Ngaba uzifumana ugoba phambili xa ume ixesha elide okanye uhamba umgama omfutshane ngenxa yentlungu yomqolo? Okanye ngaba unesiva sokurhawuzelela okanye intlungu ephuma entanyeni yakho iye ezingalweni zakho? Abantu abaninzi bacinga ukuba oku kuyinxalenye eqhelekileyo yokwaluphala, kodwa ngamanye amaxesha kubangelwa kukuxinana komthambo emgogodleni. Kwizonyango, oku sikubiza ngokuba yi-spinal stenosis. Ungakhathazeki, namhlanje siza kuthetha ngayo yonke into ngokulula.
Yintoni iSpinal Stenosis?
Ngamafutshane, i-spinal stenosis kukuncitshiswa kwesithuba ngaphakathi komqolo wethu. Cinga ngomqolo wethu njengothotho lweeringi (ezibizwa ngokuba zii-vertebrae) ezibekwe phezu komnye nomnye. Iringi nganye inesithuba phakathi, njenge-tunnel. Le tunnel ibizwa ngokuba yi-spinal canal . I-spinal cord, inxalenye ebaluleke kakhulu yomzimba wethu, kunye nemithambo-luvo ephuma kuyo, ihamba ngale tunnel.
Khawucinge ngoku, kwenzeka ntoni ukuba le tunnel incipha ngesizathu esithile? Kanye njengokuba umbhobho wamanzi uvalekile, indawo yokuba amanzi ahambe iyancipha, xa lo mjelo womgogodla uncipha, akukho ndawo yaneleyo yomgogodla kunye nemithambo-luvo ngaphakathi. Emva koko loo mithambo-luvo iqala ukucinezelwa, ukucinezelwa, nokucinezelwa. Kungenxa yoko kucinezelwa apho sifumana iimpawu ezifana nentlungu yomqolo kunye nentlungu eyehla emilenzeni (sciatica).
Nangona le meko inokwenzeka nakubani na ubudala, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala .
Zeziphi iindawo zomqolo ezichaphazeleka kakhulu yile meko?
Olu xinzelelo lwemithambo-luvo ludla ngokubonakala kwiindawo ezimbini emgogodleni:
- I-Lumbar Spinal Stenosis: Imeko eyenzeka kwi-vertebrae ezintlanu ezisezantsi (L1-L5) zomqolo wethu. Olu lolona hlobo luqhelekileyo lweentlungu zomqolo.
- I-Cervical Spinal Stenosis: Le meko inokwenzeka kwi-vertebrae ezisixhenxe (C1-C7) entanyeni yethu.
Ukongeza kwezi zimbini, le meko inokwenzeka naphakathi komqolo, oko kukuthi, kwinqanaba lomqolo wesifuba. Nangona kunjalo, ayiqhelekanga kakhulu.
Zithini iimpawu zoku?
I-spinal stenosis idla ngokukhula kancinci ngokuhamba kwexesha. Ngoko ke, nangona inokubonwa kwi-X-ray, usenokungabi nazimpawu kwizigaba zokuqala. Iimpawu zingahluka ukusuka kumntu ukuya komnye. Ngezinye iintsuku inokuba mandundu, ngelixa ezinye zinokuba ngcono.
Ngokubanzi, kuxhomekeke ekubeni umthambo ucinezelwe phi, ungaziva izinto ezinje entanyeni yakho, emqolo, ezingalweni, emilenzeni, ezintendeni, okanye ezinyaweni zeenyawo zakho:
- Intlungu
- Ukuba ndindisholo
- Njengombane(Ukurhawuzelela / "iiphini kunye neenaliti")
- Ubuthathaka
Makhe sibone ukuba iimpawu zahluke njani kwiimeko ze-spinal and neck stenosis.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu zeLumbar Spinal Stenosis | |
| Umqolo obuhlungu | Intlungu emqolo ongezantsi. |
| Intlungu ehamba ngeenyawo | Intlungu eqala ezimpundu ize yehle ngomlenze, ngamanye amaxesha iye kufikelela ezantsi konyawo. |
| Ubunzima kunye nokukrala emilenzeni | Ukuziva ubunzima emilenzeni, ukuziva ngathi imilenze yakho iyaphela emva kokuhamba okwethutyana, kunye nokuqaqamba. |
| Ukuba ndindisholo | Ukurhawuzelela okanye ukuziva ngathi iimbovane zibaleka ezimpundu, emilenzeni, okanye ezintendeni zeenyawo. |
| Amaxesha apho intlungu iyanda kwaye iyancipha | Intlungu iyanda xa ume ixesha elide, uhamba, okanye uhla entabeni. Intlungu iyancipha xa ugoba phambili, uhleli esitulweni, okanye unyuka izinyuko/iinduli. (Umzekelo, ukugoba phambili, njengaxa utyhala itroli kwivenkile enkulu, kunciphisa iintlungu zomqolo.) |
| Iimpawu ze-Cervical Spinal Stenosis | |
| Intlungu yentamo | Intlungu yentamo. |
| Ubuthuntu kunye nobuthathaka | Ukuziva urhawuzelelwa okanye ubuthathaka kwiingalo, izandla, imilenze, okanye iintende zeenyawo. |
| Iingxaki ngokulinganisela komzimba | Ubunzima bokugcina ibhalansi xa uhamba. |
| Iingxaki ngezakhono ezintle zezandla | Ubunzima bokwenza imisebenzi emihle efana nokubhala ngesandla, ukuqhobosha ihempe, okanye ukubamba ikomityi. |
Kutheni i-spinal stenosis isenzeka?
Kukho iindidi ezimbini eziphambili zezizathu zoku.
1. Izizathu ezifunyenweyo: Le yeyona nto ixhaphakileyo. Le meko ibangelwa lutshintsho emzimbeni wethu ("ukuguguleka") olwenzeka ngokuhamba kweminyaka.
2. Izizathu zokuzalwa: Abanye abantu bazalwa benomjelo womqolo onciphileyo. Oku kunqabile kakhulu.
Izizathu eziphambili ezenzeka ngokweminyaka (Izizathu Ezifunyenweyo)
- Ukukhula Kwamathambo: Njengoko sikhula, amalungu ethu ayawohloka. Oku kubizwa ngokuba yi-osteoarthritis. Xa amalungu asemqolo ewohloka, umzimba uphendula ngokukhula kwamathambo amatsha. La mathambo matsha anokukhula aye kumqolo aze acinezele imithambo-luvo.
- Iidiski ezivuvukileyo okanye ezihluziweyo: Phakathi kwethambo ngalinye lomqolo kumqolo wethu, kukho umqamelo ofana nejeli. Sizibiza ezi diski. Njengoko sikhula, ezi diski ziba zomile, zibe zicaba, kwaye zinokwenza imingxunya eludongeni lwazo. Emva koko inxalenye efana nejeli ngaphakathi inokudumba (idiski evuvukileyo okanye ehluziweyo) ize icinezele imithambo-luvo.
- Ukutyeba kweLigaments: IiLigaments zizakhiwo ezifana nebhendi ezidibanisa umqolo wethu. Ngenxa yeemeko ezifana ne-arthritis, ezi ligaments zinokuqina ngokuhamba kwexesha kwaye zivuthuluke ziye kumjelo womqolo, nto leyo enciphisa indawo yemithambo-luvo.
- Ukulimala komqolo: Lo mjelo ungancipha ngenxa yengozi efana nokuqhekeka okanye ukukruneka komqolo.
- Iintsholongwane: Kunqabile kakhulu ukuba ithumba elingaphakathi okanye elijikeleze umqolo linokubangela ukucinezelwa kwemithambo-luvo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha oneempawu ezinjalo, uza kuqala akubuze ngeempawu zakho. Emva koko uza kwenza uvavanyo lomzimba. Uza kugoba umqolo wakho kwiindlela ezahlukeneyo aze aqwalasele indlela intlungu eyenzeka ngayo.
Ukongeza, singacebisa iimvavanyo ezininzi ukuze sibone ingxaki:
- I-X-reyi yomqolo: Oku kunokubona utshintsho emathanjeni, ukulahleka kobude bediski, kunye nokuqhekeka kwamathambo.
- I-MRI scan (Magnetic Resonance Imaging): Le yeyona ndlela ilungileyo yokubona ngokucacileyo izinto ezibuthathaka ezifana nemithambo-luvo, iidiski, kunye ne-spinal cord.
- I-CT scan (i-Computed Tomography): Olu luvavanyo olubonelela ngemifanekiso eneenkcukacha ezingaphezulu kune-X-ray. Ngamanye amaxesha i-CT myelogram, esebenzisa ulwelo olukhethekileyo (idayi yokwahlulahlula), nayo inokwenziwa.
Zithini iindlela zonyango zoku?
Xa abantu besiva eli gama, badla ngokucinga bathi, "Owu, kuya kufuneka ndityandwe?" Kodwa ayinguye wonke umntu one-spinal stenosis ofuna utyando. Abantu abaninzi banokuphila ngonyango olungelulo utyando. Unyango olungcono kuwe luya kuxhomekeka kubukhali beempawu zakho, indawo yengxaki, kunye nesizathu.
| Indlela yonyango | Inkcazo |
|---|---|
| Unyango olungelulo utyando | |
| Izinto onokuzenza ekhaya | Iipakethi zobushushu/zokubanda, imithambo efanelekileyo njengoko iyalelwe ngugqirha. |
| Amayeza | Ii-NSAID zokunciphisa iintlungu nokudumba. Ngamanye amaxesha amayeza afana ne-gabapentin eentlungu zemithambo-luvo. Kodwa khumbula, kufuneka uhlale ubuza ugqirha wakho ngaphambi kokusebenzisa naliphi na iyeza. |
| Ulungiso lwenyama | Nika inkxaso entle kumqolo ngokwenza imithambo eqinisa umqolo kunye nemisipha yesisu. Ziqhelise ukuhamba ngendlela enciphisa uxinzelelo kwimithambo-luvo. |
| Iinaliti zeSteroid | Iinaliti ezinikwa ukunciphisa ukudumba kunye nentlungu ejikeleze umthambo ocinezelweyo. |
| Utyando | |
| Kucetyiswa nini utyando? | Utyando luqwalaselwa kuphela xa zonke ezinye iindlela zonyango zingaphumelelanga kwaye iimpawu zinzima kakhulu. |
| Iintlobo eziphambili zotyando | I-Laminectomy: Ukususa inxalenye ye-vertebra ukuze kubonelelwe ngesithuba esingakumbi semithambo-luvo. Ukuhlanganiswa komqolo: Ukuba umqolo awuzinzanga, dibanisa amathambo amabini kunye. Oku kuthathwa njengesisombululo sokugqibela. |
Ngaba zikho iindlela zokuphepha le meko?
Nangona singenakuyimisa ngokupheleleyo inkqubo yokwaluphala, kukho izinto esinokuzenza ukugcina umqolo wethu uphilile. Ezi zinto zinokunceda ekunciphiseni umngcipheko we-spinal stenosis okanye ukulawula ukuqhubela phambili kwawo.
- Ukutya okunempilo: Yitya ukutya okutyebileyo kwi-calcium ukuze amathambo aqine.
- Ukugcina ubunzima obusempilweni: Njengoko ubunzima bomzimba busanda, uxinzelelo lomqolo luyanda.
- Kuphephe ukutshaya: Ukutshaya konakalisa imithambo yegazi yethu, nto leyo enokunyusa iintlungu zomqolo.
- Ukugcina ukuma okufanelekileyo: Kubaluleke kakhulu ukugcina umqolo wakho uthe tye xa uhleli, umile, kwaye uphakamisa iintsimbi.
- Ukuzilolonga rhoqo: Ukuzilolonga okuqinisa umqolo kunye nemisipha engaphakathi, ingakumbi imisipha yesisu, kunokunceda ukugcina umqolo uphilile.
Ndifanele ndimbone nini ugqirha?
Ukuba unentlungu entsha emqolo okanye entanyeni, kunye nokungakhululeki okanye ubuthathaka kwiingalo okanye emilenzeni yakho, qiniseka ukuba ubona ugqirha. Ukuba sele uthatha unyango kwaye aluncedi, bona ugqirha wakho ukuze uxoxe ngezinye iindlela.
Ingxamiseko!
Ukuba ngequbuliso ufumana ukungakwazi ukuzibamba, okanye ukuba uziva ngathi imilenze yomibini iyaphelelwa ngamandla, yingxamiseko leyo. Kwimeko enjalo , yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
Iintlungu zomqolo nentamo zinokuba ngumqobo omkhulu kubomi bethu bemihla ngemihla. Kodwa iindaba ezimnandi zezokuba kukho iindlela ezininzi zonyango ezisebenzayo zokuzilungisa. Ngoko ke endaweni yokungazinaki iimpawu, thetha nogqirha wakho ukuze ufumane isisombululo esisebenza kakuhle kuwe.
Umyalezo Wokuya Ekhaya
- I-spinal stenosis kukuncitshiswa komjelo womgogodla okwenzeka ngokuhamba kweminyaka.
- Iimpawu eziphambili ziintlungu, ukungaziva, kunye nobuthathaka emqolo, entanyeni, ezingalweni, okanye emilenzeni.
- Kwimeko ye-stenosis kumqolo ongezantsi, uphawu oluqhelekileyo kukuba iintlungu ziyancipha xa ugoba phambili.
- Abantu abaninzi banokufumana iziphumo ezilungileyo ngonyango olungenalo utyando, olufana nokuzilolonga, unyango lomzimba, kunye namayeza.
- Utyando lufuneka kuphela kwiimeko ezinzima ezingasabelanga kwezinye iindlela zonyango.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha ukuze ufumane uxilongo olufanelekileyo kunye nonyango.
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