Ingaba nawe uneentlungu ezihlala zisenzeka emqolo nasentanyeni? Isenokuba ibangelwa yiDegenerative Disk Disease!

Ngaba ngamanye amaxesha ukhe uve iintlungu zomqolo, ukuqina kwentamo, okanye intlungu yokudubula phantsi kweengalo zakho? Ngaba le ntlungu ibonakala iba mandundu xa uhleli, uphakamisa iintsimbi, okanye uvuka ebhedini kusasa? Abantu abaninzi abazinaki kakhulu ezi mpawu. Nangona kunjalo, oku kunokuba ngumphumo wotshintsho lwendalo olwenzeka kumqolo wethu njengoko sikhula. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi-'Degenerative Disk Disease'. Nangona eli gama livakala ngathi sisifo, asisosifo ngokwenene, kodwa ligama elinikwa ukuwohloka kweediski kumqolo wethu ngokuhamba kwexesha.

Yintoni i-Degenerative Disk Disease?

Ngamafutshane, oku kukukrazuka kweediski phakathi kwamathambo omqolo kumqolo wethu. Cinga ngomqolo wethu njengeqela leenxalenye ezincinci zamathambo (ii-vertebrae) ezibekwe phezu kwenye. Phakathi kwezi ziqwenga zamathambo, njengezifunxi-gazi emotweni, kukho imiqamelo. Ezi zizinto esizibiza ngokuba ziidiski zomqolo . Zifana nerabha, ziqinile kancinci, kodwa zinezinto ezifana nejeli ngaphakathi.

Ezi discs zinceda umqolo wethu ukuba ugobe, ujijeke, kwaye uphakamise iintsimbi ngokulula. Zikwafunxa ukungcangcazela kunye nokungcangcazela okuza emgogodleni wethu xa sibaleka kwaye sitsiba, zikhusela ingqondo yethu ekonakaleni.

Iidiski zomntu wonke ziyaguga njengoko ekhula. Le yinto yendalo kakhulu. Kufana nemibimbi yolusu lwethu kwaye iinwele zethu zijika zibe ngwevu. Kodwa ngamanye amaxesha, ngenxa yokuguguleka, loo mathambo aqala ukukhuhlana. Kulapho ke intlungu iqala khona.

Le ntlawulo yesixa-mali inokubangela ezinye iingxaki:

• I-scoliosis yabantu abadala : Ukugoba komqolo ecaleni.
• Idiski eneentlungu : Abanye abantu bayibiza le disk eneentlungu, iqhubu, okanye idiski ephukileyo.
• I-Spinal stenosis : Ukuncitshiswa komjelo womgogodla, oyindlela yokungena kwintambo yomgogodla.
• I-Spondylolisthesis : I-vertebra enye ityibilika phezu kwenye.

Leliphi icala lomqolo elichaphazeleka kakhulu yile meko?

I-spinal stenosis ichaphazela kakhulu umqolo wethu ongezantsi (umqolo we-lumbar) kunye nentamo (umqolo wesibeleko) .

1. Isifo seLumbar Degenerative Disc

Emazantsi omqolo wethu, kwindawo esiyibiza ngokuba yi-lumbar region, kukho ii-vertebrae ezinkulu ezintlanu. Oogqirha bazibiza ngokuba yi-L1 ukuya kwi-L5. Phakathi kwezi vertebrae nganye kukho idiski. Uninzi lwexesha (malunga ne-90%) olu qhaqho lwediski lwenzeka kwinxalenye esezantsi yomqolo. Cinga ngomntu ophakamisa iintsimbi ngalo lonke ixesha, okanye umntu ohlala kwindawo enye ixesha elide. Banokuva iintlungu kule ndawo.

2. Isifo seDiski yokuwohloka koMzimba

Oku kwenzeka ngenxa yemisipha ephakathi kwamathambo asixhenxe entanyeni yethu (umqolo wesibeleko). Le misipha inceda kuzo zonke ezi ntshukumo xa sijika intamo yethu phezulu nasezantsi, xa sijonga ukusuka kwelinye icala ukuya kwelinye. Xa imisipha kule ndawo yonakele, xa sijika intamo yethu, xa sijonga phezulu, sinokuziva iintlungu ezibukhali . Ngamanye amaxesha le ntlungu inokuhla neengalo zethu.

3. Isifo seDiski esiwohlokayo samanqanaba amaninzi

Oku kuthetha ukuba umqolo awuyondawo inye kuphela, kodwa amathambo amaninzi, okanye amanqanaba aliqela , ayachaphazeleka. Umzekelo, kunokubakho idiski ye-herniated kumqolo ongezantsi nasentanyeni.

Ixhaphake kangakanani le meko?

Enyanisweni, phantse wonke umntu uqala ukuba neentlungu zomqolo emva kweminyaka engama-40. Nangona kunjalo, ayinguye wonke umntu ofumana iimpawu, oko kukuthi, iintlungu. Malunga ne-5% yabantu abadala banokufumana iintlungu zomqolo ngenxa yoku.

Zithini iimpawu zokuqhekeka koxinzelelo lwethambo lomqolo?

Iimpawu eziqhelekileyo ziintlungu zentamo kunye nentlungu yomqolo. Usenokuva iintlungu ezinje:

• Yintlungu efika iphele, hayi yonke ngaxeshanye. Inokuhlala iiveki okanye iinyanga.
• Intlungu eqala emqolo ongezantsi ize yehle ngeempundu.
• Intlungu iyanda xa uhleli, ugoba phambili, okanye uphakamisa into enzima.

Ivakala njani le ntlungu?

Le ntlungu inokuba:

• Inokwenzeka entanyeni okanye emqolo ongezantsi.
• Ingavakala kancinci, phakathi, okanye kabukhali .
• Ingavakala ibukhali, ihlaba, okanye inciphile .
• Isenokuvela, inyamalale okwethutyana, ize ivele kwakhona.
• Intlungu inokwanda emva kwemisebenzi ethile, efana nokugoba phambili, ukujika, okanye ukuphakamisa into enzima.
• Intlungu inokwanda kancinci kancinci ngokuhamba kwexesha.

Zithini izizathu zokuqhekeka koxinzelelo lwethambo lomqolo?

Njengoko besikhe sathetha ngaphambili, olu hlobo lokudumba luyinto yendalo yokwaluphala. Le meko ichaphazela abantu abaninzi, ingakumbi emva kweminyaka engama-40 ubudala. Kodwa ayinguye wonke umntu ova iintlungu.

Usenokuva iintlungu ngenxa yezi zizathu zilandelayo:

1. Ukomisa: Izicubu ezithambileyo ngaphakathi kwithambo lethu lomqolo ikakhulu ngamanzi. Njengoko sikhula, lo mthamo wamanzi uyancipha ngokwemvelo. Iidiski ziba ncinci kwaye azikwazi ukufunxa ukuthuthumela. Cinga ngento eyenzekayo xa isiponji somile. Kunjalo.

2. Ukukrazuka okanye ukuqhekeka kwi-ligament: Iingozi ezincinci, ukuwa, kunye nokuphakamisa okungafanelekanga kunokubangela ukukrazuka okanye ukuqhekeka okuncinci kwezi ligaments. Ezi krazukileyo zihlala zikufutshane nemithambo-luvo. Nokuba oku kukukrazuka okuncinci, kunokubangela ukudumba kunye nemithambo-luvo ejikelezileyo.Ingabangela intlungu. Ngamanye amaxesha, ukuba udonga lwangaphandle lwediski luyaqhekeka, inxalenye engaphakathi ingaphuma. Yiloo nto siyibiza ngokuba yi-'Herniated disc'. Oku kungacinezela nomthambo okufutshane.

Ziziphi izinto ezibangela umngcipheko kule meko?

Le meko ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-40 ubudala. Nangona kunjalo, kukho ezinye izinto ezinokunyusa umngcipheko wokuba nayo:

• Iingozi: Izinto ezifana nokuwa.
• Ukutyeba kakhulu: Ubunzima bomzimba obandayo.
• Isini: Abafazi banamathuba amaninzi okuba neempawu.
• Ukutshaya.
• Ukusebenza kumsebenzi onzima: Kwabo badla ngokuphakamisa iintsimbi ezinzima baze benze umsebenzi obenza baxinezeleke emqolo.

Ngaba kukho umngcipheko wokufumana ezinye izifo ngenxa ye-spinal stenosis?

Ewe, iidiski ezigugileyo zinokunyusa umngcipheko wezinye iingxaki zomqolo. Ezinye zezona meko zixhaphakileyo zezi:

• I-Osteoarthritis
• I-Scoliosis
• I-stenosis yomgogodla
• I-Spondylolisthesis
• Intlungu ebangelwa kukucinezelwa kweengcambu zemithambo-luvo (i-Radiculopathy)
• I-Spondylolysis ( ukuqhekeka kwenxalenye ye-vertebra )

Oogqirha bayixilonga njani le meko?

Ukuze afumanise esi sifo, ugqirha wakho uza kuqala akubuze ngeempawu zakho. Basenokubuza imibuzo efana nale:

• Iqale nini intlungu?
• Uziva phi iintlungu?
• Zeziphi izinto oziva uziva ubuhlungu kakhulu xa uzenza?
• Ziziphi izinto ezinciphisa iintlungu?
• Ngaba bekukho ingozi, njengokuwa, ngaphambi kokuba intlungu iqale?
• Ngaba kukho ezinye iimpawu, ezinjengokungaziva okanye ukulahlekelwa zingqondo?
• Ungahamba umgama ongakanani ngeenyawo?

Emva koko, ugqirha uza kukuxilonga. Usenokuyalela iimvavanyo zomfanekiso ezifana ne-X-ray, i-CT scan, okanye i-MRI scan . Ezi mvavanyo zinokunika ugqirha umbono olungileyo ngemeko yamalungu akho kunye nendlela abekwe ngayo.

Ezi zinto zilandelayo zinokubonwa ngexesha lovavanyo lomzimba:

• Umsebenzi wemithambo-luvo: Ihamile encinci (ihamile ye-reflex) isetyenziselwa ukuchukumisa idolo. Ukuba akukho mpendulo ingako, i-nerve isenokucinezelwa okanye yonakale.
• Amanqanaba entlungu: Baza kuchukumisa baze bacinezele kwiindawo ezithile zomqolo wakho nentamo ukuze babone ukuba uziva intlungu engakanani.
• Amandla: Ukujonga ubuthathaka okanye ukudinwa kwemisipha. Oku kungaba luphawu lokonakala kwemithambo-luvo okanye ukuwohloka kwayo.

Zithini izigaba zokuhlanganiswa komgogodla?

Oogqirha bathetha ngamanqanaba amane aphambili xa bexilonga le meko:

1. Ukungasebenzi kakuhle:Amathambo akho aqala ukuguga. Usenokuba uneempawu ezibuthathaka.

2. Ukuphelelwa ngamanzi emzimbeni: Amalungu aqala ukoma, alahlekelwe bubude bawo kunye nokuguquguquka kwawo. Iintlungu zentamo nomqolo zinokwanda ngeli nqanaba.

3. Ukuzinza: Ngeli nqanaba, umqolo uzama ukuzinza. Oku kunokukhokelela kwiimeko ezifana nokuxinana komqolo (ukuncitshiswa komjelo womqolo) kunye nentlungu eqatha.

4. Ukuwa: Amathambo omqolo axinene ngakumbi, kwaye amathambo (ii-vertebrae) kumqolo aqala ukukhuhlana. Amathambo omqolo onakeleyo acinezela imithambo-luvo, nto leyo ebangela iintlungu eziqatha.

Iphathwa njani le nto?

Amaxesha amaninzi, oogqirha baya kucebisa iindlela zonyango ezingahlaseliyo kuqala. Unyango lwakho lungabandakanya:

• Unyango lomzimba: Ukuzibandakanya kwimithambo yokuqinisa nokolula phantsi kwesikhokelo sonyango lomzimba oluqeqeshiweyo. Oku kunceda ukuqinisa izihlunu ezijikeleze umqolo nokunciphisa iintlungu.
• Amayeza: Izinto ezifana nezithomalalisi zentlungu kunye namayeza okulwa nokuvuvukala (ii-NSAID), i-acetaminophen, amayeza okuguqula imithambo-luvo, okanye ii-steroids.
• Iinaliti ze-steroid: Ukujova amayeza kumqolo wakho, kwimithambo-luvo, okanye kumalungu ukuze kuncitshiswe ukudumba kunye nentlungu.
• I-Radiofrequency neurotomy: Inkqubo esebenzisa amaza ombane ukutshisa imithambo-luvo ethwala iintlungu, ithintela imiqondiso yentlungu ukuba ingafiki engqondweni.

Ukuzinyamekela ekhaya

Abanye abantu banokufumana isiqabu kwiintlungu ngamayeza asekhaya. Nangona la mayeza anokunceda ekunciphiseni iintlungu okwethutyana, ayisiso isisombululo sexesha elide kubantu abaneentlungu ezinzima. Ungazama ezi zinto:

• Umsebenzi womzimba: Ukuzilolonga okungenampembelelo ingako njengokuhamba nokudada kunokuqinisa izihlunu zomqolo kwaye kunciphise iintlungu.
• Unyango olushushu nolubandayo: Ukutshintsha iipakethi zomkhenkce kunye nee-heating pads imizuzu eli-10-15 kane ngemini kunokunceda ekunciphiseni ukudumba kunye nentlungu.
• Ukolula: Ukwenza umthambo wokuzolula kancinci njengeyoga imini yonke kunokuphucula indlela oma ngayo umzimba kwaye kunciphise uxinzelelo.
• Ukutsala: Ngamanye amaxesha ukutsala kunokunceda ukunciphisa iimpawu kunye nokunciphisa uxinzelelo. Nangona kunjalo, oku kufanele kwenziwe kuphela phantsi kwengcebiso kagqirha.

Utyando lokulungisa amathambo omqolo

Uninzi lwabantu aludingi utyando ngenxa yesi simo. Nangona kunjalo, ukuba uzame unyango oluninzi olungelulo utyando kwaye uqhubeka unentlungu kunye/okanye ubuthathaka, utyando lunokuba lukhetho olufanelekileyo.

Ugqirha wakho angenza olunye lwezi ntlobo zotyando lokunciphisa uxinzelelo lomqolo:

• `I-Diskectomy`: Ukususwa kwenxalenye yediski yomqolo ukuze kuncitshiswe uxinzelelo lwemithambo-luvo.
• I-Foraminotomy: Ukususwa kwezicubu kunye namathambo ukuze kwandiswe umngxuma apho iingcambu zemithambo-luvo ziphuma khona.
• Ukususwa kwethambo: Ukususwa kwethambo elincinci elibizwa ngokuba yi-lamina ye-vertebra emqolo ongezantsi.
• Ukususwa kwe-osteophyte: Ukususwa kwe-bone spurs (ii-osteophyte ).
• Ukuhlanganiswa komqolo: Ukuhlanganiswa kwamathambo omqolo amabini okanye ngaphezulu ukuze komelezwe ukuzinza komqolo.

Singayithintela njani le meko ukuba ingabi mbi ngakumbi?

Ungathintela okanye unciphise isantya sokukhula kwale meko yomqolo ngokwenza utshintsho kwindlela ophila ngayo. Ezinye zezi zinto ziquka:

• Ukugcina ubunzima bakho busempilweni.
• Kuphephe okanye uyeke ukutshaya. Ukutshaya kuyingozi kakhulu kule meko.
• Zilolonge rhoqo ukuze womeleze amandla kwaye ube bhetyebhetye.

Ngaba ukuchacha ngokupheleleyo kunokufezekiswa ngokuhlawulela i-spinal tap?

Abantu abaninzi abenza utyando ngenxa yesi simo bafumana isiqabu sentlungu ixesha elide . Nangona kunjalo, kufuneka uqhubeke nokuzilolonga kwaye wenze umthambo wokuzolula ukuze ugcine umqolo wakho uqinile kwaye usempilweni nokuba sele utyando luphelile.

Abantu abaninzi balawula iintlungu zabo ixesha elide ngonyango olungenalo utyando, ekhaya. Ukuba unentlungu yomqolo engaphantsi ukuya kwephakathi, unokufuna unyango oluqhubekayo ukuze uyilawule.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uzilolonge rhoqo.

Ukuba ndine-spinal stenosis, yintoni endifanele ndiyiphephe?

Ukuba unale meko, kungcono ukuziphepha ezi zinto zilandelayo:

• Ukutshaya: Ukutshaya kunokunyusa intlungu yakho kwaye kunciphise impumelelo yonyango lwakho.
• Ukuphakamisa iintsimbi: Ukuphakamisa iintsimbi, ingakumbi xa kusenziwa rhoqo, kubeka uxinzelelo olukhulu kwimisipha yakho emqolo.
• Ukusela utywala: Ukusela utywala kakhulu kwandisa umngcipheko weentlungu zomqolo.
• Ukuhlala ixesha elide: Ukuhlala ixesha elide, nokuba kusesofeni okanye phambi kwedesika, kunokwenza intlungu yomqolo ibe mandundu ngakumbi. Ngoko ke, kubalulekile ukuvuka nokuhambahamba rhoqo.
• Umsebenzi womzimba onempembelelo enkulu:Imidlalo kunye nokuzilolonga okunempembelelo enkulu njengokutsiba kunye nokubaleka ngesantya esiphezulu kunokuba nzima emqolo wakho. Endaweni yoko, zama ukuzilolonga okunempembelelo encinci njengokuhamba nokudada.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Yintoni enokuba sisizathu esiphambili sokuba amathambo omqolo wam wesibeleko aguge?
• Singalinciphisa njani isantya apho le meko iba mandundu khona?
• Zeziphi iindlela zonyango ezingezozotyando ezilungileyo zokunciphisa iintlungu zam?
• Kuza kwenzeka ntoni ukuba andityandwanga?
• Ungayithintela njani intlungu ukuba ingabuyi emva kotyando?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Isifo seDiski esiwohlokayo (i-DDD) kukonakala kweediski emgogodleni wethu. Ngelishwa, oku kuyinxalenye yendalo yokwaluphala. Njengoko ezi disci ziwohloka, zihlala zibangela iintlungu nokuqina komqolo. Abanye abantu banokunciphisa iintlungu zabo ngamayeza asekhaya, njengonyango olushushu nolubandayo. Ukuba iintlungu zinzima, ukujova umqolo okanye utyando kunokuba luncedo.

Ukuba uneentlungu zomqolo okanye zentamo, kubalulekile ukufuna ingcebiso kagqirha ngaphandle kokuyityeshela. Ingcali yomqolo ingakunceda ufumanise unyango olulungele wena. Khumbula, okukhona uxilongwa ngokukhawuleza, kokukhona amathuba akho okufumana unyango ayanda!

Intlungu Yomqolo , Intlungu Yentamo, I-Spondylosis Yesibeleko, Isifo Sediski Esiwohlokayo, Umqolo, Intlungu Yemithambo-luvo, Unyango Lomzimba