Ngaba uhlala uneentlungu zomqolo? Okanye uziva urhawuzelelwa yintlungu ehla engalweni yakho kunye nentlungu entanyeni yakho? Ixesha elininzi, siyalibala ngezinto ezinjalo, sicinga ukuba "oku kwenzekayo xa ukhula" okanye "kungenxa yomsebenzi nokudinwa." Kodwa ngamanye amaxesha kunokubakho isizathu sezonyango emva kwale ntlungu ekufuneka siyinike ingqalelo. Namhlanje sithetha ngemeko enjalo, ebizwa ngokuba yi-Neural foraminal stenosis (i-Foraminal Stenosis ngamafutshane). Nangona igama liyinkimbinkimbi kancinci, masiqonde le meko ngokulula.
Ngamafutshane, yintoni iForaminal Stenosis?
Cinga ngomqolo wakho. Ufana neqela lamathambo amancinci (abizwa ngokuba zii-vertebrae) abekwe phezu kwelinye. Umqolo, olawula umzimba wakho wonke, ukhuselekile ngaphakathi komqolo. Ngumqolo okhula kwiingalo zakho, emilenzeni, nakuwo onke amalungu omzimba wakho.
Into ebalulekileyo kukuba, kukho imingxunya emincinci, njengemijelo emincinci, phakathi kwamathambo omqolo ukuze le mithambo-luvo iphume. Le mingxunya yinto esiyibiza ngokuba yi-neural foramina ngokwezonyango. Kwenzeka ntoni ukuba le mingxunya incipha okanye ivalekile ngesizathu esithile? Emva koko imithambo-luvo ephuma kuloo mngxunya iqala ukucinezelwa. Kufana nomntu onyathela umbhobho wamanzi aze amanzi ayeke ukuhamba. Le meko yokucinezelwa kwemithambo-luvo yinto esiyibiza ngokuba yiForaminal Stenosis .
Le meko ingenzeka phi emqondweni?
I-Foraminal Stenosis inokwenzeka naphi na emgogodleni. Iimpawu ziyahluka ngokuxhomekeke kwindawo eyenzeka kuyo. Kukho iintlobo ezintathu eziphambili.
1. I-Cervical Foraminal Stenosis
Le yimeko eyenzeka phakathi kwamathambo omqolo entanyeni yethu. Ekubeni intamo yethu iyinxalenye yomzimba ehamba kakhulu kwaye ithwala ubunzima bentloko, kukho amathuba aphezulu okuba kubekho i-stenosis kule ndawo. Le meko inokuchaphazela abantu abachitha ixesha elininzi bejonge ikhompyutha okanye belele kwindawo engafanelekanga.
2. I-Thoracic Foraminal Stenosis (umqolo ophakathi)
Oku akuvamile kangako. Le meko inokwenzeka kwindawo yethu engasentla yomqolo, oko kukuthi, kumqolo wesifuba emva kwesifuba. Oku kunokuchaphazela amagxa kunye nesifuba.
3. I-Lumbar Foraminal Stenosis (Umqolo Osezantsi)
Olu luhlobo oluxhaphakileyo. Umqolo wethu ongezantsi yinxalenye yomzimba wethu ethwala ubunzima obukhulu kwaye igoba kwaye yolule kakhulu. Ngenxa yoko, imithambo-luvo kule ndawo inokuba buhlungu kakhulu. Le yeyona nto ibangela " iintlungu zomqolo " abantu abaninzi abanazo.
Zithini izizathu zeForaminal Stenosis?
Ixesha elininzi, le meko ibangelwa lutshintsho oluwohlokayo kumqolo oluvela ngokuhamba kweminyaka. Oku kuthetha ukuba asiyonto eyenzeka ngobusuku obunye, kodwa yinto ekhula kancinci kancinci. Ngaphandle koko, kusenokubakho ezinye izizathu.
| Isizathu | Icacisiwe ngokulula |
|---|---|
| I-Osteoarthritis | Njengoko sikhula, amalungu ayawohloka kwaye kuvela amaqhuqhuva amatsha ethambo. La maqhuqhuva ayanamathela kwindlela yemithambo-luvo aze ayicinezele. |
| Iidiski zeHerniated | 'Ii-cushions' (iidiski) ezifana nejeli phakathi kwamathambo omqolo zinokudumba zize zicinezele umthambo. |
| IiLigaments ezijiyileyo | Iiligaments ezibamba umqolo kunye ziyaqina ngokuhamba kwexesha, zingene kwindlela yemithambo-luvo kwaye ziyicinezele. |
| Ukulimala koMgogodla | Ukuba umqolo uqhekeke okanye uqhekeke ngenxa yengozi, iingcambu zemithambo-luvo zinokuxinana. |
| Ezinye iimeko zonyango | Oku kunokubangelwa zizifo ezifana nokuphazamiseka kokukhula kwamathambo njengesifo sikaPaget okanye iithumba (ezi aziqhelekanga). |
Ziziphi iimpawu onokuba nazo?
Ayingabo bonke abantu abaneempawu. Abanye abantu banokuzifumana ngengozi xa beskena. Ukuba iimpawu ziyenzeka, zihlala zifika ziphele, kwaye zinokuba ncinci. Iimpawu zixhomekeke ekubeni imithambo-luvo icinezelwe phi.
| Indawo echaphazelekayo | Iimpawu eziqhelekileyo |
|---|---|
| Intamo (Umlomo wesibeleko) |
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| Umqolo osezantsi (iLumbar) |
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| Iimpawu eziqatha ezifuna ingqalelo ekhawulezileyo! | |
Ukuba ufumana naziphi na iimpawu ezingentla, kuquka ukulahlekelwa sisinyi okanye ukulawula amathumbu , ukungasebenzi kakuhle ngokwesondo, okanye ukuba ndindisholo kwemilenze yakho, yingxamiseko yezonyango . Yiya kwicandelo lezonyango elikufutshane (ETU) ngoko nangoko. | |
Ugqirha uyixilonga njani le nto?
Ukuba unezi mpawu, eyona nto ingcono kukubona ugqirha . Ugqirha uza kuqala akubuze ngembali yakho yezonyango aze akuhlole ngononophelo. Baza kujonga uluhlu lweentshukumo zakho, iindawo zentlungu, kunye nokusebenza kwemithambo-luvo (reflexes).
Emva koko, kunokucetyiswa iimvavanyo ezininzi ukuqinisekisa isifo nokufumanisa ubukhali baso:
- I-X-ray: Ingajonga ukuba kukho amaqhekeza, i-bone spurs, okanye ezinye iingxaki kumqolo.
- I-MRI Scan: Le yeyona ndlela ichanekileyo yokubona imeko yezicubu ezithambileyo ezifana nemithambo-luvo, iidiski phakathi kwamathambo omqolo, kunye nemisipha. Ingabonisa ngqo ukuba imithambo-luvo icinezelwe na.
- I-CT Scan: Oku kunokuvelisa imifanekiso eneenkcukacha zomqolo kunye nezakhiwo ezingqongileyo.
- I-Myelogram: Olu luvavanyo olukhethekileyo. Idayi ekhethekileyo ifakwa kwi-spinal cord kwaye kwenziwa i-CT okanye i-MRI scan. Oku kuvumela ukuhamba kolwelo lomqolo kunye nendawo apho kucinezelwe khona imithambo-luvo ukuba kubonakale ngokucacileyo.
Ziziphi iindlela zonyango ezikhoyo?
Unyango luxhomekeke kubukhali beempawu zakho kunye nobungakanani bomonakalo wemithambo-luvo. Rhoqo, ugqirha wakho uya kuqala azame unyango olungelulo utyando.
Unyango olungelulo utyando
- Amayeza: Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu kunye namayeza okulwa nokuvuvukala (NSAIDs), amayeza okuphumla kwemisipha, kwaye mhlawumbi neenaliti ze-steroid.
- Unyango Lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo ethile eya kuqinisa umqolo wakho kunye nemisipha yesisu, yonyuse ukuguquguquka, kwaye inciphise iintlungu.
- Ukulungiswa kwendlela ome ngayo: Ukuba unendlela ome ngayo xa umi, uhleli, okanye usebenza, oku kukubeka uxinzelelo olungeyomfuneko emqolo nasentanyeni yakho. Kubaluleke kakhulu ukufunda ngendlela ome ngayo.
- Ukunxiba iibraces: Kwezinye iimeko, ugqirha wakho unokucebisa ukunxiba ibraces emqolo okanye entanyeni.
Utyando
Ukuba unyango olungentla aluncedi, ukuba intlungu ayinyamezeleki, kwaye ichaphazela kakhulu ubomi bakho bemihla ngemihla, ugqirha wakho unokucebisa utyando. Olu tyando lubizwa ngokuba yi-foraminotomy .
Olu tyando lubandakanya ukususa izihlunu zamathambo, iziqwenga zeediski, okanye ezinye izicwili ezicinezela umthambo, nto leyo evumela umthambo ukuba uhambe ngokukhululekileyo. Oku kudla ngokwenziwa ngugqirha wemithambo-luvo.
Umyalezo Wokuya Ekhaya
- I-Foraminal Stenosis yimeko eqhelekileyo eyenzeka xa umntu ekhula. Ngoko ke musa ukuyityeshela intlungu yomqolo nentamo.
- Intlungu, ukungaziva, okanye ubuthathaka emalungeni zisenokuba zezona mpawu ziphambili zesi sifo.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha kwaye ufumane ukuxilongwa okufanelekileyo.
- Abantu abaninzi banokuchacha kakuhle ngonyango olungenalo utyando (unyango lomzimba, umthambo, amayeza).
- Ukuba ubonakalisa iimpawu eziqatha, ezinje ngokulahlekelwa sisinyi okanye ukulawulwa kwamathumbu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ukugcina ubunzima obusempilweni kunye nokugcina indlela efanelekileyo yokuma kunendima enkulu ekuthinteleni nasekulawuleni le meko.
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