Xa ugoba ingqiniba yakho uze uyibambe okwethutyana, ingalo yakho iqala ukuziva indindindi kancinci, akunjalo? Kodwa kwangoko nje ukuba uyilungise kwakhona ingalo yakho, indindindindi iyaphela kancinci kancinci. Kodwa khawucinge, kuthekani ukuba indindindindi iyaqhubeka? Yiloo nto eyenzekayo kwimeko ebizwa ngokuba yiMyelopathy. Le yinto ekufuneka ixhalatyelwe. Masithethe ngayo ngokulula.
Yintoni iMyelopathy? Masiyiqonde ngokulula.
Ngamafutshane, iMyelopathy kuxa intambo yomqolo engaphakathi komqolo wethu icinezelwa ngesizathu esithile. Cinga ngentambo yomqolo wethu njengeyona 'ntambo' iphambili ethwala imiyalezo esuka engqondweni yethu ukuya kuwo onke amanye amalungu omzimba wethu. Ihamba ngokukhuselekileyo ngaphakathi komqolo wethu.
Kuza kwenzeka ntoni ke ukuba le 'ntambo' ibalulekileyo, umqolo, icinezelwe ndaweni ithile? Loo myalezo uyaphazamiseka. Kulapho ke izinto ezifana neentlungu, ukungaziva, ukuziva ungaziva kakuhle kwiindawo zomzimba, kunye nokungakwazi ukuhamba kakuhle ziqala ukwenzeka. Nemisebenzi yemihla ngemihla efana nokubamba ipeni kakuhle okanye ukuqhobosha ihempe kunokuba nzima.
Ngaba kukho iintlobo eziphambili ze-myelopathy?
Ewe, iMyelopathy inokwahlulwa ibe ziintlobo ezintathu eziphambili kuxhomekeke apho intambo yomgogodla icinezelwe khona.
| Uhlobo lweMyelopathy | Inkcazo |
|---|---|
| I-Myelopathy yoMlomo | Olu lolona hlobo luxhaphakileyo. Lwenzeka xa intambo yomqolo icinezelwe kumqolo wesibeleko . Le meko idla ngokubangelwa kukutshintsha komqolo njengoko ukhula. |
| I-Thoracic Myelopathy | Apha, ucinezelo lwenzeka embindini womqolo, oko kukuthi, kumqolo wesifuba emva kwesifuba . |
| I-Lumbar Myelopathy | Kule meko, uxinzelelo lukwi-lower back (lumbar spine) . |
Ifanele ithathwe nzulu kangakanani le meko?
Le asiyomeko yokungayinaki nje. Ukuba ayinyangwa, imeko inokuba mandundu ngokuhamba kwexesha.
Ukuba ukucinezelwa komqolo kuyaqhubeka, kunokubangela umonakalo osisigxina kwimithambo-luvo. Ukuba oko kuyenzeka, iimpawu zisenokungabuyeki. Kwezinye iimeko ezinzima, le meko inokukhokelela kwiingxaki ezinkulu ezifana nokukhubazeka .
Ngoko ke, ukuba ukrokrela ukuba unayo nayiphi na kwezi mpawu, eyona nto ilungileyo onokuyenza kukubona ugqirha ngokukhawuleza ukuze akunike ingcebiso. Okukhona uxilongwa kwangoko, kokukhona amathuba okuba ufumane iziphumo ezilungileyo zonyango.
Ziziphi iimpawu eziphambili ze-myelopathy?
Ngenxa yokuba iindawo ezahlukeneyo zomqolo zilawula iindawo ezahlukeneyo zomzimba, iimpawu zinokwahluka ngokuxhomekeke kwindawo apho ucinezelo lwenzeka khona. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo ezinokubonwa.
| Uphawu | Inkcazo |
|---|---|
| Intlungu | Intlungu entanyeni okanye emqolo. |
| Ubuthuntu, ukungabi nabomi | Ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka kwiingalo, izandla, imilenze, okanye iinyawo. |
| Ubunzima ngemisebenzi ebuthathaka | Ubunzima bokwenza izakhono zomzimba ezithambileyo ezifana nokuqhobosha ihempe, ukubhala ngepeni, okanye ukusebenzisa isikrufu. |
| Iingxaki zokuhamba kunye nokulinganisela | Ukuziva ulahlekelwe yibhalansi, ukungakwazi ukuhamba kakuhle xa uhamba. |
| Iingxaki zokulawula amathumbu | Kwezinye iimeko ezinzima, kunokubakho ubunzima ekulawuleni amathumbu kunye nesinyi. |
Zithini izizathu ze-myelopathy?
Zininzi izinto ezinokubangela ucinezelo lomqolo.
- Idiski ene-Herniated: Idiski efana nejeli phakathi kwamathambo amabini anokudumba aze acinezele umthambo womqolo .
- I-Spondylosis: Ngenxa yokuguguleka kwendalo kunye notshintsho olwenzeka emgogodleni njengoko sikhula.
- I-Spine stenosis: Ukuncitshiswa komjelo womgogodla ngenxa yezizathu ezahlukeneyo.
- Ukulimala okubuhlungu: Ukulimala komqolo ngenxa yento efana nokuwa okanye ingozi yemoto.
- Usulelo kunye nokudumba: Iimeko ezichaphazela umqolo.
- Ithumba: Iqhubu elinomhlaza okanye elinye iqhubu elenzeka ngaphakathi okanye lijikeleze umqolo.
- Izifo ze-Neurodegenerative: Iimeko ezifana nesifo sikaParkinson okanye i-ALS.
Ngubani osengozini enkulu yokuphuhlisa oku?
I-Myelopathy inokwenzeka nakweyiphi na iminyaka. Nangona kunjalo, uhlobo oluvela ngenxa yotshintsho olunxulumene nobudala emgogodleni luxhaphake kakhulu kubantu abangaphezu kweminyaka engama-40 ubudala. Kwakhona, uphando lubonise ukuba amadoda anokuba nale meko kunabafazi.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngokweenkcukacha ngeempawu zakho, ukuba ziqale njani, kwaye ixesha elide kangakanani unazo. Emva koko uza kukuhlola.
- Uvavanyo lomzimba: Iintshukumo zomzimba wakho kunye neendawo ezibuhlungu ziyajongwa.
- Uvavanyo lwe-neurological: Oku kuya kujonga indlela oziva ngayo, amandla emisipha, kunye neemvakalelo zakho.
Emva kwezi mvavanyo, kucetyiswa ukuba kwenziwe iimvavanyo ezithile ukuqinisekisa ukuxilongwa nokufumanisa unobangela ochanekileyo werhashalala.
- Uvavanyo lokufota: Uvavanyo oluthatha imifanekiso yomqolo. Umzekelo, i -X-ray, i-MRI scan, okanye i-CT scan . Ezi zinokubona ngokucacileyo imeko yomqolo, iidiski, kunye nentambo yomqolo.
- I-Myelogram:Into ekhethekileyo (idayi yomahluko) ifakwa emgogodleni kwaye kuthathwa i-X-ray okanye i-CT scan. Oku kungachonga ngokucacileyo iindawo apho intambo yomqolo kunye nemithambo-luvo zicinezelwe khona.
- Uvavanyo lokusebenza kwemithambo-luvo: Uvavanyo olulinganisa isantya esihamba ngaso imiyalezo phakathi kwengqondo nomzimba. I-Electromyography (EMG) lolunye lolo vavanyo.
Ziziphi iindlela zonyango lwe-myelopathy?
Unyango luxhomekeke kubukhali beempawu zakho, indawo ekuxinezelekileyo kuyo umqolo, kunye nesizathu. Okusebenza komnye umntu kusenokungasebenzi komnye. Kukho iintlobo ezimbini eziphambili zonyango: olungelulo utyando kunye nolwe-otyando.
Unyango olungelulo utyando
Olu nyango lulawula iimpawu kuphela. Alunciphisi uxinzelelo kumqolo. Ukuba iimpawu zakho azikho qatha, okanye ngelixa ulinde utyando, ugqirha wakho unokucebisa olu nyango.
- Ukunxiba i-brace: I-brace enxitywa entanyeni okanye emqolo inokunciphisa intshukumo kuloo ndawo kwaye inciphise iintlungu.
- Unyango lomzimba: Kucetyiswa ukuba uqheliso oluthile kunye nonyango luqiniswe ukuze kuqiniswe izihlunu, kwandiswe ukuguquguquka, kwaye kuncitshiswe iintlungu.
- Amayeza: Izinto ezifana neepilisi zokuthomalalisa iintlungu kunye namayeza okulwa nokuvuvukala (ii-corticosteroids) zinokunceda ukulawula iimpawu.
Utyando
Kwi-myelopathy, eyona ndlela ilungileyo yokunciphisa uxinzelelo kumqolo kwaye uwunike inkululeko kukuhlinzwa.
Ukuba iimpawu zinzima, ziya zisiba mandundu imihla ngemihla, okanye ukuba unyango olungelulo utyando aluncedi, ugqirha wakho unokucebisa utyando.
Oku kwenziwa kusetyenziswa uhlobo lotyando olubizwa ngokuba lutyando lokunciphisa uxinzelelo lomgogodla . Ngokuxhomekeke kwisizathu soxinzelelo, ugqirha usebenzisa iindlela ezahlukeneyo. Eminye imizekelo yile:
- Utyando lwe-ACDF
- Ukususwa kwediski (i-Diskectomy)
- Ukutshintshwa kwediski (ukufakwa kwediski yokwenziwa)
- Utyando lweLaminectomy
- I-Laminoplasty
- Ukudibana komqolo
Ngaphambi kotyando, ugqirha wakho uza kukuchazela ngokucacileyo iingenelo, iingxaki kunye neengozi kuwe.
Ngaba ikho indlela yokuthintela i-myelopathy?
Akusoloko kusenzeka ukuthintela oku, ingakumbi xa kufikwa kwiimeko ezenzekayo njengoko sikhula.
Nangona kunjalo, ukunyamekela umqolo wethu kunokunciphisa umngcipheko wezinye izizathu.
- Xa uphakamisa umthwalo, wuphakamise ngokufanelekileyo: Xa uphakamisa umthwalo, ziqhelise ukuwuphakamisa ngamadolo akho agobile nomqolo wakho uthe tye, ngaphandle kokugoba umqolo wakho.
- Gcina ukuma kakuhle:Gcina umqolo wakho uthe nkqo xa uhleli naxa umi.
- Zilolonge rhoqo: Zilolonge rhoqo ukuze uqinise umqolo wakho kunye nemisipha yesisu.
Ndifanele ndimbone nini ugqirha?
Ukuba unezi mpawu zilandelayo, musa ukuzityeshela kwaye ubone ugqirha ngokukhawuleza.
| Funa ingcebiso yezonyango ngoko nangoko. | |
|---|---|
| Utshintsho kwindlela ohamba ngayo, ukulahlekelwa yibhalansi, okanye ukuthambekela kokukhubeka | |
| Intlungu entsha okanye eyandayo entanyeni okanye emqolo | |
| Ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka ezandleni, kwiminwe, ezinyaweni, okanye ezinzwaneni | |
Imibuzo omele uyibuze ugqirha wakho
Xa ufumanisa ukuba unale meko, usenokuba nemibuzo emininzi engqondweni yakho. Buza ugqirha wakho ngezi zinto.
- Kutheni intambo yam yomqolo icinezelwe?
- Yeyiphi indlela engcono kakhulu ondicebisa yona?
- Ngaba kukho naziphi na iziphumo ebezingalindelekanga zezi ndlela zonyango?
- Ngaba ndiza kufuna utyando?
- Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo emva kotyando?
- Zeziphi izinto endingafanele ndizenze okanye ndiziphephe?
Umqolo yinxalenye ebaluleke kakhulu yomzimba wethu. Nokuba uxinzelelo oluncinci lunokuchaphazela ukusebenza komzimba wethu wonke. Kungoko ke, kubaluleke kakhulu ukuqaphela iimpawu kunye nokufuna iingcebiso zonyango ngokukhawuleza ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-Myelopathy yimeko embi kakhulu ebangelwa kukucinezelwa komqolo. Oku akufanele kungananzwa.
- Ukuba ufumana iimpawu ezifana nokungaziva mnandi kwamalungu akho, ubuthathaka, okanye ubunzima bokuhamba kunye nentlungu yentamo okanye yomqolo, bonana nogqirha ngokukhawuleza.
- Ukuxilongwa kwangoko kunye nonyango kunokuthintela umonakalo osisigxina wemithambo-luvo.
- Kukho iindlela zonyango (zotyando kunye nezo zingatyandiyo), kwaye ugqirha wakho uya kugqiba unyango olufanelekileyo kuwe.
- Ukunyamekela umqolo wakho xa uphakamisa iintsimbi naxa usenza imisebenzi yemihla ngemihla kunokunciphisa ezinye zeengozi.
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