Ake sifunde ngesikhungo somgogodla wakho? - Okusho ukuthi, umgogodla wesifuba!

Wake wazibuza ukuthi umgogodla wakho ubaluleke kangakanani? Kunezingxenye eziningana zalomgogodla ezisinika amandla, zisigcine siqonde, futhi zivikele umgogodla wethu. Namuhla sizokhuluma ngengxenye yawo ekhethekile kakhulu, ende kancane. Lowo umgogodla wesifuba , noma ingxenye ephezulu nephakathi yomhlane wethu.

Uyini ngempela umgogodla wesifuba?

Kalula nje, umgogodla wakho (owaziwa nangokuthi "Umgogodla" noma "Umgogodla" wakho) uyiqoqo lamathambo amancane, axhumene aqala phansi kwekhanda lakho aye ethanjeni lomsila wakho phansi kwezinqe zakho. Yilokhu okuvikela umgogodla wakho.

Manje kunezingxenye ezintathu eziyinhloko zalomgogodla:

• Umgogodla Wesibeletho: Lena yingxenye yomgogodla entanyeni yakho.
• Umgogodla Wesifuba: Yilokhu esikhuluma ngakho namuhla, ingxenye ephezulu nephakathi yomhlane wakho. Ukuze kube sobala, kusabalala kusukela phansi kwentamo yakho kuze kube ngaphansi kwekheji lezimbambo zakho. Lena ingxenye ende kunazo zonke yomgogodla.
• Umgogodla Wethambo: Lena yingxenye engezansi yomgogodla wakho, eyaziwa ngokuthi "umhlane ophansi".

Ngakho-ke, umgogodla wesifuba wakhiwe ngamathambo amancane ayi-12 abizwa ngokuthi ama-vertebrae . Lawa abhalwe ukuthi T1 kuya ku-T12 (u-T umele ukuthi 'i-Thoracic'). Cabanga ngala ma-vertebrae njengamabhulokhi amancane abekwe phezu komunye nomunye. Ndawonye, ​​lawa akha umgogodla wakho. Phakathi kwala mathambo, njengemicamelo, kunezingxenye ezithambile ezibizwa ngokuthi ama-intervertebral disks . Lawa yiwo akuvumela ukuthi ugobe futhi usonteke, futhi amunca nokushaqeka emgogodleni wakho.

Enye into ukuthi, kunezinto eziningi ezizungeze lo mgogodla wesifuba , njengemisipha , imizwa , imisipha (yilezi ezixhumanisa imisipha namathambo), kanye nemisipha (yilezi ezixhumanisa amathambo). Zonke lezi zinto zisebenza ndawonye ukukusiza ukuthi uhambe kahle futhi unike umzimba wakho ukuqina. Umgogodla wakho udlula phakathi kwalo lonke umgogodla. Njengocingo, lo mgogodla uthwala imiyalezo esuka ebuchosheni iye kuwo wonke umzimba, futhi uthwala imiyalezo esuka emzimbeni iye ebuchosheni.

Yiziphi izinzuzo esizitholayo emgogodleni wesifuba?

Izinsizakalo ezinikezwa yilo mgogodla wesifuba emizimbeni yethu aziyona into encane. Bheka le misebenzi:

• Ukuvikelwa komgogodla kanye nemizwa: Uma amathambo omgogodla ebekwe phezu komunye nomunye, akha imbobo enkulu (`(vertebral foramen)`) phakathi. Zonke lezi zimbobo ziyahlangana ukuze zakhe indlela efana nethubhu yomgogodla. Lokhu kunikeza isivikelo kumgogodla ozwela kakhulu.
• Ukuxhumana nezimbambo:Isici esiyingqayizivele samathambo omgogodla wesifuba ukuthi izimbambo zakho (`(izimbambo)`) ziyafika zixhumane nazo. Kodwa-ke, izimbambo ezimbili ezingezansi azixhumani kanje.
• Ukusekela isifuba nesisu: Umgogodla wakho wesifuba uhlinzeka ngokuqina kwekheji lakho lezimbambo. Kanti futhi, ikheji lakho lezimbambo lihlinzeka ngokusekelwa kwekheji lakho lesifuba. Ndawonye, ​​lezi ezimbili zivikela izitho ezibalulekile njengenhliziyo namaphaphu akho. Into emangalisayo ukuthi yize la malunga eqinile kakhulu futhi evikela lezi zitho, zikuvumela nokuthi ushukume lapho uphefumula (uphefumule futhi ukhiphe umoya).
• Ukuvumela ukunyakaza komzimba: Ama-disc athambile phakathi kwama-vertebrae (`(ama-disc e-intervertebral)`) engikhulume ngawo ekuqaleni yiwo akuvumela ukuthi ugobe futhi usonteke ngaphandle kokulahlekelwa amandla omhlane wakho. Kuwo wonke umgogodla, umgogodla wesifuba yindawo engajikeleza ngezinga elikhulu kakhulu (`(ukujikeleza)`) . Kodwa-ke, ukugoba phambili (`(ukugoba)`) kanye nokugoba emuva (`(ukwandiswa)`) kuncane kakhulu kule ndawo.

Ubuwazi? Umgogodla wethu ngokwemvelo unamajika amathathu. Umgogodla wesibeletho kanye nomgogodla we-lumbar kugobile ngaphakathi ngesimo "C" (`(lordosis)`). Kodwa-ke, lapho amathambo alo mgogodla wesifuba ehlangana, akha ijika eliphuma emuva, njenge-"backward C" (`(kyphotic curve)`). La majika abaluleke kakhulu kithi ukuze sihlale silinganisele futhi sime siqonde.

Yimiphi imizwa ephuma emgogodleni wesifuba?

Sishilo ngaphambilini ukuthi umgogodla wesifuba unezinhlungu zamathambo eziyi-12 (T1-T12). Imizwa iphuma emgogodleni wethambo ngalinye lalawa. Le mizwa yiyo enikeza umuzwa nokunyakaza kwezinye izingxenye zomzimba wakho. Ake sibone ukuthi iyini.

• Imizwa ye-T1 ne-T2: Le mizwa isuka esifubeni sakho esingaphezulu iye ezingalweni zakho naseminweni. Imizwa ye-T1 iyingxenye yenethiwekhi yemizwa (i-"brachial plexus") ehlombe lakho. Le nethiwekhi ithwala imiyalezo yokunyakaza kanye nemizwa esuka emgogodleni iye ezingalweni zakho naseminweni.
• Imizwa T3 kuya ku-T5: Le mizwa iya odongeni lwesifuba sakho. Uma ihlangene, le mizwa ilawula ikheji lakho lezimbambo, amaphaphu, i-diaphragm, kanye nemisipha ekusiza ukuphefumula.
• Imizwa kusukela ku-T6 kuya ku-T12: Le mizwa ithinta imisipha esiswini sakho nasemhlane. Le mizwa, kanye neminye imisipha, ikusiza ukuthi ugcine ibhalansi yakho kanye nesimo sakho, futhi yiyo futhi ekusiza ukuthi ukhwehlele.

Yiziphi izitho ezibalulekile ezihlotshaniswa nomgogodla wesifuba?

Imizwa ephuma emgogodleni emgogodleni wesifuba idlulisa imiyalezo phakathi kobuchopho bakho nezitho eziningana ezibalulekile. Lezi zitho yilezi:

• Amaphaphu
• Inhliziyo
• Isibindi
• Amathumbu amancane

Ngaphezu kwalokho, njengoba sishilo ngaphambili, umgogodla wesifuba kanye ne-rib cage kusebenza ndawonye ukuvikela amaphaphu akho nenhliziyo njengesihlangu.

Umgogodla wesifuba wenziwe ngani?

Ake sibheke ezinye zezinto ezibalulekile ezakha lesi sigaba esibalulekile:

• Ama-vertebrae: Kuma-vertebrae angu-33 emgogodleni wonke, angu-12 asesifubeni. Lawa abekwe phezu komunye nomunye ukuze akhe umsele womgogodla. Lawa ma-vertebrae anganyakaza, okusivumela ukuthi sihambe siye ezindaweni ezahlukene.
• Amalunga e-facet: Lawa amalunga lapho amalunga e-vertebrae exhumana khona. Lawa malunga anezicubu ezishelelayo ezibizwa ngokuthi i-cartilage. Lokhu kuvumela amalunga ukuba ashelele phezu komunye nomunye kalula. Lawa malungu e-facet yiwo akuvumela ukuthi ujike futhi uphenduke. Aphinde anikeze ukuguquguquka nokuzinza emzimbeni.
• Ama-disc aphakathi komgogodla: Sesikhulume ngawo ngaphambili. Ayisicaba, ayizicamelo ezizungezile phakathi kwamathambo omgogodla. Asebenza njengezinto ezinciphisa ukushaqeka ('izinciphisi zokushaqeka'). Idiski ngayinye inesikhungo esithambile, esifana nejeli kanye nendandatho eguquguqukayo ezungezile.
• Intambo yomgogodla kanye nemizwa: Intambo yomgogodla iyinqwaba yemicu yemizwa. Iqala kusukela ekhanda kuya phansi komgogodla. Cishe amabhangqa angu-31 emizwa aphuma kulo mgogodla ohlangothini ngalunye. Amabhangqa angu-12 emizwa aphuma emgogodleni wesifuba wodwa. Le mizwa ithwala imiyalezo evela ebuchosheni iye emisipheni.
• Izicubu ezithambile: Ama-Ligaments axhumanisa amathambo futhi asiza ukugcina umgogodla usendaweni yawo. Imisipha inikeza ukwesekwa futhi isiza ukuhambisa umhlane. Ama-tendon axhumanisa imisipha namathambo futhi asiza ukuhambisa umgogodla.

Yiziphi izimbangela ezivamile zobuhlungu bomgogodla wesifuba?

Izindaba ezinhle ukuthi umgogodla wesifuba awulimali kalula noma awubuhlungu njengemisipha yomlomo wesibeletho neye-lumbar, ngoba uqinile kancane futhi uzinzile kunezinye izingxenye.

Kodwa-ke, uma uzwa ubuhlungu emhlane wakho ongenhla nophakathi, kungaba nezizathu eziningana zalokho. Lokhu kungenxa yokuthi kunamathambo amaningi axhumene, imizwa, imisipha, imisipha, kanye nemisipha kule ndawo. Ake sibheke ezinye zezimbangela eziyinhloko:

• Ukucasuka noma ukucindezeleka kwemisipha: Lokhu kuvame ukubangelwa ukuhlala endaweni engafanele nokuhlala isikhathi eside . Lokhu kungabangela ukuba imisipha iqine futhi ibe buhlungu.
• Ukuqhekeka kwemisipha: Uma kwenzeka okuthile ngokuzumayo, njengokujikijela umhlane ongaphezulu, imisipha lapho inganwetshwa ngaphezu kwemingcele yayo. Ngisho nalapho, ubuhlungu buzovela.
• Ukuhlukumezeka: Ukuwa noma ukushaywa kanzima emhlane kungabangela ubuhlungu. Kodwa-ke, ngenxa yokuthi umgogodla wesifuba unamandla kunezinye izingxenye zomgogodla, kudinga amandla amaningi ukuphula ithambo kule ndawo ("ukuphuka"). Ngaphezu kwalokho, ukulimala kwezimbambo kungathinta nemizwa yesifuba futhi kubangele ubuhlungu.
• Ukulimala ngokweqile: Uma wenza ukunyakaza okufanayo ngokuphindaphindiwe , isibonelo, ukuphakamisa, ukugoba, noma ukusonta, ukulimala okuncane (`(ukulimala okuncane)`) kungavela futhi kubangele ubuhlungu emhlane.

Ngaphezu kwalokhu, ubuhlungu bomgogodla wesifuba bungabangelwa yizimo ezihlobene ngqo nomgogodla:

• Izimila zomgogodla: Nakuba zingakhula noma kuphi emgogodleni, zivame ukukhula emhlane ophakathi nangaphansi. Ngokuvamile ziyingxenye yomdlavuza osusakazeke (umdlavuza osakazeke kakhulu) kwenye ingxenye yomgogodla. Kungakhathaliseki ukuthi ziyingozi (umdlavuza) noma azinawo umdlavuza, uphawu oluyinhloko lwezimila zomgogodla ubuhlungu bomhlane. Lobuhlungu ngokuvamile bubuhlungu obungajabulisi, obubuhlungu. Lobuhlungu bungaba bubi kakhulu ebusuku futhi bungaphazamisa ubuthongo.
• Ukuphuka komgogodla: Nakuba ukuphuka komgogodla wesifuba kungavamile kakhulu kunezinye izifo zomgogodla, abantu abane -osteoporosis (isifo esibangela ukulahlekelwa amathambo) basengozini enkulu ngoba amathambo abo abuthakathaka. Umuntu one-osteoporosis angaphula umgogodla wesifuba uma ephenduka ngokuzumayo noma ethimula kakhulu.

Ziyini izinguquko emgogodleni wesifuba, noma 'izinguquko eziwohlokayo'?

Lezi "zinguquko eziwohlokayo zomgogodla" zibizwa nangokuthi i-spinal osteoarthritis , i-spondylosis, kanye nesifo se-degenerative disk . Kalula nje, njengoba siguga, ama-disc athambile phakathi kwama-vertebrae ayaguga, ome, futhi abe mancane. Bese isikhala esiphakathi kwama-vertebrae siyancipha, okubangela izinkinga ezahlukahlukene.

Kodwa-ke, lezi zinguquko zenzeka kaningi entanyeni (umgogodla womlomo wesibeletho) kanye nasemhlane ongezansi (umgogodla we-lumbar) kunasemgogodleni wesifuba.

Yiziphi izimo ezivamile ezithinta umgogodla wesifuba?

Kunezimo eziningana ezithinta ngqo amathambo omgogodla, umgogodla, noma izimpande zemizwa yomgogodla wesifuba:

• I-Kyphosis: Lokhu ukugoba komgogodla phambili, okuholela ekumeni "kwe-hunchback" noma ukugoba phambili. Lokhu kwenzeka lapho amathambo omgogodla wesifuba eba nesimo esifana nese-wedge. Kunezinhlobo ze-kyphosis, okuhlanganisa i-kyphosis yokuzalwa, i-postural kyphosis, kanye nesifo sikaScheuermann.
• I-scoliosis yezingane kanye neyentsha: Lokhu ukugoba komgogodla ohlangothini lwengane. I-Scoliosis ingahluka kusukela kokuncane kuya kokukhulu. I-Scoliosis ivame ukuthinta umgogodla wesifuba. Abantu abadala nabo bangaba ne-scoliosis.
• I-radiculopathy yesifuba:Lokhu kwenzeka lapho impande yemizwa emgogodleni wesifuba (umhlane ongaphezulu) icindezelwa, okubangela izimpawu ezifana nobuhlungu, ukungazweli, kanye/noma ukulahlekelwa umuzwa emzimbeni wonke. Kodwa-ke, i-radiculopathy ayivamile emgogodleni wesifuba.

Ngaphezu kwalokhu, ezinye izimo ezingase zenzeke noma kuphi emgogodleni, okungukuthi, emgogodleni wesifuba, zifaka:

• Ama-Bone spurs / ama-Osteophyte: Lawa ama-growth avela emathanjeni.
• Idiski ene-herniated: Idiski ene-herniated phakathi kwamathambo omgogodla.
• I-Myelopathy: Iqoqo lezimpawu ezenzeka lapho umgogodla ucindezelwa kakhulu.
• I-Osteomyelitis: Ukutheleleka kwebhaktheriya noma isikhunta kwamathambo omgogodla.
• Ukulimala komgogodla: Lokhu kuvame ukwenzeka ngenxa yengozi eyenzeka ngokuzumayo, enkulu.
• I-Spine stenosis: Ukuncishiswa kwendlela yokungena komgogodla.

Yikuphi ukulimala okuvame kakhulu emgogodleni wesifuba?

Ukuqhekeka kokucindezeleka komgogodla (ama-VCF) yikona ukulimala okuvame kakhulu emgogodleni wesifuba . Kwenzeka lapho i-vertebra emgogodleni icindezelwa futhi ichotshozwa. Lokhu kungabangela ubuhlungu obukhulu, ukukhubazeka komgogodla, kanye nokulahlekelwa ukuphakama.

Lokhu kuphuka kwamathambo kuvame kakhulu emgogodleni ophansi wesifuba. Ngokuvamile kubangelwa yi -osteoporosis kanye nezingozi ezincane. Kodwa-ke, ngisho nakubantu abangenayo i-osteoporosis, kungenzeka futhi ngemva kwengozi enkulu (njengengozi yemoto) noma isimila somgogodla.

Ziyini izimpawu zokulimala kwemisipha yomgogodla wesifuba?

Uma imizwa noma umgogodla womgogodla womgogodla wesifuba wonakele, izimpawu ezenzekayo zincike ohlotsheni lomonakalo (kungakhathaliseki ukuthi uphelele noma awuphelele) nokuthi umonakalo uvela kuphi emgogodleni wesifuba.

Izimpawu eziyinhloko ubuhlungu, ubuthakathaka, kanye/noma ukungazweli okusabalala ezingalweni, emilenzeni, noma eduze kwezimbambo .

Ngaphezu kwalokho, kungase kube nezimpawu ezilandelayo:

• Ukulahlekelwa umuzwa okunciphayo noma okuphelele ezandleni noma ezinyaweni.
• Ubunzima bokuphefumula.
• Ukulahlekelwa umuzwa ozungeze izitho zangasese noma i-anus.
• Ubunzima bokulawula umchamo noma indle.
• Ukuqunjelwa.

Okubalulekile: Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kwengozi, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Odokotela bazixilonga kanjani izifo zomgogodla wesifuba?

Okokuqala, udokotela wakho uzobuza ngezimo zakho zezokwelapha, imithi oyiphuzayo, abuze ngezimpawu zakho, futhi akuhlole. Ngemuva kwalokho, uzoyala noma yiziphi izivivinyo neziskeni ezidingekayo.

Lezi zivivinyo zingafaka:

• I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kusebenzisa ama-X-ray kanye nekhompyutha ukuthatha izithombe ezinemininingwane zangaphakathi lomzimba.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Lokhu kusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukuthatha izithombe ezinemininingwane. Kuwusizo kakhulu ekutholeni izinkinga ngomgogodla, imizwa, kanye nama-disc.
• Ama-X-ray: Lawa athatha izithombe zamathambo nezicubu ezithambile.
• I-EMG (i-Electromyogram - i-EMG) kanye nezifundo zokuqhuba imizwa: Lezi zivivinyo zihlola impilo kanye nokusebenza kwezinzwa zakho kanye nemisipha.
• I-Myelogram: Lolu uhlobo lokuhlola olukhethekile olubheka ukuxhumana phakathi kwamathambo omgogodla nama-disc, umgogodla, kanye nemizwa.

Yiziphi izindlela zokwelapha izifo zomgogodla we-thoracic?

Izimo eziningi ezithinta umgogodla wesifuba zinezindlela zokwelapha ezingadingi ukuhlinzwa (isibonelo, ukwelashwa ngokomzimba, imijovo ye-epidural steroid (ESIs)) kanye nokwelashwa ngokuhlinzwa.

Ukwelashwa okutholayo kuzoncika esibangweni sesimo sakho, ubukhali baso, kanye nempilo yakho iyonke. Wena nodokotela wakho nizosebenzisana ukuze nithole uhlelo lokwelashwa olungcono kakhulu kuwe.

Ngingawugcina kanjani umgogodla wami wesifuba uphilile?

Kunezinto eziningana ongazenza ukuze ugcine umgogodla wakho uphilile:

• Nika umhlane wakho ikhefu ngenkathi ulele: Khetha umatrasi okhululekile kanye nemicamelo. Zama ukugcina umgogodla wakho uqonde ngokwemvelo ngenkathi ulele.
• Qinisa imisipha yakho yasemhlane neyesisu: Uma le misipha (`(imisipha eyinhloko)`) iqinile, inikeza ukwesekwa okuhle komgogodla.
• Gcina ukuma okuhle futhi unciphise ukuhlala isikhathi eside: Gcina ukuma okuhle kokubili lapho umile nalapho uhleli. Gwema ukuhlala isikhathi eside. Thatha ikhefu njalo bese uvuka.
• Gqoka izicathulo ezinhle: Izicathulo ezinhle zisiza ukugcina umgogodla wakho uqonde.
• Gcina amathambo akho eqinile: Thola i-vitamin D ne -calcium eningi ekudleni kwakho. Lokhu kubaluleke kakhulu kulabo abane-osteoporosis noma abasengozini.

Kufanele ubonane nini nodokotela mayelana nomgogodla wesifuba?

Njengoba sishilo ngaphambili, umgogodla wesifuba uyalimala kalula futhi awubuhlungu kangako kunezinye izingxenye zomgogodla (njengentamo kanye nomhlane ongezansi).

Esikhathini esiningi, ubuhlungu bomhlane ophezulu nophakathi bubangelwa yimbangela yesikhashana, njengokucindezeleka kwemisipha noma ukucindezeleka kwemisipha.

Kodwa,

• Uma uzwa ubuhlungu obungazelelwe, obukhulu emhlane wakho ongaphezulu kanye/noma ophakathi ,
• Noma uma ubuhlungu bukhula kancane kancane ,
• Kubaluleke kakhulu ukubona udokotela ngokushesha uma unomlando womdlavuza , njengoba izimila zomgogodla zivame ukuvela kule ndawo.

Futhi, uma ulimala umhlane wakho engozini, njengokuwa noma ingozi yemoto, kubalulekile ukuya esibhedlela ngokushesha.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Umgogodla wesifuba uyingxenye ebaluleke kakhulu yomgogodla wakho. Nakuba kungenzeka ukuthi ungathinteki kakhulu kunezinye izingxenye, kubalulekile ukukhathazeka uma unobuhlungu obuqhubekayo emhlane wakho ongaphezulu noma ophakathi. Kungcono ukubona udokotela bese uthola ukuhlolwa ukuze uthole ukuthi yini ngempela ebangela ubuhlungu. Ngemuva kwalokho ungathola ukwelashwa okufanele. Nakekela umgogodla wakho futhi uhlale uphilile!

Umgogodla , Umgogodla Wesifuba, Umgogodla Wesifuba, Ubuhlungu Bomhlane, Imizwa, Amathambo Omgogodla, Intambo Yomgogodla