Ngaba ngequbuliso uqalile ukuba neentlungu zomqolo? Hayi nje kuphela xa ugoba, uphakamisa into enzima, kodwa ngamanye amaxesha naxa uthimla, ngaba uziva iintlungu ezibukhali emqolo wakho? Le nto iqhelekile kubantu abadala, ingakumbi oomama bethu noomakhulu bethu. Sihlala sicinga ukuba oku kukukruneka okanye ukuxinana kwemisipha. Kodwa ngamanye amaxesha unobangela wale ntlungu unokuba yinto enzulu ngakumbi. Yiyo le 'Compression Fracture'. Makhe sithethe ngayo namhlanje.
Ngamafutshane, yintoni ukwaphuka koxinzelelo?
Khawuthelekelele ukuba umqolo wethu wenziwe ngamathambo amancinci abekwe phezu komnye. Sibiza ngalinye lala mathambo ngokuba yi-vertebra. Umqolo wethu wenziwe ngamaninzi ala mathambo. Ukuchaneka, ukwaphuka koxinzelelo kukuqhekeka okuncinci, ukugqabhuka, okanye ukuqhekeka kwenye yala mathambo.
Ezi zifo zidla ngokuvela ngaphambili kwithambo lomqolo, kwindawo etyebileyo nengqukuva. Xa ithambo lomqolo elinye okanye amabini ephukile ngale ndlela, amathambo ayabuthathaka aze aqale ukudilika aze abe buthathaka. Ekuhambeni kwexesha, oku kunokuchaphazela indlela esime ngayo. Yiyo loo nto abanye abantu bebonakala begobile.
Nangona le meko inokwenzeka naphi na emgogodleni, ixhaphake kakhulu phakathi komqolo kwinqanaba lesifuba (umqolo weThoracic). Isizathu esiphambili soku yi-osteoporosis, isifo esibangela ukuba amathambo abe buthathaka xa ekhula. Ngaphandle koko, inokubangelwa kukwenzakala okubangelwe yingozi okanye ziithumba ezenza amathambo abe buthathaka.
Ziziphi iintlobo eziphambili zokuqhekeka koxinzelelo?
Oogqirha bahlulahlula la maqhekezo abe ziintlobo ezahlukeneyo, kuxhomekeke kwindlela aqhekeke ngayo. Kulungile ukuba nawe ube nombono omfutshane ngale nto.
| Uhlobo lokuphumla | Ingcaciso elula |
|---|---|
| Ukwaphuka kweWedge | Kule meko, licala langaphambili kuphela le-vertebra elityumkileyo. Ithambo emva koko liba nomfanekiso onxantathu (umfanekiso we-wedge). Olu lolona hlobo luqhelekileyo. |
| Ukuqhekeka kweCrash | Kule meko, akuyonto nje icala elinye lethambo elityumkileyo, kodwa lityumkile lonke ithambo. Kufana nokunyathela itini engenanto kwaye iyaqhekeka. |
| Ukwaphuka Kokugqabhuka | Oku kunzulu kancinci. Ithambo linokwaphuka kwaye iziqwenga zingabhabha yonke indawo. Le yimeko efuna unyango olungxamisekileyo kuba ezi ziqwenga zingonakalisa imithambo-luvo ekufutshane. |
Kwakhona, la maqhekeza anokuba ``Stable`` okanye ``Unstable```.
- Ukuqhekeka okuzinzileyo kuthetha ukuba amathambo aphukileyo awashukumi.
- Ukuqhekeka okungazinzanga yimeko apho iziqwenga zamathambo eziphukileyo zinokusuka endaweni yazo kwaye zonakalise imithambo-luvo kunye nezicubu ezingqongileyo.
Ngaba nawe unazo ezi mpawu?
Iimpawu zokuqhekeka koxinzelelo ngamanye amaxesha zinokuba zingabonakali kangako. Ukuba ngumngxuma omncinci, usenokungaqapheli nto. Kodwa kukho iimpawu eziqhelekileyo ekufuneka uziqwalasele. Jonga ukuba ezi zinto uqhelene nazo.
- Intlungu yomqolo eqala ngequbuliso. Le ntlungu iyaphela xa uphumla, kodwa iyanda xa ushukuma okanye uhamba.
- Ubunzima bokushukumisa umzimba. Kuvakala kunzima ukugoba, ukujika, ukuma, okanye ukuhamba.
- Ukuba ndindisholo okanye ukuphelelwa yimvakalelo emqolo. Oku kunokubangelwa kukuxinana kwemithambo-luvo evela kumathambo aphukileyo.
- Ukuziva iintlungu eziqatha xa ucinezela indawo ebuhlungu ngesandla sakho.
- Ubuthathaka bemisipha okanye ukushukuma kwemisipha.
Ngaphezu kwako konke, enye yeempawu eziphambili abantu abaninzi abaziqaphelayo kukwehla kobude ngokuhamba kwexesha. Oku kwenzeka kuba umqolo uyancipha kancinci kancinci njengoko amathambo ekhula.
Ziziphi izizathu eziphambili zoku?
Ezi ziqhekeka ngenxa yoxinzelelo kwi-vertebrae kumqolo wethu. Kukho izizathu ezintathu eziphambili zoku.
1. I-Osteoporosis: Le yeyona nto iphambili neyona ixhaphakileyo. Njengoko sikhula, amathambo ethu aphelelwa ngamandla ngokwemvelo. Ayancipha aze abe buthathaka. Xa ebuthathaka ngolu hlobo, kwanento encinci inokubangela ukuba ithambo liphuke. Khawucinge nje, ukuphuma emotweni, ukuthimla ngequbuliso, okanye ukujika umzimba wakho ngequbuliso kunokubangela olu hlobo lokwaphuka.
2. Iingozi okanye ukwenzakala: Le meko inokubangelwa kukonakala okukhulu komqolo, njengokuwa okanye ingozi yemoto.
3. Umhlaza: Ezinye iintlobo zomhlaza zinokusasazeka ziye kumqolo, zenze amathambo omqolo abe buthathaka kwaye aphuke.
Ngubani osengozini enkulu?
Ukwasemngciphekweni omkhulu wokufumana le meko ukuba:
- Ukuba ungumfazi oye wadlula kwixesha lokuya exesheni.
- Ukuba unenye ingxaki yempilo echaphazela amandla amathambo.
- Ukuba uneminyaka engaphezu kwama-50 ubudala.
- Ukuba ukhe waphuka ucinezelo ngaphambili.
Ndingayifumana njani le nto kanye?
Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha uza kuqala akuhlole.
- Indawo yakho yomqolo, ukuma kwayo, kunye nokuphakama kwayo kuyajongwa.
- Bacinezela kwiindawo ezahlukeneyo zomqolo ukuze bafumane kanye apho intlungu ivela khona.
- Bajonga umonakalo wemithambo-luvo, ukuba ndindisholo, kunye nobuthathaka.
Emva koko, kuhlolwa iindlela ezahlukeneyo zokuthatha imifanekiso ukuze kuhlolwe ngokuchanekileyo imeko yamathambo, izihlunu kunye nezicubu.
- I-X-ray yomqolo, i-CT scan, okanye i-MRI: Ezi zinto zinokubona ngokucacileyo izinto ezifana nokuqhekeka kwamathambo kunye nokuqhekeka kwawo.
- I-DEXA scan: Olu luhlobo olukhethekileyo lwe-X-ray. Lunceda ekulinganiseni ukuba amathambo akho abuthathaka kangakanani, oko kukuthi, ukuba amathambo akho aphantsi kangakanani.
- I-Myelogram: Oku kuquka ukufaka ulwelo olukhethekileyo (idayi yokwahlulahlula) kwi-spinal cord kunye nokwenza i-CT scan okanye i-X-ray. Oku kuvumela ukuba imifanekiso ibonakale ngokucacileyo.
Yeyiphi eyona ndlela ilungileyo yokunyanga oku?
Unyango luxhomekeke kuhlobo, ubukhali, kunye nesizathu sokwaphuka kwakho. Iinjongo eziphambili zonyango zezi:
- Ukunciphisa iintlungu.
- Ukuzinza komqolo.
- Ukuthintela ukwahlukana kwakhona.
| Indlela yonyango | Inkcazo |
|---|---|
| Izibulali-ntlungu | Ugqirha wakho angakunika amayeza okudambisa iintlungu anjengee-NSAID, iziphumzi zemisipha, okanye amanye amayeza. Thatha amayeza kuphela njengoko eyalelwe ngugqirha wakho. |
| Isixhasi Somqolo | Ibhanti ekhethekileyo enxitywayo ukuxhasa umqolo. Oku kunceda ukunciphisa intshukumo yomqolo nokulawula iintlungu. Inganxitywa malunga neeveki ezi-4 ukuya kwezi-12. |
| Amayeza okuqinisa amathambo | Ukuba une-osteoporosis, uza kunikwa amayeza anjenge-bisphosphonates athintela amathambo ukuba angaphuki ngakumbi. |
| Ulungiso lwenyama | Ingcali yezonyango iza kukufundisa imithambo kunye nokolula umzimba ukuze uqinise izihlunu ezijikeleze umqolo wakho. |
| Utyando | Olu ayilotyando olukhulu oluqhelekileyo. Kwiinkqubo ezibizwa ngokuba yi-"Vertebroplasty" okanye "Kyphoplasty", uhlobo oluthile lwesamente "i-Bone cement" lufakwa kwi-vertebra eqhekekileyo ukuze luqiniswe kwaye luzinze. |
Ngaba oku kungaphilisa ngokwako ?
Ewe, ezinye iintlobo zokwaphuka okulula kokucinezelwa zinokuphola ngokwazo. Kodwa kungathatha iinyanga ezininzi. Ngeli xesha, ugqirha wakho angakucela ukuba unxibe into efana ne-brace ukuqinisekisa ukuba umqolo wakho uphola ngokufanelekileyo. Ukuba unentlungu eyongezelelekileyo okanye ubunzima bokwenza imisebenzi yemihla ngemihla ngelixa uphola, yazisa ugqirha wakho.
Sifanele siye kugqirha nini?
Ukuba unentlungu ebuhlungu emqolo ngequbuliso okanye ezinye iimpawu ezingapheli kwiintsuku ezimbini okanye ezintathu, qiniseka ukuba ubona ugqirha. Kubaluleke kakhulu ukubona ugqirha ngexesha ukuba une-osteoporosis.
Ingxamiseko!
Ukuba ufumana iintlungu eziqatha zomqolo ngequbuliso kunye nayo nayiphi na kwezi mpawu zingezantsi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
* Ubuthathaka okanye ukuba ndindisholo emzimbeni.
* Ukungakwazi ukulawula umchamo okanye ilindle.
* Ifiva.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka koxinzelelo ziintanda ezincinci emathanjeni omqolo (ii-vertebrae). Zixhaphake ngakumbi njengoko sikhula.
- Eyona nto ibangela yi-osteoporosis, imeko apho amathambo aphuka lula, kwaye nokuba yingozi encinci inokubangela ukuba ithambo liphuke.
- Iimpawu eziphambili ziquka intlungu ebuhlungu ngesiquphe emqolo, ubunzima bokugoba, kunye nokulahlekelwa bubude ngokuhamba kwexesha.
- Ukuba uneempawu ezinje, musa ukucinga nje ukuba kukukruneka , kodwa qiniseka ukuba ufuna ingcebiso kagqirha.
- Le meko ingalawuleka kakuhle ngonyango olufanelekileyo, umthambo, kunye notshintsho kwindlela yokuphila.
- Ukuze amathambo akho ahlale eqinile, yitya ukutya okutyebileyo kwi-calcium kunye ne-vitamin D, kwaye ungatshayi.
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