Ngaba ngamanye amaxesha ukhe uve iintlungu zomqolo kunye nokurhawuzelelwa okuhla emilenzeni yakho? Ngaba ezi ntlungu ziyanda xa uhamba umgama omfutshane okanye ume, kwaye ziyancipha xa uhleli okanye ugoba phambili? Le yingxaki eqhelekileyo kubantu abaninzi. Namhlanje sithetha ngemeko ebizwa ngokuba yi- 'spinal stenosis ' enokubangela oku, ingakumbi njengoko sikhula.
Ngamafutshane, yintoni iSpinal Stenosis?
Cinga ngomqolo wakho njengombhobho wamanzi. Umthambo womqolo, ingcambu yemithambo-luvo ephambili ephuma ebuchotsheni bethu, kunye nemithambo-luvo ephuma kuwo, ihamba kulo mbhobho. Ngokuhamba kwexesha, ngenxa yezizathu ezahlukeneyo, indawo engaphakathi kulo mbhobho iyancipha kancinci kancinci kwaye iqala ukuncitshiswa. Emva koko le mithambo-luvo ibuthathaka ngaphakathi iqala ukucinezelwa. Yiloo nto siyibiza ngokuba yiSpinal Stenosis .
Olu xinzelelo lunokwenzeka naphi na emgogodleni. Iimpawu zixhomekeke ekubeni uxinezeleko lwenzeka phi. Aluphuhli ngequbuliso, kodwa luhlala lukhula kancinci kancinci ngokuhamba kweminyaka.
Kukho iintlobo ezimbini eziphambili ze-spinal stenosis:
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke kwindawo eyenzeka kuyo:
1. I-stenosis yomqolo wesibeleko: Oku kuxa indlela yemithambo-luvo entanyeni yakho incipha.
2. I-Lumbar spinal stenosis: Olu lolona hlobo luqhelekileyo. Lwenzeka xa ingcambu yemithambo-luvo emqolo wakho ongezantsi, umqolo we-lumbar, icinezelwa.
Abanye abantu banokuba nazo zombini ezi ntlobo ngaxeshanye. Kunokwenzeka ukuba le meko ivele emqolo ophakathi, nangona oku kungaqhelekanga.
Eyona nto ibangela ukuba abantu abaninzi babe ne-spinal stenosis yi -osteoarthritis , imeko eyenzeka xa abantu bekhula.
Ngaba nawe unazo ezi mpawu?
Ayingabo bonke abantu abaya kuba neempawu. Abanye abantu banokuba nale meko kwi-scan kodwa bangabi nantlungu okanye ukungonwabi. Nangona kunjalo, ukuba iimpawu ziyenzeka, zihlala zibonakala ngezi ndlela zilandelayo:
| Uphawu | Inkcazo |
|---|---|
| Intlungu nokuqina komqolo okanye entanyeni | Intlungu iyanda xa umi uhamba, kwaye iyancipha xa ugoba phambili naxa uhleli. |
| Ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka emilenzeni okanye ezingalweni | Ukucinezelwa kwemithambo-luvo kubangela ukuphazamiseka kwemvakalelo kwiingalo nasemilenzeni. |
| Intlungu ye-sciatica | Intlungu ebukhali, njengomothuko wombane, iqala esinqeni ize iye emlenzeni. |
| Ubunzima bokuhamba kunye nokulahlekelwa yibhalansi | Ubuthathaka emilenzeni bunokubangela ukuba imilenze ivakale ngathi irhuqa phantsi xa ihamba (ukuwa kweenyawo). Ukuhamba umgama omfutshane kunokubangela ukuba intlungu yomqolo ikhule, nto leyo enokunyanzela ukuba uyeke. |
| Ubunzima bokulawula umchamo okanye isitulo | Oku kunokwenzeka kwiimeko ezinzima zesifo. Le meko ibangelwa kukucinezelwa kakhulu kwemithambo-luvo edibanisa isinyi namathumbu. |
| Isifo seCauda equina | Ingxakeko yezonyango ebangelwa kukucinezelwa kwe-nerve bundle ezantsi komqolo. Iimpawu ziquka ukungaziva kakuhle kwindawo yesini nangaphakathi, kunye nokulahlekelwa ngokupheleleyo kulawulo lwesinyi kunye namathumbu. Ukuba ufumana ezi mpawu, kufuneka uye kwisebe likaxakeka lesibhedlele (ETU) ngoko nangoko. |
Zithini izizathu zeSpinal Stenosis?
Njengoko besitshilo ngaphambili, unobangela oyintloko yi -arthritis, ehambisana nokukhula.Imeko. Xa i-cartilage ephakathi kwemisipha yethu iphela, amathambo ayakhuhlana. Emva koko, njengoko umzimba uzama ukuphola, ithambo elitsha liyakhula. La mathambo matsha anciphisa indlela yemithambo-luvo.
Ukongeza, kukho ezinye izizathu ezininzi.
| Isizathu | Inkcazo |
|---|---|
| Iidiski ze-Herniated | Idiski efana nejeli phakathi kwamathambo omqolo inokuqhekeka, nto leyo ebangela ukuba izinto ezingaphakathi ziphume zize zicinezele umqolo okanye imithambo-luvo. |
| Ukulimala komqolo | Umqolo ophukileyo okanye otyumkileyo kwingozi unokubangela ukuxinana komthambo. |
| Iithumba | Imithambo-luvo inokucinezelwa ngenxa yeethumba okanye ezinye iithumba ezikumqolo. |
| Iiligaments ezijiyileyo | Iiligaments ezidibanisa umqolo wethu kunye zinokuqina ngokuhamba kwexesha, zigobe ngaphakathi, kwaye zivale iindlela zemithambo-luvo. |
Izinto ezinobungozi
Eyona nto iphambili ebangela esi sifo kukuba neminyaka engaphezu kwama-50 ubudala . Abafazi kunye nabo bakhe batyandwa umqolo ngaphambili basengozini enkulu. Kwakhona, abantu abazalwa benemeko efana ne-scoliosis okanye abo benzakele kakhulu emqolo besebancinci nabo banokufumana esi sifo kwangethuba.
Indlela yokuxilonga esi sifo?
Ukuba uneempawu ezinje, into yokuqala omawuyenze kukubona ugqirha ofanelekileyo.
1. Ukuthetha nogqirha: UgqirhaOkokuqala, uza kubuzwa ngeempawu zakho, ukuba ziqale njani, kwaye xa zisiba mandundu.
2. Uvavanyo lomzimba: Okulandelayo, uza kuhlolwa, ukhangele iindawo ezibuhlungu emqolo, ukungakhululeki emilenzeni yakho, kunye namandla emisipha.
3. Uvavanyo lwemifanekiso: Iskeni ingayalelwa ukuqinisekisa ukuxilongwa nokufumanisa ukuba imeko imbi kangakanani.
- I-MRI scan : Oku kukuvumela ukuba ubone imeko yomqolo, iidiski, iiligaments, kunye nemithambo-luvo ngomfanekiso ocacileyo kakhulu onemilinganiselo emithathu.
- I-CT scan: Oku kungasetyenziselwa ukujonga imeko yomqolo. Ngamanye amaxesha i-CT myelogram, esebenzisa idayi ekhethekileyo, inokubonisa indawo echanekileyo yokucinezelwa kwemithambo-luvo.
Zithini iindlela zonyango?
Nangona kungekho nyango lwale meko, kukho unyango oluninzi olunokunceda ukulawula iimpawu, ukunciphisa iintlungu, kunye nokukunceda uphile ubomi obungcono. Ugqirha wakho uya kukumisela unyango olulungele wena.
- Amayeza: Kukho amayeza ahlukeneyo afumanekayo okunciphisa iintlungu nokudumba. Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu, amayeza eentlungu zemithambo-luvo, kunye nezithambisi zokukhulula izihlunu. Ngamanye amaxesha, inaliti ye-corticosteroid kwindawo echaphazelekayo inokubonelela ngoncedo lwexeshana.
- Unyango lomzimba: Olu lukhetho lonyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo efanelekileyo kuwe. Le mithambo inokuqinisa umqolo wakho kunye nemisipha yesisu, inciphise uxinzelelo kumqolo wakho, kwaye ikufundise indlela yokwenza imisebenzi yemihla ngemihla ngaphandle kwentlungu eninzi.
- Utyando: Ukuba zonke ezinye iindlela zonyango aziphumelelanga, iintlungu azinyamezeleki, imilenze ibuthathaka kakhulu ukuba ingahamba, okanye isigulane siphulukene nolawulo lwesinyi/amathumbu, ugqirha angacebisa utyando. Oku kubandakanya ukwandisa indawo apho umthambo ucinezelwe khona. Kukho iintlobo ezahlukeneyo zotyando, ezifana ne-"Laminectomy" kunye ne-"Laminoplasty". Ekubeni esi sisigqibo esikhulu, kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga nogqirha wakho.
Utshintsho oluza kwenziwa ekhaya nakwindlela yokuphila
Ukongeza kunyango lwezonyango, utshintsho oluncinci kwindlela ophila ngayo lunokukunceda kakhulu.
- Umthambo ofanelekileyo: Buza ugqirha wakho okanye ingcali yezonyango ukuba zeziphi imithambo efanelekileyo kuwe kwaye uzenze yonke imihla. Izinto ezifana nokuhamba nokudada zilungile.
- Hlala ume kakuhle: Yima nkqo xa umi naxa uhleli. Xa uphakamisa, goba emadolweni, ungagobi ngasemva.
- Ukulawula ubunzima: Njengoko ubunzima bomzimba busanda, uxinzelelo kumqolo luyanda. Ngoko ke, ukugcina ubunzima obusempilweni kubaluleke kakhulu.
- Izixhobo zokuncedisa: Ngamanye amaxesha, ugqirha wakho unokucebisa ukusebenzisa i-brace okanye i-walker ekhethekileyo ukunciphisa iintlungu nokwenza ukuhamba kube lula.
- Izinto ekufuneka uziphephe: Kuphephe ukuphakamisa izinto ezinzima, imidlalo exinzelelekileyo efana nokubaleka nokutsiba, nokuhlala kwindawo enye ixesha elide (umz., phambi kwekhompyutha).
Umyalezo Wokuya Ekhaya
- I-spinal stenosis yimeko ebangelwa kukucinezelwa kwemithambo-luvo ngenxa yokuncitshiswa komjelo womgogodla.
- Iintlungu zomqolo okanye entanyeni, ukungaziva mnandi kunye nobuthathaka kwiingalo nemilenze, ingakumbi xa uhamba, zezona mpawu ziphambili.
- Isizathu esiphambili soku yi-arthritis, eyenzeka xa umntu ekhula.
- Ukuba ulahlekelwa ngequbuliso kulawulo lwesinyi okanye amathumbu kwaye uziva ungakhululekanga kwindawo yesini, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Iimpawu zingalawulwa kakuhle ngamayeza, unyango lomzimba, kunye notshintsho kwindlela yokuphila. Utyando lufuneka kuphela kwiimeko ezinzima. Thetha nogqirha wakho malunga naluphi na unyango.
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