Ngaba uhlala uphathwa ziintlungu ezisezantsi komqolo? Ngaba ziba mandundu xa uzilolonga, umi ixesha elide, okanye uphakamisa iintsimbi ezinzima? Abantu abaninzi bacinga ukuba oku kukubandezeleka kwemisipha okanye ukukruneka . Kodwa ayizizo zonke iintlungu zomqolo ezilula kangako. Ngamanye amaxesha unobangela uba nzulu kancinci, kwaye kufuneka siwunike ingqalelo. Yiloo nto siza kuthetha ngayo namhlanje, ingakumbi phakathi kwabantu abaselula abakhutheleyo.
Yintoni iSpondylolysis?
Ngamafutshane, i-spondylolysis yingxaki encinci okanye ukwaphuka phakathi kwamathambo amabini emqolo wethu. Ngoku usenokuba uzibuza ukuba zeziphi ezi thambo zethambo. Khawuthelekelele, umqolo wethu ufana nenqaba eyakhiwe ngamathambo amancinci abekwe phezu komnye nomnye. Oku sikubiza ngokuba yi-vertebra. La mathambo angama-33 ayadibana ukuze enze umqolo wonke.
Nantsi iqhekeza elincinci kakhulu lethambo apho la mathambo adibane khona. Oogqirha babiza oku ngokuthi 'yi-pars interarticularis'. Kufana neqhekeza elincinci elidibanisa amakhonkco amabini kwityathanga. Ukuqhekeka kwelo candelo yinto esiyibiza ngokuba yi-spondylolysis . Oogqirha ngamanye amaxesha bakubiza oku ngokuthi 'yi-pars defect' okanye 'yi-pars fracture'.
Le meko ixhaphake kakhulu kwinxalenye esezantsi yomqolo wethu, umqolo we-lumbar. Oku kungenxa yokuba ithwala ubunzima obukhulu kwaye igoba kwaye ijijeka kakhulu imizimba yethu. Nangona kunjalo, ngamanye amaxesha inokwenzeka kumqolo wesibeleko okanye kumqolo wesifuba.
Ziziphi iimpawu ze-spondylolysis?
Uphawu oluphambili noluqhelekileyo lwale meko ziintlungu emqolo ongezantsi. Kodwa kukho iimpawu ezithile zale ntlungu. Masibone ukuba zithini.
| Uphawu | Inkcazo ngayo |
|---|---|
| Intlungu esezantsi komqolo | Le ntlungu idla ngokuvakala ngathi sisiqwenga senyama esikrazukileyo. Abantu abaninzi bayichaza njengentlungu ebuhlungu evela ngaphakathi. |
| Ukusasaza iintlungu | Le ntlungu ayipheleli nje kwindawo enye yomqolo. Ngamanye amaxesha isasazeka ezinqeni nasemathangeni. |
| Intlungu eyandayo xa usebenza | Le yeyona nto ibalulekileyo. Le ntlungu iyanda xa udlala imidlalo, uzilolonga, ugoba phambili, okanye uphakamisa into enzima. Kwakhona, xa uphumla kwaye ulala phantsi okwethutyana, intlungu iyancipha. |
| Abanye abantu abanazo iimpawu. | Okumangalisayo kukuba, abanye abantu abaziva ntlungu okanye ukungakhululeki nangona benomngxuma emqolo. Bafumanisa ngengozi kuphela xa besenziwa into efana ne-X-ray ngesinye isizathu. |
Kutheni oku kusenzeka? Zithini izizathu?
Nangona unobangela ochanekileyo wale meko ebizwa ngokuba yiSpondylolysis ungekafunyanwa, ziliqela izizathu eziphambili ezifunyenweyo.
- Ukusebenzisa kakhulu noxinzelelo: Le yeyona nto iphambili. Ukwenza izinto ezibeka uxinzelelo kumqolo ngokuphindaphindiweyo. Cinga ngomntu ophosa i-bowling ngokukhawuleza kwi-cricket, umntu ophakamisa iintsimbi ejimini, umntu owenza i-gymnastics, okanye umntu onomsebenzi ofuna ukuba agobe aze aphakamise iintsimbi. Ekuhambeni kwexesha, inxalenye ebuthathaka yomqolo ebizwa ngokuba yi-'pars interarticularis' inokuba buthathaka kwaye ibangele ukwaphuka koxinzelelo.
- Ukukhula ngokukhawuleza: Kukho ixesha apho abantwana abancinci, ingakumbi, ngequbuliso bakhula babe bade. Ngeli xesha, amathambo omzimba nawo akhula ngokukhawuleza. Le meko inokubakho ngenxa yoxinzelelo kumqolo ngeli xesha. Yiyo loo nto ixhaphake kakhulu kubadlali abancinci.
- I-genetics: Abanye abantu bazalwa benomqolo omncinci kancinci. Oku kuthetha ukuba i-'pars interarticularis' inokuba buthathaka kunesiqhelo. Abantu abanjalo banamathuba amaninzi okufumana olu hlobo lokuqhekeka kunabanye.
Kuza kwenzeka ntoni ukuba unyango alunikwa? (Iingxaki)
Abantu abaninzi bacinga ukuba iintlungu zomqolo yingxaki elula eza kuphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba ayinyangwa, i-spondylolysis inokukhokelela kwimeko embi kakhulu.
Ukuba le ngxunya ayinyangwanga kakuhle, inokuthi kancinci kancinci ikhule ize yenze buthathaka i-vertebra. Ukuba oko kuyenzeka, i-vertebra ingatyibilika phambili phezu kwe-vertebra engaphantsi kwayo.
Le meko ibizwa ngokuba yi -spondylolisthesis . Ukuba ithambo elityibilikileyo licinezela umthambo odlula kuwo, linokubangela iintlungu eziqatha, ukungaziva, okanye i-sciatica enokusasazeka emilenzeni. Kwiimeko ezinjalo, utyando lunokufuneka. Ke ngoko, ayilocebo lilungileyo ukungayinaki intlungu yomqolo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha ngenxa yeentlungu zomqolo, uza kuqala akubuze ngeempawu zakho. Umqolo wakho uqale nini ukuba buhlungu, yintoni eyenza ube mandundu, udlala imidlalo, umsebenzi wakho, nezinye izinto ezininzi. Emva koko uza kuhlola umqolo wakho.
Emva koko, ukuqinisekisa imeko, ugqirha uya kuyalela iimvavanyo ezininzi zokuthatha imifanekiso.
- Uvavanyo lwe-X-ray: Oku kunokubona ukwaphuka kwamathambo rhoqo.
- I-MRI scan (Magnetic Resonance Imaging): Oku kukuvumela ukuba ubone ngokucacileyo kungekuphela nje amathambo omqolo, kodwa kunye nezicubu ezithambileyo kunye nemithambo-luvo ejikeleze wona.
- I-CT scan (i-Computed Tomography): Oku kunokubona ukwaphuka okuncinci kwamathambo ngokucacileyo nangokuneenkcukacha.
Zithini iindlela zonyango zoku?
Nangona eli gama lisenokuvakala lisoyikisa, i-spondylolysis yimeko enokunyangwa ngokupheleleyo ngaphandle kotyando, ngonyango olulula. Injongo ephambili kukulawula iintlungu nokunika umqolo wonke kunye nenkxaso efunekayo ukuze uphole.
| Indlela yonyango | Inkcazo emfutshane |
|---|---|
| Ukuthatha ikhefu | Hlala kude nantoni na ebeka uxinzelelo emqolo wakho, njengokudlala imidlalo okanye ukuphakamisa iintsimbi, okwethutyana. Oku kuya kunika umqolo wakho ixesha olidingayo ukuze uphile. |
| Amayeza | Ugqirha wakho angacebisa ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ukunciphisa iintlungu nokudumba. Nangona kunjalo, musa ukuzithatha iintsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha wakho. Unganikwa nee-corticosteroids (iipilisi okanye inaliti ezithathwa ngomlomo) ukunciphisa ukudumba. |
| Ulungiso lwenyama | Oku kubaluleke kakhulu. Ingcali yezonyango iya kukufundisa imithambo ethile yokuqinisa izihlunu ezijikeleze umqolo wakho kunye nesisu (izihlunu eziphambili). Xa ezi zihlunu zomelele, zibonelela ngenkxaso elungileyo kumqolo wakho. |
| Ukunxiba ibhanti (iBracing) | Ngamanye amaxesha, ugqirha angacebisa ukuba unxibe ibhanti ekhethekileyo (i-back brace) ukuze unciphise intshukumo yomqolo wakho kwaye uwugcine uzinzile ude uphole. |
Ngaba kuza kufuneka utyando?
Utyando alufuneki rhoqo. Abantu abangaphezu kwama-90% bayasinda kule meko ngonyango oluthile. Nangona kunjalo, kwiimeko ezinzima, njengaxa amathambo omqolo etyibilikile kwaye ecinezela imithambo-luvo, okanye ukuba intlungu ayipheli emva kweenyanga zonyango, ugqirha wakho unokuqwalasela utyando.
Ndifanele ndimbone nini ugqirha?
Okukhona unobangela ufunyaniswa ngokukhawuleza, kokukhona kulula ukunyanga nokunyanga.
- Ukuba uneentlungu zomqolo ezihlala iintsuku ezingaphezu kwezimbalwa ,
- Ukuba intlungu ikwenza kube nzima ukwenza imisebenzi yakho yesiqhelo (ukuya esikolweni, ukuya emsebenzini, ukudlala imidlalo) ,
Bona ugqirha ngokukhawuleza.
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
- Ukuba umqolo wakho ubuhlungu emva kwengozi (ukuwa, ingozi yemoto).
- Ukuba intlungu yomqolo ihamba nokungaziva mnandi kwinxalenye yomzimba, okanye ukungakwazi ukuyishukumisa loo nxalenye .
- Ukuba unemeko apho ungakwazi ukulawula umchamo okanye ilindle lakho .
Kwimeko enjalo, musa ukuchitha ixesha kwaye ngoko nangoko yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ezinye iingxaki zomqolo ezinamagama afanayo
I-Spondylolysis, i-Spondylolisthesis, i-Spondylosis... Nangona la magama mathathu evakala efana, eneneni abhekisa kwiimeko ezintathu ezahlukeneyo ezenzeka emgogodleni. Abantu abaninzi bayawadida. Makhe sibone ukuba yintoni umahluko.
| Imeko | Kalula nje... |
|---|---|
| I-Spondylolysis | Ukuqhekeka okanye ukuqhekeka kwethambo lomqolo emgogodleni. |
| I-Spondylolisthesis | I-Spondylolysis kukutyibilika phambili kwe-vertebra ebuthathaka phezu kwe-vertebra engaphantsi kwayo. |
| I-Spondylosis | Oku kwahlukile kakhulu. I-Spondylosis ligama eliqhelekileyo elisetyenziselwa ukuguguleka okuqhelekileyo komqolo okwenzeka ngokuhamba kweminyaka . (Ukuguguleka okunxulumene nobudala) |
Umyalezo Wokuya Ekhaya
- I-Spondylolysis yinkanyamba encinci ethanjeni elisemgogodleni. Ixhaphake kakhulu kumqolo ongezantsi.
- Ulutsha oludlala imidlalo ehlala ibeka uxinzelelo emqolo lusengozini enkulu yokuhlaselwa yile meko.
- Uphawu oluphambili ziintlungu zomqolo ezinciphayo xa uphumla kwaye zikhula xa usebenza.
- Kwiimeko ezininzi, inokunyangeka ngokupheleleyo ngonyango olulula olufana nokuphumla, unyango lomzimba, kunye namayeza. Utyando alufuneki rhoqo.
- Ukuba uneentlungu zomqolo ezihlala iintsuku ezingaphezu kwezimbalwa, musa ukuzityeshela kwaye ngokuqinisekileyo bonana nogqirha. Unyango olukhawulezileyo lunokukunceda uphile ngokukhawuleza.
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