Kunzima ukufumana umntu ongazange abe neentlungu zomqolo ngaxa lithile ebomini bakhe, akunjalo? Ngamanye amaxesha, ukukruquka okuncinci, ukuxinezeleka ngenxa yokuphakamisa into enzima, okanye intlungu yomqolo engalindelekanga, engachazekiyo inokuba yinto ecaphukisayo kakhulu. Uninzi lwexesha, iyaphela kwiintsuku ezimbalwa, kodwa ezinye iintlungu zomqolo zinokuba luphawu lwento ethile efuna ingqalelo yethu. Ke namhlanje, masithethe ngezizathu zentlungu yomqolo, indlela yokuyixilonga, kunye nonyango olufumanekayo.
Okokuqala, makhe sijonge indlela umqolo wethu owenziwe ngayo.
Cinga nje ngomqolo wethu njengomtya weentsimbi. Unamathambo amancinci angama-33 abizwa ngokuba zii-vertebrae . La mathambo abekwe phezu komnye nomnye ukuze enze umqolo wethu. Phakathi kwala mathambo kukho indawo efana nejeli, eqinileyo kancinci ebizwa ngokuba yi-intervertebral disc . Oku kusebenza njengesithinteli sokutshona emotweni, kuthathe uxinzelelo xa sibaleka, sitsiba, okanye siphakamisa izinto ezinzima, kukhusela umqolo wethu ekonakaleni.
Umthambo womqolo, umthambo obaluleke kakhulu olawula umzimba wethu wonke, udlula kulo mqolo wonke.
Umqolo wethu unokwahlulwa ube ziinxalenye eziphambili:
- Amathambo omqolo wesibeleko: Amathambo asi-7 entanyeni.
- Ithambo lomqolo lesifuba: Amathambo ali-12 aphakathi kwentamo nomqolo ongezantsi.
- I-Lumbar Vertebrae : Amathambo amahlanu anamandla kumqolo ongezantsi. Kulapho kuvela khona uninzi lweentlungu zomqolo.
- I-Sacrum kunye ne-Coccyx: Amathambo adibeneyo asezantsi komqolo.
Kutheni sifumana iintlungu zomqolo?
Zininzi izizathu zokuba kubekho iintlungu emqolo, hayi nje esinye okanye ezibini. Ngamanye amaxesha unobangela ulula kakhulu.
- Iingozi : Into efana nokuwa, ingozi yemoto.
- Ukuxinana Kwemisipha: Oku kunokwenzeka xa uphakamisa ubunzima ngendlela engafanelekanga uze ujijeke ngequbuliso.
- Iingozi zemidlalo: Ukwenzakala okwenzekayo xa kudlalwa imidlalo.
- Ukuma kakubi : Ukuhlala kwindawo enye ixesha elide, ingakumbi ngendlela enobungozi emqolo.
Ngaphandle kwezi zizathu zilula, kukho nezinye izizathu ezininzi, ezifana neediski ze-herniated kunye ne-arthritis.
Ugqirha usifumanisa njani esi sifo?
Xa usiya kugqirha ngenxa yeentlungu zomqolo, uza kuqala akubuze imibuzo malunga neentlungu, indlela ezaqala ngayo, aze akuhlole kakuhle. Emva koko, ukuba kuyimfuneko, unokuyalela iimvavanyo ezifana nezi ukuze afumane unobangela ochanekileyo.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-X-reyi | Ungajonga izinto ezifana nendawo amathambo emqolo, i-bone spurs, ii-tumor, kunye nokuqhekeka. |
| Iskena se-CT | Iimeko ezinje nge-herniated disc okanye i-spinal stenosis zinokubonakala ngokucacileyo. |
| Iskeni yeMRI | Ingabonelela ngomfanekiso ocacileyo weediski, iingcambu zemithambo-luvo, kunye nomqolo. Idla ngokusetyenziswa ngaphambi kotyando. |
Iimeko ezimbini ezikhethekileyo ezenzeka emgogodleni
Nangona kukho iimeko ezininzi ezithile ezinokubangela iintlungu zomqolo, siza kuthetha ngezimbini ngokukodwa namhlanje. Kusenokwenzeka ukuba ukhe weva ngezi.
1. I-Spondylolisthesis
Okwenzekayo koku kulula kakhulu. I-vertebra enye kumqolo wethu (i-vertebral RA ) ityibilika phambili okanye ngasemva phezu kwengaphantsi kwawo. Kufana nesinye sezitena ezilandelelanayo ezihamba ngasemva nangasemva. Oku kudla ngokwenzeka ezantsi komqolo.
Izizathu: Zininzi izizathu ezinokubangela oku. Kungaba bubuthathaka bokuzalwa, ukwaphuka ngenxa yengozi, ukwaphuka koxinzelelo ngenxa yemidlalo, okanye usulelo.
Iimpawu:
- Intlungu esezantsi komqolo
- Ukuqina nokuxinana emqolo nakwimisipha ejikelezileyo
- Intlungu kwindawo yeempundu
- Intlungu ehamba ngeenyawo (oku kubangelwa kukutyibilika kwethambo elicinezele iingcambu zemithambo-luvo)
- Ubuthathaka bemisipha okanye ukurhawuzelela emilenzeni
Unyango:Kwiimeko ezininzi, le meko inokulawulwa ngonyango lomzimba , oluqinisa izihlunu ezijikeleze umqolo. Ugqirha wakho unokukunika amayeza okudambisa iintlungu (ii-NSAID) anjenge-paracetamol okanye i-ibuprofen okanye i-naproxen ngenxa yentlungu. Ngamanye amaxesha kunikwa inaliti ye-epidural steroid. Amayeza akhethekileyo anjenge-gabapentin kunye ne-pregabalin anokunikwa ngenxa yentlungu yemithambo-luvo.
Kuphela xa olu nyango lunganiki ncedo kwaye intlungu inzima ngokwaneleyo ukuba iphazamise imisebenzi yemihla ngemihla apho kuya kufuneka kuqwalaselwe i-laminectomy (utyando lokunciphisa uxinzelelo kwimithambo-luvo).
2. Uxinzelelo lweNerve yoMlomo (i-Cervical Radiculopathy)
Oku kuyinkinga yentamo kunokuba yingxaki yomqolo. Okwenzekayo apha kukuba ingcambu yemithambo-luvo ephuma kwenye yethambo lomqolo entanyeni yethu icinezelwa ngesizathu esithile.
Izizathu: Kubantu abancinci, oku kunokubangelwa kukuqhekeka kwediski, apho iindawo eziphumayo zicinezela imithambo-luvo. Njengoko abantu bekhula, kunokubangelwa nayi-arthritis okanye ezinye izifo.
Iimpawu:
- Uphawu oluphambili yintlungu ephuma entanyeni, esifubeni, emagxeni nasezingalweni .
- Ukuva ukurhawuzelela okanye ukungaziva mnandi kwiminwe.
- Ubuthathaka bemisipha ezandleni.
- Ubunzima bokwenza imisebenzi yezandla esemgangathweni (ukungabikho kolungelelwaniso).
Unyango: Oku kuquka amayeza okudambisa iintlungu, unyango lomzimba, kunye namayeza e-steroid (omlomo okanye afakwa inaliti). Unyango lomzimba luquka ukutsalwa komlomo wesibeleko kancinci kunye nokuzilolonga ukunceda ukunciphisa iintlungu.
Nalapha, ukuba umthambo ucinezelwe kakhulu kwaye kukho ubuthathaka engalweni, utyando lunokufuneka ukuze kuncitshiswe uxinzelelo. Esi sigqibo siza kwenziwa ngugqirha wakho kunye nogqirha otyandayo.
Ufanele uye nini kugqirha xa unentlungu emqolo?
Intlungu yomqolo nje ifanele iphele kwiintsuku ezimbalwa. Kodwa ukuba unayo nayiphi na "impawu ezibomvu" ezingezantsi, bona ugqirha ngokukhawuleza. Kusenokufuneka uye kwiSebe leNgxamiseko (ETU) .
- Intlungu ebuhlungu emva kwengozi okanye ukuwa.
- Ukuba ukurhawuzelela kunye nobuthathaka emilenzeni kuyanda.
- Ukuba unengxaki yokulawula amathumbu okanye umchamo wakho.
- Ukuba unciphisa umzimba ngaphandle kwesizathu, okanye ukuba unomkhuhlane.
- Ukuba intlungu iba mandundu ebusuku okanye ayipheli nasemva kokuphumla.
- Ukuba umntu onembali yomhlaza uneentlungu ezintsha emqolo.
Umyalezo Wokuya Ekhaya
- Nangona iintlungu zomqolo zixhaphakile, akufanele uzityeshele.
- Iintlungu zomqolo zinokuthintelwa kakhulu ngokuphepha ukuma kakubi kunye nokusebenzisa indlela efanelekileyo xa uphakamisa iintsimbi.
- I-Spondylolisthesis kunye ne-Cervical Radiculopathy ziimeko ezimbini ezifuna ingqalelo ekhethekileyo kwaye zinokubandakanya imithambo-luvo.
- Ukuba uneempawu eziqatha ezifana nokungakhululeki emilenzeni yakho, ubuthathaka, okanye ubunzima bokulawula umchamo wakho, yingxamiseko leyo. Bona ugqirha wakho ngoko nangoko.
- Kubaluleke kakhulu ukufumana unobangela ochanekileyo wentlungu yakho uze ufumane unyango olufanelekileyo ngayo. Ngoko ke, musa ukunyanga ngokuqikelela, kodwa landela iingcebiso zonyango.
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