Ingabe ubuhlungu bakho emhlane bubangelwa yi-spondylolysis? Ake sixoxe ngakho!

Ingabe nawe ukhathazwa ubuhlungu bomhlane? Ngezinye izikhathi ucabanga ukuthi lokhu kuyinto evamile, kodwa kungase kube nezinye izizathu ezibangela ubuhlungu obuthile. Namuhla sizokhuluma ngesimo esingabangela ubuhlungu bomhlane, kodwa asikhulumi kakhulu ngaso.

Kuyini i-Spondylolysis?

Kalula nje, i-spondylolysis iwukuqhekeka okuncane noma ukuqhekeka phakathi kwamathambo amabili emgogodleni wethu. Ubuwazi ukuthi umgogodla wethu wakhiwe ngamathambo amancane angu-33 ahlelwe elinye ngaphezu kwelinye ngokulandelana? Sibiza ngalinye lala mathambo ngokuthi 'i-vertebra'. Lawa mathambo axhumene ndawonye ukuze akhe umgogodla wethu. Odokotela ngezinye izikhathi babiza lesi simo ngokuthi 'i-pars defect' noma 'i-pars fracture' . Isizathu salokhu ukuthi lokhu kuqhekeka kwenzeka engxenyeni encane yethambo ebizwa ngokuthi ' i-pars interarticularis' exhumanisa amathambo. Cabanga ngakho njengebhuloho elincane elixhumanisa amathambo amabili. Yilapho inkinga ivela khona. Esikhathini esiningi, i-spondylolysis ithinta ingxenye engezansi yomhlane wethu (umgogodla we-lumbar) . Kodwa ngezinye izikhathi, lokhu kungenzeka emgogodleni womlomo wesibeletho, emgogodleni wesifuba, noma ngisho emgogodleni ophakathi.

Sivame kangakanani lesi simo?

Nakuba zingekho izibalo eziqondile eSri Lanka, ochwepheshe emazweni afana ne-United States balinganisela ukuthi lesi simo (i-Spondylolysis) sithinta abantu abangaphansi kuka-10% ngonyaka. Kodwa-ke, sivame kakhulu ezinganeni ezincane nakubantu abadala abasebasha , ikakhulukazi labo abadlala imidlalo yokuxhumana.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko kubantu abaningi ubuhlungu obuphansi emhlane . Lobuhlungu bungachazwa kanje:

• Ungase uzwe ubuhlungu obuqala emhlane wakho ongezansi busakazekele emathangeni nasemaqakaleni.
• Kungase kuzwakale sengathi imisipha icindezelekile emhlane ongezansi.
• Ubuhlungu buyanda uma wenza noma yimuphi umsebenzi womzimba , futhi buyancipha uma uphumula noma unganyakazi kakhulu.

Kodwa into exakile ukuthi, abanye abantu banalesi simo (i-Spondylolysis) kodwa abanazo izimpawu . Bathola ngakho kamuva lapho kwenziwa ukuhlolwa kwesithombe , njengokuskena, ngesizathu esithile.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Njengoba ngishilo ngaphambili, imbangela eyinhloko ye- spondylolysis ukulimala kwengxenye yamathambo ethu amathambo ebizwa ngokuthi i-(pars interarticularis) . Khumbula, lokhu (pars interarticularis)Lezi yizicucu ezincane zamathambo ezixhumanisa amathambo angaphezulu nangaphansi futhi zisize umgogodla wethu ukuthi ushukume kalula. Noma yini elimaza lokhu ingabangela ukuthi aphuke, noma aqhekeke ama-pars . Kunezizathu eziningana eziyinhloko zokuthi kungani lokhu kuqhekeka kwama-pars kuvame ukwenzeka:

1. Ukusetshenziswa ngokweqile:

Uma wenza ukunyakaza okuphindaphindiwe nokucindezelayo okubeka isisindo esikhulu emhlane wakho ongezansi, amathambo akho angalimala kancane kancane. Ngokuhamba kwesikhathi, lo monakalo unganqwabelana futhi uholele ekuqhekekeni kwe-pars . Isibonelo, uma umsebenzi wakho uhilela ukuphakamisa okunzima, udlala imidlalo yokuxhumana, noma uvame ukulimaza umhlane wakho ongezansi, usengozini enkulu.

2. Ukukhula okusheshayo:

Ezinye izingane kanye nabantu abadala abasebasha banezinkathi zokukhula okusheshayo, esikubiza ngokuthi ukukhula okusheshayo . Phakathi nalezo zikhathi, abanye abantu bangaba ne -spondylolysis . Lokhu kungenxa yokuthi izinguquko ezisheshayo zenzeka ohlelweni lwamathambo omzimba phakathi naleso sikhathi.

3. Izakhi zofuzo:

Abanye abantu bazalwa benama -vertebrae amancane kancane. Lokhu kusho ukuthi ama-vertebrae abo abuthakathaka kancane kunabanye. Laba bantu banamathuba amaningi okuthola i- pars fracture .

Ubani osengozini enkulu yokuthola lesi simo?

I-Spondylolysis ingenzeka kunoma ubani, kodwa amanye amaqembu asengozini enkulu yokuthola i- pars fracture . Lokhu kufaka phakathi:

• Abantu abadlala imidlalo baxhumana : Isibonelo, labo abadlala imidlalo efana nebhola, i-gymnastics, kanye nokuphakamisa izinsimbi .
• Izingane kanye nabantu abasha abanemizimba ekhula futhi eshintsha ngokushesha .
• Abantu bomdabu base-Alaska : Ezinye izifundo zithole ukuthi laba bantu banamathuba amaningi okuzalwa benamathambo amancane.

Yiziphi izinkinga ezingavela kulesi simo?

Ubuhlungu bomhlane obuhambisana ne -spondylolysis bunganciphisa ukuhamba kwakho, okuyikho ukuthi ungakwazi kanjani ukuhambahamba kalula futhi kalula . Okubaluleke kakhulu, uma ingelashwa , i-spondylolysis ingaqhubekela esimweni esibizwa ngokuthi i-spondylolisthesis . Uyazi ukuthi iyini i-spondylolisthesis ? Kusho ukuthi,I-Spondylolisthesis yisimo lapho i-vertebra ishelela khona ngenxa yokuqhekeka noma ubuthakathaka ku-vertebra. Cabanga ngakho njengesitini esilandelanayo sezitini esishelela phambili. Uma i-vertebra eshelelayo icindezela imizwa, ingabangela ubuhlungu obukhulu (sciatica) obuzwakala sengathi ukushaqeka kukagesi emlenzeni wakho. Abanye abantu abanalesi simo (spondylolisthesis) bangadinga ukuhlinzwa ukuze banciphise izimpawu futhi babuyele ekusebenzeni okuvamile.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Udokotela uzohlonza i-spondylolysis ngokwenza ukuhlolwa ngokomzimba nokwenza izivivinyo ze-imaging (scans) . Uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Kuzodingeka utshele udokotela imininingwane efana nokuthi waqala nini ukuzwa ubuhlungu bomhlane wakho nokuthi wenzani ngaphambi kokuba ubuhlungu buqale.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela wakho uzosebenzisa izivivinyo zezithombe ukuze athathe izithombe zamathambo akho kanye nezicubu ezizungeze umgogodla wakho. Eziyinhloko yilezi:

• Ukuhlolwa kwe-X-ray .
• Ukuhlolwa kokuskena kwe -MRI (Magnetic Resonance Imaging - MRI ) .
• Ukuhlolwa kokuskena kwe -CT (Computed Tomography - CT) .

Iyini indlela yokwelapha lokhu?

Udokotela wakho uzoqala azame ukulawula ubuhlungu bakho nezinye izimpawu bese enikeza isikhathi sokuphulukiswa kwe -pars fracture , noma i-crack ethanjeni. Kuye ngokuthi iyiphi i-vertebra ethintekile nokuthi i-crack inzima kangakanani, ungadinga ukwelashwa amasonto ambalwa kuya ezinyangeni ezimbalwa. Izindlela zokwelapha eziyinhloko ze -spondylolysis yilezi:

• Ukuphumula : Gwema ezemidlalo neminye imisebenzi enzima yomzimba ekucindezela umhlane wakho isikhashana. Lokhu kuzonciphisa ukucindezeleka emgogodleni wakho.
• Imithi : Ama- NSAID athengiswa ngaphandle kwemithi (isib. i-ibuprofen, i-naproxen) angasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, ungawasebenzisi lawa ma-pain treatment izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kweseluleko sikadokotela.
• Ama-Corticosteroids : Lena imithi enamandla enciphisa ukuvuvukala. Udokotela wakho angakunika iphilisi okufanele uliphuze ngomlomo, noma angakunika umjovo ngqo endaweni yobuhlungu.
• Ukwelashwa ngokomzimba: Uchwepheshe wezokwelapha ngokomzimba uchwepheshe wezempilo okusiza ukuthi ushukumise umzimba wakho kangcono. Bangakusiza ukuthi uphathe ubuhlungu, ukuqina, nezinye izimpawu ezenza kube nzima ukunyakaza. Bangakufundisa ukuzivocavoca ukuze uqinise imisipha ezungeze umgogodla wakho.
• Ukuqinisa : Udokotela wakho angase akuncome ukuthi ugqoke i-back brace ukuze ugcine umgogodla wakho uzinzile kuze kube yilapho ukuphuka kwe-pars kuphola.

Ingabe wonke umuntu udinga ukuhlinzwa?

Ukuhlinzwa akuvamile ukudingeka ukuze kutholakale i-spondylolysis . Abantu abaningi baba ngcono ngokwelashwa okungenalo ukuhlinzwa. Abanye abantu bangase badinge ukuhlinzwa ukuze kuqiniswe umgogodla wabo. Ekuhlinzeni kokulungisa i-pars , udokotela ohlinzayo ngokuvamile angalungisa ukuphuka kwe-pars ngaphandle kokuhlanganisa ama-vertebrae amabili ndawonye ( i-spinal fusion ). Uma udinga ukuhlinzwa, udokotela wakho noma udokotela ohlinzayo uzokuchazela futhi akutshele ukuthi kuzothatha isikhathi esingakanani ukuze ululame.

Kuzothatha isikhathi esingakanani ukuthi lokhu kuphulukiswe?

Ukuphuka kwemisipha kungathatha izinyanga eziyisithupha ukuphola. Kodwa-ke, abantu abaningi abane- spondylolysis baqala ukuzizwa bengcono ngokushesha ngemva kokuqala ukwelashwa. Ngisho noma izimpawu zakho zithuthuka kusenesikhathi, landela uhlelo lwakho lokwelashwa kuze kube yilapho udokotela wakho noma uchwepheshe wezokwelapha ekutshela ukuthi wenze kanjalo. Kubalulekile ukunikeza umgogodla wakho isikhathi sokuphola ngokuphelele. Buza udokotela wakho ukuthi ungaqala nini ukudlala imidlalo noma ukuphakamisa izinto ezisindayo futhi.

Lokhu akunakuvinjelwa?

I-Spondylolysis ngokuvamile kunzima ukuyivimbela, kodwa unganciphisa ingozi yakho yokuphuka kwe-pars ngokulandela lawa macebiso okuphepha ajwayelekile:

• Gqoka ibhande lakho lesihlalo njalo uma ushayela , kuhlanganise nebhande lehlombe.
• Gqoka imishini yokuphepha efanele kuyo yonke imisebenzi nemidlalo.
• Hlola ikhaya lakho nendawo yakho yokusebenza ukuze uthole izinto ezingadingeki ezingakukhubekisa noma zikhube omunye umuntu, bese uzisusa uma zikhona.
• Uma uthatha into ephezulu endlini , sebenzisa njalo ithuluzi noma ithuluzi elifanele umsebenzi . Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhandeni.
• Landela uhlelo lokudla kanye nokuzivocavoca olusiza ekugcineni amathambo enempilo enhle.
• Uma uneminyaka engaphezu kwengu-50 ubudala, noma uma othile emndenini wakho ene -osteoporosis , khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker.

Kwenzekani uma nginalesi simo?

Wena (i-Spondylolysis)Uma kukhona, ukwelashwa okungadingi ukuhlinzwa njengokuphumula, imithi, kanye nokwelashwa ngokomzimba kufanele kusize izimpawu zakho zithuthuke. Lokhu kwelashwa kungase kungaqedi ngokuphelele ukuphuka , kodwa kungakusiza ukuthi ubuyele emisebenzini yakho yansuku zonke ngokushesha ngangokunokwenzeka ngaphandle kobuhlungu.

Ngingaqala nini ukuzivocavoca nokudlala imidlalo futhi?

Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthi uqalise kabusha umsebenzi onzima womzimba. Ngisho noma ubuhlungu bakho nezinye izimpawu zakho zithuthuka, amathambo akho adinga isikhathi sokululama. Udokotela wakho uzoqapha intuthuko yakho ngokwelashwa. Njengoba ubuhlungu bakho buncipha futhi ukuguquguquka kwakho kukhula, ungabuyela kancane kancane emisebenzini yakho evamile. Abantu abalulamayo ku -spondylolysis bavame ukudinga amasonto amaningana (futhi ngezinye izikhathi izinyanga) zokwelashwa ngaphambi kokuba baqale kabusha imisebenzi enzima yomzimba, njengokudlala imidlalo noma ukuphakamisa izinsimbi.

Kufanele ngimbone nini udokotela?

Uma ushesha ukubona udokotela, kulapho bezokwazi ukuxilonga nokwelapha lesi simo (i-Spondylolysis) . Uma ubuhlungu obuphansi emhlane obuhlala izinsuku ezingaphezu kwezimbalwa, noma bukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho evamile, bona udokotela ngokushesha okukhulu.

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

Uma uhlangabezana nesenzakalo esibuhlungu, njengokuwa noma ingozi yemoto, iya egumbini lezimo eziphuthumayo. Futhi, uma ulahlekelwa umuzwa kunoma iyiphi ingxenye yomzimba wakho noma ungakwazi ukuwushukumisa, iya esibhedlela ngokushesha.

Uyini umehluko phakathi kwe-Spondylolysis ne-Spondylolisthesis?

I-Spondylolysis kanye ne-Spondylolisthesis yizimo ezimbili ezihlobene ezithinta umgogodla wakho.

• I-Spondylolisthesis yilapho i-vertebra eyodwa emgogodleni wakho ishelela phezu kwe-vertebra engaphansi kwayo, njengesitini esilandelanayo engikhulume ngaso ekuqaleni esishelela phambili.
• I-Spondylolysis iyimbangela evamile ye -spondylolisthesis . I-Spondylolysis ibangela ukuphuka ( ukuphuka kwe-pars ) ku-vertebra, okuyenza ibe buthaka futhi kungabangela ukuthi ishelele endaweni yayo, okubangela i-spondylolisthesis .

Kalula nje, (i-Spondylolysis) isho ukuphuka. (i-Spondylolisthesis) isho ukushelela kwethambo lomgogodla ngenxa yalokho kuphuka. Uyaqonda?

Uyini umehluko phakathi kwe-Spondylolysis ne-Spondylosis?

Nakuba amagama (i-Spondylolysis) kanye ne- (Spondylosis) ezwakala efana, kunomehluko phakathi kwalawa amabili, yize womabili kuyizimo ezithinta umgogodla. Womabili angabangela izimpawu ezifana nobuhlungu nokuqina.

• (I-Spondylolysis)Kusho ukulimala okuthile - okungukuthi , ukuphuka kwe-pars , okusho ukuthi kukhona ukuqhekeka engxenyeni yomgogodla wakho ebizwa ngokuthi i-pars interarticularis .
• I-Spondylosis igama elivamile elisetshenziselwa ukuchaza ukuwohloka okuvamile komgogodla njengoba siguga . Lokhu kufana nokuwohloka kwamanye amalunga emizimbeni yethu njengoba siguga.

Okusho ukuthi, (i-Spondylolysis) iyimbangela (ukuqhekeka) , (i-Spondylosis) yisimo esivamile (esibangelwa ubudala) .

Ingabe lesi simo (i-Spondylolysis) sizoba ngcono ngokwaso?

Ukuphuka kwama-pars okuhambisana ne -spondylolysis kuvame ukuphola ngokuhamba kwesikhathi. Kodwa-ke, kubalulekile ukuthi udokotela akuxilonge futhi akuphathe . Uma unezinhlungu ezingezansi zomhlane ezihlala izinsuku ezingaphezu kwezimbalwa, noma zinzima ngokwanele ukuphazamisa imisebenzi yakho yansuku zonke, qiniseka ukuthi ubona udokotela. Bangancoma ukwelashwa okufanele ukusiza amathambo akho aphulukise ngokuphephile nangokushesha ngangokunokwenzeka.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, i-spondylolysis yisimo esenzeka lapho kwakheka imifantu emincane emalungeni omgogodla wethu. Lokhu kuvame ukubangela ubuhlungu emhlane ongezansi. Izindaba ezinhle ukuthi abantu abaningi abane- spondylolysis bangabuyela kwezemidlalo kanye nemisebenzi evamile uma amathambo abo ephola futhi ubuhlungu sebuphelile.

Ungalokothi ungazinaki izinhlungu zomhlane ongezansi - ikakhulukazi uma zihlala izinsuku ezingaphezu kwezimbalwa noma zinzima kangangokuthi awukwazi ukwenza imisebenzi yakho evamile. Kungcono ukubona udokotela ukuze athole imbangela eqondile yobuhlungu bakho bese uthola ukwelashwa okuzovikela umgogodla wakho futhi kusize ululame.

Uma uneminye imibuzo mayelana nalokhu, ungesabi ukubuza udokotela wakho noma umhlengikazi. Bazokusiza. Ubuhlungu bomhlane, i-spondylolysis, i-spondylolisthesis, i-pars interarticularis, umgogodla, ukulimala kwezemidlalo, ukwelashwa ngokomzimba