Ngaba nawe uziva uqinile kwaye uqinile xa uvuka ebhedini kusasa? Ngaba uziva iintlungu emqolo xa uvuka emva kokuhlala okwethutyana? Okanye kunzima ukujika intamo okanye ukuhamba? Uninzi lwethu lucinga ukuba olu hlobo lwentlungu yinto eqhelekileyo eyenzekayo njengoko sikhula. Enyanisweni, kuyinyani ukuba imizimba yethu iyatshintsha ngokuhamba kweminyaka. Kodwa namhlanje siza kuthetha ngesizathu esinokubakho sezonyango emva kwale ntlungu. Oko kukuguguleka kweediski ze-intervertebral , okanye 'i-Degenerative Disk Disease' .
Yintoni kanye kanye iDegenerative Disk Disease?
Nangona igama lisithi "isifo," asisosifo ngokwenene. Ngamafutshane, yimeko eyenzeka xa iidiski eziphakathi kwamathambo omqolo wakho ziwohloka njengoko ukhula. Cinga ngomqolo wakho njengeqela lamathambo amancinci (ii-vertebrae) abekwe phezu kwelinye. Ukuze la mathambo angakhuhlani, kukho umqamelo zerabha phakathi kwawo. Siwabiza la madiski ngeediski zomqolo .
Ezi diski zifana 'nezixhobo zokufunxa uvalo' emotweni. Zifunxa uxinzelelo olusemqolo xa sibaleka, sitsiba, sigoba, okanye siphakamisa iintsimbi, kwaye zikhusela umqolo wethu. Njengoko sikhula, kuyinto eqhelekileyo ukuba ezi diski ziguge kwaye zome. Oku kwenzeka kuye wonke umntu ngandlela ithile.
Ingxaki iqala xa le ngqukuva iguga. Emva koko amathambo omqolo aqala ukukhuhlana. Yiyo le nto ibangela iintlungu. Ayipheleli apho, kodwa le meko inokukhokelela kwezinye iingxaki .
| Ezinye iimeko ezinokwenzeka | Ingcaciso elula |
|---|---|
| I-Scoliosis yabantu abadala | Umqolo uqala ukubonakala ngathi utsalwa ecaleni. |
| Idiski yeHerniated | Idiski ehluthwe yi-herniated, etyhala ngaphandle kwaye icinezela imithambo-luvo ekufutshane. |
| I-Spine Stenosis | Ukuncitshiswa kwendlela edlula kwi-spinal cord. |
| I-Spondylolisthesis | Ukutyibilika kwethambo elinye lethambo phambili okanye ngasemva xa kuthelekiswa nelinye. |
Leliphi icala lomqolo elichaphazeleka kakhulu yile meko?
Le meko ichaphazela kakhulu iindawo ezimbini zomqolo: umqolo wethu ongezantsi kunye nentamo yethu.
- Isifo seLumbar Degenerative Disk: Amathambo amahlanu emqolo wethu osezantsi (L1 ukuya kwiL5) anobunzima obukhulu emzimbeni. Ngenxa yoko, umngcipheko weediski kule ndawo uphezulu. Enyanisweni, i-90% yale meko ixelwa kulo mqolo usezantsi. Oku kusenokuba sisizathu sokuba uzive uneentlungu zomqolo kunye nentlungu ephuma emilenzeni yakho.
- Isifo seDiski esiwohlokayo soMzimba: Le meko yenzeka xa iidiski eziphakathi kwamathambo asixhenxe entanyeni yethu ziwohloka. Intlungu xa sijika intamo iphezulu, isezantsi, kwaye isiya emacaleni, kunye nokungakhululeki kweengalo, kwenzeka xa iidiski ezikule ndawo ziwohloka.
- Isifo seDiski esiwohlokayo samanqanaba amaninzi: Ngamanye amaxesha, iidiski ezingaphezu kwesinye, oko kukuthi iidiski ezisentanyeni nasezantsi komqolo, zinokuwohloka ngaxeshanye. Emva koko siyibiza ngokuba yimeko ethi 'Multilevel'.
Into ebalulekileyo kukuba wonke umntu oneminyaka engaphezu kwama-40 ubudala unokuba nokonakala okuthile kwiidiski zomqolo wakhe. Kodwa ayinguye wonke umntu ova iintlungu. Lincinci kakhulu inani labantu abava iintlungu.
Zithini iimpawu zale meko?
Iimpawu eziphambili neziqhelekileyo ziintlungu zomqolo kunye nentlungu yentamo . Le ntlungu inokuviwa ngumntu ngamnye ngendlela eyahlukileyo.
- Intlungu ingafika iphele . Inokuhlala iiveki okanye iinyanga, ize iphele.
- Intlungu ingavela ukusuka emqolo ongezantsi ukuya ezimpundu nasemilenzeni .
- Intlungu iyanda xa uhleli, ugoba phambili, okanye uphakamisa into enzima .
- Kwabanye abantu, iintlungu ziyancipha xa behamba okanye bemi.
Ivakala njani le ntlungu?
| Uhlobo lwentlungu | Inkcazo |
|---|---|
| Indawo | Inokwenzeka entanyeni okanye emqolo ongezantsi. |
| Ubunzulu | Intlungu inokuba ncinci, iphakathi, okanye ibe qatha. |
| Indlela evakalelwa ngayo | Isenokuvakala ngathi kukuhlaba okubukhali, ukuqaqamba, okanye ukuqina. |
| Ixesha | Intlungu ingaqala ize iphele, nto leyo ethetha ukuba ayihlali ihleli. |
| Ukwandisa amathuba | Intlungu inokwanda emva kwemisebenzi ethile, efana nokugoba, ukujika, okanye ukuphakamisa into enzima. |
| Ixesha elidlulele | Intlungu inokwanda kancinci kancinci ngokuhamba kwexesha. |
Kutheni ezi disc zinxitywa? Zithini izizathu?
Njengoko besikhe sathetha ngaphambili, unobangela oyintloko kukwaluphala . Kodwa makhe sijonge ngokusondeleyo ukuba kwenzeka ntoni kwezi diski njengoko zikhula.
1. Ukomisa iidiski: Inxalenye ephakathi yeediski zethu zomqolo ifana nejeli. Uninzi lwazo ngamanzi. Njengoko sikhula, ubungakanani bamanzi kule jeli buyancipha ngokwendalo. Kanye njengokuba isiponji sincipha xa somile, ezi diski nazo ziyancipha kwaye zinciphe. Emva koko amandla azo okusebenza njenge-'shock absorber' ayancipha.
2. Krazula okanye uqhekeke kwiidiski:Iingozi ezincinci, ukuma kakubi, kunye nokuphakamisa okunzima kubomi bemihla ngemihla kunokubangela ukukrazuka okuncinci kwisigqubuthelo sangaphandle sezi disc. Ezi krazu zidla ngokuba kufutshane nemithambo-luvo. Yiyo loo nto nokukrazuka okuncinci kunokubangela intlungu. Ngamanye amaxesha, ukuba oku kukrazuka kuba kukhulu kwaye udonga lwangaphandle lwe disc luyaqhuma, ijeli engaphakathi inokuvuza kwaye icinezele imithambo-luvo. Siyibiza ngokuba yi 'Herniated disc'.
Izinto ezibangela umngcipheko wokuba le meko iqhubeke
Nangona ukwaluphala kuyeyona nto iphambili ebangela oku, izinto ezithile zinokukhawulezisa ukuguguleka kwezi disc kwaye zonyuse umngcipheko wentlungu.
- Iingozi: Iingozi ezifana nokuwa zingonakalisa iidiski.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo lomqolo luyanda, nto leyo enokubangela ukuba iidiski ziphele ngokukhawuleza.
- Isini: Abafazi banamathuba amaninzi okufumana ezi mpawu kunamadoda.
- Ukutshaya: Ukutshaya kunciphisa ukuhanjiswa kwegazi kwiidiski, nto leyo ebangela ukuba zome kwaye ziguge ngokukhawuleza.
- Imisebenzi enzima emzimbeni: Abantu abasebenza kwimisebenzi equka ukuphakamisa izinto ezinzima rhoqo okanye ukutsala umqolo wabo basengozini enkulu.
Ugqirha uyixilonga njani le meko?
Xa usiya kugqirha ngenxa yeentlungu zomqolo, uza kuqala akubuze ngeempawu zakho. Umzekelo:
- Iqale nini intlungu?
- Uziva phi iintlungu?
- Ziziphi izinto ezenza intlungu ibe mandundu?
- Yintoni enceda ukunciphisa iintlungu?
- Ngaba bekukho ingozi ngaphambi kokuba intlungu iqale?
- Ngaba kukho ezinye iimpawu, ezinje ngokuba ndindisholo okanye ubuthathaka emilenzeni, kunye nentlungu?
- Ungahamba umgama ongakanani ngexesha elinye?
Emva koko, ugqirha uza kukuhlola. Ngeli xesha, ukusebenza kwemithambo-luvo yakho (njengokubethela idolo lakho ngesando esijikelezayo), iindawo zentlungu (ngokucinezela iindawo ezithile zomqolo wakho), kunye namandla emisipha kunokuvavanywa.
Ukuqinisekisa le meko, ugqirha wakho udla ngokucebisa ukuba kwenziwe iskeni efana ne-X-ray, i-CT scan, okanye i-MRI. Ezi scan zinokubona ngokucacileyo imeko yeediski zakho zomqolo kunye nendlela ezibekwe ngayo.
Zithini iindlela zonyango zoku?
Abantu abaninzi bacinga ukuba ukuba banentlungu emqolo, ngokuqinisekileyo kuya kufuneka benze utyando. Kodwa oko akuyonyani. Abantu abaninzi banokufumana isiqabu ngonyango olungenalo utyando. Ugqirha uya kuqala azame ukubathumela kunyango olunjalo.
Unyango Olungelulo Utyando
- Unyango Lomzimba: Olu lunyango olubaluleke kakhulu. Ukuzilolonga okuqinisa izihlunu zomqolo nezesisu, kunye nokuzilolonga phantsi kwesikhokelo sogqirha wezonyango oqeqeshiweyo, kunokunciphisa kakhulu iintlungu.
- Amayeza: Ugqirha angakunika amayeza okuthomalalisa iintlungu kunye namayeza okulwa nokuvuvukala afana nee-NSAID, i-paracetamol, amayeza eentlungu zemithambo-luvo, okanye ii-steroids.
- Iinaliti ze-steroid: Ukuba iintlungu zinzima, inaliti ye-steroid kwimithambo-luvo yomqolo, kwiidiski, okanye kumalungu inokunciphisa ukudumba kunye nentlungu.
- I-Radiofrequency Neurotomy: Oku kuquka ukusebenzisa amaza ombane ukucima imithambo-luvo ethwala iintlungu eziya engqondweni. Oku kukwanceda ekunciphiseni iintlungu.
Izinto onokuzenza ekhaya
- Ukuzilolonga: Ungaziqinisa izihlunu zakho zomqolo ngokwenza umthambo ongenampembelelo ingako, njengokudada nokuhamba.
- Unyango olushushu nolubandayo: Ukufaka ibhotile yamanzi ashushu okanye ipakethe yomkhenkce imizuzu eli-10-15 kunokunceda ukunciphisa iintlungu nokudumba. Ungazitshintsha zombini ezi zinto.
- Ukolula: Ukwenza umthambo wokuzolula kancinci njengeyoga imini yonke kunokunceda ukulungisa ukuma komzimba nokunciphisa ukuqina komzimba.
Utyando
Ugqirha unokucebisa utyando kuphela ukuba unyango olungelulo utyando aluniki ncedo, ukuba intlungu iyaqhubeka, kwaye kukho iimpawu ezifana nokungaziva mnandi emilenzeni.
Kukho iintlobo ezininzi eziphambili zotyando. Ezi ziquka i-'Diskectomy' (ukususwa kwenxalenye yediski), i-'Laminectomy' (ukususwa kwenxalenye ye-vertebra ukuvumela ukufikelela kwimithambo-luvo), kunye ne-'Spinal fusion' (ukudibanisa amathambo amabini okanye ngaphezulu ukuze azinzise). Ugqirha wakho uya kugqiba ukuba loluphi utyando olulungele wena.
Ngaba le meko ingathintelwa ukuba ingabi mbi ngakumbi?
Ewe, ngokuqinisekileyo unako. Ukwenza utshintsho oluncinci kwindlela ophila ngayo kunokucothisa ukuguguleka kwezi disc kwaye kuncede ekulawuleni iintlungu.
- Gcina ubunzima obusempilweni obufanela umzimba wakho.
- Ukuba uyatshaya, yeka namhlanje.
- Zilolonge rhoqo, ingakumbi imithambo eqinisa umqolo wakho kunye nemisipha yesisu.
- Hlala ume ngendlela efanelekileyo. Gcina umqolo wakho uthe nkqo xa uhleli, umile, kwaye uphakamisa iintsimbi.
- Lumka xa uphakamisa iintsimbi. Phakamisa iintsimbi ugobile amadolo akho nomqolo wakho uthe tye.
- Musa ukuhlala kwindawo efanayo ixesha elide. Ukuba usebenza eofisini, vuka uhambe-hambe ubuncinci rhoqo emva kwesiqingatha seyure.
Umyalezo Wokuya Ekhaya
- Isifo seDiski esiwohlokayo asisosifo, kodwa yimeko yendalo eyenzeka xa umntu ekhula.
- Nokuba iipleyiti zomntu wonke zigugile, bambalwa abantu abava iintlungu.
- Uphawu oluphambili ziintlungu zomqolo okanye entanyeni. Le ntlungu inokuba mandundu xa uhleli okanye ugobile.
- Abantu abaninzi banokuchacha ngonyango olungenalo utyando olufana nokutshintsha indlela yokuphila, unyango lomzimba, kunye namayeza.
- Ukuba unale mpawu, musa ukwenza izigqibo wedwa, kodwa qiniseka ukuba ubonana nogqirha ofanelekileyo ukuze akuxilonge kwaye akunyange ngokufanelekileyo.
Intlungu yomqolo, intlungu yentamo, i-vertebrae, isifo sediski esiwohlokayo i-sinhala, intlungu yomqolo i-sinhala, idiski yomqolo
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