Ingaba nomqolo wakho uyabuhlungu? Masifunde ngale ntlungu ingaqhelekanga yomqolo (i-Vertebrogenic Low Back Pain)?

Enye yezona ngxaki zinkulu abantu abaninzi abanazo kule mihla ziintlungu zomqolo. Ngamanye amaxesha unokucinga ukuba oku akuyonto ufanele ukhathazeke ngayo, kodwa kukho iintlobo ezithile zeentlungu zomqolo ezikhethekileyo kancinci, oko kukuthi, ezahlukileyo kwezinye iintlungu zomqolo eziqhelekileyo. Ngoko ke, namhlanje siza kuthetha ngolunye uhlobo olukhethekileyo lweentlungu zomqolo. Ukukwazi oku ngokufanelekileyo kuya kukunceda kakhulu.

Yintoni le nto kuthiwa yiVertebrogenic Low Back Pain?

Ngamafutshane, iintlungu zomqolo ezisezantsi zeVertebrogenic zibangelwa kukonakala kwee-endplates zomqolo kumqolo wakho. Ngoku usenokuba uzibuza ukuba zeziphi ezi endplates zomqolo.

Khawucinge nje, umqolo wakho wenziwe ngamathambo amancinci abekwe phezu komnye, esiwabiza ngokuba yi-vertebrae. Xa kukho enye i-vertebrae phezu komnye, kukho into efana nomatrasi phakathi kwawo, esiwabiza ngokuba yi-intervertebral disc , okanye nje i-disc. Le diski yiyo evumela umqolo ukuba ugobe umva nangaphambili, kwaye ikwafunxa ukuthuthumela okuza ngasemva xa sitsiba sibaleka. Phakathi kwaloo vertebrae kunye ne-disc, kukho ii-membrane ezimbini ezincinci ezifana nesigqubuthelo sokukhusela, ezibizwa ngokuba zii-vertebral endplates . Ngoko ke, ukuba ezi zonakele nangayiphi na indlela, kulapho le ntlungu yomqolo iqala khona.

Kutheni oku kwahlukile kwezinye iintlungu zomqolo?

Ewe, oku kwahlukile kancinci. Ngokwesiqhelo xa sicinga ngeentlungu zomqolo, sicinga ngento eyenzekileyo ngenxa yokwenzakala okanye into efana ne-arthritis. Kodwa eyona nto iphambili yale ntlungu yomqolo (Vertebrogenic) kukonakala kwee-vertebral endplates ebesithethe ngazo ngaphambili.

Ngaphambili, oogqirha babesoloko becinga ukuba unobangela weentlungu zomqolo ezingapheliyo yayisifo sediski esiwohlokayo okanye isifo samathambo. Kodwa kamva, abaphandi bafumanise ukuba kukho imithambo-luvo ngaphakathi kwithambo lethu lamathambo eva iintlungu, kwaye xa inomsindo, iintlungu zinokwenzeka. Ngolo vumbululo, kwacaca ukuba kunokubakho ezinye izizathu zentlungu yomqolo. Oko kuthetha ukuba ayizizo zonke iintlungu zomqolo ezibangelwa sisifo sediski esiwohlokayo okanye isifo samathambo.

Ixhaphake kangakanani le meko?

Enyanisweni, kunzima ukutsho ngqo ukuba bangaphi abantu abaneentlungu zomqolo (ezibangelwa yi-vertebrogenic). Kuthiwa abantu abangaphezu kwezigidi ezingama-30 kwilizwe elifana neMelika baneentlobo ezithile zeentlungu zomqolo ezingapheliyo. Nangona kunjalo, akwaziwa ngqo ukuba bangaphi kubo abanale meko (ezibangelwa yi-vertebrogenic). Oku kungenxa yokuba oogqirha banokufumana kuphela unobangela ochanekileyo malunga ne-20% yeentlungu zomqolo. Amanye ama-80% ahlelwa njengeentlungu zomqolo ezingezizo ezithile .

Zithini iimpawu zoku?

Abantu abanezi ntlungu zomqolo (ezibangelwa yi-vertebrogenic) badla ngokuchaza intlungu evuthayo, ecinezelweyo embindini womqolo wabo. Ivakala ngathi yintlungu enzulu, edubulayo. Kwabanye abantu, le ntlungu ibizwa ngokuba yintlungu . Oko kukuthi, intlungu ivakala kwindawo eyahlukileyo kunaleyo ivela kuyo.

Le ntlungu idla ngokuba nkulu:

• Xa uhleli kwindawo enye ixesha elide.
• Xa usenza umthambo .
• Xa ugoba phambili .

Ezi mpawu zifana kakhulu nezo zesifo sediski esiwohlokayo kangangokuba nogqirha ngamanye amaxesha unokuphambanisa enye nenye. Ngaphezu koko, abanye abantu banokuba nazo zombini ezi meko ngaxeshanye .

Ezinye izinto eziza neengxaki zediski

Ukuba ii-endplates ze-vertebral kumqolo wakho ongezantsi zonakele kwaye une-disc eyonakeleyo, unokufumana ezinye iimpawu. Kwiimeko ezinjalo:

• Usenokuziva urhawuzelelwa ngamalungu omzimba wakho.
• Ezinye iindawo azinangqondo .
• Ubuthathaka kwimilenze.

Ezi mpawu zenzeka kuba idiski inokuba ne-herniation kwaye ichaphazele imithambo-luvo ekufutshane. Oku akwenzeki rhoqo, kodwa kunokwenzeka.

Yintoni ebangela oku?

Njengoko besitshilo ngaphambili, eyona nto ibangela le ntlungu yomqolo (ye-vertebrogenic) kukonakala kwee-endplates zomqolo. Ngoko ke, zininzi izizathu zokonakala kwezi endplates:

• Ukuguguleka kwemihla ngemihla: Kufana nokuguguleka okufumanayo ngokusebenzisa umatshini.
• Ukutyeba kakhulu: Xa ubunzima bomzimba busanda, umqolo nawo kufuneka uthwale loo bunzima.
• Ukuphakama okuphezulu: Abantu abade banokufumana uxinzelelo olungakumbi emqolo wabo.
• Imisebenzi enzima emzimbeni: Abantu abaphakamisa iintsimbi ezinzima, abama ixesha elide, nabasebenza kwindawo efanayo basengozini enkulu.
• Ukuba kukho umntu kusapho onembali yeentloko ezibuhlungu ezingapheliyo (Imbali yosapho): Kusenokubakho nefuthe lemfuza.
• Ukutshaya: Ukutshaya kunokuchaphazela imithambo yegazi emzimbeni kwaye kunciphise inani legazi elifikelela kwezi ndawo.
• Ukonzakala okanye ukuwa: Ingozi enkulu ngequbuliso ingonakalisa ezi ndawo.

Ugqirha uyixilonga njani le nto?

Xa usiya kugqirha oneentlungu zomqolo, into yokuqala aza kuyenza kukwenza uvavanyo olupheleleyo lomzimba.Inye. Baza kukuva umqolo wakho, bakucele ukuba ugobe kwaye ujike ngeendlela ezahlukeneyo ukuze babone ukuba zeziphi iindawo ezibuhlungu kakhulu. Baza kukubuza nangeempawu zakho kunye nokuba kukho nabani na kusapho lwakho okhe waba neengxaki zomqolo ezinje.

Emva koko, ukuba ugqirha wakho ucinga ukuba kukho into engalunganga ngomqolo wakho, mhlawumbi uya ku-odola uvavanyo lwemifanekiso . Into yokuqala edla ngokwenziwa kwiintlungu zomqolo yi-X-ray yomqolo wakho . Ngokuxhomekeke kulwazi olufunyenweyo, ugqirha unokufuna ulwazi oluthe kratya. Ukuba kunjalo, unoku-odola i -CT scan (i-Computed Tomography scan) okanye i -MRI scan (i-Magnetic Resonance Imaging scan) . Ii-MRI scans zihlala zibonisa iimpawu zokudumba komongo wethambo kunye notshintsho okanye umonakalo kwiiplate ze-vertebral end.

Zithini iindlela zonyango?

Iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zonyango lomqolo (i-vertebrogenic). Ugqirha angakunceda ukhethe unyango olukulungeleyo.

• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID): La ngamayeza esiwasebenzisa rhoqo xa sisezintlungwini nasekudumbeni. Imizekelo ibandakanya i-aspirin, i-ibuprofen, kunye ne-naproxen. La mayeza kufuneka asetyenziswe njengoko ugqirha wakho eyalele.
• Unyango lomzimba: Olu lunyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo ekhethekileyo kunye nokuzolula okuya kuqinisa umqolo wakho kwaye kunciphise iintlungu. Ukuba uzenza ngokuchanekileyo ezi zinto, uya kufumana isiqabu esikhulu.
• Iziphumzi zemisipha: Kwezinye iimeko, ukuba izihlunu ezijikeleze umqolo wakho ziqinile, olu hlobo lwamayeza lunokunikwa ukuze luphumze. Nangona kunjalo, kuba zinokukwenza ulale kwaye zingakubangela umlutha ukuba zisetyenziswa rhoqo, oogqirha badla ngokuzinika ixesha elifutshane kuphela.
• Inkqubo ye-Intracept® (ukususwa kwemithambo-luvo ye-basivertebral): Masithi uzame ezinye iindlela zonyango (ezifana nokuphululwa kwemithambo-luvo, unyango lomzimba) kangangeenyanga ezintandathu kwaye intlungu yakho yomqolo ayiphucuki. Kwimeko enjalo, ugqirha unokucebisa inkqubo ekhethekileyo ebizwa ngokuba yi-Intracept®. Oku kubandakanya ukusebenzisa isixhobo esincinci kakhulu kunye nokufaka ubushushu ekonakaliseni (ukususa) imithambo-luvo ephambili ethwala intlungu (imithambo-luvo ye-basivertebral) ngaphakathi kwi-vertebra. Oku kuyayekisa imiqondiso yentlungu evela kuloo mithambo-luvo ukuba iye engqondweni, kwaye intlungu iyancitshiswa.

Kubalulekile: Zonke ezi ndlela zonyango maziqhutywe phantsi kwengcebiso nolawulo lukagqirha. Musa ukuthatha amayeza okanye umthambo wedwa.

Kuza kuthatha ixesha elingakanani ukuba umntu aphile kule meko? (Outlook)

Kukho iindlela ezininzi zonyango kubantu abaneVertebrogenic Back Pain kunangaphambili. Yinto entle leyo. Nangona kunjalo, kungathatha ixesha ukufumana uxilongo olufanelekileyo . Kwakhona, kusenokufuneka uzame unyango oluninzi ude ufumane oluchanekileyo. Usenokungalufumani unyango olufanelekileyo kwangoko.

Ngokwezibalo, unyango oluphumeleleyo kakhulu kule ntlungu yomqolo (ye-vertebrogenic) yinkqubo esiyixoxe ngayo ngaphambili (i-basivertebral nerve ablation) . Nangona kunjalo, ukuba ufuna ukufumana olu nyango nge-inshurensi, kuya kufuneka uqale ubonakalise ukuba ezinye iindlela zonyango eziqhelekileyo (ezifana neentlungu zentlungu, unyango lomzimba) ziye zasilela. Ugqirha wakho anokukunceda ngale nto, kwaye angakufundisa neendlela zokunciphisa iintlungu ngexesha lonyango.

Ukuthintela njani oku ukuba kungenzeki? (Ukuthintela)

Ekubeni le ntlungu yomqolo (ebangelwa yi-vertebrogenic) idla ngokuba yinxalenye yendalo yokudinwa kwemizimba yethu, kunzima ukuyithintela ngokupheleleyo . Nangona kunjalo, kukho izinto ezimbalwa esinokuzenza ukunciphisa umngcipheko wethu:

• Gcina ubunzima obufanelekileyo buhambelana nobude bakho: Njengoko ubunzima bomzimba wakho busanda, uxinzelelo emqolo wakho luyanda.
• Zilolonge rhoqo: Kubaluleke kakhulu ukwenza umthambo wokuqinisa umzimba, ingakumbi ojikeleze umqolo nesisu.
• Zolula rhoqo: Ukuba unomsebenzi ofuna ukuba uhlale kwindawo enye ixesha elide, kungcono ukuvuka wolule umzimba wakho kancinci, ujikeleze, ubuncinane kanye ngeyure.
• Kuphephe ukutshaya: Ukutshaya kunokuphazamisa inkqubo yokuphiliswa komzimba.

Ndifanele ndimbone nini ugqirha?

Intlungu yomqolo nje ifanele iphele kwiintsuku ezimbalwa okanye iveki. Nangona kunjalo, ukuba unayo nayiphi na kwezi mpawu , ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza :

• Intlungu yomqolo engaphelanga emva kweeveki ezimbini okanye ezintathu.
• Intlungu yomqolo engapheliyo nokuba sele usele amayeza okanye uphumle.
• Ukuba uziva ngathi intlungu yakho yomqolo iya isiba mandundu kancinci kancinci .
• Ukuba ufumana iimpawu ezinje ngokurhawuzelelwa , ukuba ndindisholo , okanye ubuthathaka ezandleni okanye ezinyaweni zakho.
• Sukuma, ukuba uziva ngathi ukuhamba kunzima .
• Ukuba unezinye iimpawu ezinje ngomkhuhlane kunye nokuncipha komzimba kunye nentlungu yomqolo.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Iintlungu zomqolo zinokuba nefuthe elikhulu kubomi bethu bemihla ngemihla. Zingacaphukisa kakhulu kungekuphela nje xa sisiya emsebenzini, senza imisebenzi yasekhaya, okanye sidlala imidlalo, kodwa naxa sihleli nje. Ingakumbi xa sineentlungu ezingapheliyo ezinje ezingapheliyo ngonyango oluqhelekileyo, zinokuba buhlungu kakhulu kwaye ngamanye amaxesha zingabi nathemba.

Khumbula: Ukuba unentlungu evuthayo, ecinezelayo phakathi komqolo wakho, isenokuba yi-Vertebrogenic Low Back Pain. Ngoko ke, ungoyiki okanye ukhathazeke ngayo, kodwa ngokuqinisekileyo thetha nogqirha ukuze ufumane ukuba zeziphi iimpawu zakho kunye nonyango olufanelekileyo. Ukuba uqala unyango olufanelekileyo ngokukhawuleza, uya kukwazi ukuphelisa le ntlungu kwaye wonwabele umsebenzi wakho kwakhona!

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