Ingabe i-vertebra emgogodleni wakho iyashelela? Ake sifunde nge-spondylolisthesis!

Ubuhlungu bomhlane buyinkinga evamile abantu abaningi ababhekana nayo kulezi zinsuku. Ngezinye izikhathi kungaba ubuhlungu bomhlane obuvela ekuzikhandleni. Kodwa-ke, uma lobu buhlungu buzwakala bubukhali kancane kwezinye izinsuku, noma uma buhambisana nezinye izimpawu, khona-ke kungaba khona imbangela ethile yalo. Okusho ukuthi, isimo esenzeka emgogodleni (Spondylolisthesis) . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, masiliqonde kalula.

Kuyini i-Spondylolisthesis? Kalula nje...

Cabanga ngomgogodla wakho njengenqwaba yamathambo amancane (abizwa ngokuthi ama-vertebrae) abekwe phezu komunye nomunye. Kunama-vertebrae angu-33, uma ngiqinisile. Nakuba la ma-vertebrae exhumene, anganyakaza kancane lapho sigoba noma sinyakazisa imizimba yethu. Manje, esimweni esibizwa ngokuthi i-spondylolisthesis, elinye lala ma-vertebrae liyaphuma endaweni yalo bese lisunduza i-vertebrae engaphansi kwalo. Kufana nesixhumanisi esiphukile ku-chain. Uma lokhu kwenzeka, imizwa kuleyo ndawo ingacindezelwa. Yilapho kuvela khona izimpawu ezifana nobuhlungu bomhlane nobuhlungu bomlenze. I-Spondylolisthesis ingenzeka noma kuphi emgogodleni, kodwa ivame kakhulu emhlane ongezansi (umgogodla we-lumbar) . Futhi, lesi simo singenzeka entanyeni (umgogodla wesibeletho) noma kusukela entanyeni kuya ekugcineni kwezimbambo (umgogodla wesifuba). Umgogodla ufana neketanga elisekela njalo umzimba wethu. Ngakho-ke, kungaba yinto eyesabekayo lapho isixhumanisi sishelela. Kodwa, lokho akusho ukuthi lonke iketanga liphazamisekile. Ngokuvamile kunezindlela zokwelapha ezinhle zesimo esibizwa ngokuthi i-spondylolisthesis. Uma unezinhlungu ezintsha emhlane noma emilenzeni yakho futhi unenkinga yokwenza imisebenzi yansuku zonke, qiniseka ukuthi ubona udokotela.

Yiziphi izimbangela ezingaba khona ze-spondylolisthesis?

Kunezindlela eziningana eziyinhloko lesi simo esingase senzeke ngazo:

1. Okuhlobene nobudala (i-Degenerative Spondylolisthesis)

Lolu uhlobo oluvame kakhulu. Njengoba siguga, izingxenye ezifana nomcamelo phakathi kwamathambo ethu (abizwa ngokuthi ama-disc ) ziyawohloka. Njengoba la ma-disc emancane, isikhala esiphakathi kwamathambo siyanda, okwenza kube lula ukuthi umuntu ashelele. Lolu futhi uhlobo lwesifo se-disc esiwohlokayo .

2. I-Congenital Spondylolisthesis

Ngezinye izikhathi, lesi simo singase senzeke ngoba umgogodla wengane awukakhiwa kahle ngesikhathi isesesibelethweni. Uma lokhu kwenzeka, izinkinga zingavela esemncane noma kamuva kakhulu empilweni.

3. Ngenxa yokuphuka lapho amathambo omgogodla ehlangana khona (i-Isthmic Spondylolisthesis)

Uma ingcezu encane yethambo exhumanisa amathambo amabili (abizwa ngokuthi i-pars interarticularis ) iphuka, ayibe isakwazi ukuwabamba kahle. Ithambo lamathambo liyashelela. Lokhu kungenzeka kubasubathi, ikakhulukazi labo abenza izivivinyo zokugxuma nokudonsa .

Ezinye izinhlobo ezingavamile:

• (I-Spondylolisthesis Ebuhlungu):I-vertebra ingashelela ngenxa yomonakalo omkhulu emgogodleni ngenxa yengozi enkulu noma ukuwa.
• I-Pathological Spondylolisthesis: Lokhu kungabangelwa nayizimo ezenza amathambo abe buthaka (njenge- osteoporosis noma isimila emathanjeni).
• (I-Postsurgical Spondylolisthesis): Akuvamile kakhulu, lesi simo singaba umphumela ongemuhle wokuhlinzwa komgogodla.

Ziyini izimpawu ze-spondylolisthesis?

Okumangazayo ukuthi abanye abantu bane-spondylolisthesis futhi abanazo izimpawu. Uma i-vertebra eshelele incane kakhulu (esezingeni eliphansi), kungenzeka ingabingeli zimpawu ngoba ayicindezeli kakhulu kwezinye izingxenye zomgogodla noma imizwa. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:

• Ubuhlungu obuphansi emhlane.
• Ubuhlungu obuhamba emilenzeni (obubizwa nangokuthi i-sciatica ).
• Umuzwa wokuqina nokuqina ngemuva.
• Ubunzima bokuhamba noma ukuma isikhathi esingaphezu kwemizuzu embalwa.
• Ukuba ndikindiki, ubuthakathaka, noma umuzwa wokuba ndikindiki ezinyaweni.

Kuye ngokuthi amathambo omgogodla ashelele kuphi, ubuhlungu bungase buzwakale nakwezinye izingxenye zomhlane. Lobuhlungu bungase busakazekele nasezinqeni noma emathangeni.

Ziyini izimbangela ze-spondylolisthesis?

Imbangela yomgogodla oshelelayo iyahlukahluka kuye ngohlobo lwe-spondylolisthesis onayo. Ezinye zezimbangela ezivamile zifaka:

• Ama-disc omgogodla ayaguga njengoba ekhula.
• Ama-vertebrae amancane kunejwayelekile lapho ezalwa.
• Izingozi ngesikhathi udlala ezemidlalo.
• Ukukhula okusheshayo ezinganeni nakubantu abadala abasebasha.
• Izingozi ezifana nokuwa kanye nezingozi zezimoto.

Ubani osengozini enkulu yokuthola lesi simo?

Nakuba noma ubani engaba ne-spondylolisthesis, abanye abantu basengozini enkulu:

• Abantu abangaphezu kweminyaka engama-50 ubudala.
• Abesifazane.
• Abasubathi (ikakhulukazi labo abadlala imidlalo ethinta kakhulu, abagxuma kakhulu, futhi abenza izivivinyo zokuzelula).
• Abantu abanomlando womndeni we-spondylolisthesis noma izifo ezihlobene namathambo.

Yini engenzeka uma i-spondylolisthesis ingelashwa? (Izinkinga)

Uma lesi simo singahlolwanga kahle futhi singalashwa, ungase ubhekane nalokhu okulandelayo:

• Ubuhlungu obungapheli emhlane .
• Isifo samathambo somgogodla.
• Ukulimala kwemizwa.
• Ukungakwazi ukulawula ukuchama (Ukungakwazi ukuzibamba umchamo) noma ukungakwazi ukuzibamba emathunjini (Ukungakwazi ukuzibamba emathunjini) .

Odokotela bakuthola kanjani i-spondylolisthesis?

Udokotela uzoxilonga i-spondylolisthesis ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa okukhethekile kwezithombe. Uzohlola ngokucophelela umhlane wakho nomgogodla wakho. Kuzodingeka utshele udokotela wakho ukuthi waqala nini ukuba nobuhlungu noma ezinye izimpawu, ukuthi yimiphi imisebenzi eyenza ubuhlungu bube bubi kakhulu, nokuthi wenzeni ngaphambi kokuba izimpawu zakho ziqale, ikakhulukazi uma ube sengozini. Udokotela wakho uzobe esethatha i -X-ray yomgogodla ukuze athathe izithombe zamathambo akho. Ungadinga futhi i -CT scan noma i-MRI scan ukuze ubheke umonakalo kuma-disc noma ezinzwa zakho.

Amabanga e-Spondylolisthesis

Udokotela wakho uzokunika amamaki ngesimo sakho, kuye ngokuthi amathambo akho ashelele kangakanani. Lokhu kungaba inombolo, "yezinga eliphansi" noma "yezinga eliphezulu":

• I-Spondylolisthesis yezinga eliphansi - Ibanga I nebanga lesi-2: Lolu uhlobo oluvame kakhulu. Izingane eziningi ezincane ezine-isthmic spondylolisthesis kanye nabantu abadala abane-degenerative spondylolisthesis banalesi simo esingesibi kangako.
• I-Spondylolisthesis Yezinga Eliphezulu (Ibanga Lesi-3 kanye neBanga Lesi-IV): Kulezi zimo, ukuhlinzwa kungenzeka kakhulu, ikakhulukazi uma unezinhlungu ezinzima noma ezinye izimpawu.

Yiziphi izindlela zokwelapha i-spondylolisthesis?

Abantu abaningi bangakwazi ukulawula izimpawu zabo ngokwelashwa okungadingi ukuhlinzwa, okuhlanganisa:

• Ukuphumula : Ukuthatha ikhefu kwezemidlalo nemisebenzi enzima isikhashana kuzonciphisa ingcindezi emgogodleni.
• Imithi: Ungasebenzisa ama-NSAID atholakala ngaphandle kwemithi kadokotela (isib. i-Ibuprofen, i-Diclofenac) noma i-Acetaminophen (isib. i-Panadol) ukunciphisa ubuhlungu nokuvuvukala. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela. Khuluma nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi, ukuze akutshele ukuthi yimuphi umuthi ofanele wena.
• Ama-Corticosteroids: Lena imithi enamandla enqunywe udokotela ukunciphisa ukuvuvukala. Inganikezwa ngomlomo noma ijovwe ngqo endaweni ebuhlungu (umjovo we-cortisone) .
• Ukwelashwa ngokomzimba:Udokotela wezokwelapha uzokufundisa ukuzivocavoca ukuze uqinise imisipha ezungeze umgogodla wakho (ikakhulukazi umhlane wakho kanye nemisipha yesisu). Lokhu kuzonciphisa ingcindezi emgogodleni wakho futhi kukuvumele ukuthi ushukume kalula.
• Ukugqoka i-brace: Uma une-vertebra ephukile, udokotela wakho angase akuncome ukuthi ugqoke i-brace ukuze umgogodla wakho uhlale uqinile. Uzokutshela nokuthi kufanele uyigqoke isikhathi esingakanani.

Kudingeka nini ukuhlinzwa kwe-spondylolisthesis?

Akuwona wonke umuntu ozodinga ukuhlinzwa ngenxa ye-spondylolisthesis. Uma amathambo agugile engadali izimpawu ezinzima noma engekho engcupheni yezinye izinkinga, ungaphila nesimo esingesihle. Udokotela wakho uzokutshela ukuthi sekuyisikhathi sokucabangela ukuhlinzwa. Ukuhlinzwa kungadingeka ezimweni ezilandelayo:

• Uma unesifo se-spondylolisthesis esisezingeni eliphezulu .
• Uma unezinhlungu ezinzima noma ezinye izimpawu ezenza kube nzima ukuma, ukuhamba, noma ukuhambahamba.
• Uma izimpawu zingakapheli naphezu kwezinye izindlela zokwelapha ezingadingi ukuhlinzwa .

Udokotela ohlinzayo cishe uzokwenza inqubo ebizwa ngokuthi i-spinal fusion . Lokhu kuhilela ukulungisa kabusha amathambo akho nokuqinisa indawo. Kungase kudingeke futhi wenze inqubo ebizwa ngokuthi i-spinal decompression ukuze unciphise ingcindezi emthanjeni wakho we-sciatic. Udokotela wakho noma udokotela ohlinzayo uzokuchazela ukuthi yikuphi ukuhlinzwa okudingayo nokuthi yini ongayilindela.

Imiphumela emibi engaba khona ngemva kokuhlinzwa

Abanye abantu abahlinzwa ngokuhlanganiswa komgogodla bangase babhekane nokwehla okuncane kokunyakaza ngemva kokuhlinzwa. Lokhu kungenxa yokuthi ukuhlinzwa kuhlanganisa amathambo amabili ndawonye ukuze kwakheke ithambo elilodwa. Kodwa-ke, kubantu abaningi, ubuhlungu buncane kakhulu kangangokuthi bangakwazi ukubekezelela lokhu kungakhululeki okuncane. Kodwa-ke, ungesabi ukukhuluma nodokotela wakho ohlinzayo ngalokhu ngaphambi kokuba unqume ukuhlinzwa. Angakuchazela izingozi futhi akusize ubeke amathemba angokoqobo.

Ingabe i-spondylolisthesis ingavinjelwa?

Ngezinye izikhathi, i-spondylolisthesis ayinakuvinjelwa ngokuphelele, ikakhulukazi uma kwenzeka ngenxa yengozi noma ngenxa yendlela umgogodla wakho owakhiwe ngayo lapho uzalwa. Kodwa-ke, unganciphisa ingozi yakho ngokulandela lawa macebiso:

• Yenza izivivinyo eziqinisa umhlane wakho kanye nemisipha yesisu .
• Landela ukudla okunempilo okukufanele. Lokhu kungavikela amathambo akho kanye nempilo yakho iyonke.
• Khuluma nodokotela wakho mayelana nempilo yamathambo akho. Uzokutshela ukuthi kufanele yini futhi nini uhlolwe ukuqina kwamathambo .

Yini ongayilindela uma une-spondylolisthesis?

Uma une-spondylolisthesis, izimpawu zakho kufanele zithuthuke ngokwelashwa okungadingi ukuhlinzwa njengokuphumula, imithi, kanye nokwelashwa ngokomzimba. Uma usuqalile ukwelashwa, udokotela wakho uzothatha ama-X-ray amaningi ukuze abone ukuthi amathambo akho ayaqhubeka yini nokushelela. Udokotela wakho uzoqapha ngokucophelela amathambo ashelele. Uma eshelela kakhulu, ungase udinge ukuhlinzwa.

Ukwelashwa ngaphandle kokuhlinzwa akukwazi ukubuyisela i-vertebra eshelele endaweni yayo yokuqala, kodwa kungakusiza ukuthi wenze imisebenzi yakho yansuku zonke ngaphandle kobuhlungu. Ukuhlinzwa kuphela okungabuyisela ukuhlangana komgogodla kwasekuqaleni.

Kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa ukululama ngokuphelele ekuhlinzweni komgogodla. Udokotela wakho ohlinzayo uzokunikeza isimiso sokululama esifanele wena, ngokusekelwe ezidingweni zakho.

Ngingaqala nini ukudlala futhi?

Iningi labantu abane-spondylolisthesis lingabuyela kwezemidlalo nakweminye imisebenzi yomzimba ngemva kwamasonto ambalwa okwelashwa. Ngokuvamile, kufanele ulinde uze ukwazi ukuhambahamba ngokuphephile ngaphandle kobuhlungu. Khuluma nodokotela wakho noma udokotela ohlinzayo ngaphambi kokuqala noma yimuphi umsebenzi womzimba. Bangaphakamisa izindlela eziphephile zokuthi uhlale usebenza ngaphandle kokwandisa ingozi yakho yezinkinga.

Yini okufanele uyigweme uma une-spondylolisthesis?

Udokotela wakho uzokutshela ukuthi yimiphi imisebenzi ephephile ongayenza. Kungase kudingeke uyeke ukudlala imidlalo yokuxhumana noma ukwenza izivivinyo ezibeka ingcindezi enkulu emgogodleni wakho noma ezihilela ukwelula okuningi.

Kufanele ubonane nini nodokotela?

Uma ushesha ukubona udokotela, kulapho bezokwazi khona ukuxilonga nokwelapha i-spondylolisthesis. Uma unobuhlungu emhlane obuhlala izinsuku ezingaphezu kwezimbalwa, noma uma ubuhlungu bukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho evamile, bona udokotela ngokushesha okukhulu.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unengozi, njengokuwa noma ingozi yemoto, yiya egumbini lezimo eziphuthumayo. Uma uzizwa ungenamizwa emilenzeni yakho, noma uma ungakwazi ukulawula umchamo wakho noma ukuhamba kwamathumbu, yiya egumbini lezimo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela wakho le mibuzo:

• Ingabe nginenkinga ye-spondylolisthesis noma enye inkinga yomgogodla?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe kuzodingeka ngihlinzwe?
• Ngingabuyela nini emisebenzini yomzimba efana nemidlalo?

Uyini umehluko phakathi kwe-(Spondylolisthesis) kanye ne-(Spondylolysis)?

I-Spondylolisthesis kanye ne-Spondylolysis yizimo ezimbili ezinamagama afanayo futhi ezingadidaniswa. Umehluko phakathi kwalezi zimo ezimbili ukuthi zithinta kanjani umgogodla wakho.

• I-Spondylolisthesis yilapho i-vertebra ishelela futhi isunduza i-vertebra engaphansi kwayo.
• (I-Spondylolysis)Kungukuphuka kwethambo okuncane okwenzeka engxenyeni encane yethambo (i-pars interarticularis) phakathi kwamathambo amabili. Lesi simo, esibizwa ngokuthi i-spondylolysis, siyimbangela eyinhloko ye-isthmic spondylolisthesis. Ngoba lokho kuphuka kungabangela ukuba amathambo ashelele.

Okokugcina, into okufanele icatshangelwe.

Kujwayelekile ukuthi noma ubani azizwe esaba lapho ezwa igama elithi "spondylolisthesis." Uma uzwa igama elithi "spondylolisthesis," ithambo liyashelela engxenyeni ebalulekile yomzimba, zonke izinhlobo zezinto ziyafika engqondweni. Kungokwemvelo ukumangala nokuba nemibuzo eminingi. Phefumula kakhulu. I-Spondylolisthesis ingaba nzima ukuyibiza nokuyibhala, kodwa ngenhlanhla, akuzona zonke izimo ezinamagama ayinkimbinkimbi ezidinga ukwelashwa okuyinkimbinkimbi. Cishe uzodinga amasonto ambalwa okuphumula, imithi ethile etholakala ngaphandle kwemithi kadokotela, kanye nokwelashwa ngokomzimba. Ngisho noma uhlinzwa, ngemva kokunikeza umzimba wakho isikhathi osidingayo ukuze ululame, uzokwazi ukubuyela emisebenzini yakho evamile. i-spondylolisthesis, ubuhlungu bomhlane, i-spondylolisthesis, umgogodla, ukucindezelwa kwemizwa, ukwelashwa ngokomzimba, ukuhlinzwa komhlane