Ingabe ngezinye izikhathi uvuka ekuseni bese isithende sakho sibuhlungu kakhulu kangangokuthi awukwazi ngisho nokusibeka phansi? Noma uzizwa iqhubu elincane eduze kwejoyinti lomunye weminwe yakho? Mhlawumbe uzizwa ubuhlungu noma ukuqina okuncane lapho uphendula intamo yakho? Isizathu salezi zinto kungaba yinto ongayicabangi. Namuhla sikhuluma ngento evamile kubantu abaningi, kodwa engaziwa kahle. Lokho yi-bone spurs, noma njengoba odokotela beyibiza kanjalo, ama-osteophyte. Nakuba leli gama lingase lizwakale lesabeka, empeleni akuyona into okufanele uyesabe ezimweni eziningi.
Ziyini ngempela lezi zinhlayiya zamathambo (ama-osteophyte)?
Kalula nje, i-bone spur, noma i-osteophyte, ingcezu encane yethambo ekhula ethanjeni emzimbeni wethu. Kufana nengcezu encane yethambo ekhula ethanjeni lakho. Ngokuvamile ibukeka njengezimbotshana ezibushelelezi.
Cabanga ukuthi uma ulimele emzimbeni wakho, uyaphola futhi ushiye isilonda, akunjalo? Ngokufanayo, lapho umzimba wethu wonakele ethanjeni noma ezicutshini ezizungezile, njengomphumela ongemuhle wokuzama ukulilungisa , kwakheka lezi zingcezu zamathambo ezengeziwe. Kufana "nokuqhuma kwamathambo." Kwezokwelapha, le nqubo siyibiza ngokuthi i-osteophytosis.
Into ebalulekile ukuthi abantu abaningi banalezi zinhlobo zama-bone spurs emizimbeni yabo futhi abazi ngisho nangazo . Ngoba azibangeli ubuhlungu noma izinkinga. Okuwukuphela kwesikhathi lapho inkinga ivela khona yilapho i-bone spur icindezela inzwa, iphazamisa ukugoba okufanele kanye nokwelulwa kwelunga, noma iqala ukucasula izicubu ezithambile ezizungezile.
Kungani sihlakulela lezi zinhlobo zamathumba emizimbeni yethu?
Akukho sizathu esisodwa salokhu. Isizathu esiyinhloko ukuthi kukhona okulimaze amathambo ethu noma izicubu eziwazungezile, futhi umzimba uzama ukukulungisa. Kungaba nezizathu eziningana zalo monakalo.
| Isizathu | Incazelo elula |
|---|---|
| Ukuguga kanye nobuhlungu bamalunga | Lena yimbangela evame kakhulu. Njengoba siguga, amalunga ethu ayawohloka. Ikakhulukazi ezimweni ezifana ne-osteoarthritis, lapho amalunga ewohloka, ama-bone spurs akheka njengoba umzimba uzama ukulungisa umonakalo. |
| Ezinye izinhlobo ze-arthritis | Zingabangelwa futhi yizimo ezibangela ukuvuvukala kwamalunga, njenge-rheumatoid arthritis kanye ne-ankylosing spondylitis. |
| Ukuhlungu obusemhlane | Ama-bone spurs angakheka nasezimweni ezifana nesifo se-disk esiwohlokayo noma i-spinal stenosis. |
| Ukulimala | Uma ilungu noma ithambo lilimele ngesikhathi sokudlala imidlalo noma kwenye ingozi, kungase kwakheke ama-bone spurs ngesikhathi senqubo yokuphulukiswa. |
| Ukuhamba ngokuphindaphindiwe ngendlela efanayo | Kweminye imisebenzi noma imidlalo, ilunga elifanayo lisetshenziswa ngokuphindaphindiwe. Lokhu kucindezeleka okuphindaphindiwe kungalimaza izicubu futhi kubangele i-tendonitis. Izibonelo zezimo ezenzeka ehlombe (ukufakwa kwamahlombe) noma onyaweni (i-Foot tendonitis). |
Wazi kanjani ukuthi unesimila samathambo? Ziyini izimpawu?
Njengoba ngishilo ngaphambili, isikhathi esiningi azikho izimpawu . Ungase ube nezimila eziningi emzimbeni wakho kodwa ungazi. Kodwa-ke, uma kuvela izimpawu, ngokuvamile zingaba:
- Ubuhlungu: Ubuhlungu buvela lapho ilungu noma indawo ethintekile ishukunyiswa noma isetshenziswa. Isibonelo, uma kukhona ithambo eligobile esithendeni, kuyabuhlungu uma uhamba.
- Ukuqina: Ubunzima bokugoba noma ukwelula ilunga. Lokhu kuqina kungase kube kubi kakhulu ekuseni.
- Ukunyakaza okulinganiselwe: Awukwazi ukujika noma ukugoba izingalo zakho, imilenze, noma intamo njengoba ubukwenza.
- Izimpawu zokucindezelwa kwemizwa: Uma isimila sicindezela imizwa, ungase uzizwe uthukuthele, usha, noma ubuthakathaka endaweni lapho leyo mizwa igijima khona.
- Ukubukeka: Uma isimila samathambo sikhula eduze kwesikhumba, njengasemaqakaleni noma emadolweni, singazwakala esandleni njengesigaxa esincane futhi singabonakala ngamehlo enyama.
Lezi yizindawo ezivame kakhulu lapho zenzeka khona:
- Izinyawo, ikakhulukazi ngaphansi kwezithende.
- Izandla, ikakhulukazi amafindo.
- Amalunga ehlombe, esinqeni kanye namadolo .
- IntamoNomgogodla (umgogodla).
Ingabe lezi zimbewu zingadala izinkinga ezinkulu?
Ngokuvamile akunjalo. Kodwa-ke, izimila zamathambo ezakheka emgogodleni ngezinye izikhathi zingabangela izinkinga ezinkulu. Kodwa lokho akuvamile kakhulu.
Cabanga ngomgogodla njengepayipi elithwala ingxenye yesimiso sezinzwa esiyinhloko somzimba wethu. Kunezinzwa ezincane eziphuma kulo mgogodla. I-bone spur eyakheka emgogodleni ingakhula eduze kwezimbobo (foramina) lapho lezi zinzwa ziphuma khona, zicindezela lowo mthambo. Noma ingakhula ngaphakathi, icindezele umgogodla uqobo.
Lolu hlobo lokucindezelwa kwemizwa lubizwa ngokuthi i-radiculopathy. Lokhu kungabangela ubuhlungu obukhulu kanye nezinye izimpawu.
Ngezikhathi ezinjalo, izimpawu ezinjalo zingabonakala:
- Ukuzwa kobuhlungu, ukuqaqamba (Paresthesia): Lolu hlobo lokuzwa lwenzeka ezandleni nasezinyaweni.
- Ubuthakathaka bemisipha: Ukuzizwa ubuthakathaka, ikakhulukazi emilenzeni, kanye nobunzima bokuhamba.
- Ukungakwazi ukuzibamba: Akuvamile kakhulu ukuthi kube nokulahlekelwa ukulawula umchamo noma indle. Lesi yisimo esiphuthumayo sezokwelapha.
Esinye isimo esingavamile kakhulu yilapho isimila sethambo entanyeni (umgogodla womlomo wesibeletho) sikhula kakhulu kangangokuthi sicindezela umphimbo wethu. Lokhu kungabangela ubunzima bokugwinya, ukukhwehlela njalo, nokuminyana.
Kodwa khumbula, izimo ezibucayi njengalezi azivamile, ngakho ungakhathazeki ngokungadingekile ngemva kokufunda ngalokhu.
Udokotela ukuthola kanjani lokhu?
Esikhathini esiningi, ama-bone spurs atholakala ngengozi. Uma wenza i-X-ray ngesizathu esithile, ungase ubone ama-bone spurs.
Uma unezimpawu, uma uya kudokotela, uzokuhlola kuqala. Uzobheka izinto ezifana nokuthi ubuhlungu bukuphi nokuthi ungashukumisa kangakanani ilunga. Ngemuva kwalokho, angase acele ukuhlolwa okufana nalokhu ukuqinisekisa ukuxilongwa:
- I-X-ray: Lokhu kungabona ngokucacile izinguquko emathanjeni nasezimilanjeni zamathambo.
- I-CT scan: Lokhu kungaveza izithombe zamathambo ezinemininingwane eminingi, ezinobukhulu obuthathu.
- I-MRI scan (MRI): Lokhu kungabheka isimo samathambo, kanye nezicubu ezithambile ezizungezile, imizwa, nama-disc. Lokhu kubaluleke kakhulu uma kukhona ukusolakala kokucindezelwa kwemizwa.
Uma unezimpawu ezihlobene nezinzwa, ukuhlolwa kwezinzwa okukhethekile njenge-EMG (electromyography) noma i-NCS (ucwaningo lokuqhuba izinzwa) kungenziwa ukuze kutholakale ukuthi kukhona yini umonakalo wezinzwa noma ukuthi imbangela iyisimila sethambo.
Yiziphi izindlela zokwelapha izimila zamathambo?
Okokuqala, izimila eziningi zamathambo azidingi ukwelashwa . Ukwelashwa kuyadingeka kuphela uma zibangela ubuhlungu, ukuvaleka, noma ezinye izinkinga. Izindlela zokwelapha zingahlukaniswa ngezigaba ezimbili.
| Izinto ezilula ongazenza ekhaya | Ukwelashwa okunqunywe udokotela |
|---|---|
| Ukufaka iqhwa: Ukufaka iphakethe leqhwa eligoqwe ngethawula endaweni enobuhlungu nokuvuvukala imizuzu eyi-15-20 kunikeza impumuzo. | Ukwelashwa ngokomzimba: Ukuvivinya umzimba ngendlela efanele kungaqinisa imisipha futhi kunciphise ingcindezi emalungeni. |
| Ama-Painkiller: Ngisho noma ungenaso iseluleko sikadokotela, ungasebenzisa ama-painkiller atholakala ngaphandle kwemithi kadokotela njenge-paracetamol noma ama-NSAID (isib., i-Ibuprofen, i-Diclofenac) ukuze uthole impumuzo yesikhashana. Kodwa-ke, funa iseluleko sikadokotela ngaphambi kokuwasebenzisa njalo. | Imithi: Udokotela wakho angase akunike imithi enamandla yokuqeda izinhlungu noma yokukhulula imisipha. |
| Ukuphumula: Kubalulekile ukuthatha ikhefu elifushane emisebenzini ekhulisa ubuhlungu. | Umjovo: Ukujova umuthi onjenge-cortisone ngqo endaweni yobuhlungu nokuvuvukala kunganikeza impumuzo esheshayo. |
| Amadivayisi okusiza: Ukusebenzisa izicathulo ezikhethekile noma izinto zokufaka izicathulo zobuhlungu besithende, noma ukusebenzisa umcamelo okhethekile wobuhlungu bomhlane kungasiza ekunciphiseni ukucindezeleka. | Ukuhlinzwa: Lena yindlela yokugcina yokwenza lokhu. Udokotela wakho anganquma ukwenza ukuhlinzwa ukuze kususwe isimila sethambo kuphela uma kunesimo esibucayi, njengobuhlungu obukhulu noma ukucindezelwa kwemizwa, esingenakulawulwa ngezinye izindlela zokwelapha. |
Amathambo lawa awakwazi yini ukuncibilikiswa ngomuthi?
Lona umbuzo abantu abaningi abawubuzayo. Cha, isimila samathambo asikwazi "ukuncibilikiswa" nganoma yimuphi umuthi, umuthi wokwelapha, noma umuthi wemvelo. Khumbula, siyingxenye yezicubu zamathambo ezivamile. Uma kukhona okungasincibilikisa, cishe singalimaza namanye amathambo emzimbeni wethu.
Nakuba ngezinye izikhathi kunezinto ku-inthanethi ezithi "uwoyela oncibilikisa ama-cyst," abakwenzayo ngempela ukunciphisa ukuvuvukala nobuhlungu ezicutshini ezizungeze i-cyst. I-cyst ngeke iphele. Okuwukuphela kwendlela yokususa ngokuphelele i-cyst kungokuhlinzwa.
Ingabe ikhona indlela yokuvimbela ukwakheka kwezimila emathanjeni?
Akunakwenzeka ukuzivimbela ngokuphelele, ngoba asikwazi ukuyeka ukuguga. Kodwa-ke, ngokulondoloza impilo yamalunga namathambo ethu, singalibazisa ukukhula kwawo noma sinciphise ingozi.
- Thola ukudla okunempilo: Yidla ukudla okucebile nge-calcium ne-vitamin D. Yidla ukudla okunempilo. Uma unokungabaza ngokudla kwakho, xhumana nodokotela.
- Vivinya umzimba njalo: Yenza izivivinyo ezingakhiphi mthelela njengokubhukuda nokugibela ibhayisikili. Uma uqinisa imisipha yakho, amalunga akho acindezeleka kancane.
- Lawula isisindo sakho: Ukukhuluphala ngokweqile kubeka ingcindezi enkulu emalungeni akho, njengamadolo akho, izinqe, nomgogodla. Zama ukugcina isisindo esinempilo (BMI) ngobude bakho.
- Gcina ukuma okuhle: Uma usebenza uhleli phansi noma umile, qaphela ukuma kwakho. Gwema ukuhlala endaweni efanayo isikhathi eside. Lokhu kunganciphisa ukucindezeleka okuphindaphindiwe.
Uma unezinhlungu nokuqina komzimba, ungayeki ukuzivocavoca. Kodwa gwema imisebenzi ekhulisa ubuhlungu. Hamba esikhundleni sokugijima. Gqoka izicathulo ezikhululekile. Fudumala kahle ngaphambi kokuzivocavoca.
Umlayezo Wokuya Nawe Ekhaya
- Ama-osteophyte akhula amathambo abantu abaningi njengoba bekhula, futhi ngokuvamile awayona ingozi. Ngakho-ke ungakhathazeki ngegama lawo.
- Lokhu kwakheka njengomphumela ongemuhle womzimba wethu ozama ukulungisa umonakalo emalungeni nasemathanjeni.
- Nakuba abantu abaningi bengenazo izimpawu, abanye abantu bangase babe nobuhlungu, ukuqina, noma izimpawu zokucindezelwa kwemizwa.
- Umgomo oyinhloko wokwelashwa akukhona ukususa isimila, kodwa ukulawula izimpawu ezisibangelayo.
- Akukho muthi noma umuthi wemvelo ongancibilikisa futhi ususe ama-cysts.
- Uma unezimpawu ezifana nobuhlungu obuqhubekayo bamalunga, ukuqina, noma ukuqaqamba, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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