Masifunde ngomqolo wakho ongezantsi (Lumbar Spine) Yintoni kanye kanye le?

Ngaba ngamanye amaxesha uneentlungu ezisezantsi komqolo? Xa uhleli kwindawo enye ixesha elide, okanye xa uphakamisa umthwalo onzima, umqolo ongezantsi yeyona ndawo ixinezelekileyo. Ngoko ke, namhlanje siza kuthetha ngomqolo ongezantsi, oyinxalenye ebaluleke kakhulu yomzimba wethu, okanye njengoko oogqirha bewubiza , umqolo we-lumbar . Masiqonde nje ukuba yintoni, zeziphi iinkonzo ezibonelela ngazo emzimbeni wethu, zeziphi iingxaki ezinokubangela, kwaye zeziphi izisombululo zazo.

Yintoni iLumbar Spine?

Ngamafutshane, umqolo we-lumbar wenziwe ngamathambo amahlanu (akwabizwa ngokuba yi-vertebrae) ezantsi komqolo wakho. Oogqirha bawabiza la mathambo mahlanu ngokuthi yi-L1, L2, L3, L4, kunye ne-L5. (I-L imele i-lumbar.) La mathambo e-lumbar makhulu kancinci kwaye atyebile kunezinye ii-vertebrae kumqolo wakho wonke, njengelitye elisikwere.

Khawucinge nje, umqolo we-lumbar ungaphantsi kwe-vertebrae ezili-12 esifubeni sakho (ezi zibizwa ngokuba yi-thoracic vertebrae) kwaye ngaphezulu kwethambo elinobume obunxantathu elibizwa ngokuba yi-sacrum, elisezantsi nangakumbi.

Ngenxa yokuba la mathambo omqolo makhulu, anika uzinzo oluhle kumqolo wethu. Kwakhona, izihlunu ezininzi kunye nemisipha ziyafika zize ziqhagamshelane nale ndawo. Okubaluleke kakhulu, lo mqolo womqolo uthwala ubunzima obukhulu bomzimba wakho. Ayipheleli apho, ikwanceda ukugcina ibhalansi yakho. Izihlunu kunye nemisipha enamathele kulo mqolo womqolo zikunceda uhambe, ubaleke, uhlale, uphakamise izinto, ugobe kwaye ujije umzimba wakho kuzo zonke iindlela.

Umqolo wakho we-lumbar unegophe elincinci elingaphakathi. Libizwa ngokuba yi-lordotic curve .

Kwenzeka ntoni kumqolo we-lumbar?

Makhe sijonge ezinye zezinto ezenzekayo emqolo wethu osezantsi:

• Ixhasa umzimba wakho ongasentla kwaye isasaze ubunzima bakho: Ngumqolo we-lumbar oxhasa ubunzima bentloko yakho, kunye namathambo asixhenxe entanyeni yakho (abizwa ngokuba ngumqolo wesibeleko) kunye namathambo alishumi elinesibini esifubeni sakho (umqolo wesifuba). Ikwaqhagamshelwe kwi-pelvis yakho, ethwala ubunzima obukhulu emzimbeni wakho kwaye ithwala uxinzelelo xa uphakamisa okanye uthwala into ethile. Yinxalenye edlulisela ubunzima bomzimba wakho ongasentla emilenzeni yakho.
• Ikunceda ukuhambisa umzimba wakho: Izihlunu ezikumqolo wakho ongezantsi kunye nokuguquguquka komqolo wakho we-lumbar zikuvumela ukuba ugobe umzimba wakho kuzo zonke iindlela (phambili, ngasemva), ugobe ecaleni, ujikeleze ngokupheleleyo, kwaye ujijeke. I-vertebrae ezimbini zokugqibela ze-lumbar (L4, L5) ngokukodwa zinceda kakhulu kwezi ntshukumo.
• Ikhusela i-Spinal Cord yakho kunye ne-Cauda Equina: I-spinal cord, ehamba ngomqolo wakho, ifana nentambo ye-nerve ephambili evela kwingqondo yakho. Iqala ezantsi kwekhakhayi lakho ize iphele kwi-vertebra yokuqala ye-lumbar (L1). Emva koko, kukho inqwaba ye-nerve ehamba isuka esiphelweni se-spinal cord. Ifana nomsila wehashe kubaIbizwa ngokuba yi-cauda equina (okuthetha umsila wehashe). Le ntambo yomqolo, i-cauda equina, ikhuselwe sisigqubuthelo esenziwe ngala mathambo omqolo.
• Ilawula iintshukumo zemilenze: Imithambo-luvo ephuma kwintambo yakho esezantsi yomqolo kunye ne-cauda equina ilawula iimvakalelo kunye neentshukumo zemilenze yakho.

Zeziphi izihlunu kunye nezinye izicubu ezithambileyo ezikumqolo we-lumbar?

Imisipha yomqolo we-lumbar

Izihlunu zakho zomqolo ongezantsi, kunye nezihlunu zesisu sakho, zishukumisa umzimba wakho kunye nomqolo osezantsi. Ezi zihlunu kunye nemisipha zinika amandla kunye nozinzo kumqolo wakho ongezantsi, zikunceda ugobe phambili, umva, kwaye ujikeleze. Nazi ezinye zezihlunu eziphambili eziqhagamshela kumqolo we-lumbar:

• I-Latissimus Dorsi: Le yimisipha emikhulu, ethe tyaba, eneenxantathu. Ihamba kumqolo wakho ophakathi nowasezantsi. Ikunceda uphakamise iintsimbi ngeengalo zakho, uphakamise isifuba sakho xa uphefumla, kwaye ugobe umqolo wakho ecaleni.
• I-Iliopsoas: Eli liqela lemisipha emithathu. Lishukumisa ilungu lakho lesinqe. Eli lungu linceda ukugcina isinqe sakho kunye nomqolo ongezantsi zizinzile xa uhamba, ubaleka, kwaye uvuka esitulweni.
• IiParaspinal: La maqela mathathu ezihlunu afumaneka ecaleni komqolo wakho. Zikunceda ume nkqo, ugobe ecaleni, kwaye ujikeleze. Zikwabalulekile ekugcineni ukuma kwakho.

Iidiski kwi-lumbar spine

Iidiski eziphakathi kwethambo lomqolo ziinxalenye zomqolo ezisebenza njenge "shock absorber cushions" phakathi kweethambo ezimbini zomqolo. Kukho ezintlanu kwezi diski phakathi kweethambo zakho zomqolo. Ukongeza ekutsaleni ukothuka, ezi diski zikwanceda ekuxhaseni ubunzima obuhamba phantsi komqolo wakho kwaye zivumele intshukumo phakathi kweethambo zomqolo.

Kubalulekile: Le diski emqolo wakho ongezantsi yeyona inokuthi ibole okanye ihlume. Kulapho uqala khona ukuva iintlungu emqolo wakho ongezantsi, okanye ezantsi emilenzeni yakho, ngamanye amaxesha ezinyaweni zakho.

Iiligamenti zomqolo we-lumbar

Iiligamenti zizicubu ezidibanisa ithambo elinye nelinye. Iiligamenti kumqolo we-lumbar zinceda ukugcina umqolo uzinzile, zivumela intshukumo egudileyo, kwaye zinceda ukufunxa impembelelo xa kwenzeka ingozi. Eminye yemiqolo ephambili yile:

• I-Anterior Longitudinal Ligament: Le ibaleka ngaphambili kwe-lumbar vertebrae. Iqinisa amalungu e-lumbar kwaye inciphise ukugoba okungasemva (ukwandiswa).
• I-Posterior Longitudinal Ligament: Le ibaleka ngasemva kwe-lumbar vertebrae. Ithintela ukugoba phambili.
• I-Supraspinous ligament/I-Interspinous ligament:Oku kubopha kunceda ekunciphiseni ukugoba phambili.
• I-Ligamentum Flavum: Ezi zigubungela ingaphakathi lomjelo womgogodla kwaye zikhusela umthambo womqolo ngasemva.
• Ii-ligaments ezidibanisa i-intertransverse: Ezi zidibanisa iinkqubo ezinqamlezayo ze-vertebrae. Zinceda ukumelana nokugoba kwe-torso yakho ecaleni.
• I-ligament ye-Iliolumbar: Le isuka kwi-vertebra ye-L5 iye kwithambo le-pelvic. Inceda ukuzinzisa umqolo we-lumbosacral.

Intambo yoMgogodla kunye neMithambo

Njengoko sele sixoxile, intambo yomgogodla yinqwaba yezicubu zemithambo-luvo ezisuka kwingqondo ziye kwi-L1 vertebra. Yile nto ithwala imiyalezo esuka kwingqondo iye kwimisipha. Iingcambu zemithambo-luvo ezihla emva kwe-L1 zibizwa ngokuba yi-cauda equina .

Iiperi ezintlanu zemithambo-luvo ziphuma kumqolo wakho we-lumbar (L1 ukuya kwi-L5, enye kwicala ngalinye). Ezi mithambo-luvo zihamba ziye kumqolo wakho zize zihlangane nezinye iimithambo-luvo ukuze zenze uthungelwano lweemithambo-luvo ezilawula iintlungu, iimvakalelo, kunye nokunyakaza kwamalungu akho asezantsi.

• Umthambo we-L1: Unika imvakalelo kwindawo yakho yesinqe kunye namalungu esini, kwaye unceda ekushukumiseni izihlunu zakho zesinqe.
• Imithambo-luvo ye-L2, L3, L4: Inika imvakalelo ngaphambili kwethanga lakho nangaphakathi komlenze wakho ongezantsi. Ikwalawula intshukumo yemisipha yesinqe nedolo.
• I-L5 nerve: Inika imvakalelo ngasemva komlenze wakho ongezantsi, phezulu konyawo lwakho, kunye nendawo ephakathi konyawo lwakho olukhulu nonyawo lwesibini. Ikwalawula intshukumo yezinqe zakho, amadolo, iinyawo kunye neenzwane.
• I-Sciatic Nerve: Le yenziwa yi-L4, i-L5, kunye neminye imithambo-luvo ye-sacral. Iqala empundu yakho, yehle emlenzeni wakho, ize iphele enyaweni. Intlungu ye-sciatica yenzeka xa le mithambo-luvo yonakele okanye icinezelwe.

Ivazi yegazi

Imisipha, izihlunu, kunye nemisipha kwindawo ye-lumbar zifumana igazi kunye nezondlo ezivela kumasebe avela kwi-aorta yesisu, umthambo oyintloko esiswini sakho.

Ziziphi izifo kunye neengxaki ezichaphazela umqolo we-lumbar?

Ngelishwa, le nxalenye isezantsi yomqolo wethu inokuba neengxaki ezahlukeneyo. Ezi ngxaki zinokunciphisa umgama wokunyakaza emqolo okanye esinqeni sakho, kwaye zinokubangela iintlungu, ubuthathaka, kunye nokungaziva mnandi emqolo wakho, esinqeni, emathangeni, okanye emilenzeni.

Ezinye zezifo neemeko ezichaphazela umqolo we-lumbar zezi:

• Intlungu emqolo osezantsi: Le yingxaki eqhelekileyo kubantu abaninzi. Inokubangelwa kukwenzakala kunye neemeko ezahlukeneyo. Izifo eziwohlokayo (umz. i-Osteoarthritis , i-Ankylosing Spondylitis ), i-Spinal Stenosis , i-Herniated DiskIintlungu zomqolo zinokubangelwa zizinto ezifana nokuxinana kwemithambo-luvo, ukuqhekeka, ukwaphuka komqolo, iithumba, ii-cysts, i-bone spurs, kunye ne -spondylolisthesis (ukutyibilika kwe-vertebra).
• I-Lumbar Stenosis: Oku kukunciphisa indawo ejikeleze umqolo wakho. Oku kunciphisa indawo yemithambo-luvo ephuma kumqolo. Oku kunokubangela ukucinezelwa kwemithambo-luvo, iintlungu, ukungakhululeki, ubuthathaka emilenzeni, emaqatheni, ezinqeni, ezinqeni, nasezantsi komqolo. Ezi mpawu zinokuba mandundu xa uhamba okanye umi, kwaye zinokuthomalaliswa ngokulala phantsi, ukuhlala phantsi, okanye ukugoba phambili kancinci.
• I-Spondylolisthesis: Oku kwenzeka xa i-lumbar vertebra ityibilika phambili xa kuthelekiswa ne-vertebra engaphantsi kwayo. Oku kunokucinezela umthambo kwaye kubangele intlungu emqolo okanye emilenzeni.
• Ukwaphuka Koxinzelelo Lomqolo: Umntu onesifo esifana ne-osteoporosis unokufumana ukwaphuka koxinzelelo lomqolo ngenxa yengozi encinci. Ukwaphuka okukhulu kunokubangelwa zizinto ezifana neengozi zeemoto nokuwa ukusuka phezulu.
• I-Sciatica: Eyaziwa ngokuba yi -lumbar radiculopathy , le yintlungu yemithambo-luvo ebangelwa kukonakala okanye ukurhawuzelelwa yi-sciatic nerve. Ingabangelwa zizinto ezifana ne-herniated disc, i-spondylolisthesis, okanye i-osteoarthritis.
• I-Herniated Disk: Oku kwenzeka xa idiski ephakathi kwamathambo omqolo ivuvukala, ikrazula, okanye ivuza okungaphakathi kuyo. Inokubangela iintlungu zomqolo, ukungaziva mnandi emilenzeni, kunye nobuthathaka bemisipha.
• I-Lumbar Lordosis (ekwaziwa ngokuba yi-"Swayback"): Oku kukugoba okugqithisileyo komqolo ongezantsi. Oku kubeka uxinzelelo olungeyomfuneko kwi-lumbar vertebrae. Oku kunokubangelwa zizifo, ukuma kakubi, kunye nokugoba okugqithisileyo komqolo.
• Ukuqaqamba Kwemisipha: Kukho izihlunu ezinkulu ezixhasa ummandla we-lumbar. Ezi zihlunu zinokuqina okanye zijijeke. Oku kukwangunobangela oqhelekileyo wentlungu yomqolo.
• Isifo seDiski esiwohlokayo: Le meko yenzeka xa iidiski ezikwisihlunu somqolo ziwohloka. Isithuba esiphakathi kwamathambo omqolo siyancipha, nto leyo enokubangela ukucinezelwa kwemithambo-luvo kunye nentlungu emqolo.
• I-Scoliosis yabantu abadala: I-Scoliosis kukugoba komqolo ecaleni. Le meko inokwenzeka kumqolo we-lumbar njengoko sikhula okanye njengoko umqolo uphela.
• I-Cauda Equina Syndrome: Le meko ibangelwa kukucinezelwa kwe-nerve bundle ebizwa ngokuba yi-cauda equina. Le yingxamiseko yezonyango . Iimpawu ziquka iintlungu, ubuthathaka, kunye nokulahlekelwa kulawulo lwamathumbu kunye nesinyi.

Zifunyaniswa njani izifo kunye neemeko zomqolo we-lumbar?

Okokuqala, ugqirha wakho uza kukubuza ngembali yakho yezonyango, amayeza owasebenzisayo, kunye neempawu. Emva koko, baya kwenza uvavanyo lomzimba baze ba-odole iimvavanyo kunye neeskeni ukuba kuyimfuneko.

Ungenza uvavanyo olunje:

• I-CT Scan (i-Computed Tomography - i-CT Scan): Le nkqubo isebenzisa ii-X-rays kunye nekhompyutha ukuthatha imifanekiso emincinci kakhulu "yeziqwenga" zendawo ehlolwayo. Ingajonga izinto ezifana nokuma kunye nobukhulu bomjelo womqolo, kunye nemeko yamathambo (ukuqhekeka kwamathambo, ukudibana kwamathambo, ukutshatyalaliswa kwamathambo ngenxa yosulelo okanye iithumba).
• I-Magnetic Resonance Imaging (MRI): Oku kusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha. Inokunceda ekuchongeni iingxaki zomthambo womqolo kunye nemithambo-luvo ephuma emgogodleni, njengeediski ze-herniated, usulelo, kunye neethumba. I-MRI inika umfanekiso ocacileyo wemithambo-luvo kune-CT scan.
• Ii-X-reyi: Zisebenzisa ubungakanani obuncinci bemitha ukufota amathambo kunye nezicubu ezithambileyo. Zinokukhangela izinto ezifana nokuqhekeka kwamathambo, iingxaki zeediski, i-spinal stenosis, kunye ne-arthritis.
• Izifundo ze-Electromyogram (EMG) kunye ne-Nerve Conduction: I-EMG ijonga impilo kunye nokusebenza kwemithambo-luvo kunye nemisipha. Uphononongo lwe-nerve conduction lulinganisa ukuba i-electrical impulse ihamba ngokukhawuleza kangakanani kwi-nerve. Ezi mvavanyo zinokunceda ekuchongeni umonakalo wemithambo-luvo kunye nalapho i-nerve icinezelwe khona.
• I-Myelogram: Olu vavanyo lujonga unxibelelwano phakathi kwamathambo omqolo kunye neediski, umqolo, kunye neengcambu zemithambo-luvo. Lunokujonga ukuba akukho thumba, i-bone spur, okanye i-herniated disc ecinezela umqolo okanye imithambo-luvo, nto leyo ebangela intlungu, ukungakhululeki, okanye ubuthathaka.

Iingxaki zempilo yomqolo we-lumbar zinyangwa njani?

Kukho unyango olungenalo utyando kunye nonyango lotyando kwiimeko ezininzi ezichaphazela umqolo we-lumbar. Indlela yonyango oyikhethayo iya kuxhomekeka kwisizathu sengxaki kunye nobunzima bayo.

Zithini iindlela zonyango ezingasebenzisi utyando?

Ukuba iintlungu zakho ezisezantsi zomqolo azibangelwanga yingozi okanye sisisu, ugqirha wakho unokucebisa unyango olungenakungenelela kakhulu kuqala. Ezinye iindlela zonyango ezingaqhelekanga ezingasebenzisi utyando ziquka:

• Phumla.
• I-ice okanye i-hot compress.
• Ukuphepha umsebenzi odinisayo okanye onyusa iintlungu.
• Ulungiso lwenyama.
• Amayeza: iziphumzi zemisipha, iintlungu zokuphelisa iintlungu (umz. i-paracetamol), kunye namayeza okulwa nokuvuvukala (umz. i-ibuprofen, i-naproxen).
• Iinaliti zeSteroid: Kukho iintlobo ezintathu zeenaliti zesteroid ezinokuqwalaselwa kwiintlungu ze-lumbar. I-Lumbar Epidural Block kukufakwa kweesteroid kwindawo ye-epidural, eyindawo engaphandle komqolo.Ibhloko yejoyinti ye-lumbar facet yi-steroid injection kwi-lining yejoyinti ye-facet phakathi kwe-vertebrae. I-interlaminar injection okanye i-transforaminal injection yi-steroid injection kwindawo ephakathi kwe-spinal cord kunye ne-spinal column.
• Unyango lweMedical Branch Block kunye neRadiofrequency Ablation: Olu nyango lujongwa kwiintlungu ezithile ezingapheliyo ze-lumbar. Okokuqala, kufakwa i-anesthetic yendawo kwi-nerve edibanisa ne-facet joint yomqolo. Ukuba intlungu iyancipha, inyathelo elilandelayo kukuzama ukuyisusa ngokusisigxina intlungu. Oku kwenziwa ngokonakalisa i-nerve ngendlela ebizwa ngokuba yi-radiofrequency ablation . Intlungu inciphisiwe kangangeenyanga. Nangona kunjalo, ukuba i-nerve ikhula kwakhona, intlungu inokubuya.

Ndingazi njani ukuba ndifuna utyando lomqolo we-lumbar?

Ungadinga utyando lomqolo we-lumbar ukuba:

• Ukuba ezinye iindlela zonyango azincedi.
• Ukuba iimpawu zakho zomqolo ongezantsi, isinqe kunye/okanye umlenze ziya ziba mandundu (utyando ludla ngokwenziwa ngenxa yeentlungu zomlenze kuneentlungu zomqolo).
• Ukuba uphilile ngokwaneleyo ukuba ungatyandwa.

Ukuba wenzakele kwindawo ye-lumbar ngenxa yengozi (njengengozi yemoto), umhlaza, i-epidural abscess (usulelo oluphakathi komqolo kunye nesigqubuthelo somqolo), i-osteomyelitis (usulelo lwethambo), i-cauda equina syndrome, okanye i-conus medullaris syndrome (uhlobo lwesifo somqolo), utyando lolona nyango lokuqala.

Ziziphi iindlela zotyando ezikhoyo kwiimeko zomqolo we-lumbar?

Nazi ezinye iinkqubo zotyando ezenziwa rhoqo:

Utyando lokuNciphisa umqolo kwiLumbar Spinal

Eli ligama eliqhelekileyo. Libhekisa kwiindlela ezahlukeneyo zotyando ezenziwayo ukunciphisa iimpawu ngokunciphisa uxinzelelo okanye ucinezelo kwiingcambu zomthambo okanye zemithambo-luvo. Iindlela zotyando eziqhelekileyo ziquka:

• Ukususwa kwediski yeLumbar: Kule meko, ugqirha otyandayo ususa inxalenye yediski ukuze anciphise uxinzelelo kwiingcambu zemithambo-luvo ezikufutshane.
• I-Lumbar Laminotomy okanye i-Laminectomy: Kule nkqubo, ugqirha ususa icandelo elincinci le-bone arch (i-lamina) yomjelo womgogodla. Kwi-laminotomy, kususwa iqhekeza elincinci le-lamina. Kwi-laminectomy, kususwa i-lamina yonke, kunye nazo naziphi na izihlunu zamathambo, iziqwenga zediski, kunye ne-ligaments ezityebileyo, ukuba kuyimfuneko. Ukususa i-lamina kwandisa umjelo womgogodla kwaye kunciphisa uxinzelelo.
• I-Lumbar Foraminotomy okanye i-Foraminectomy:Zombini ezi ndlela zotyando zenzelwa ukwandisa umngxuma (i-foramen) apho iingcambu zemithambo-luvo ziphuma khona kumqolo, ngokususa inxalenye yethambo kuloo ndawo. Kwi-foraminectomy, kususwa ithambo elininzi.
• Utyando lweLumbar Corpectomy: Kolu tyando, ugqirha ususa inxalenye ephambili ye-vertebra (umzimba we-vertebral) kunye nediski ukuze anciphise uxinzelelo kwi-spinal cord. Ngamanye amaxesha, i-vertebrae emva koko idityaniswe kunye ( i-spinal fusion ) ukuze kuzinziswe umqolo we-lumbar.

Utyando Lokutshintshwa Kwediski YeLumbar

Kule meko, kususwa idiski ye-lumbar enesifo kwaye kufakwa idiski yokwenziwa. Oku kudla ngokwenziwa ukuze kutshintshwe idiski ye-lumbar. Nangona kunjalo, kwiminyaka yakutshanje, olu tyando luye lwancipha, ngenxa yeengxaki ezenzeka emva kotyando.

I-Lumbar Spinal Fusion

Olu lutyando oludibanisa ngokusisigxina i-vertebrae enye okanye ezingaphezulu ze-lumbar kunye, lususa intshukumo phakathi kwe-vertebrae.

Ukuvuselelwa koMbane okuSebenzayo koKwenzakala koMgogodla

Kule ndlela, kusetyenziswa ii-electrical impulses ezincinci ukwenza izihlunu kunye nemithambo-luvo yomzimba ongezantsi elawulwa yimithambo-luvo ye-lumbar, ukuzama ukubuyisela umsebenzi wazo.

Ngaba ndingenza utyando lomqolo olungenamsebenzi kangako?

Thetha nogqirha wakho ngale nto. Kwiimeko ezininzi, utyando lomqolo olungenamsebenzi luye lwathatha indawo yotyando oluvulekileyo lwendabuko. Endaweni yokwenza utyando olukhulu eluswini, utyando olungenamsebenzi lwenziwa ngomsikelo omnye okanye ngaphezulu. Ngenxa yokuba ukusika kuncinci, akukho monakalo mkhulu kwimisipha nakwizicwili ezithambileyo kunaxa usika kakhulu.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Umqolo wakho we-lumbar yinxalenye esezantsi yomqolo wakho. Une-vertebrae ezintlanu (L1-L5). Ukwanazo nee-intervertebral discs, i-spinal cord, kunye ne-nerves, imisipha, i-tendon, kunye ne-ligaments. Ngumqolo we-lumbar oxhasa ubunzima bomzimba wakho kwaye uvumela uninzi lwentshukumo yomzimba wakho.

Eyona nto ibalulekileyo kukuba, ukuba unentlungu engapheliyo emqolo, ukungakhululeki emilenzeni yakho, okanye ubuthathaka, musa ukuyityeshela loo nto. Ngokuqinisekileyo bonana nogqirha kwaye ufumane ingcebiso.

Kukho unyango olungenalo utyando nolwenziwayo kwiimeko ezininzi. Ngoko ke akukho nto ibalulekileyo. Unokunceda ukugcina umqolo wakho uphilile ngokugcina ukuma okufanelekileyo, ukuphakamisa iintsimbi ngokuchanekileyo, kunye nokuzilolonga.

Iintlungu zomqolo, umqolo ongasemva, amathambo omqolo, iingxaki zediski, i-sciatica, intambo yomqolo, iintlungu zemithambo-luvo