Abantu abaninzi kwilizwe lethu baye bahlangabezana neentlungu zomqolo ngaxa lithile ebomini babo. Enyanisweni, abantu abasibhozo kwabalishumi baye bahlangabezana nale meko. Kodwa uninzi lwexesha, le ntlungu iyaphela kwiintsuku ezimbalwa, iveki okanye ezimbini. Kodwa ukuba intlungu yakho yomqolo iyaqhubeka iiveki okanye iinyanga ngaphandle kokuncipha, usenokuba uzibuza, "Owu, ngaba kuya kufuneka ndityandwe nam?" Makhe sithethe ngale nto namhlanje.
Le 'diski' inxulumene njani nentlungu yomqolo?
Zininzi izizathu zentlungu yomqolo. Kodwa eyona nto ixhaphakileyo ziingxaki 'zeediski' zerabha phakathi kwamathambo ethu omqolo. Cinga ngezi diski 'njengezifunxi-gazi' emotweni. Zifunxa uxinzelelo emqolo wethu xa sihamba, sibaleka, okanye siphakamisa izinto ezinzima, zikhusela umqolo wethu.
Ngoko ke, le diski inokuba neengxaki ezininzi.
Ngamafutshane, le diski ineqokobhe langaphandle eliqinileyo kunye neqokobhe langaphakathi elithambileyo, elifana nejeli. Ngamanye amaxesha, ukuba kukho ukukrazuka okuncinci kule qokobhe langaphandle, inxalenye efana nejeli ingaphuma ize icinezele umthambo okufutshane. Oku sikubiza ngokuba yi- "slipped disc ." Oogqirha babiza le meko ngokuthi yi-herniated disc .
Ukuba idiski ephuma ngolu hlobo icinezela imithambo-luvo yakho ye-sciatic, unokufumana iintlungu eziqatha eziqala emqolo wakho zize zehle ngeempundu zakho ziye emlenzeni. Oku ngabantu abaninzi abakubiza ngokuba yi-'sciatica pain'.
Ukongeza, njengoko iminyaka ikhula, ezi discs zinokuguga. Oku sikubiza ngokuba "kuwohloka". Emva koko azisenakukwazi ukubonelela ngenkxaso entle kumqolo njengangaphambili.
Ngaba yonke ingxaki yomqolo ifuna utyando?
Hayi, akunjalo! Le yeyona nto ibalulekileyo ekufuneka uyazi. Nokuba idiski ine-herniated, inganyangwa ngaphandle kotyando.
Kwaneengcali zotyando lwemithambo-luvo zithi "phakathi kwama-80% nama-85% ezigulana ezine-herniated disc ziya kuphila ngaphandle kotyando ngokuhamba kwexesha."
Ugqirha wakho uya kuqala azame unyango olungenalo utyando.
- Amayeza okulwa nokuvuvukala: Amayeza anikwa ukunciphisa iintlungu nokudumba.
- Unyango Lomzimba : Ukuzilolonga okuqinisa izihlunu ezijikeleze umqolo nokukufundisa indlela yokunyamekela umqolo ngokufanelekileyo.
- Iinaliti ze-steroid:Ukufaka inaliti kwindawo apho umthambo ucinezelwe khona. Oku kunciphisa kakhulu iintlungu nokudumba.
- Ukuphumla nomonde: Kubaluleke kakhulu ukuphumla nokunika unyango ixesha lokuba luphile.
Ngoko ke ufanele ucinge nini ngotyando?
Ukuba ubusebenzisa ezinye iindlela zonyango (amayeza, unyango lomzimba) kangangeeveki ezi-6 ukuya kwezi-12 kwaye intlungu ayikapheli, ugqirha wakho uya kuqwalasela utyando.
Nangona kunjalo, kwezinye iimeko, utyando lunokufuneka kwangethuba. Qaphela ezi mpawu:
- Ukuba intlungu oyifumanayo inzima kakhulu ukuba ungayinyamezela .
- Ukuba izihlunu zakho zomqolo zibuthathaka kangangokuba awukwazi nokuhamba kakuhle .
- Okubaluleke kakhulu: Ukuba unemeko apho ungakwazi ukulawula umchamo okanye isitulo sakho ngenxa yokuba idiski icinezela umthambo, le yimeko engxamisekileyo. Ukuba oku kuyenzeka , kuya kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko .
Ugqirha wakho uza ku-odola iimvavanyo ezifana ne-X-ray, i-MRI scan, okanye i-CT scan ukuze abone ukuba kwenzeka ntoni ngaphakathi komqolo wakho ngeli xesha.
Ziziphi iintlobo zotyando ezenziwa kwiidiski zomgogodla?
Zininzi iindlela zokulungisa ingxaki yediski. Uhlobo lotyando oza kulwenza luya kuxhomekeka kubungakanani bomonakalo kwidiski yakho. Makhe sijonge iindlela eziphambili.
| Ingxaki | Utyando kunye nendlela yalo |
|---|---|
| Idiski ehluthwe yiHerniated/Slipped | Utyando loku lubizwa ngokuba yi-microdiscectomy . Oku kuquka ukususa kuphela isiqwenga sediski esicinezela umthambo. Indlela yendabuko: Kwenziwa umsike omncinci, malunga ne-intshi ubude, izihlunu zitsalwa ecaleni, kwaye inxalenye yediski ecinezela imithambo-luvo iyasuswa. Ayingeni kakhulu: Kwenziwa umsikelo omncinci kakhulu, kwaye kufakwa izixhobo ezikhethekileyo (ii-dilators) ngomsikelo ngaphandle kokunqumla izihlunu, kwaye iqhekeza lediski liyasuswa. Le ndlela inexesha lokubuyela umva ngokukhawuleza. |
| Idiski Eyenziwe Kakubi kunye neArthritis | Njengoko sikhula, iidiski ziyawohloka kwaye i-arthritis ikhula kumalungu omqolo, iindlela zemithambo-luvo kumqolo ziyancipha. Oogqirha babiza oku ngokuba yi-stenosis . Okwenziwayo: Utyando lubandakanya ukususa ithambo elongezelelweyo kunye nokwandisa indlela yemithambo-luvo. Ngamanye amaxesha, ii-spacers zifakwa phakathi kwe-vertebrae ukuze kuzinziswe umqolo, okanye ii-vertebrae ezininzi zidityaniswe. Oku kubizwa ngokuba yi -spinal fusion . |
Ilizwi malunga nokutshintshwa kwediski...
Kukwakho notyando oluthatha indawo yediski ngokupheleleyo. Nangona kunjalo, oku akusathandwa njengoko kwakunjalo ngaphambili. Isizathu kukuba kusekho imibuzo malunga nokuba isebenza kangakanani na, kwaye ezinye iinkampani zeinshorensi aziyihlawuli. Oku kudla ngokufaneleka kuphela ukuba ingxaki yediski yenzeka ebuntwaneni (malunga neminyaka engama-20-30 ubudala).
Yintoni onokuyilindela emva kotyando?
Ukuba une-microdiscectomy, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, ukuba wenze utyando olufana nolwe-spinal fusion, kuya kufuneka uhlale esibhedlele usuku okanye ezimbini.
Lonke utyando lunomngcipheko omncinci, kodwa olu lutyando olukhuselekileyo. Ngamanye amaxesha, kunokubakho ukukrazuka okuncinci kwi-membrane ejikeleze umqolo, okubangela ukuba ulwelo luphume. Oku kunokubangela intloko ebuhlungu. Kodwa akuyonto imbi kwaye inokunyangeka kwaye inyangeke lula.
Olu tyando luphumelele kakhulu. Oogqirha bathi "i-98% yezigulana eziye zatyandwa azidingi kuphinda zenze utyando kwakhona kwindawo enye." Oko kuthetha ukuba iintlungu ziyaphela.
Unyango lomzimba ngokuqinisekileyo luyimfuneko emva kotyando.
Ukuchacha emva kokuhlinzwa kwe-microdiscectomy kukhawuleza kakhulu. Ungahamba ngeentsuku ezimbalwa. Nangona kunjalo, kufuneka uphephe ukuphakamisa izinto ezisindayo kunye nokuzilolonga okunzima kwiiveki zokuqala ezi-4-6 ukuze uphephe ukwenzakala kwakhona.
Abanye oogqirha bathumela izigulana kwinkqubo ebizwa ngokuba yi "back school." Bakufundisa indlela yokugoba, ukuphakamisa iintsimbi, nokwenza umthambo wokuqinisa izihlunu ezijikeleze umqolo wakho ngaphandle kokulimaza umqolo wakho. Kuba ukuba wenza izinto ezifanayo nowawenza ngaphambi kotyando, kunokwenzeka ukuba uphinde ulimele umqolo wakho.
Ukuba une-spinal fusion, kuya kufuneka wenze unyango lomzimba ixesha elide. Ngokwesiqhelo ungabuyela kwimisebenzi yakho yesiqhelo kwiinyanga ezi-2-3.
Umyalezo Wokuya Ekhaya
- Iintlungu zomqolo zixhaphake kakhulu. Abantu abangama-80-85% banokuphila kuzo ngaphandle kotyando, ngezinto ezifana namayeza kunye nonyango lomzimba.
- Okokuqala, kufuneka uzame unyango olungenalo utyando ubuncinane iinyanga ezi-2-3.
- Ukuba ufumana iintlungu ezinganyamezelekiyo, ubuthathaka emilenzeni yakho, okanye ngakumbi ukuba unengxaki yokulawula umchamo/indle yakho, bona ugqirha ngokukhawuleza.
- Ukuba utyando luyimfuneko, utyando olufana ne-microdiscectomy okanye i-spinal fusion luphumelela kakhulu.
- Ukuze uphile ngokupheleleyo emva kotyando, kubalulekile ukulandela imiyalelo kagqirha nokwenza unyango lomzimba ngokufanelekileyo.
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