Ngaba uhlala uneentlungu zomqolo? Ngaba kuyabuhlungu xa ume okanye uhamba ixesha elide? Ngaba ngamanye amaxesha uvakalelwa ngathi intlungu iyehla ngemilenze yakho? Zininzi izizathu zoku, kodwa kusenokuba kukho isizathu esingacingi ngaso. Kuxa elinye lamathambo emqolo wakho, i-vertebra, lityibilikile okanye lityibilikile kancinci kwindawo elifanele ukuba kuyo. Kwizonyango, le meko siyibiza ngokuba yiSpondylolisthesis . Nangona igama lisenokuvakala lingaqhelekanga, le yingongoma ebalulekileyo ekufuneka sithethe ngayo kwaye siyiqonde.
Ngamafutshane, yintoni iSpondylolisthesis?
Cinga ngomqolo wakho njengomqolo wezitena ezibekwe phezu komnye. Ngasinye kwezi zitena sibizwa ngokuba yi-vertebra . Kukho malunga nama-33 ezi vertebrae kumqolo wethu. Nangona zidibene, zinokushukuma kancinci xa sihamba, sigoba, kwaye sishukumisa imizimba yethu.
Ngoku, kwimeko ye-spondylolisthesis, esinye sezitena kulo mqolo, oko kukuthi, i-vertebra enye, sityibilika kancinci kunokuba kufanele, sibeka uxinzelelo kwi-vertebra engaphantsi kwayo. Kufana nesitena esinye kumqolo wezitena esiphuma kancinci. Xa sityibilika ngolu hlobo, imithambo-luvo eyijikelezileyo inokucinezelwa. Kulapho ke kuvela khona iimpawu ezifana nentlungu yomqolo kunye nentlungu eyehla emilenzeni.
Nangona le meko inokwenzeka naphi na emgogodleni, idla ngokubonakala kwinxalenye esezantsi yomqolo wethu, oko kukuthi, umqolo we-lumbar . Ngamanye amaxesha ingenzeka entanyeni (umqolo wesibeleko) nakwinxalenye ephezulu yomqolo (umqolo wesifuba).
I-vertebra etyibilikayo isenokukoyikisa, kodwa oko akuthethi ukuba wonke umqolo wakho awulungelelananga. Le yimeko enokunyangwa kwaye ilawulwe rhoqo.
Ziziphi iintlobo eziphambili zeSpondylolisthesis?
I-Spondylolisthesis inokwahlulwa ibe ziintlobo ezininzi eziphambili ngokuxhomekeke kwindlela eyenzeka ngayo. Makhe sijonge ukuba zeziphi.
| Uhlobo lwe-spondylolisthesis | Ingcaciso elula |
|---|---|
| I-Spondylolisthesis ewohlokayo (uhlobo oluhambelana nobudala) | Olu lolona hlobo luxhaphakileyo. Njengoko sikhula, iidiski ezifana nomqamelo phakathi kwamathambo ethu omqolo ziyawohloka. Njengoko ezi diski zincipha, isithuba esiphakathi kwamathambo omqolo siyanda, nto leyo eyenza kube lula ukuba umntu atyibilike. |
| I-Congenital Spondylolisthesis (njengesiphene sokuzalwa) | Oku kwenzeka xa umqolo womntwana ungakheki kakuhle ngelixa ukhula esibelekweni. Oku kunokubangela ukuba amathambo omqolo aphazamiseke kancinci ukusuka kwisiseko. Iimpawu zinokubonakala kwasekuqaleni, okanye zinokubonakala kamva kakhulu ebomini. |
| Isthmic Spondylolisthesis (ngenxa yokuphuka kwethambo) | Le meko yenzeka xa iqhekeza elincinci lethambo elibizwa ngokuba yi-pars interarticularis, elidibanisa amathambo amabini, liphuka. Oku kuphuka kubangela ukuba i-vertebra ilahlekelwe kukuzinza kwayo nokutyibilika. Le meko ixhaphakile phakathi kwabadlali. |
| I-Spondylolisthesis ebuhlungu (ngenxa yengozi) | I-vertebra inokususwa ngenxa yamandla amaninzi asetyenziswa kumqolo, njengakwingozi okanye ukuwa. |
| I-Pathological Spondylolisthesis (ngenxa yesinye isifo) | Le meko inokubangelwa zizifo ezenza amathambo abe buthathaka, ezifana ne-osteoporosis, okanye ithumba elenzeka emathanjeni. |
| I-Spondylolisthesis emva kotyando (emva kotyando) | Le yimeko engaqhelekanga kakhulu kwaye inokubakho njengesiphumo esingesihle sotyando lomqolo. |
Uyazi njani ukuba unale meko? Zithini iimpawu zayo?
Kuyamangalisa indlela abanye abantu abane-spondylolisthesis ngayo kodwa bengenazo iimpawu.Enye. Ukuba ubungakanani be-spinal disc herniation buncinci kakhulu (bukumgangatho ophantsi), busenokungabangeli uxinzelelo olukhulu kwimithambo-luvo, ngoko usenokungaziva ntlungu.
Nangona kunjalo, ukuba kukho iimpawu, zinokuba ngolu hlobo:
- Intlungu esezantsi komqolo: Olu lolona phawu luphambili noluqhelekileyo.
- I-Sciatica: Le yimvakalelo yentlungu, ukungaziva, okanye ukutsha okuphuma emlenzeni. Ibangelwa kukutyibilika kwethambo lomqolo elicinezelweyo kwi-nerve ye-sciatic.
- Ukuqina komqolo: Ukuziva uqinile emqolo xa uvuka kusasa okanye emva kokuhlala ixesha elide.
- Ubunzima bokuhamba okanye ukuma: Intlungu ebonakala iyanda xa ume okanye uhamba imizuzu engaphezu kwembalwa.
- Ukuba ndindisholo, ubuthathaka, okanye ukurhawuzelela ezintendeni zeenyawo .
Indawo yentlungu inokwahluka ngokuxhomekeke kwindawo ekuyo i-vertebra etyibilikileyo. Ngamanye amaxesha intlungu inokusasaza iye ezimpundu okanye emathangeni.
Kutheni amathambo omqolo etyibilika ngolu hlobo? Zithini izinto ezibangela umngcipheko?
Makhe sijonge izizathu zokutyibilika kwethambo lomqolo kunye nokuba ngubani osengozini enkulu yoko.
Izizathu eziphambili:
- Ukwaluphala: Eyona nto ibangela kukuguguleka kweediski emgogodleni njengoko zikhula.
- Abanye abantu bazalwa benamathambo abhityileyo: Oku kubenza babe namathuba amaninzi okuqhekeka.
- Ukulimala kwezemidlalo: Le ngozi iphezulu kakhulu kwabo badlala imidlalo ebeka uxinzelelo olukhulu okanye uxinzelelo emqolo (umz. ijimnastiki, ukuphakamisa iintsimbi, ukubhowula ngokukhawuleza kwikhilikithi).
- Ukukhula ngokukhawuleza ebantwaneni: Ezi meko zinokwenzeka ngenxa yokukhula ngokukhawuleza kwamathambo ngexesha apho abantwana kunye nabantu abadala abaselula befumana ubude ngequbuliso.
- Iingozi: Ukulimala emqolo okubangelwa zizinto ezifana nokuwa neengozi zeemoto.
Ngubani osengozini enkulu?
- Kubantu abangaphezu kweminyaka engama-50 ubudala (ingakumbi abo banesifo sokuwohloka).
- Kwabasetyhini.
- Kwabadlali (ingakumbi abo badlala imidlalo equka ukugoba umqolo rhoqo nokutsiba).
- Kwabo banembali yosapho lwabo okanye izifo ezinxulumene namathambo.
Indlela yokuchonga ngokuchanekileyo le meko?
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha . Ugqirha uza kukubuza imibuzo aze akuhlole umqolo wakho.
Ufanele uxelele ugqirha wakho ukuba intlungu iqale nini, zeziphi izinto ozenzayo ezenza intlungu ibe mandundu, kunye nokuba ubukhe wabandakanyeka kwiingozi ngaphambi kokuba ezi mpawu zibonakale.
Emva koko, ugqirha uya kucebisa iimvavanyo ezininzi ukuqinisekisa isifo:
- I-X-reyi yomqolo: Oku kunokunceda ekuqinisekiseni ukuba i-vertebra ityibilikile na kwaye ityibilika kangakanani.
- Uvavanyo lwe-CT scan (i-Computed Tomography scan):Oku kunokubonelela ngomfanekiso ocacileyo wesakhiwo samathambo.
- Iskeni se-MRI (Magnetic Resonance Imaging): Oku kungajonga ngcono umonakalo kwiidiski kunye nemithambo-luvo ephakathi kwamathambo omqolo.
Umgangatho we-spinal stenosis (Amanqaku)
Emva kwe-X-ray, ugqirha uza kwahlula amathambo akho omqolo ngokwenqanaba ngokusekelwe ekubeni atyebe kangakanani.
- Ibanga eliphantsi (Ibanga loku-1 nelesibini): Oku kuthetha ukuba kukho ukutyibilika okuncinci. Uninzi lwabantu lunezinga elinjalo. Oku kudla ngokungafuneki utyando.
- Ibanga Eliphezulu (Ibanga lesi-3 nele-IV): Oku kuthetha ukuba kukho ukutyibilika okukhulu. Kwezi meko, utyando lunokuba yimfuneko, ingakumbi ukuba iintlungu zinzima.
Zithini iindlela zonyango zoku?
Abantu abaninzi abane-spondylolisthesis banokukwazi ukulawula iimpawu zabo kakuhle ngonyango olungelulo utyando.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukuphumla | Ukuzigcina kude nemidlalo kunye nemisebenzi yomzimba enzima ebeka uxinzelelo emqolo okwethutyana kuya kunciphisa uxinzelelo emqolo. |
| Izibulali-ntlungu (Amayeza) | Ungathatha ii-NSAID (umz., i-Ibuprofen, i-Diclofenac) okanye i-Paracetamol njengoko ugqirha wakho ekuyalele ukunciphisa iintlungu nokudumba. Ungaze uthathe iintlungu zokunciphisa iintlungu ngaphandle kokubonisana nogqirha. |
| Ii-Corticosteroids | La ngamayeza anamandla okulwa nokuvuvukala. Anganikwa njengeepilisi okanye njengenaliti ye-cortisone enikwa ngqo kwindawo yentlungu. |
| Ulungiso lwenyama | Olu lunyango olubaluleke kakhulu. Ingcali yezonyango iya kukufundisa imithambo yokuqinisa izihlunu ezijikeleze umqolo wakho kunye nesisu (izihlunu eziphambili). Xa ezi zihlunu ziqinile, uxinzelelo kumqolo wakho luyancitshiswa, kwaye unokushukuma ngokulula ngaphandle kwentlungu. |
| Ndinxibe i-brace yomqolo | Ukuba unethambo lomqolo eliqhekekileyo, ugqirha wakho unokucebisa ukuba unxibe i-brace efana nale ukuze umqolo wakho uhlale uzinzile. |
Kunini apho kufuneka khona utyando?
Ayinguye wonke umntu one-spondylolisthesis ofuna utyando. Ingakumbi ukuba yimeko ephantsi, kwaye iimpawu azikho qatha, unokukwazi ukuphila ngaphandle kotyando.
Nangona kunjalo, kwezi meko, ugqirha wakho unokucebisa ukuba ucinge ngotyando:
- Ukuba une -spondylolisthesis ekumgangatho ophezulu .
- Ukuba intlungu inzima kangangokuba awukwazi ukuma okanye ukuhamba.
- Ukuba iimpawu aziphucuki nangona kukho ezinye iindlela zonyango (ezingezizo ezotyando).
Utyando ludla ngokubandakanya inkqubo ebizwa ngokuba yi -spinal fusion . Oku kuquka ukudibanisa i-vertebra etyibilikileyo kunye ne-vertebra engaphantsi kwayo ukuze kwenziwe ithambo elinye. Oku kunika loo ndawo amandla kunye nokuzinza okungakumbi. Kusenokufuneka wenze utyando olubizwa ngokuba yi -spinal decompression ukuze kuncitshiswe uxinzelelo kwimithambo-luvo.
Yintoni ekufuneka uyazi xa uphila nale meko?
Wakuba ufunyaniswe une-spondylolisthesis, iimpawu zakho kufuneka ziphucuke kwiiveki okanye kwiinyanga ezimbalwa ngonyango olufana nokuphumla, amayeza, kunye nonyango lomzimba. Kodwa khumbula, olu nyango lwenzelwe ukunciphisa iintlungu kunye nokukunceda usebenze ngendlela eqhelekileyo, hayi ukubuyisela i-vertebra etyibilikileyo endaweni yayo. Kuphela lutyando olunokubuyisela i-vertebra etyibilikileyo endaweni yayo.
Ukuba ungumdlali wezemidlalo, kunokufuneka uphumle kwimidlalo ude ukwazi ukuhamba ngokukhuselekileyo ngaphandle kwentlungu. Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uqale ukudlala kwakhona.
Eyona nto ibalulekileyo kukuphepha imisebenzi ebeka uxinzelelo olukhulu emqolo wakho kwaye igobe umqolo wakho kakhulu. Ugqirha wakho okanye ingcali yezonyango zomzimba iya kukuchazela ukuba yintoni ekufaneleyo nengafanelekanga kuwe.
Ufuna ukubona ugqirha nini?
Ukuba uneentlungu zomqolo ezihlala iintsuku ezingaphezu kwezimbalwa, okanye zinzima ngokwaneleyo ukuba zingaphazamisana nemisebenzi yakho yemihla ngemihla, bona ugqirha ngokukhawuleza. Okukhona imeko ifunyaniswa ngokukhawuleza, kokukhona kulula ukuyinyanga nokuyinyanga.
Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU):
- Ukuba ukhe waba nengozi , njengokuwa okanye ingozi yemoto.
- Ukuba uphelelwa ziimvakalelo emilenzeni okanye unengxaki yokulawula umchamo okanye ilindle lakho , yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ezi ziingxamiseko ezinkulu kakhulu.
Umyalezo Wokuya Ekhaya
- I-Spondylolisthesis kuxa ithambo lomqolo (ithambo) elisemgogodleni liphuma endaweni yalo. Oku kungaba ngunobangela omkhulu wentlungu yomqolo kunye nentlungu ephuma emilenzeni (sciatica).
- Ukwaluphala, ukwenzakala kwezemidlalo, kunye nezinye izifo zokuzalwa nazo zinokubangela oku.
- Akuyena wonke umntu onesi sifo oza kuba neempawu, kwaye akuyena wonke umntu oya kufuna utyando.
- Abantu abaninzi banokuzilawula iimpawu ngonyango olulula olufana nokuphumla, iintlungu zokuphelisa iintlungu, kunye nonyango lomzimba.
- Ukugcina izihlunu zakho zomqolo nezesisu ziqinile kunye nokugcina indlela yokuphila esempilweni kunokunceda ukuthintela nokulawula le meko.
- Ukuba intlungu yakho yomqolo iyaqhubeka kangangeentsuku ezimbalwa, ungayityesheli kwaye ngokuqinisekileyo bonana nogqirha wakho.
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