Ngaba uziva neentlungu zomqolo, iintlungu emilenzeni, okanye ukungabi nanto xa umi okanye uhamba okwethutyana? Ngamanye amaxesha unobangela woku usenokuba ulula njengoko ucinga. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'spinal stenosis ', eqhelekileyo kubantu abaninzi, kodwa engaziwa ngqo. Xa usiva oku, kusenokuvakala ngathi sisifo esikhulu, kodwa ungoyiki. Makhe sithethe ngale nto ngokulula nangokucacileyo.
Yintoni iSpinal Stenosis ngokulula?
Cinga ngomqolo wethu njengetyhubhu. Intambo yomgogodla, umthambo oyintloko othwala imiyalezo esuka engqondweni yethu ukuya kuwo wonke umzimba wethu, udlula kule tyhubhu. Le tyhubhu, umjelo womgogodla, iqala ukucutheka ngokuhamba kwexesha ngenxa yezizathu ezahlukeneyo. Ngokwezonyango, oku kucutheka komjelo womgogodla kubizwa ngokuba yi-spinal stenosis .
Xa indawo engaphakathi inciphile ngale ndlela, loo ntambo yemithambo-luvo ibalulekileyo (umqolo) kunye neminye imithambo-luvo ephuma kuyo iqala ukucinezelwa nokucinezelwa. Kulapho ke kuvela khona iimpawu ezifana neentlungu zomqolo, ukungakhululeki emilenzeni, kunye nokuziva ngathi awulawuleki emilenzeni.
Kukho iintlobo ezimbini eziphambili ze-spinal stenosis:
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke ekubeni ivela phi emqolo.
- I-stenosis yomlomo wesibeleko : Oku kukuncitshiswa komjelo womqolo entanyeni yethu.
- I-Lumbar Stenosis: Oku kukuncipha komjelo womqolo kwisithathu esisezantsi somqolo. Olu lolona hlobo luxhaphakileyo.
Kwiimeko ezininzi, imbangela ephambili yale meko yi-osteoarthritis, isifo samalungu esiwohlokayo esenzeka ngokuhamba kweminyaka. Njengoko i-cartilage ephakathi kwamathambo ethu iphela, amathambo agudlana. Ngenxa yoko, umzimba udala amathambo amatsha. Eli thambo longezelelweyo linokucutha indawo ngakumbi.
Ziziphi iimpawu eziqhelekileyo zoku?
Asinguye wonke umntu ofumana iimpawu. Kodwa ukuba ziyenzeka, zihlala zifana neentlungu zomqolo , ukuqina, kunye nokuba ndindisholo. Makhe sijonge ukuba zeziphi ezinye iimpawu ezithile ezinokuza nale nto.
| Uphawu | Inkcazo |
|---|---|
| I-Sciatica | Intlungu ebukhali eqala emqolo ongezantsi okanye ezimpundu ize ihambe ngomlenze ngokungathi kubetheke umbane. |
| Ubunzima bokuhamba (Ukuwa kweenyawo) | Intlungu kunye nobuthathaka emilenzeni, okunokwenza uzive ngathi iinyawo zakho zibetha phantsi xa uhamba. Intlungu inokuba mandundu xa umi okanye uhamba. |
| Ukulahlekelwa yiSinyi/Ulawulo lwaMathumbu | (Cauda Equina Syndrome) - Le yimeko enzima kakhulu. Le meko yenzeka ngenxa yokucinezelwa kakhulu kwemithambo-luvo edibanisa isinyi namathumbu. Le yimeko engxamisekileyo yezonyango. Kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
| Uxinzelelo lweengcambu zemithambo-luvo (i-Radiculopathy) | Intlungu, ukungaziva, okanye ubuthathaka kwiingalo nasemilenzeni ngenxa yokucinezelwa kweengcambu zemithambo-luvo eziphuma emgogodleni. |
| Uxinzelelo lwentambo yomqolo (iMyelopathy) | Ubungqindilili kunye nobuthathaka kwiingalo nasemilenzeni ngenxa yokucinezelwa komqolo. |
Ziziphi izizathu eziphambili ze-spinal stenosis?
Njengoko besitshilo ngaphambili, isifo samathambo sisona sibangela siphambili. Ngaphandle koko, kunokubakho nezinye izizathu ezininzi.
| Unobangela | Kwenzekani |
|---|---|
| Iidiski zeHerniated | Idiski ephakathi kwamathambo omqolo iyaqhuma, nto leyo ebangela ukuba izinto ezifana nejeli ngaphakathi ziphume zize zicinezele imithambo-luvo. |
| Ukwenzakala | Ukuphuka okanye ukukruneka komqolo ngenxa yengozi. |
| Iithumba | Iintlobo zeethumba ezinomhlaza okanye ezinye iintlobo ezikhula kumjelo womqolo. |
| IiLigaments ezijiyileyo | Iiligaments ezidibanisa amathambo ethu kunye ziyaqina ngokuhamba kwexesha zize ziphume ziye emngxunyeni. |
Zithini izinto ezibangela umngcipheko?
- Ukuba neminyaka engaphezu kwama-50 ubudala yeyona nto iphambili ebangela umngcipheko.
- Abafazi banamathuba amaninzi okufumana le meko.
- Ukuba ukhe watyandwa umqolo ngaphambili.
- Kwabanye abantu, le meko inokuvela besebancinci, phakathi kweminyaka engama-30-50, ngenxa yeengxaki ezithile zomnqonqo wokuzalwa (umz., i-scoliosis ).
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha onezi mpawu, uza kuqala akubuze ngemeko yakho. Emva koko uza kukuhlola ngokwasemzimbeni. Angacinezela iindawo ezikubangela iintlungu emqolo, aze ahlole indlela ohamba ngayo kunye nendlela oma ngayo.
Ukuqinisekisa le meko ngokuchanekileyo, kufuneka kwenziwe uvavanyo lomfanekiso.
- I-MRI Scan : Oku kungathatha umfanekiso ocacileyo kakhulu womqolo onemilinganiselo emithathu (3D). Kunokubona ngokucacileyo izinto ezifana nemithambo-luvo ecinezelekileyo, umonakalo wediski, kunye namathumba.
- I-CT Scan: Le yindlela ye-X-ray evelisa imifanekiso enemilinganiselo emithathu. Ngamanye amaxesha idayi ifakwa emzimbeni. Oku kunokunceda ekufumaneni iingxaki kungekuphela nje emathanjeni kodwa nakwizicwili ezithambileyo.
Zithini iindlela zonyango zoku?
Into yokuqala neyona ibalulekileyo ekufuneka uyithethe kukuba akukabikho nyango lwe-spinal stenosis.Nangona kunjalo, kukho unyango oluninzi olunokunceda ukulawula iimpawu, ukunciphisa iintlungu, kunye nokukunceda uphile ubomi obuqhelekileyo. Ugqirha wakho uya kumisela unyango olulungele wena.
- Iintlungu ezibuhlungu: Kwintlungu eqhelekileyo, ungasebenzisa amayeza exesha elifutshane afana neparacetamol kunye ne-ibuprofen. Kwintlungu yexesha elide, ugqirha wakho unokucebisa amayeza athile okudakumba kunye namanye amayeza entlungu yemithambo-luvo.
- Iinaliti zeCorticosteroid: I-steroid ifakwa ngqo kwindawo yentlungu nokudumba. Oku kunika isiqabu ngokukhawuleza kwiintlungu, kodwa akunakwenzeka rhoqo ngenxa yeziphumo ebezingalindelekanga.
- Unyango Lomzimba: Olu lonyango lubaluleke kakhulu. Ingcali yonyango lomzimba iya kuyila uthotho lwemithambo efanelekileyo kuwe. Le mithambo inokuqinisa umqolo wakho kunye nemisipha yesisu kwaye inciphise uxinzelelo kumqolo wakho.
- Utyando: Utyando luqwalaselwa kwiimeko ezinzima, njengaxa kungekho nyango lumbi oluye lwanceda, xa kukho ubunzima bokuhamba, okanye xa kukho ukulahlekelwa lulawulo lomchamo. Kukho iintlobo ezahlukeneyo zotyando (umz., i-Laminectomy) ezidala indawo apho umthambo ucinezelwa khona. Utyando luyindlela yokugqibela. Kufuneka uxoxe ngalo nogqirha wakho ngaphambi kokuba wenze isigqibo.
Izinto onokuzenza ekhaya nezinto ekufuneka uziphephe
Kunye nonyango olunikezelwa ngugqirha wakho, unokufumana isiqabu esikhulu kwiinguqu ezincinci kwindlela ophila ngayo.
- Ukuzilolonga: Ngemvume kagqirha wakho, yenza umthambo othambileyo njengokuhamba nokudada.
- Uxinzelelo olushushu nolubandayo: Uxinzelelo olushushu luphumza izihlunu. Iipakethe zomkhenkce zinciphisa ukudumba. Jonga ukuba yeyiphi indlela ekunika isiqabu.
- Ukuma kakuhle: Yima nkqo xa umi naxa uhleli. Ukuba uphakamisa into enzima, goba emadolweni, hayi ngasemva.
- Yehlisa umzimba: Ukutyeba kakhulu kubeka uxinzelelo olongezelelekileyo emqolo wakho. Ukunciphisa umzimba kancinci kunokunciphisa kakhulu iintlungu.
- Kuphephe ukutshaya: Ukutshaya kuyingozi kakhulu kwimpilo yomqolo.
Umyalezo Wokuya Ekhaya
- I-spinal stenosis kukuncitshiswa kwesithuba ngaphakathi komqolo. Oku kunokubangela ukucinezelwa kwemithambo-luvo, iintlungu, kunye nokungaziva mnandi.
- Ukwaluphala kunye nesifo samathambo zezona zinto ziphambili ezibangela oku, kodwa zinokwenzeka nakubantu abancinci.
- Intlungu yomqolo, intlungu ephuma emilenzeni (sciatica), kunye nobunzima bokuhamba ziimpawu eziqhelekileyo.
- Ukuba ngequbuliso ulahlekelwa lulawulo lomchamo okanye ilindle lakho, yingxaki yezonyango . Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko.
- Nangona le meko ingenakunyangeka ngokupheleleyo, iimpawu zinokulawulwa kakuhle ngamayeza, unyango lomzimba, kunye notshintsho kwindlela yokuphila. Landela imiyalelo kagqirha wakho rhoqo.
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