Ngaba nawe uziva uqinile kusasa xa uvuka? Okanye uziva ubuhlungu ngokuhlwa emva kokujonga ikhompyutha imini yonke? Ngaba ngamanye amaxesha uva isandi "esiqhekekayo" xa ujika intamo yakho? Ezi zizinto ezenzeka kuninzi lwethu kubomi bethu bemihla ngemihla. Kodwa ukuba le ntlungu yentamo iyaqhubeka, akulunganga ukuyithatha njengento eqhelekileyo. Unobangela woku usenokuba yimeko esiyibiza ngokuba yi-"Cervical Spondylosis" ngokwezonyango. Musa ukoyika xa usiva igama, le yimeko eqhelekileyo kakhulu. Masifunde ngayo ngokulula nangokuchanekileyo.
Yintoni kanye kanye i-Cervical Spondylosis?
Ngamafutshane, oku kuthetha ukuba amathambo entanyeni yethu (siwabiza ngokuba "ngamathambo entamo") kunye ne-cartilage (iidiski) eziphakathi kwawo ziyaphela ngokuhamba kwexesha. Njengokuba iindawo zemoto ziphela emva kweminyaka emininzi zisetyenziswa.
Masiqonde oku ngakumbi:
- Umqolo wesibeleko: Oku kubhekisa kwindawo ejikeleze intamo yethu. Sinamathambo amancinci asi-7 abekwe phezu komnye nomnye ukusuka phezulu ukuya ezantsi entanyeni yethu. La ngamathambo esiwabiza ngokuba yi-vertebrae.
- I-Spondylosis: Oku kubhekisa ekugugeni nasekuqhekekeni okanye ekuwohlokeni kweendawo ezithile zomqolo wethu.
Ngoko ke xa ezi zimbini zidityanisiwe, igama elithi "cervical spondylosis" lithetha "ukudinwa kwethambo lomqolo entanyeni." Abanye oogqirha bakwabiza oku ngokuthi "i-arthritis yentamo." Oku kuyinxalenye yenkqubo yendalo yokwaluphala.
Ixhaphake kangakanani le meko?
Oku kuqheleke kakhulu kunokuba unokucinga. Enyanisweni, njengoko sikhula, njengolunye utshintsho emizimbeni yethu, imiqolo yethu iqala ukutshintsha. Oku kubola kunokuqala kwangethuba xa uneminyaka engama-30 ubudala . Xa uneminyaka engama-60 ubudala, malunga nabantu abalithoba kwabalishumi (9/10) bane-cervical spondylosis ethile.
Kodwa into ebalulekileyo kukuba ayinguye wonke umntu onale meko kwaye akanazo iimpawu. Uninzi lwabantu lunokuphila ngaphandle kwentlungu okanye ukungonwabi.
Zingaba yintoni iimpawu zoku?
Abanye abantu basenokungabi nazo kwaphela iimpawu. Nangona kunjalo, ukuba iimpawu ziyavela, zinokuhluka kumntu nomntu. Ezi zezona mpawu zixhaphakileyo.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yentamo | Olu luphawu oluphambili. Ngamanye amaxesha le ntlungu ingahamba emagxeni nasezingalweni. |
| Ukuqina kwentamo | Ubunzima bokujika intamo, ukujonga phezulu, okanye ukujonga ezantsi. Oku kunokubonakala ngakumbi xa uvuka kusasa. |
| Isandi esivela ekujikeni intamo | Isandi esithi "ukuqhekeka" okanye "ukuqhekeka" sivakala xa intamo ishukunyiswa isiya phambili nangasemva. Oku kubangelwa kukukhuhlana kwamathambo agugileyo. |
| Ukuqaqamba kwemisipha | Izihlunu entanyeni nasemagxeni zivakala ziqinile kwaye zibotshelelwe. |
| Intloko ebuhlungu | Ezi ntloko ziqala ngasemva kwentamo nasentloko, zize emva koko ziye ebunzini. |
| Isiyezi | Abanye abantu banokuziva benesiyezi xa ngequbuliso bejika intamo okanye bejonga phezulu. |
Kutheni sijamelene nale meko?
Eyona sizathu soku kukwaluphala . Oku kungenxa yotshintsho olwenzeka kwi-vertebrae yentamo yethu ngokuhamba kwexesha. Makhe sibone ukuba loluphi olo tshintsho.
- Isifo seDiski esiwohlokayo: Kukho "idiski" phakathi kwamathambo amabini entanyeni yethu. Oku kufana nesixhobo sokufunxa uvalo esenziwe ngento efana nejeli. Njengoko sikhula, umthamo wamanzi wale disk uyancipha, uyoma, kwaye uyancipha. Emva koko isithuba esiphakathi kwamathambo amabini siyancipha, kwaye amathambo aqala ukukhuhlana.
- Idiski yeHerniated:Ngamanye amaxesha isigqubuthelo sangaphandle sale diski siyabuthathaka, sivumele izinto ezifana nejeli ngaphakathi ukuba ziphume. Oku kubizwa ngokuba yi-herniated disc. Ukuba inxalenye ephumayo icinezela umthambo okufutshane nomthambo, inokubangela intlungu kunye nokurhawuzelela okunokuphuma engalweni.
- Ukwakheka kwe-bone spurs (ii-Osteophytes): Njengoko idiski iphela, umzimba uzama ukuqinisa umqolo. Ukuze kulungiswe, umzimba udala i-bone spurs eyongezelelweyo emaphethelweni e-vertebrae. Oku sikubiza ngokuba yi-bone spurs. Nangona ezi zihlala zingeyongxaki, ngamanye amaxesha ezi thambo zintsha zinokucinezela imithambo-luvo okanye i-spinal cord.
- I-Spinal Stenosis: I-spinal cord , ingcambu yemithambo-luvo ephambili ephuma ebuchotsheni, idlula kwi-vertebrae yethu. Ngenxa yezizathu ezikhankanyiweyo apha ngasentla (i-disc herniation, i-bone spurs), lo mjelo womgogodla unokuba mxinwa. Oku kunokubangela ukucinezelwa kwe-spinal cord.
Zeziphi izinto ezibangela umngcipheko wale meko?
Nangona ukwaluphala kuyeyona nto iphambili ebangela oku, ezinye izinto zinokunyusa umngcipheko wale meko.
- Ubudala: Abantu abangaphezu kweminyaka engama-60 ubudala basengozini enkulu.
- Ukutshaya: Ukutshaya kunciphisa ukuhanjiswa kwegazi kwiidiski, nto leyo ekhawulezisa ukuguguleka kwazo.
- Umsebenzi: Abantu abasebenza kwimisebenzi ebacinezela iintamo zabo imini yonke basengozini enkulu. Umzekelo, umntu ojonga ikhompyutha imini yonke, umntu opeyintayo ejonge eluphahleni, okanye umntu ophakamisa iintsimbi.
- Ukulimala entanyeni: Ukuba bekukho ukwenzakala entanyeni ngaphambili, loo ndawo isenokuba buthathaka kwaye le meko inokukhula ngokukhawuleza.
- Ilifa: Ukuba kukho umntu kusapho lwakho onayo le meko, usenokuba namathuba amaninzi okuba nayo.
Zeziphi iingxaki ezinokubangela oku?
Kubantu abaninzi, i-cervical spondylosis ayiyongxaki inkulu. Nangona kunjalo, kwiimeko ezingaqhelekanga, ukuba le meko icinezela imithambo-luvo okanye umqolo, inokukhokelela kwiingxaki ezinkulu.
- I-Cervical Myelopathy: Le yimeko apho umqolo entanyeni ucinezelwa khona. Le yimeko enzulu ngakumbi. Inokubangela ukungaziva mnandi kwiingalo nasemilenzeni, ubuthathaka, ubunzima bokuhamba, kunye nobunzima bokulawula ukuchama okanye ukuhamba kwamathumbu.
- I-Cervical Radiculopathy: Le yi-nerve ecinezelekileyo ephuma emgogodleni. Oku kunokubangela iintlungu eziqatha, ukungaziva, okanye ubuthathaka bemisipha obuphuma engalweni. Ingavakala ngathi kukubetheka ngombane.
Kubalulekile: I-cervical spondylosis ayichaphazeli ingqondo yakho.Le yimeko enxulumene ngokupheleleyo ne-vertebrae kunye neediski entanyeni.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha ngenxa yeentlungu zentamo, uza kuqala akubuze ngeempawu zakho aze emva koko enze uvavanyo lomzimba.
Ungazijonga ezi zinto apho:
- Umgama onokugoba nokuguqula intamo yakho (ukuguquguquka kwentamo).
- Injani amandla emisipha ezingalweni nasemilenzeni yakho?
- Ukuvavanya ingqondo yakho.
- Ukujonga indlela ohamba ngayo.
Emva kolu vavanyo lokuqala, ukuba kuyimfuneko, ugqirha uza kukuthumela kwiimvavanyo ezongezelelweyo.
Zeziphi iimvavanyo ezenziwayo koku?
- I-X-reyi: Oku kunokujonga imeko yamathambo entanyeni, ukuba kukho na i-bone spurs, kunye nokuba isithuba esiphakathi kwamathambo omqolo sinciphile na.
- I-CT Scan: Oku kunokuvelisa imifanekiso yamathambo enamacala amathathu ngokweenkcukacha ezingaphezulu kune-X-ray.
- I-MRI Scan: Olu lolona vavanyo lubalulekileyo kuba lubona ngokucacileyo kungekuphela nje amathambo, kodwa kwanezicubu ezithambileyo ezifana neediski, imithambo-luvo, kunye nomqolo. Lunokubona ngokuchanekileyo ukuba idiski ityibilikile okanye imithambo-luvo icinezelwe.
- I-Myelogram: Oku kuquka ukufaka idayi ekhethekileyo kulwelo olujikeleze umqolo kunye nokwenza i-CT scan. Oku kunokubona ngokucacileyo iindawo ezixineneyo zomqolo.
- Uphononongo lwe-EMG kunye noLawulo lweMithambo: Olu vavanyo lunokujonga ukuba imithambo-luvo yakho isebenza kakuhle na nokuba imiqondiso ithunyelwa kwimisipha yakho ngokufanelekileyo na. Ukuba imithambo-luvo iyacinezelwa, olu vavanyo lunokuqinisekisa oko.
Yeyiphi eyona ndlela ilungileyo yokunyanga oku?
Unyango olungcono lolo lulawula iimpawu zakho kwaye lukuncede uphile ubomi obuqhelekileyo. Amaxesha amaninzi, oogqirha baqala ngonyango olulula, olungenalo utyando.
| Indlela yonyango | Inkcazo |
|---|---|
| Ulungiso lwenyama | Oku kubaluleke kakhulu. Ingcali yezonyango eqeqeshiweyo iya kukufundisa imithambo yokuqinisa izihlunu zentamo yakho nokwandisa ukuguquguquka. Iya kukufundisa nendlela yokugcina ukuma okufanelekileyo. |
| Izibulali-ntlungu | I-Paracetamol okanye ezinye iintlungu (umz. i-Ibuprofen, i-Diclofenac) zingasetyenziswa ngokwengcebiso kagqirha. Iziphumzi zemisipha nazo zinganikwa. Musa ukusebenzisa naziphi na iintlungu ixesha elide ngaphandle kwemvume kagqirha wakho. |
| Ukuthosa okushushu okanye okubandayo | Ukufaka ibhotile yamanzi ashushu okanye ipakethe yomkhenkce kwindawo ebuhlungu kwaye iqinile malunga nemizuzu eli-15 izihlandlo ezininzi ngemini kunokubonelela ngesiqabu. |
| Ikhola ethambileyo | Ugqirha wakho angacebisa ukuba uyinxibe okwethutyana nje njengenkxaso yentamo. Oku kuya kunceda ukuphumza izihlunu zentamo. Nangona kunjalo, ukuyisebenzisa rhoqo kunokwenza buthathaka izihlunu, ngoko ke yisebenzise kuphela njengoko ugqirha wakho eyalele. |
Ukuba olu nyango lulula aluyilawuli intlungu, okanye ukuba kukho imeko efana nokucinezelwa kwemithambo-luvo, ugqirha wakho unokukuthumela kwezinye iindlela zonyango, ezifana nenaliti ye-cervical epidural steroid okanye i-radiofrequency ablation.
Kwiimeko ezingaqhelekanga kakhulu, ezifana nokucinezelwa okukhulu kwentambo yomqolo (iMyelopathy), utyando (utyando lweSpinal Fusion) nalo lunokucetyiswa.
Ndingazinyamekela njani?
Nangona esi sisifo esingapheliyo esingenakunyangwa, ungazilawula iimpawu zakho kwaye ugcine umgangatho wobomi bakho ulungile.
- Gcina ukuma kakuhle: Gcina umqolo wakho uthe tye ngelixa uhleli, umile, kwaye usebenza. Gcina isikrini sekhompyutha yakho sikwinqanaba lamehlo.
- Ziphephe izinto ezikubangela ubunzima entanyeni: Thatha ikhefu ngamanye amaxesha xa usenza izinto ezinjengokujonga phantsi ngelixa usebenzisa ifowuni yakho okanye ukujonga phezulu ngelixa usebenza.
- Lumka ngendlela olala ngayo: Sebenzisa umqamelo onika inkxaso entle entanyeni kwaye ungaphakami kakhulu. Lala ngecala okanye ngomqolo. Ukulala ngesisu kubeka uxinzelelo olungeyomfuneko entanyeni yakho.
- Umthambo:Cela ugqirha wakho okanye ingcali yezonyango ukuba akunike umthambo olula wokuqinisa intamo kwaye uwenze yonke imihla.
- Ukulawula ubunzima kunye nendlela yokuphila enempilo: Kuphephe ukutshaya. Yitya ukutya okunempilo. Oku kulungile kwimpilo yakho yonke yamathambo.
Ndifanele ndimbone nini ugqirha?
Ukuba unentlungu entanyeni okanye ukuqina kwentamo okungapheli emva kweentsuku ezimbalwa, qiniseka ukuba ubona ugqirha. Kwakhona, yazisa ugqirha wakho ukuba sele usebenzisa amayeza kwaye iimpawu zakho ziya zisiba mandundu.
| Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko | |
|---|---|
Ukuba unempawu enye okanye ezingaphezulu kwezi zingezantsi kunye nentlungu yentamo yakho, isenokuba luphawu lwemeko embi kakhulu. Ngoko ke yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. | |
| 🚨 | Ukuba intlungu yentamo iya isiba mandundu . |
| 🚨 | Ukuba uziva urhawuzelelwa okanye ungenamthungo ezandleni zakho. |
| 🚨 | Ukuba uziva ngathi ulahlekelwa yibhalansi yakho ngelixa uhamba. |
| 🚨 | Ukuba izihlunu ezingalweni okanye emilenzeni yakho zibuthathaka kwaye zivakala zinzima . |
| 🚨 | Ukuba unemeko apho ungakwazi ukulawula umchamo okanye ilindle lakho . |
Umyalezo Wokuya Ekhaya
- I-cervical spondylosis kukuwohloka kwamathambo omqolo kunye neediski entanyeni njengoko sikhula. Le yimeko eqhelekileyo kakhulu.
- Abantu abaninzi abanazo iimpawu. Iimpawu zingabandakanya iintlungu zentamo, ukuqina kwayo, kunye nentloko ebuhlungu.
- Nangona ingenakunyangwa ngokupheleleyo, unyango lomzimba, amayeza, kunye notshintsho kwindlela ophila ngayo kunokukunceda ulawule iimpawu zakho kwaye uphile ubomi obuqhelekileyo.
- Ukugcina ukuma okuchanekileyo kunye nokuzilolonga entanyeni kubaluleke kakhulu.
- Ukuba uneempawu ezinzulu, ezinje ngokuba ndindisholo kwiingalo zakho nasemilenzeni, ubuthathaka, okanye ubunzima bokuhamba, funa ingcebiso kagqirha ngokukhawuleza. Kungcono ukuthetha nogqirha ngaphandle kokoyika.
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