDiski: Kufakwa idiski yokwenziwa ukuze kufakwe idiski esusiweyo.
• Utyando lweLaminectomy: Inxalenye ye-vertebra ebizwa ngokuba yi-'lamina' iyasuswa ukuze kudalwe indawo engakumbi yomqolo.
• I-Laminoplasty: Ngaphandle kokususa 'i-lamina', iyakhiwa ngokutsha ukuze ivule indawo yomqolo.
• Ukuhlanganiswa koMgogodla: Le yinkqubo eqinisa ithambo lomqolo elinye okanye ngaphezulu ngokulidibanisa . Oku kudla ngokwenziwa kunye notyando lwe-discectomy.

Ngaphambi kotyando, ugqirha uza kukuchazela iingozi ezibandakanyekileyo ukuze ukwazi ukwenza isigqibo esinolwazi.

Emva kotyando, kuya kufuneka uphumle okwethutyana. Kufuneka uphephe ukuphakamisa izinto ezinzima okanye ukwenza imisebenzi enzima de ugqirha wakho akuxelele ukuba wenze njalo. Ugqirha wakho uya kukunika imiyalelo ethile yokuba uzinyamekele njani kwaye ubuye nini ukuze uhlolwe.

Kuza kwenzeka ntoni kwixesha elizayo? (Imbono)

Imbono yakho nge-cervical myelopathy ixhomekeke kwisizathu sale meko. Iimeko ezincinci zinokunyangwa ngonyango olungelulo utyando, kwaye utyando ludla ngokuba nemiphumo emihle.

Nangona kunjalo, ukuba ayinyangwa, i-cervical myelopathy inokuba mandundu. Kwiimeko ezinzima, inokukhokelela kumonakalo wemithambo-luvo ongapheliyo nongaguqukiyo. Oku kunokukhokelela kwiingxaki ezifana nentlungu enzima kunye nobunzima bokuhamba.

Ngoko ke, ukuba uneempawu ze-cervical myelopathy, bonana nogqirha ngokukhawuleza. Baza kukunceda ufumane unyango olufanelekileyo kuwe.

Ungaphila ixesha elingakanani nale meko? Iza kuqhubeka ngokukhawuleza kangakanani?

Abanye abantu bayabuza ukuba ungaphila ixesha elingakanani nale meko, kwaye ikhawuleza kangakanani. Iimeko ezincinci azichaphazeli ubomi bakho, kodwa iimpawu zinokuchaphazela umgangatho wobomi bakho. Kwiimeko ezinzima, iingxaki ezifana nokonakala kwemithambo-luvo okanye ukukhubazeka zinokwenzeka. Ke ngoko, ukubikezela komntu ngamnye kuya kwahluka ngokuxhomekeke kwizinto ezininzi, kubandakanya impilo yakhe ngokubanzi kunye nobudala bakhe. Ugqirha wakho ngumntu ongcono ukuthetha naye ngemeko yakho.

Indlela oku kuya kuba mandundu ngayo kuyahluka ngokuxhomekeke kwisizathu.Umzekelo, le meko ingakhula ngequbuliso emva kwengozi, okanye ingakhula kancinci kancinci njengoko ukhula. Ugqirha wakho uza kujonga iimpawu zakho kunye novavanyo lomfanekiso ukuze akunike "uqikelelo" malunga nokuba iza kuba mandundu ngokukhawuleza kangakanani kunye nomngcipheko wakho weengxaki.

Ngaba oku kungathintelwa?

Akunakwenzeka ukuthintela zonke izinto ezibangela i-cervical myelopathy. Kunzima ngakumbi ukuthintela ucinezelo lomgogodla olubangelwa lutshintsho lwendalo emzimbeni njengoko sikhula, olufana ne-cervical spondylotic myelopathy. Nangona kunjalo, unganciphisa umngcipheko wokwenzakala ngenxa yeengozi. Kubalulekile ukulandela iindlela ezikhuselekileyo kwaye uphephe imisebenzi enobungozi obukhulu.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-cervical myelopathy, ezifana neentlungu zentamo ezikhankanyiweyo apha ngasentla, ukungaziva, ubuthathaka, kunye nobunzima bokuhamba, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Emva koko baya kwenza uvavanyo ukuze babone ukuba kukho na ukucinezelwa komqolo wakho.

Ukuba sele uyazi ukuba une-cervical myelopathy, ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba ufumana iziphumo ebezingalindelekanga ezivela kunyango, xelela ugqirha wakho.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Kwenzeka phi entanyeni yam oku kubuhlungu?
• Luhlobo luni lonyango olucetyiswayo?
• Zithini iziphumo ebezingalindelekanga zonyango?
• Ngaba ndiyaludinga ngokwenene utyando?
• Kuthatha ixesha elingakanani ukuphola emva kotyando?

Umyalezo obalulekileyo omele uwuphathele ekhaya

Intambo yethu yomqolo idlala indima ebaluleke kakhulu emzimbeni. Ngokungalindelekanga, ngenxa yengozi okanye ngenxa yotshintsho lwendalo njengoko sikhula, le ntambo yomqolo inokufakwa phantsi koxinzelelo. Njengendlela okanye ibhulorho esetyenziswa rhoqo, iyawohloka ngokuhamba kwexesha. Zikwafuna ukugcinwa nokunakekelwa ukuze zisebenze ngokufanelekileyo. Kunjalo nangomzimba wethu. Olu khathalelo lubaluleke kakhulu, ingakumbi kule meko yeCervical Myelopathy.

Ugqirha unokukunceda ukulawula iimpawu zakho aze anciphise uxinzelelo kumqolo wakho. Oku kusenokufuna utyando. Ingcinga yokwenza utyando lwentamo inokuba yinto eyoyikisayo, kodwa iqela lakho lezonyango liya kwenza konke okusemandleni alo ukukukhusela nokuthintela iingxaki. Ngoko ke, ukuba uneempawu, ungazityesheli kwaye ubone ugqirha ngoko nangoko. Unyango lwangethuba lunokukhokelela kwiziphumo ezingcono.

Iintlungu zentamo , i-Cervical Spondylotic Myelopathy, ukucinezelwa kwentambo yomqolo, ukuba ndindisholo ezandleni, umqolo, i-Neuropathy, iintlungu zentamo, i-Cervical Spondylotic Myelopathy, ukucinezelwa kwentambo yomqolo