Ngaba ukhe waqala ukuba neentlungu zomqolo, ukungaziva mnandi emilenzeni yakho, okanye ukungakhululeki xa uhamba emva kokuba uneminyaka engama-50 ubudala? Ngaba uziva ngathi imilenze yakho iyaphela emva kokuhamba umgama omfutshane, ngoko ke kufuneka uhlale phantsi okwethutyana uze uphinde uhambe? Ukuba unale mpawu, unobangela usenokuba kukuncitshiswa kwendlela yemithambo-luvo emqolo wakho. Kwizonyango, le meko siyibiza ngokuba yi-spinal stenosis . Ungoyiki ukuva eli gama. Nangona lingenakunyangwa ngokupheleleyo, kukho unyango oluninzi olunokukunceda ulilawule kakuhle kwaye uphile ubomi obusebenzayo. Ngoko masithethe ngalo namhlanje.
Eyona nto ilula yeyona ilungileyo - Unyango Lomzimba
Ixesha elininzi, ugqirha wakho uya kukucebisa ukuba uqale ngezinto ezilula ngaphambi kokuba uye kwinto enkulu efana notyando. Unyango lomzimba lukhetho olubaluleke kakhulu lonyango. Ngokwenza umthambo ofanelekileyo, unokunciphisa kakhulu iimpawu zakho.
Cinga ngale ndlela: ukuba umqolo wakho ufana nepali, izihlunu eziwujikelezileyo zifana neentambo ezinceda ukugcina ipali ime nkqo. Ngoko ke ukuqinisa ezi zihlunu kunokunciphisa uxinzelelo kumqolo wakho.
Ngaphantsi kwesikhokelo sogqirha wezonyango, ungaphucula:
- Ukuguquguquka : Ukuzilolonga ukuze ululamise izihlunu zomqolo nentamo kunokunciphisa iintlungu kwaye kuphucule ukuhambahamba.
- Amandla: Uqeqesho lokuzinzisa umzimba lunceda ekuqiniseni izihlunu ezixhasa umqolo. Ezi zizinto ezilula ezinokwenziwa ekhaya.
- Ukulinganisela: Ukuzilolonga ngokulinganisela kunciphisa amathuba okuwa ngelixa uhamba.
- Ukuqina Kwentliziyo: Xa wenza umthambo we-aerobic onyusa kancinci isantya sentliziyo yakho, njengokudada okanye ukukhwela ibhayisekile , ingqondo yakho ikhupha iikhemikhali ezibizwa ngokuba zii-endorphins . Ezi zisebenza njengeentlungu zendalo, zinceda ekunciphiseni iintlungu zakho.
Khumbula, akukho ndlela yokuzilolonga efanelekileyo kuzo zonke iintlobo. Ngoko ke qiniseka ukuba uthetha nogqirha wakho okanye nogqirha wezomzimba ukuze ufumane ukuba zeziphi iindlela zokuzilolonga ezikulungeleyo. Akulunganga nokuba ugqithise.
Ngamanye amaxesha, iibhanti ezikhethekileyo (ii-corsets okanye ii-braces) ezinxitywayo ezijikeleze isisu zingasetyenziswa ngexesha lokuzilolonga. Nangona kunjalo, ukuzinxiba rhoqo kunokwenza izihlunu zibe buthathaka, ngoko ke funa iingcebiso zonyango malunga noko.
Amayeza athomalalisa iintlungu
Ugqirha wakho angakunika amayeza athile okukunceda ukulawula iintlungu kunye nokuzilolonga. Nangona amanye ala mayeza angathengwa kwikhemesti ngaphandle kwemvume kagqirha, akufuneki uthathe naliphi na iyeza ngaphandle kokubonisana nogqirha wakho kuqala. Amanye amayeza anokunxibelelana namanye amayeza owasebenzisayo kwaye anokubangela iziphumo ebezingalindelekanga.
| Udidi lweziyobisi | Imizekelo kunye nokusebenza kwayo | Amanqaku abalulekileyo |
|---|---|---|
| I-Analgesics | Njenge-acetaminophen (Tylenol, Panadol). Ezi zinciphisa iintlungu kuphela, hayi ukudumba. | Ngokubanzi kukhuselekile, kodwa ukuthatha ngaphezu komlinganiselo ocetyiswayo kuyingozi kwisibindi. |
| Ii-NSAID (Amayeza angengo-steroidal alwa nokuvuvukala) | I-Ibuprofen, njengeNaproxen, inciphisa iintlungu kunye nokudumba. | Ukuba isetyenziswa kakhulu, inokubangela izilonda zesisu kwaye ichaphazele izintso. Ayifanelekanga kubantu abadala okanye abo banesifo sentliziyo. |
| Amayeza eentlungu zemithambo-luvo | IGabapentin, njengePregabalin, isetyenziselwa ukunyanga iintlungu ezibangelwa kukucinezelwa kwemithambo-luvo, njengokungaziva mnandi nokudumba. | Ubuthongo kunye nesiyezi zinokubakho. Kufuneka kuqatshelwe xa uqhuba. |
| Ezinye izinto ezithintela uxinezeleko | Njenge-amitriptyline. Xa inikwa ngeedosi eziphantsi, ezi zinokunceda ukulawula iintlungu ezingapheliyo. | Iziphumo ezingalindelekanga ezifana nokozela, umlomo owomileyo, kunye nokutyeba zinokubakho. Yiyo loo nto kucetyiswa ukuba uyithathe ebusuku. |
Ukuba akukho nanye kwezi zinto elawula iintlungu, kunqabile kakhulu ukuba amayeza okudambisa iintlungu anamandla e-opioid anikwe ixesha elifutshane. Nangona kunjalo, la mayeza awasetyenziswa ixesha elide ngenxa yomngcipheko wokuba likhoboka lawo.
Ngaba iinaliti zinganceda?
Ngamanye amaxesha inaliti isetyenziswa njengonyango olujolise kakhulu kuneepilisi. Kukho iintlobo ezimbini eziphambili:
1. Inaliti ye-Epidural Corticosteroid : Oku kubandakanya ukujova ngononophelo olukhulu kwindawo yomqolo apho umthambo ucinezelwe khona. I-corticosteroid ekule naliti inciphisa ukudumba kuloo ndawo kwaye inika isiqabu kwiintlungu. Oku kwenziwa yingcali efana ne-anesthesiologist.
2. Ukuvimba Kwemithambo-luvo: Oku kuquka ukufaka inaliti ye-anesthetic kufutshane nemithambo-luvo ethwala iintlungu, "uyenza buthathaka" loo mithambo-luvo okwethutyana.
Ezi naliti aziniki ziphumo zifanayo kuye wonke umntu. Abanye abantu baziva bekhululekile kangangeenyanga. Abanye baziva iintsuku ezimbalwa kuphela. Abanye basenokungaziva mahluko konke konke.
Kunini apho kufuneka khona utyando?
Utyando ludla ngokuba yindlela yokugqibela, kodwa ugqirha wakho unokufuna ukuba ucinge ngotyando kwezi meko zilandelayo:
- Ukuba kukho intlungu enganyamezelekiyo .
- Ukuba kunzima kakhulu ukuhamba okanye ukuma.
- Ukuba awukwazi ukulawula umchamo okanye isitulo sakho (le yimeko engxamisekileyo).
Utyando alunakunyanga ngokupheleleyo le meko. Kodwa lunokunceda ekunciphiseni uxinzelelo kwimithambo-luvo, lunciphise iintlungu, kwaye lukuncede ubuyele ebomini obuqhelekileyo.
Iindidi ezininzi eziphambili zotyando
- Utyando lweLaminectomy: Olu lolona tyando luqhelekileyo. Lususa amathambo agqithisileyo, amaqhuma, kunye nemisipha etyebileyo emgogodleni ecinezela imithambo-luvo. Kufana nokususa umqobo.
- I-Laminotomy: Inkqubo ebandakanya ukwenza umngxuma omncinci ukuze kuncitshiswe uxinzelelo kwimithambo-luvo, ngaphandle kokususa lonke ithambo.
- I-Spinal Fusion: Ngamanye amaxesha yenziwa kunye ne-laminectomy, le nkqubo ibandakanya ukudibanisa amathambo amabini okanye ngaphezulu angazinzile kunye ukuze kumiswe intshukumo engafunekiyo kuloo ndawo.
- I-Discectomy: Ukuba idiski ephakathi kwamathambo omqolo ityibilikile kwaye icinezela umthambo, kususwa kuphela inxalenye yediski ecinezelayo.
- Utyando Olungena Ngomdla: Indlela yokwenza utyando ngaphandle kokwenza umsikelo omkhulu, ngokufaka ikhamera kunye nezixhobo ezikhethekileyo ngokusebenzisa imisikelo emincinci kakhulu, ngaphandle kokonakalisa izicwili eziphilileyo.
Ixesha lokuchacha emva kotyando linokususela kwiintsuku ezimbalwa ukuya kwiinyanga ezi-2-3, kuxhomekeke kuhlobo lotyando olwenziweyo kunye nempilo yakho iyonke.
Umyalezo Wokuya Ekhaya
- I-Spinal Stenosis yimeko eyenzeka rhoqo xa umntu ekhula, apho iindlela zemithambo-luvo emgogodleni zincipha khona. Oku akuyonto yokoyika kwaye kunokulawulwa kakuhle.
- Izinto zokuqala omawuzizame kukwenza unyango lomzimba kunye nokuzilolonga okumiselwe ngugqirha. Oku kunokunceda ekulawuleni iintlungu kakhulu.
- Nokuba yipilisi yokunciphisa iintlungu onokuyithenga kwivenkile yezonyango, ungaze uyisebenzise ngaphandle kokubuza ugqirha wakho.
- Utyando kunye neenaliti zezona ndlela zilandelayo zokuziqwalasela. Ezi zifuneka kuphela kwabo baneempawu eziqatha.
- Ukuba uneentlungu okanye ukuqina emqolo okanye emilenzeni yakho, musa ukuyityeshela loo nto kwaye ngokuqinisekileyo bonana nogqirha ukuze ufumane unobangela.
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