Ngaba wakha waba nentlungu enzima evakala ngathi kukubetheka ngombane emqolo xa ugoba ukuze uthabathe into enzima? Okanye wakha waziva intlungu ebukhali entanyeni yakho eyenza kube nzima ukujika intloko yakho okanye ukurhawuzelelwa okuhamba engalweni yakho xa uvuka kusasa? Uninzi lwethu lukhe lwaba nale meko ubuncinane kanye ebomini bethu. Uninzi lwexesha, siyibiza ngokuba "kukukrwempa komqolo" okanye "idiski etyibilikayo." Ngoko ke namhlanje siza kuthetha ngemeko echaphazela wonke umntu, ngokwezonyango ebizwa ngokuba yi-"Herniated Disk". Ungakhathazeki, oku akuyongozi njengoko ucinga. Masifikelele ezantsi, ngokulula nangokuchanekileyo.
Ngamafutshane, yintoni idiski ye-herniated?
Cinga ngomqolo wakho njengeqela lamathambo amancinci (esiwabiza ngokuba yi-'vertebrae') abekwe phezu kwelinye. Ukuze la mathambo angakhuhlani, njenge-'shock absorbers' emotweni, kukho imiqamelo engqukuva efana nomatrasi phakathi kwamathambo. Ezi zizinto esizibiza ngokuba yi-'disks'. Ezi disc zisivumela ukuba sigobe phambili, sibuyele umva, kwaye sijike lula.
Le diski ifana nedonathi enejam kuyo. Ineqokobhe langaphandle eliqinileyo kunye nenxalenye yangaphakathi ethambileyo efana nejeli. Njengoko sikhula, ngenxa yokuma okubi okuphindaphindiweyo okanye ingozi yequbuliso, inxalenye engaphandle eqinileyo yale diski inokuba buthathaka kwaye kungenziwa umngxuma omncinci. Emva koko inxalenye efana nejeli ngaphakathi ingaphuma kuloo mngxuma. Yiyo loo nto siyibiza ngokuba yi-`(Herniated Disk)` okanye `(ruptured disk)`. Phakathi kwethu, oku kwaziwa ngokuba yi-`slipped disk` okanye "slipped disc".
Inxalenye yediski ephuma ngolu hlobo icinezela umqolo okufutshane kunye nemithambo-luvo ephuma kuwo. Kulapho siqala khona ukuva iimpawu ezifana neentlungu, ukungaziva, kwaye ngamanye amaxesha ubuthathaka kwimilenze yethu.
Nangona abantu abaninzi besithi "idiski etyibilikileyo," okwenzekayo kukuba idiski ayityibiliki isiya phambili nangasemva. Okwenzekayo kukuba izinto ezingaphakathi kuyo ziyatyibilika.
Nangona le meko inokwenzeka naphi na emgogodleni, idla ngokubonakala kumqolo ongezantsi (umqolo we-lumbar) kunye nentamo (umqolo wesibeleko). Ayiqhelekanga kakhulu kumqolo wesifuba.
Ngaba ndine-herniated disc? Zithini iimpawu?
Iimpawu zixhomekeke ekubeni idiski idumbile phi emgogodleni. Makhe sijonge ukuba ivakala njani kwiindawo ezimbini eziphambili.
| Indawo ekuyo idiski | Iimpawu onokuzifumana |
|---|---|
| Umqolo osezantsi (iHerniated Lumbar Disk) |
|
| Intamo (Idiski Yesibeleko Ene-Herniated) |
|
Kutheni oku kusenzeka? Izizathu kunye nezinto ezibangela umngcipheko
Njengoko besixoxile ngaphambili, isizathu esiphambili kukuba isingxobo sangaphandle sediski sibuthathaka, nto leyo ebangele ukuba into efana nejeli ngaphakathi iphume. Kukho izinto ezininzi ezinokuchaphazela oku.
Izizathu eziphambili:
- Ukwaluphala: Njengoko sikhula, umthamo wamanzi kwiidiski zethu uyancipha, nto leyo eyenza ukuba zome kancinci kwaye zingaguquguquki kangako. Oku kwenza ukuba ziqhekeke nokuba zichaphazeleke kancinci.
- Iingozi: Ukubetheka kakhulu emgogodleni, njengokuwa ngequbuliso okanye ingozi yemoto, kunokonakalisa idiski.
- Ukuma kakubi: Ukusebenza umqolo wakho ugobile ixesha elide, ukuphakamisa iintsimbi ngendlela engafanelekanga, njl. njl. kunokunyusa uxinzelelo kwiidiski kancinci kancinci kwaye kubangele umonakalo. Cinga ngomntu osebenza eofisini iiyure ezininzi umqolo wakhe ugobile. Abantu abanjalo basengozini enkulu.
- Ukuphakamisa iintsimbi ezinzima: Ukuphakamisa iintsimbi ezinzima ngaxeshanye ngaphandle kwesimo esifanelekileyo yeyona nto ibangela le ngxaki kubantu abaninzi. Umzekelo, oku kunokwenzeka ukuba ugoba umqolo wakho ukuze uphakamise into efana nesilinda yegesi okanye ibhakede lamanzi.
Izinto Ezinobungozi:
- Ubudala: Le meko ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala.
- Isini: Amadoda anamathuba aphindwe kabini okufumana le meko kunabafazi.
- Ukutshaya:Ukutshaya kunciphisa ukuhanjiswa kwegazi kwiidiski, nto leyo enokuzenza buthathaka ngokukhawuleza kwaye zonakalise.
- Ubunzima obugqithisileyo: Njengoko ubunzima bomzimba busanda, uxinzelelo kwiidiski, ingakumbi kumqolo ongezantsi, luyanda.
- Ilifa: Ukuba kukho umntu kusapho lwakho onale ngxaki, usenokuba namathuba amaninzi okuba nayo.
- Umsebenzi: Abantu abasebenza nzima emzimbeni, abaphakamisa iintsimbi ezinzima, abaqhuba rhoqo, okanye abahlala kwindawo enye basengozini enkulu.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha oneempawu ezinje, into yokuqala aza kuyenza kukubuza imibuzo aze ahlole umzimba wakho.
- Uvavanyo lomzimba: Ugqirha uza kujonga iindawo zakho zentlungu, amandla emisipha, ukusabela komzimba, kunye nendlela ulusu lwakho oluvakalelwa ngayo.
- Uvavanyo Lokuphakamisa Imilenze Ethe Tye: Kolu vavanyo, ulaliswa ebhedini kwaye umlenze kwicala elibuhlungu uphakanyiswa ngqo ngaphandle kokugoba idolo. Ukuba intlungu ihamba emlenzeni xa usenza oku, inokuba luphawu lwediski ehluthwe yi-herniated.
Emva kwezi mvavanyo, ugqirha unokucebisa ezinye iimvavanyo ezininzi ukuqinisekisa imeko kunye nokuvavanya ubungakanani bomonakalo.
- I-MRI scan (Magnetic Resonance Imaging): Le yeyona ndlela ilungileyo yokubona ngokucacileyo imeko yediski kunye nokuba kukho na uxinzelelo lwemithambo-luvo.
- I-X-reyi: I-X-reyi ayinakubonisa idiski, kodwa inokunceda ukujonga ezinye iingxaki ngamathambo, njengediski ehluthwe yi-herniated.
- I-CT scan (i-Computed Tomography): Oku kunokuvelisa imifanekiso eneenkcukacha zomqolo kunye nezicubu ezingqongileyo.
- Uphononongo lwe-EMG kunye noQhubo lweMithambo: Olu vavanyo lunceda ekulinganiseni ubungakanani bomonakalo kwimithambo-luvo kunye nendlela imiqondiso ehamba ngayo kuyo.
Zithini iindlela zonyango? Ngaba zikhona izinto endinokuzenza ekhaya?
Le yeyona nto ibalulekileyo. Abantu abali-9 kwabali-10 abane-herniated disc bayaphila ngaphandle kotyando, ngonyango olulula. Ngoko ke akukho sizathu sokoyika.
Izinto onokuzenza ekhaya kwasekuqaleni:
- Phumla kancinci: Ukuba intlungu inzima kakhulu , phumla usuku olunye okanye ezintathu. Kodwa ungahlali ebhedini ixesha elide. Ukwenza njalo kunokuqinisa izihlunu kwaye kwenze intlungu ibe mandundu. Zama ukwenza imisebenzi emincinci yemihla ngemihla kangangoko unako.
- Iipilisi zokunciphisa iintlungu: Ungacela ugqirha wakho ukuba akunike amayeza okunciphisa iintlungu afana ne-ibuprofen okanye i-acetaminophen.
- Ukuqhotsa okubandayo okanye okushushu:Ukufaka i-ice pack kwimisipha kwiintsuku ezimbini zokuqala zentlungu kunokunceda ukunciphisa ukudumba kunye nentlungu. Emva kweentsuku ezimbini okanye ezintathu, ukufaka ibhotile yamanzi ashushu okanye ibhegi yamanzi ashushu kwimisipha kuya kuphumla kwaye kunciphise intlungu.
Unyango lwezonyango:
Ukuba intlungu ayipheli emva kweeveki ezimbalwa zonyango lwasekhaya, ugqirha wakho unokucebisa olu hlobo lonyango.
- Amayeza: Kunokusetyenziswa amayeza okunciphisa iintlungu okanye amayeza okunciphisa imisipha ukunciphisa iintlungu nokudumba.
- Unyango Lomzimba: Olu lonyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo ekhethekileyo kunye nokuzolula okuya kuqinisa umqolo wakho kunye nemisipha yesisu kwaye kunciphise uxinzelelo kwimithambo-luvo yakho.
- Iinaliti zoMgogodla: Ukuba intlungu inzima, inaliti equlethe i-steroid ebizwa ngokuba yi-`epidural` okanye i-`nerve block` inikwa ngqo kwindawo yentlungu emgogodleni. Oku kunokunciphisa ngokukhawuleza iintlungu nokudumba.
Kunini apho kufuneka khona utyando?
Khumbula, utyando ludla ngokuba yindlela yokugqibela. Abantu abali-9 kwabali-10 abayi kuyidinga utyando.
Nangona kunjalo, ukuba intlungu ayipheli emva kweenyanga zonyango oluthile, ukuba intlungu yenza kube nzima ukwenza imisebenzi yemihla ngemihla, okanye ukuba ubuthathaka bamalungu buyanda, ugqirha unokuqwalasela utyando.
Amaxesha amaninzi, idiski enkulu ehluthwe nge-herniated inokucinezela imithambo-luvo elawula ukuchama kunye nokukhupha indle. Ukuba oku kubangela ukuba isinyi okanye amathumbu angalawuleki, yingxamiseko. Kuya kufuneka uye kwicandelo likaxakeka lesibhedlele (ETU) ngoko nangoko. Oku kunokufuna utyando olungxamisekileyo.
Olona tyando luxhaphakileyo olwenziwayo ngoku lutyando oluncinci olubizwa ngokuba yi-"microdiskectomy." Kule meko, kwenziwa umsikelo omncinci, kwaye kusetyenziswa imakroskopu kunye nezixhobo ezincinci, kususwa kuphela isiqwenga sediski esivelelayo.
Ungazikhusela njani kule meko? Ukuthintela yeyona nto ilungileyo!
Zininzi izinto onokuzenza ukuze uphephe le meko ibuhlungu.
| Indlela yokuthintela | Into omawuyenze ilula. |
|---|---|
| Ukuphakamisa iintsimbi ngokuchanekileyo | Musa ukugoba esinqeni. Goba amadolo akho uze ugcine umqolo wakho uthe nkqo, uze uzithobe ngokungathi uhleli phantsi. Sebenzisa amandla emilenze yakho ukuphakamisa ubunzima. |
| Ukugcina ubunzima obusempilweni | Ubunzima obungaphezulu, ingakumbi kwindawo yesisu, bubeka uxinzelelo olukhulu emqolo. Lawula ubunzima bakho. |
| Ukugcina ukuma kakuhle | Gcina umqolo wakho uthe nkqo xa umile, uhleli, kwaye uhamba. Sebenzisa isitulo esixhasa umqolo wakho xa uhleli. |
| Ukuzolula rhoqo | Ukuba usebenza uhleli ixesha elide, vuka uhambe-hambe ubuncinane kanye ngeyure, wolula umzimba wakho. |
| Ukuzilolonga | Yenza umthambo wokuqinisa umzimba oqinisa umqolo wakho kunye nemisipha yesisu. Oku kunika inkxaso entle kumqolo wakho. |
| Ukuphepha ukutshaya | Ukuba uyatshaya, zama ukuyeka. Kubaluleke kakhulu kwimpilo yeediski zakho. |
Ngawaphi amaxesha abalulekileyo okubonana nogqirha?
Nangona ungaqala ngonyango lwasekhaya, kwiimeko ezinje, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
- Ukuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla (umz., ukuya emsebenzini) ngenxa yentlungu.
- Ukuba akukho phuculo kwiimpawu emva kweeveki ezi-4 okanye ezi-6.
- Ukuba iimpawu ziya zisiba mandundu.
- Ukuba uziva ubuthathaka, urhawuzelelwa, okanye ubuthathaka kwiingalo zakho, imilenze, iintende zezandla, okanye iintende zeenyawo.
- Ukuba unengxaki yokuma okanye yokuhamba.
- Ixesha lokuya esibhedlele ngoko nangoko: Ukungakwazi ukulawula umchamo okanye ilindle. Le yimeko engxamisekileyo.
Umyalezo Wokuya Ekhaya
- I-Herniated Disk yimeko eqhelekileyo. Musa ukuyoyika ngokungeyomfuneko.
- Uninzi lwabantu (9 kwabayi-10) banokuphila ngokupheleleyo ngaphandle kotyando, ngonyango olulula kunye notshintsho kwindlela abaphila ngayo.
- Musa ukuhlala ebhedini imini yonke kuba nje unesihlungu. Iintshukumo ezilula nezithambileyo ziya kunceda inkqubo yokuphiliswa.
- Ukuthintela lolona nyango lubalaseleyo. Ukuma ngendlela efanelekileyo, ukuphakamisa iintsimbi ngokufanelekileyo, kunye nendlela yokuphila esempilweni kunokunciphisa kakhulu umngcipheko wokuba nale meko.
- Ukuba iimpawu zakho zinzima, musa ukuphucuka kwiiveki ezimbalwa, okanye ukuba unengxaki yokulawula isinyi/amathumbu, bona ugqirha ngokukhawuleza ngaphandle kokuthandabuza.
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