Kunzima ukufumana umntu ongazange abe neentlungu zomqolo kubomi bethu bemihla ngemihla, akunjalo? Ngamanye amaxesha ezi ntlungu zinokuvela ekuphakamiseni into encinci, ukuhlala ngendlela engafanelekanga, okanye nokuba yingozi encinci. Kodwa azifani zonke iintlungu zomqolo, kwaye izizathu zazo zahlukile. Ke namhlanje, masithethe ngokuba yintoni le ntlungu yomqolo , izizathu zayo, iimpawu, kunye nonyango ngokweenkcukacha nangokulula.
Okokuqala, makhe sijonge indlela umqolo wethu owenziwe ngayo.
Ngamafutshane, umqolo wethu yingqokelela yamathambo amancinci ahamba ukusuka ekhayeni lethu ukuya kwi-pelvis yethu, ahlelwe ngomqolo. La mathambo mancinci siwabiza ngokuba yi-'vertebrae' . Umqolo wethu wenziwe ngama-33 la mathambo angasemva. Eyona nto ibalulekileyo ngale nto kukuba umthambo womqolo, olawula umzimba wethu wonke, udlula kula mathambo angasemva kwaye ukhuselekile.
Khawucinge nje, xa la mathambo ehleli phezu komnye nomnye, kufuneka kubekho into ewathintelayo ukuba angakhuhlani, akunjalo? Yiyo loo nto kukho iqhekeza le-cartilage elibizwa ngokuba yi-intervertebral disk phakathi kwamathambo amabini. Lisebenza njenge-shock absorber emotweni, lifunxa uxinzelelo emqolo wethu xa sibaleka kwaye sitsiba.
Umqolo wethu unokwahlulwa ube ziinxalenye eziphambili:
- I-vertebrae yomlomo wesibeleko: I-vertebrae ezisi-7 entanyeni.
- I-Thoracic vertebrae: I-12 vertebrae efumaneka phakathi kwentamo nomqolo ongezantsi.
- I-Lumbar Vertebrae : Ii-vertebrae ezi-5 ezomeleleyo nezinkulu kumqolo ongezantsi.
- I-Sacrum kunye ne-Coccyx: Amathambo akwicala elisezantsi lomqolo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha ngenxa yeentlungu zomqolo, uza kuqala akubuze imibuzo (imbali yezonyango) aze akuhlole ukuze afumane umbono wemeko leyo. Emva koko, ukuba kuyimfuneko, unokuyalela iimvavanyo ezifana nezi ukuze afumane unobangela ochanekileyo.
- Uvavanyo lwe-X-ray: Oku kujonga ikakhulu ulwakhiwo lwamathambo omqolo, ukungazinzi kwawo (njengokutyibilika), iithumba, okanye ukwaphuka .
- I-CT scan: Oku kunokuchonga iimeko ezithile ezifana ne-herniated disc okanye i-spinal stenosis.
- Iskeni ye-MRI:Olu lolona vavanyo lubalaseleyo lokujonga iidiski kunye neengcambu zemithambo-luvo ngokweenkcukacha. Ludla ngokusetyenziswa xa kucetywa ngaphambi kotyando.
Masichonge iintlobo ezimbini ezithile zeentlungu zomqolo.
Nangona zininzi izinto ezibangela iintlungu zomqolo, namhlanje sithetha ngeemeko ezimbini ezicacileyo nezifuna unyango .
1. I-Spondylolisthesis (ukutyibilika kwethambo lomqolo)
Eli gama livakala liyoyikisa kancinci, akunjalo? Kodwa kulula ukuliqonda. Okwenzekayo kukuba i-vertebra enye ('i-vertebra') ityibilika phambili okanye ngasemva phezu kwe-vertebra engaphantsi kwayo. Cinga ngayo njengesitena esinye kumqolo wezitena ezityibilika phambili kancinci. Le meko idla ngokuvela kumqolo ongezantsi (umqolo we-lumbar).
Oku kunokubangelwa bubuthathaka bokuzalwa kwithambo lomqolo, ukwaphuka koxinzelelo ngenxa yengozi okanye ngexesha lokudlala imidlalo, okanye mhlawumbi ubuthathaka bethambo lomqolo ngenxa yosulelo.
Zithini iimpawu zale meko?
| Uphawu | Inkcazo |
|---|---|
| Intlungu esezantsi komqolo | Intlungu inokwanda, ingakumbi xa uhamba okanye ume ixesha elide. |
| Ukuqina kwemisipha kunye nokuqina kwayo | Ukuziva uxinene emqolo nakwimisipha yemisipha. |
| Intlungu kwindawo yeempundu | Intlungu ingasasazeka iye ezimpundu. |
| Intlungu isasazeka emilenzeni | Ngenxa yokuba i-vertebra etyibilikayo icinezela iingcambu zemithambo-luvo, intlungu ingahamba iye emilenzeni. |
| Ubuthathaka bemisipha | Usenokuziva ubuthathaka emilenzeni yakho. |
Unyango lwe-spondylolisthesis
Enye yezona ndlela zilungileyo zonyango loku kunyango lomzimba . Iqinisa izihlunu ezixhasa umqolo nesisu. Ugqirha wakho unokukunika amayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-acetaminophen okanye i-ibuprofen ukuze uncede intlungu. Ukuba intlungu inzima, unokufaka inaliti ye-epidural steroid.
Ukongeza, ugqirha wakho unokuqwalasela amayeza athile eentlungu ze-neuropathic kunye neziphumzi zemisipha. Nangona kunjalo, ukuba unesifo esifana nesifo seswekile, kufuneka uqaphele xa uthatha ii-steroids, kuba zinokunyusa okwethutyana amanqanaba eswekile egazini lakho. Ke ngoko, xoxa ngayo yonke into nogqirha wakho. Ukuba olu nyango aluncedi, utyando lokubonelela ngendawo engakumbi yemithambo-luvo (decompressive laminectomy) okanye i-spinal fusion (spinal fusion) lunokuqwalaselwa.
2. I-Cervical Radiculopathy (i-nerve ecinezelekileyo entanyeni)
Le yimeko eyenzeka xa ingcambu yemithambo-luvo ephuma kwithambo lomqolo entanyeni icinezelwa . Kanye njengokuba umntu enyathela umbhobho wamanzi aze amanzi ahambe kancinci, xa imithambo-luvo icinezelwe, imiqondiso ehamba ngayo iyaphazamiseka.
Eyona nto ibangela le meko kubantu abaselula kukuqhekeka kwediski entanyeni, nto leyo ebangela ukuba umthambo ucinezelwe zizinto eziphuma kuwo. Kubantu abadala, umthambo ungacinezelwa ngenxa yotshintsho oluqhelekileyo oluwohlokayo okanye isifo samathambo esibakho xa umntu ekhula.
Iimpawu ze-Cervical Radiculopathy
- Uphawu oluphambili yintlungu esasazeka entanyeni, esifubeni, emagxeni nasezingalweni .
- Usenokuziva ungenazimvakalelo okanye urhawuzelelwa zizandla okanye iminwe yakho.
- Usenokuziva ubuthathaka bemisipha esandleni sakho.
- Abanye abantu banokulahlekelwa yibhalansi kunye nokulungelelana , ingakumbi ezandleni.
Unyango lwe-Cervical Radiculopathy
Iipilisi zokunciphisa iintlungu kunye nonyango lomzimba zezona ndlela ziphambili zonyango loku. Unyango lomzimba lubandakanya ukutsalwa komlomo wesibeleko kancinci, ukuzilolonga, kunye nezinye iindlela zokunceda ukunciphisa iintlungu. Ugqirha wakho unokucebisa neenaliti ze-steroid okanye i-epidural.
Okubaluleke kakhulu, ukuba ucinezelo lwemithambo-luvo lubangele ubuthathaka obukhulu bokusebenza kwesandla, kunokufuneka utyando ukuze kuncitshiswe uxinzelelo.
Umyalezo Wokuya Ekhaya
- Iintlungu zomqolo azifanele zithathwe lula. Zininzi izizathu, ngoko ke kubalulekile ukufumana unobangela ochanekileyo.
- Ukuba intlungu inzima, ihla ngemilenze, okanye ihamba nokungaziva okanye ubuthathaka emilenzeni, ngokuqinisekileyo kuya kufuneka ubone ugqirha kunokuba uzame ukuyinyanga ngokwakho.
- Uvavanyo olufana ne
X-raykunyeMRIezichazwe ngugqirha wakho zibaluleke kakhulu ekuxilongeni izifo. Musa ukuzityeshela. - Unyango lomzimba lunyango olusebenzayo nolukhuselekileyo lweentlungu zomqolo. Ukuqinisa izihlunu ezijikeleze umqolo ngokwenza umthambo ofanelekileyo kunokunceda ekufumaneni isiqabu sexesha elide.
- Ukuba unezinye izifo, ezinje ngesifo seswekile okanye uxinzelelo lwegazi oluphezulu, yazisa ugqirha wakho ngaphambi kokusebenzisa naliphi na iyeza leentlungu zomqolo.
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