Ngaba uqala ukuziva iintlungu emilenzeni yakho xa uhamba kancinci? Ngaba uziva urhawuzelelwa luqala emqolo wakho luze luye emilenzeni yakho, uze uzive ngathi ulahlekelwa lulawulo lwemilenze yakho? Ugqirha wakho usenokuba ukuxelele ngemeko ebizwa ngokuba yi- 'spinal stenosis '. Musa ukoyika xa usiva eli gama. Le yimeko enokuchaphazela abantu abaninzi, ingakumbi abo bakwiminyaka ephakathi nangaphezulu. Makhe sijonge ngokulula ukuba yintoni na kwaye ingaba isoloko ifuna utyando.
Yintoni iSpinal Stenosis?
Ngamafutshane, umqolo wethu ngumqolo oqhubekayo wamathambo. Ngaphakathi kula mathambo, intambo yomgogodla, eyinxalenye ephambili yenkqubo yemithambo-luvo yomzimba wethu, kunye nemithambo-luvo ephuma kuyo ikhuselekile. Indlela ehamba ngayo le ntambo yomgogodla, oko kukuthi, inxalenye efana nomjelo ngaphakathi komqolo, siyibiza ngokuba yintambo yomgogodla.
Kanye njengokuba umbhobho wamanzi uba mxinwa ngokuhamba kwexesha ngenxa yokungcola nokugqwala, umjelo wethu womqolo unokuba mxinwa njengoko sikhula, ngenxa yeemeko ezifana ne-arthritis, okanye ngenxa yokwakheka kwamathambo. Emva koko umthambo womqolo kunye nemithambo-luvo ehamba kuloo mjelo iqala ukuxinwa. Sibiza ingqokelela yeempawu ezibangelwa kukuxinwa kwemithambo-luvo i-Spinal Stenosis.
Iimpawu eziphambili ezibangelwa koku zezi:
- Intlungu entanyeni, emqolo, okanye emilenzeni.
- Ukuba ndindisholo, ukurhawuzelela, okanye ukushukuma kwemisipha ezingalweni okanye emilenzeni.
- Iingxaki zeenyawo (umzekelo, unyawo lubetha emhlabeni xa uhamba).
- Ngamanye amaxesha intlungu emilenzeni yam iba nkulu kangangokuba andikwazi nokuhamba umgama omfutshane.
Ngaba utyando kuphela kwesisombululo?
Hayi. Yile nto eyoyikisa abantu abaninzi. Kodwa inyani yile, ayinguye wonke umntu one-spinal stenosis odinga utyando. Ugqirha wakho ngokuqinisekileyo uza kuzama ezinye iindlela zonyango ngaphambi kokuba akuthumelele utyando.
Khumbula, utyando ludla ngokuba yindlela yokugqibela. Ugqirha uya kuqwalasela utyando kuphela ukuba ezinye iindlela zonyango aziphumelelanga.
Makhe sibone ukuba zeziphi iindlela zonyango ezingezizo ezotyando ezikhoyo kwitheyibhile engezantsi.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Izithomalalisi zentlungu | Iintlungu zingalawulwa ngeepilisi zokuthomalalisa iintlungu eziqhelekileyo ezifana neParacetamol kunye ne-Ibuprofen. Kwintlungu ye-neuropathic, ugqirha wakho unokukunika amayeza athile afana neDuloxetine, iGabapentin, iPregabalin (Lyrica). |
| Inaliti (Inaliti ye-Epidural Steroid) | Oku kuquka ukufaka i-steroid ebizwa ngokuba yi-cortisone ngqo kwindawo apho intambo yomqolo icinezelwe khona. Oku kunokunciphisa iintlungu kunye nokudumba okwethutyana, kwaye ngamanye amaxesha ngokusisigxina. |
| Unyango Lomzimba Nokuzilolonga | Oku kubaluleke kakhulu. Ngokwenza umthambo oqinisa umqolo kunye nemisipha yesisu phantsi kwesikhokelo sengcali yezonyango, unokulawula iintlungu kwaye uphucule amandla akho okuhamba. |
Ukuba olu nyango aluzilawuli iimpawu zakho, kwaye ukuba iintlungu ziphazamisana nemisebenzi yakho yemihla ngemihla kangangokuba awukwazi ukusebenza, ugqirha wakho uya kuthetha nawe ngotyando.
Ulungiselela njani utyando?
Ukuba ugqirha wakho ucebisa ukuba wenze utyando, kukho izinto ezimbalwa ekufuneka uzenze ngaphambi kokuba lwenzeke.
- Ukuzilolonga: Musa ukumangaliswa. Ukuzibandakanya kumthambo ofanelekileyo ngemvume kagqirha wakho ngaphambi kotyando kuya kukunceda kakhulu ekuncedeni ukuba uphile ngokukhawuleza emva kotyando.
- Yeka ukutshaya: Ukuba ungumntu otshayayo, ngokuqinisekileyo kufuneka uyeke. Ukutshaya kuyalibazisa inkqubo yokuphiliswa.
- Lumka ngamayeza akho: Xelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo ozithathayo. Amanye amayeza anokubangela iingxaki nge -anesthesia angadinga ukuyekiswa ngaphambi kotyando.
- Umntu oza kukunceda: Lungiselela umntu oza kukusa esibhedlele aze akubuyisele ekhaya.
Zeziphi iintlobo zotyando ezenziwayo?
Kukho iintlobo ezintathu eziphambili zotyando lwe-spinal stenosis. Ugqirha wakho uya kugqiba ukuba loluphi utyando olulungele wena ngokwemeko yakho.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| Utyando lweLaminectomy | Olu lolona tyando luqhelekileyo. Kule nkqubo, iziqwenga zamathambo, ii-bone spurs, kunye ne-ligaments ezibangela uxinzelelo lwemithambo-luvo ziyasuswa ngotyando, nto leyo evumela imithambo-luvo ukuba ihambe ngokukhululekileyo. |
| Ukudibana koMgogodla | Ngamanye amaxesha oku kwenziwa kunye ne-laminectomy. Le yinkqubo enciphisa ukungazinzi komqolo ngokudibanisa i-vertebrae enye okanye ezingaphezulu. Izikrufu zesinyithi kunye neentonga zinokusetyenziselwa le njongo. |
| I-Foraminotomy | Ukuba i-foramen apho imithambo-luvo iphuma khona kwi-spinal cord inciphile, olu tyando luyandisa i-foramen kwaye lunciphise uxinzelelo kwimithambo-luvo. |
Ziziphi iingozi ezinokubakho zotyando?
Njengakwezinye iindlela zotyando, olu tyando lunemingcipheko ethile. Ngokukodwa, abantu abatshayayo, abalupheleyo, abatyebileyo, okanye abanezinye izifo ezifana nesifo seswekile basengozini enkulu kancinci yeengxaki.
- Kunokubakho izifo, ukopha, okanye amahlwili egazi.
- Kukho ithuba elincinci lokonakala kwi-membrane egqume umqolo.
- Kukho umngcipheko wokonakala kwemithambo-luvo.
- Ngamanye amaxesha intlungu isenokuqhubeka.
Musa ukoyika ezi ngozi. Ugqirha wakho uza kukuchazela yonke into aze athathe onke amanyathelo anokwenzeka ukunciphisa umngcipheko.
Kuthatha ixesha elingakanani ukuphiliswa?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbini ukuya kwezintathu emva kotyando. Emva kotyando oluncinci, unokukwazi ukuya ekhaya ngaloo mini okanye ngosuku olulandelayo. Kuxhomekeke kuhlobo lotyando olwenzileyo kunye nempilo yakho.
Emva kokubuyela ekhaya, kungathatha iinyanga ezi-3 nangaphezulu ukuba uphile ngokupheleleyo. Kungathatha ixesha, ingakumbi ukuba ubune-spinal fusion. Ngeli xesha, kubaluleke kakhulu ukuhamba njengoko ugqirha wakho eyalele kwaye wenze umthambo ocetyisiweyo yingcali yezonyango.
Abantu abaninzi bafumana iziphumo ezilungileyo emva kotyando. Abanantlungu ingako emilenzeni yabo kwaye bayakwazi ukuhamba ngcono. Kodwa kukho into enye ekufuneka uyikhumbule. Olu tyando alunyangi iimeko ezifana ne-arthritis ebangele i-spinal stenosis yakho. Ke ngoko, kukho ithuba lokuba iimpawu ziya kubuya kwixesha elizayo.
Umyalezo Wokuya Ekhaya
- I-spinal stenosis kukuncitshiswa komjelo womgogodla odla ngokwenzeka xa umntu ekhula.
- Oku akusoloko kufuna utyando. Unyango olufana namayeza, iinaliti, kunye nonyango lomzimba luyazanywa kuqala.
- Utyando kufuneka luqwalaselwe kuphela xa ezinye iindlela zonyango zingaphumelelanga kwaye intlungu yenza kube nzima ukuphila ubomi bakho bemihla ngemihla. Thetha ngokukhululekileyo nogqirha wakho ngale nto.
- Ukuchacha emva kotyando kuthatha ixesha nokuzinikela. Landela imiyalelo kagqirha kunye nokuzilolonga ngokuchanekileyo.
- Khumbula ukuba nangona utyando lunokubonelela ngoncedo olukhulu kwiimpawu, alunyangi isifo esisisiseko (umz. isifo samathambo).
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