Ingaba umqolo wakho uhlala uqaqamba? Masifunde nge-spine arthritis!

Ngaba uhlala uphathwa ziintlungu zomqolo? Mhlawumbi xa uvuka kusasa, umqolo wakho uziva uqinile kwaye ufana nomthi? Okanye ngaba ufumana kunzima ukolula umqolo wakho emva kokuhlala esitulweni okwethutyana? Ukuba unengxaki nezi zinto, unobangela usenokuba yi-spinal arthritis. Ungakhathazeki, le yimeko echaphazela abantu abaninzi. Ngoko masithethe ngale nto ngokweenkcukacha namhlanje, ngendlela onokuyiqonda, kulungile?

Yintoni iSpinal Arthritis?

Ngamafutshane, isifo samathambo omqolo kukudumba kwamalungu phakathi kwamathambo amancinci kumqolo wakho abizwa ngokuba yi-vertebrae . Cinga ngomqolo wakho njengoluhlu lweentsimbi. Wenziwe ngamathambo angama-33 abekwe phezu kwelinye. Ithambo ngalinye libizwa ngokuba yi-vertebrae. Amalungu apho la mathambo omqolo adibana khona afana neehinges emnyango. La malungu asivumela ukuba sigobe umqolo wethu phambili, ngasemva, size sijike ukusuka kwelinye icala ukuya kwelinye. Ngoko ke, isifo samathambo senzeka xa la malungu evuvukala, okanye xa izicubu ezithambileyo ezibizwa ngokuba yi-cartilage esebenza njengomqamelo ziphela.

Umqolo wethu unokwahlulwa ube ziinxalenye ezintathu eziphambili, ukuze kube lula kuwe ukukhumbula:

• Umqolo wesibeleko: Le yi-vertebrae yokuqala esi-7 entanyeni. Le nxalenye isebenza xa ushukumisa intloko yakho phezulu nasezantsi kwaye ujonge kwicala ukuya kwelinye.
• Umqolo wesifuba: Oku kuqala ezantsi kwentamo kuze kuphele kwiimbambo. Le yinxalenye exhasa isifuba sethu.
• Umqolo weLumbar: Le yinxalenye yomqolo wakho ongezantsi efumana uxinzelelo olukhulu xa sigoba phambili okanye siphakamisa izinto ezinzima.

Nangona isifo samathambo sinokuchaphazela naliphi na ilungu lomqolo, sixhaphake kakhulu kumqolo wesibeleko nakwi-lumbar spine. Ukuba uneempawu zesifo samathambo, ezinje ngentlungu yomqolo kunye nokuqina, bona ugqirha. Ugqirha wakho uya kukwazi ukukunika unyango olufunekayo ukulawula iimpawu zakho kunye nokuthintela umonakalo ongakumbi kumqolo wakho.

Ziziphi iintlobo ze-spinal arthritis ezikhoyo?

Ngoku makhe sijonge iintlobo ze-arthritis ezinokwenzeka kumqolo. Enyanisweni, naluphi na uhlobo lwe-arthritis lunokwenzeka kumqolo. Nangona kunjalo, kukho iintlobo ezimbalwa ezibonakala kakhulu:

• I-Osteoarthritis: Olu lolona hlobo luxhaphakileyo. Cinga ngalo mzekelo, njengokuba amatayara eemoto zethu ephela ngokuhamba kwexesha, oku kubangelwa yi-cartilage, isigqubuthelo esithambileyo nesikhuselayo esijikeleze amalungu ethu, esiphela ngokuhamba kwexesha. Siba yinto eqhelekileyo njengoko sikhula. Yiyo loo nto abanye abantu ngamanye amaxesha becinga ukuba "iintlungu zomqolo ziqhelekile njengoko sikhula."
• I-rheumatoid arthritis: Eli libali elahlukileyo. Sisifo sokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yomzimba wethu yokuzikhusela ihlasela amalungu ethu. Kufana nokuphosa amatye endlwini yethu. Oku kunokuchaphazela kungekuphela nje umqolo, kodwa namanye amalungu emzimbeni.
• Isifo samathambo esibizwa ngokuba yi-Psoriatic arthritis: Esi sisifo esichaphazela amasosha omzimba. Abanye abantu abane- psoriasis (ekwaziwa ngokuba yi-lichen planus) banokuba nesi sifo samathambo.
• I-Ankylosing spondylitis: Olu luhlobo lwe-arthritis oluchaphazela kakhulu umqolo. Kule meko, amathambo ahlangana kancinci kancinci, nto leyo enciphisa ukuguquguquka komqolo. Uphawu olukhulu lwale nto kukuqina kwasekuseni.

Iimpawu kunye nonyango lwale ntlobo nganye zinokwahluka kancinci, yiyo loo nto kubaluleke kakhulu ukubona ugqirha ukuze ufumane ukuba loluphi uhlobo oluchanekileyo onalo.

Ixhaphake kangakanani le arthritis yomqolo?

Iqheleke kakhulu kunokuba unokucinga. Ixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-60. Ngokwezibalo, kuqikelelwa ukuba malunga nama-95% amadoda kunye nama-70% abafazi abaneminyaka engaphezu kwama-60 ubudala banezinga elithile le-spinal arthritis. Oko kuthetha ukuba uninzi lwabantu abadala abakungqongileyo kusenokwenzeka ukuba banesifo esinjalo.

Zithini iimpawu ze-spinal arthritis?

Iimpawu ze-spinal arthritis ziyahluka kumntu nomntu. Nangona kunjalo, ezona mpawu zixhaphakileyo ziquka:

• Intlungu yomqolo: Intlungu idla ngokuvakala, ingakumbi entanyeni nasemazantsi omqolo. Ngamanye amaxesha le ntlungu inokuba yinto engapheliyo okanye ifike ize iphele.
• Ukuqina okanye ukungabi nakuguquguquka: Ukuziva uqinile emqolo, nokuba xa uvuka kusasa okanye emva kokuma okwethutyana. Njengehenjisi enomhlwa.
• Intlungu ezingalweni okanye emilenzeni: Ukuba imithambo-luvo emqolo icinezelwe, intlungu ingahamba iye ezingalo okanye emilenzeni. Abanye abantu banokude bazive ngathi imilenze yabo iyaphelelwa ngamandla.
• Ukungakwazi ukuhamba umgama omde njengangaphambili: Usenokungakwazi ukuhamba umgama omde njengangaphambili, nokuba kungenxa yokuba umqolo wakho uqala ukuqaqamba emva kokuhamba umgama omfutshane okanye ngenxa yokuba imilenze yakho ayiziva ikhululekile.
• Ukudinwa ngalo lonke ixesha (Ukudinwa): Ukudinwa nokungaphili ngalo lonke ixesha lolunye uphawu abanye abantu abalufumanayo.

Ngokuxhomekeke ekubeni iphi i-arthritis emgogodleni wakho, unokufumana iintlungu kwezi ndawo:

• Intloko
• Iimbambo
• Amathambo esinqe
• Indawo yamathanga
• Amadolo

Khawucinge nje, xa uvuka kusasa, intamo yakho iqinile kangangokuba awukwazi nokuyijika, uneentlungu ezincinci emqolo wakho ongezantsi imini yonke, kwaye xa umi okwethutyana, uziva uziva urhawuzelelwa luhamba emlenzeni wakho... Ezi ziimvakalelo zomntu one-arthritis. Abanye abantu bade bathi xa uhlikihla umqolo wabo, kuvakala ngathi "ubisi lobisi" lugalelwa phezu kwawo.

Yintoni ebangela isifo samathambo emgogodleni?

Uhlobo ngalunye lwesifo samathambo lunezizathu zalo ezizodwa. Umzekelo, i-osteoarthritis ikhula kuba i-cartilage ejikeleze amalungu ethu iyawohloka ngokuhamba kwexesha, njengemoto endala ewohlokayo.

Kwelinye icala, iintlobo ezifana ne-rheumatoid arthritis zibangelwa ziingxaki zokuzikhusela komzimba . Oko kukuthi, inkqubo yomzimba yokuzikhusela, ekufanele ukuba ikhusele imizimba yethu, ihlasela ngempazamo amalungu omzimba wethu, kule meko amalungu.

Ziziphi izinto ezibangela umngcipheko ezichaphazela oku?

Ngoku makhe sijonge izinto ezinokubangela ukuba umntu abe nesifo samathambo emgogodleni. Nangona singenakukwazi ukulawula ezinye izinto, singawunciphisa lo mngcipheko ukuba sinyamekela ezinye izinto.

Ngokuqhelekileyo, izinto ezinobungozi eziqhelekileyo kuzo zonke iintlobo ze-arthritis zezi:

• Ubudala bakho: Njengoko ukhula, umngcipheko wakho wokuba nesifo samathambo uyakhula. Yinto eqhelekileyo leyo.
• Ukusetyenziswa kwecuba: Ukutshaya icuba nokusebenzisa ezinye iintlobo zecuba kuyandisa kakhulu umngcipheko we-arthritis.
• Isini sakho: Kufunyaniswe ukuba amadoda anamathuba amancinci okuba nesifo samathambo somqolo kunabafazi.

Ukongeza, kukho nezinye izinto ezinobungozi ezichaphazela ngqo isifo samathambo somgogodla:

• Ukuba kukho umntu kusapho lwakho onesifo samathambo: Ukuba umama wakho, utata, okanye isalamane sakho esisondeleyo sinesifo samathambo, nawe usemngciphekweni omncinci wokuba naso. Oku kubizwa ngokuba yimfuza.
• Ukuba unomsebenzi okanye into oyithandayo ebeka uxinzelelo olukhulu emqolo wakho: Umzekelo, umntu ohlala ekhompyutheni imini yonke, okanye umntu ophakamisa izinto ezinzima (umz. abasebenzi bokwakha, abalimi). Okanye ukuba uhlala ulimaza umqolo wakho ngelixa udlala imidlalo (umz. i-rugby, ukuphakamisa iintsimbi). Ezi zinto zingonakalisa umqolo wakho kwaye zikhokelele kwi-arthritis.
• Ezinye izifo ezibangelwa kukuzikhusela komzimba: Abantu abanezifo ezifana nesifo sikaCrohn , i-ulcerative colitis (ezi zizifo zamathumbu), kunye ne -psoriasis nabo basengozini enkulu.
• Ukutyeba kakhulu okanye ukutyeba kakhulu: Xa utyeba kakhulu, umqolo ubeka uxinzelelo olukhulu kuwo, nto leyo eyonyusa umngcipheko wokuguguleka kwamalungu kunye nesifo samathambo.

Zeziphi ezinye iingxaki ezinokubangela oku?

Ukuba isifo samathambo somqolo asiphathwa kakuhle, iingxaki ezithile zinokubakho. Ezinye zazo zezi:

• I-Spine stenosis: Intambo yethu yomqolo yindlela yokungena emgogodleni. Ukuba le ndlela iyancipha ngenxa yesifo samathambo, inokucinezela intambo yomqolo kunye nemithambo-luvo ephuma kuyo. Oku kunokubangela iintlungu, ukungakhululeki, kunye nobuthathaka emilenzeni.
• I-Radiculopathy kunye nezinye iingxaki zemithambo-luvo: Iingcambu zemithambo-luvo eziphuma kwi-vertebrae zinokucinezelwa. Oku kubizwa ngokuba yi-radiculopathy. Umzekelo, i-sciatica yimeko efana nale.
• Ukuqhekeka komqolo, ingakumbi ukuqhekeka kokucinezelwa: I-arthritis inokwenza amathambo abe buthathaka kwaye ibangele ukuba i-vertebra iphuke, nokuba iwe kancinci okanye iphakamisa izinto ezinzima.
• I-Kyphosis: Indlela egobileyo ngayo umqolo iyatshintsha, nto leyo ebangela ukuba ugobe phambili uze ubonakale ugobile.

Ufumanisa njani ukuba une-arthritis kulo mqolo?

Ukuba uneentlungu zomqolo okanye ezinye izinto ezikukhathazayo, into yokuqala omawuyenze kukubona ugqirha. Ugqirha uza kukuxilonga aze akubuze ngeempawu zakho.

• Unexesha elingakanani unale ntlungu?
• Injani intlungu? (umz. ukutsha? ukuhlaba? ukuqina?)
• Intlungu iba mandundu nini? (umz. kusasa? ebusuku? ngelixa usebenza?)
• Ingaba intlungu iba mandundu okanye iba mandundu xa usenza into ethile? (umz., ukuhlala, ukuma, ukuhamba)

Baza kubuza imibuzo efana nale baze bathethe nangembali yakho yezonyango (ngaba unazo ezinye izifo, ngaba usebenzisa amayeza, njl.njl.).

Emva koko, ugqirha uza kukuhlola umqolo wakho. Uza kujonga nomgama ohamba ngawo kunye nokuba kukho iindawo apho uziva khona iintlungu xa ucinezela umqolo wakho.

Luhlobo luni lovavanyo olwenziwayo koku?

Ngokwesiqhelo, emva kwengxoxo novavanyo lomzimba, ukuba ugqirha unamathandabuzo, uya kuyalela iimvavanyo ezininzi ukuze athathe imifanekiso yomqolo kunye nezicubu ezingqongileyo. Ezi zibizwa ngokuba zii-imaging tests .

Iimvavanyo ezixhaphakileyo zezi:

• I-X-reyi yoMqolo: Oku kunokujonga imeko yamathambo, ukuba isithuba esiphakathi kwamalungu sinciphile na, nokuba kukho ukukhula kwamathambo okongezelelweyo (ii-bone spurs).
• Iskeni se-MRI (Magnetic Resonance Imaging): Oku kungathatha umfanekiso ocacileyo kungekuphela nje ngamathambo, kodwa nakwizicwili ezithambileyo ezifana ne-cartilage, ii-disc, imithambo-luvo, kunye ne-spinal cord.
• I-CT (Computed Tomography) Scan: Oku kunokubonelela ngolwazi oluneenkcukacha malunga namathambo. Kucacile kune-X-ray.

Zithini iindlela zonyango zoku?

Into abantu abaninzi abayisolayo kukuba akukho nyango lamathambo elifunyenweyo okwangoku.Kodwa ungakhathazeki. Kukho unyango oluninzi olusebenzayo olufumanekayo ukunceda ukulawula iimpawu zakho, ukunciphisa iintlungu, kunye nokuthintela umonakalo ongakumbi kumqolo wakho. Ugqirha wakho uya kugqiba uhlobo lwe-arthritis onalo ngokusekwe kwimeko yakho ethile.

Nazi ezinye zezona ndlela zonyango zisetyenziswa kakhulu:

• Izithomalalisi zentlungu ezingathengiswayo (OTC): Izithomalalisi zentlungu ezingathengiswayo (OTC), ezifana neeNSAID (Non-Steroidal Anti-Inflammatory Drugs) (umz. ibuprofen, idiclofenac) kunye ne-acetaminophen (umz. iPanadol), zinokunceda ekunciphiseni ukudumba kunye nentlungu. Nangona kunjalo, kungcono ukuthetha nogqirha ngaphambi kokuba usebenzise la mayeza kangangeentsuku ezingaphezu kwe-10 ngexesha.
• Unyango lomzimba: Ingcali yonyango lomzimba ngumntu okuncedayo ukuphucula intshukumo kunye nokusebenza komzimba wakho. Baza kukunika imithambo kunye nemiyalelo yokukunceda ulawule iintlungu, ukuqina, kunye nokungonwabi, ukuqinisa izihlunu ezijikeleze umqolo wakho, kunye nokugcina ukuma okufanelekileyo.
• Amayeza abhalwe ngugqirha: Ngamanye amaxesha ugqirha wakho unokukunika amayeza okudambisa iintlungu anamandla abizwa ngokuba yi-corticosteroids , nokuba akwimo yeepilisi okanye inaliti ye-cortisone enikwa ngqo kwilungu elichaphazelekayo. Ukuba une-rheumatoid arthritis okanye i-psoriatic arthritis, unganikwa nohlobo oluthile lwamayeza abizwa ngokuba yi -DMARDs (Disease-Modifying Anti-Rheumatic Drugs) . La mayeza asebenza ukunciphisa ubukhali besifo.

Ngaba utyando lwenziwa kwi-spinal arthritis?

Uninzi lwabantu abane-spine arthritis abadingi kutyando. Ugqirha uya kuqwalasela utyando kuphela xa iimpawu zinzima nangona kukho ezinye iindlela zonyango eziqhelekileyo. Okanye, njengoko bekutshiwo ngaphambili, ukuba kukho ingxaki efana ne-spinal stenosis okanye i-vertebrae ephukileyo, utyando lunokufuneka ukuze lulungiswe.

Iintlobo ezimbini zeentlobo zotyando ezixhaphakileyo yi- spinal fusion kunye ne -spinal decompression . Ukuba udinga utyando, ugqirha wakho uza kukuchazela ukuba loluphi utyando olukufaneleyo kunye noko ungakulindela.

Yintoni omele uyilindele xa uphila nale meko?

Inyaniso kukuba, isifo samathambo somqolo sisifo ekufuneka silawulwe ixesha elide (mhlawumbi ubomi bonke). Nangona kunjalo, ugqirha wakho unokukunceda unciphise impembelelo yaso kwimisebenzi yakho yemihla ngemihla.

Abanye abantu banokubona ukwanda kancinci kweempawu njengoko bekhula. Kungoko ke, kubalulekile ukubona ugqirha wakho rhoqo kwaye uhlolwe imeko yakho. Emva koko, ungabona ukuba kukho utshintsho kwimo yomqolo wakho okanye ukuba iimpawu zakho zitshintshile, kwaye uthathe amanyathelo afunekayo.

Ngaba ikho indlela yokuthintela oku?

Kunzima ukuthintela ngokupheleleyo isifo samathambo, esibangelwa sisifo esihlasela amajoni omzimba. Nangona kunjalo, kukho izinto esinokuzenza ukukhusela amalungu ethu (kuquka nomqolo wethu):

• Landela ukutya okunempilo okukufaneleyo.
• Yenza umthambo ongenampembelelo ingako: Izinto ezinje ngokudada, i-yoga, kunye nokukhwela ibhayisekile ziyaqinisa amalungu akho ngaphandle kokuwacinezela kakhulu.
• Kuphephe ngokupheleleyo ukutshaya nezinye iimveliso zecuba.
• Nxiba izixhobo zokuzikhusela ezifanelekileyo xa usebenza, udlala imidlalo, okanye usenza izinto ozithandayo.

Ungazinyamekela njani?

Oku kubaluleke kakhulu. Enye yezona ndlela zilungileyo zokunciphisa iimpawu ze-arthritis kukuhlala usebenza kangangoko unako. Kodwa ungenzi nantoni na ebangela iintlungu eziqatha. Ukuzilolonga okuthambileyo nokuthambileyo, njengokuhamba, kunokunceda ukunciphisa iintlungu nokuqina. Kunokunceda nokuthintela imeko ukuba ibe mandundu.

Akunyanzelekanga ukuba uye kwi-Olimpiki. Ukuzilolonga rhoqo njengokuhamba, ukudada, ukukhwela ibhayisekile, kunye neyoga zilungele umqolo wakho. Ezi ziya kuqinisa izihlunu zakho kuwo wonke umzimba wakho. Buza ugqirha wakho okanye ingcali yezonyango ukuba zeziphi izithambo ezifanelekileyo kuwe. Zinokukunceda uhlale usebenza kwaye ukhuselekile.

Ukuba isifo sakho samathambo somqolo sikwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla, ungafuna uncedo kwingcali yezonyango . Bangakufundisa indlela yokuma, yokuhlala, yokuhambahamba kakuhle, okanye ukusebenzisa izixhobo ezahlukeneyo ukukunceda wenze umsebenzi wakho ngokukhuselekileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba unenye okanye ngaphezulu kwezi mpawu, bona ugqirha ngokukhawuleza:

• Intlungu ayinyamezeleki.
• Umqolo wam uqinile kangangokuba andikwazi nokuwushukumisa.
• Ukuba ndindisholo okanye ukurhawuzelela ezandleni, ezinyaweni, kwiminwe, okanye ezinzwaneni.
• Ubuthathaka kwiingalo okanye emilenzeni.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa sisiya kugqirha, ngamanye amaxesha siyalibala into esifuna ukuyibuza. Ngoko ke, licebo elihle ukubhala phantsi imibuzo efana nale:

• Luhlobo luni lwesifo samathambo endinaso?
• Luhlobo luni lovavanyo lomfanekiso ekufuneka ndilwenze?
• Luhlobo luni lonyango endiludingayo?
• Ngaba ndiza kufuna utyando?
• Ndifanele ndize kangaphi ukuze ndihlolwe umqolo?

Ingaba le arthritis yomqolo yingxaki enzulu?

Njengaso nasiphi na isifo samathambo namalungu, isifo samathambo somqolo ngamanye amaxesha sinokukhokelela kwiingxaki ezinkulu. Kodwa ungakhathazeki. Ugqirha angakunceda ulawule iimpawu zakho aze anciphise impembelelo yemeko kubomi bakho bemihla ngemihla. Ukuba ubona utshintsho kwiimpawu zakho, okanye ukuba uvakalelwa kukuba unyango lwakho lwangoku alukuncedi kangako njengoko belunjalo ngaphambili, bona ugqirha ngoko nangoko.

I-spinal arthritis ibangela iintlungu zomqolo, ukuqina, kunye nokudumba. Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unesilonda somqolo. Nangona kunjalo, abantu abaninzi basenokuphila ubomi obuqhelekileyo kwaye bonwabele ubomi babo nge-spinal arthritis. Ugqirha wakho unokukunceda ufumane unyango oludingayo ukuze uhlale ukhuselekile, usebenza, kwaye ungabi nantlungu kangangoko kunokwenzeka.

Ngoko ke, ekugqibeleni, ezinye zezona zinto zibalulekileyo ekufuneka uzikhumbule!

I-spinal arthritis yimeko ekhathazayo nehlala ixesha elide. Kodwa ungalahli ithemba. Zininzi izinto onokuzenza ukuze uphile kakuhle nale meko.

• Musa ukuyityeshela intlungu. Endaweni yokucinga, "Yiyo kanye loo nto," bona ugqirha uze ufumane ukuba yintoni kanye kanye ingxaki. Okukhona ufumanisa kwangoko, kokukhona kulula ukunyanga.
• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Sela amayeza akho ngexesha, yenza umthambo oxelelwe ukuba uwenze, kwaye ungalibali ukuya kugqirha wezonyango ukuba bayakuxelela.
• Hlala usebenza kangangoko unako. Fumana imithambo oyithandayo kwaye engafaki uxinzelelo kumalungu akho (njengokudada, ukuhamba, i-yoga) kwaye uyenze yonke imihla. Ayizukunciphisa iintlungu kuphela, ikwanceda nengqondo yakho.
• Lawula ubunzima bakho. Ukutyeba kakhulu kubeka uxinzelelo olongezelelekileyo emqolo wakho. Zimisele ukutya okunempilo.
• Kuphephe ukutshaya. Ukutshaya kwenza isifo samathambo sibe sibi ngakumbi.
• Cinga ngendlela eyakhayo. Kholelwa ukuba ungaphila ngolonwabo nangokukhutheleyo nale meko. Fumana inkxaso yengqondo ukuba kuyimfuneko.

Khumbula, awuwedwa. Abantu abaninzi kwihlabathi liphela baphila nezi meko. Fumana uncedo olufunayo, kwaye uhlale uqinile! Ungayoyisa le nto.

I- arthritis yomqolo, iintlungu zomqolo, ukudumba kwamalungu, i-osteoarthritis, i-rheumatoid arthritis, umqolo, unyango lwe-arthritis