Ake sifunde ngokucindezelwa komgogodla wesibeletho (i-Cervical Myelopathy)

Ingabe ngezinye izikhathi uvuka ekuseni unentamo eqinile nobuhlungu okwenza kube nzima ukujika ikhanda lakho? Noma uzizwa sengathi izingalo zakho ziyathuthumela noma zibuthakathaka? Ngezinye izikhathi lezi zinto zingase zihlale usuku olulodwa noma ezimbili bese ziphela. Kodwa uma lezi zimpawu ziqhubeka, kungaba uphawu lwesimo esibizwa ngokuthi i-Cervical Myelopathy. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini i-Cervical Myelopathy?

Kalula nje, i-Cervical Myelopathy yilapho umgogodla entanyeni yakho ucindezelwa khona. Njengoba nje ipayipi lamanzi licindezelwa futhi amanzi eyeka ukugeleza, lapho umgogodla wethu ucindezelwa, imiyalezo yezinzwa edlula kuwo iyaphazamiseka. Lokhu kucindezela kungenzeka ngezizathu ezahlukahlukene. Kungaba ngenxa yokulimala entanyeni, isimila, noma idiski ehlungiwe.

Kukhona uhlobo oluvame kakhulu lwalokhu, olubizwa ngokuthi i-Cervical Spondylotic Myelopathy . Lokhu kuvame ukwenzeka njengoba siguga. Njengayo yonke eminye imizimba yethu, amathambo, ama-disc, kanye nemisipha entanyeni kuya ngokuya kuba buthaka futhi kulahlekelwa ukuguquguquka kwayo. Lezi zinguquko yizo ezibangela lesi simo. Kufana nezindonga zendlu endala eziba buthakathaka kancane.

Sivame kangakanani lesi simo?

Eqinisweni, lokhu yilokho okubizwa ngokuthi i-Cervical Spondylotic Myelopathy. Uma ubheka izibalo zamanye amazwe emhlabeni, izinkulungwane zabantu zilaliswa esibhedlela ngalezi zimpawu minyaka yonke. Lesi simo asitholakali naseSri Lanka. Lokhu kuvame kakhulu kubantu abaneminyaka engaphezu kwengu-40-50 ubudala.

Ziyini izimpawu zalokhu?

Kulungile, manje ake sibheke ukuthi yiziphi izimpawu ongase uzizwe nge-cervical myelopathy. Lezi zingase zihluke kancane kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:

• Ubuhlungu noma ukuqina kwentamo: Lena yinto yokuqala abantu abaningi abayizwayo. Akukhona ukuthi bamane baklwebha intamo yabo, kodwa kunalokho ubuhlungu obuhlala njalo, ngezinye izikhathi obandayo.
• Ukuba ndikindiki noma ukuqaqamba ezandleni naseminweni: Kungase kuzwakale sengathi kukhona ukuqaqamba, noma sengathi izintuthwane ziyakhasa. Lokhu kungenzeka ngesandla esisodwa noma ngezandla zombili.
• Ubuthakathaka emisipheni yezandla nezingalo: Ungase ukuthole kunzima ukwenza izinto ezazilula ngaphambili. Isibonelo, ungase uzizwe ubuthakathaka ezingalweni zakho lapho uvula ibhodlela lamanzi noma uphakamisa into esindayo.
• Ukulahlekelwa ibhalansi ngenkathi uhamba, ubunzima bokuhamba: Kungase kuzwakale sengathi awunyatheli kahle phansi, noma ungase uzizwe sengathi uyashelela futhi uyawa. Kwabanye, indlela yabo yokuhamba ingase ishintshe.
• Ubunzima ngamakhono okunyakaza okuhle:Lokhu kusho, isibonelo, ukuthi kuba nzima ukwenza imisebenzi emincane nebucayi, njengokunamathisela izinkinobho zehembe, ukubhala ngepeni, ukusebenzisa izitsha, noma ukufaka ukhiye emnyango. Kungase kubonakale sengathi izinto ezisesandleni sakho zivele ziwe phansi.

Kungani lokhu kuthinta nemilenze?

Manje ungase ucabange, 'Uma kunenkinga entanyeni, kungani ithinta nemilenze?' Kunje. Intambo yethu yomgogodla ifana nomgwaqo omkhulu ohlelweni lwezinzwa oluhamba kuwo wonke umzimba wethu. Kukule ndlela lapho imiyalezo evela ebuchosheni ihamba khona iye ezingalweni, emilenzeni, nakwezinye izindawo emzimbeni. Ngakho-ke, lapho lo mgwaqo omkhulu uvaleka entanyeni, ungaphazamisa nemiyalezo eyehlela emilenzeni. Kufana nentambo yocingo ephuka endaweni eyodwa, futhi wonke umugqa uyeke ukusebenza.

Yini ebangela lokhu?

Kulungile, ake sibheke ukuthi yini ebangela ukucindezelwa komgogodla womlomo wesibeletho. Nazi ezinye izinto ezingathinta lokhu:

• Ama-Bone Spurs: Njengoba sikhula, ama-bone spurs amancane (njenge-spines) angakhula emathanjeni ethu omgogodla. Lawa angacindezela intambo yomgogodla.
• I-Herniated Disk: I-disc ephakathi kwamathambo ethu omzimba ifana ne-jelly cushion. Ngezinye izikhathi ingavuvukala icindezele umgogodla.
• Ukuncishiswa komgogodla womgogodla entanyeni (Umsele Omncane Wesibeletho): Abanye abantu bangazalwa benomsele omncane kancane. Uma kunjalo, ngisho noshintsho oluncane lungabangela ukucindezelwa kalula.
• I-Rheumatoid Arthritis: Lesi futhi yisimo sokuvuvukala esithinta amalunga. Singathinta namalunga entanyeni futhi sicindezele umgogodla.
• I-Spondylolisthesis: Lokhu kwenzeka lapho i-vertebra eyodwa ishelela phambili phezu kwenye. Lokhu kungacindezela nomgogodla.
• Ukonakala Komgogodla: Lena yimbangela eyinhloko ye-Cervical Spondylotic Myelopathy okukhulunywe ngayo ngaphambili. Izinguquko emgogodleni zenzeka ngokukhula.
• I-Spinal Stenosis: Ukuncishiswa komsele womgogodla ngenxa yezizathu ezahlukahlukene.
• Ukulimala Okubuhlungu: Lesi simo singase senzeke ngenxa yokulimala okukhulu entanyeni, njengengozi yemoto noma ukuwa.
• Isimila: Isimila esakheka phezu noma eduze kwentambo yomgogodla singacindezela intambo yomgogodla.

I-Cervical Spondylotic Myelopathy, ikakhulukazi, ibangelwa izinguquko zemvelo emgogodleni entanyeni yethu njengoba siguga. Njengoba nje iminyango namafasitela endlu yethu ewohloka ngokuhamba kwesikhathi, ukusebenza kanye nesakhiwo sezingxenye zomgogodla wethu nakho kuyashintsha. Lokhu kunciphisa indlela yomgogodla, kubeke ingcindezi kuwo. Lena yingxenye yemvelo yokuguga.

Ubani onamathuba amaningi okuthuthukisa lokhu?

Lesi simo, esibizwa ngokuthi i-Cervical Myelopathy, singaba khona kunoma yimuphi ubudala, kodwa ezinye izifundo zikhombisile ukuthi sivame kakhulu kubantu abangaphezu kweminyaka engama-30, ikakhulukazi labo abadabuka e-Asia.

I-Cervical Spondylotic Myelopathy ingathinta noma ubani, kodwa ivame kakhulu kwabesilisa nakubantu abaneminyaka engaphezu kwengu-40. Isilinganiso seminyaka yokuxilongwa sicishe sibe yiminyaka engu-64.

Kwenzekani uma ingelashwa?

Uma lesi simo singelashwa kahle, izimpawu zingaba zimbi kancane kancane. Uma lokhu kwenzeka, izinkinga ezifana nalezi:

• Ubuhlungu obukhulu kakhulu.
• Ukungasebenzi Kahle Kwamathumbu Nesinye: Lokhu kusho ubunzima bokukhipha indle, ukuchama, kanye nokulahlekelwa ukulawula.
• Ukulimala Kwezinzwa: Lokhu kungaba yinto ehlala njalo.
• Ubunzima bokuhamba: Ukulahlekelwa ibhalansi, ukuwa njalo, kanye nokuba buthakathaka kakhulu ukuhamba.
• Ukusetshenziswa okulinganiselwe kweminwe, izandla, nezingalo: Ungase ungakwazi ukwenza imisebenzi ngezandla zakho.
• Ukukhubazeka: Ezimweni ezimbi kakhulu, izingxenye zomzimba zingase zikhubazeke.

Ngakho-ke, uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukungazinaki futhi ufune iseluleko sezokwelapha ngokushesha.

Ukuthola kanjani lokhu?

Kulungile, manje uma unalezi zimpawu, udokotela uyixilonga kanjani i-myelopathy yomlomo wesibeletho?

Okokuqala, udokotela uzokubuza ngezimpawu zakho bese ethatha umlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa. Phakathi nalesi sikhathi, bangase bahlole ibhalansi yakho, ukusabela komzimba, kanye namakhono akho okunyakaza. Uma kungenzeka, bangase babone nendlela ohamba ngayo ukuze babone ukuthi izimpawu zakho zikuthinta kanjani.

Ngaphezu kwalokho, ungase ube nokuhlolwa okukhethekile kwezithombe ukuze ubheke ingaphakathi lomgogodla wakho. Lokhu kufaka phakathi:

• I-X-ray: Lokhu kungasetshenziswa ukuhlola noma yiziphi izinguquko emathanjeni, njengezinhlayiya zamathambo.
• I-MRI Scan: Lokhu kukuvumela ukuthi ubone kahle isimo sezicubu ezithambile njengentambo yomgogodla, ama-disc, kanye nezimpande zemizwa. Ungathola ngqo ukuthi kukhona kuphi ukucindezelwa kanye nobukhulu bako.
• I-CT scan: Lokhu kunganikeza nesithombe esinemininingwane sesakhiwo samathambo.
• Ukuhlolwa kwe-Myelogram:Kulokhu, kufakwa into ekhethekile emgudwini womgogodla bese kwenziwa i-X-ray noma i-CT scan. Lokhu kuvumela izindawo zokucindezela umgogodla ukuthi zibonakale kahle.

Ingabe ingelapheka ngokuphelele?

Umbuzo abantu abaningi abawubuzayo uwukuthi, ingabe ingelapheka ngokuphelele? Uma ngikhuluma iqiniso, ayikho ikhambi eliphelele lazo zonke izimbangela ze-cervical myelopathy. Kodwa-ke, ukuhlinzwa kunganciphisa kakhulu izimpawu, kumise isimo singabi sibi kakhulu, futhi kuvimbele izinkinga. Kodwa-ke, ngisho nangemva kokwelashwa, ngenxa yezinguquko ngokuguga, ezinye izingxenye zomgogodla zingathinteka esikhathini esizayo. Lokhu kusho ukuthi noma ngabe ingxenye eyodwa ilungisiwe, kunethuba lokuthi enye ingxenye izoba nenkinga, ikakhulukazi njengoba ukhula.

Yiziphi izindlela zokwelapha?

Kulungile, manje ake sibone ukuthi yiziphi izindlela zokwelapha ezitholakalayo zalokhu. Kunezindlela ezimbili zokwelapha eziyinhloko:

1. Ukuphathwa Okungahlinzwa

2. Ukwelashwa Kokuhlinzwa

Udokotela ngokuvamile uzoqala azame izindlela ezingezona ezokuhlinzwa ukulawula izimpawu. Kodwa-ke, lokhu kungahluka kuye ngokuthi izimpawu zakho zibucayi kangakanani nokuthi yini ebangela lokho.

Ukuphathwa Okungahlinzwa

Kubantu abane-myelopathy yomlomo wesibeletho encane, odokotela bangase batuse okulandelayo:

• Ukugqoka i-Neck Brace: Lokhu kunikeza impumuzo entanyeni futhi kulawula nokunyakaza kwentamo okungadingekile.
• Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Udokotela wezokwelapha umzimba uzokufundisa ukuzivocavoca ukuze uqinise imisipha yentamo yakho, wandise ukuguquguquka, kanye nokuma kahle komzimba.
• Ukuthatha Imithi:
• Imithi Engavimbi Ukuvuvukala (ama-NSAID): Isibonelo, i-ibuprofen ne-naproxen. Lokhu kunciphisa ubuhlungu nokuvuvukala.
• Ama-Corticosteroids: Lawa anamandla okulwa nokuvuvukala. Anganikezwa isikhathi esifushane.
• Iziqeda Ubuhlungu: Unganikeza iziqeda ubuhlungu ezivamile njenge-paracetamol noma ezinamandla.

Kodwa khumbula, nakuba lezi zindlela zokwelapha ezingadingi ukuhlinzwa zingase zinikeze impumuzo ngokushesha ezimpawini, azinikezi impumuzo yesikhathi eside noma zandise umsele womgogodla onciphile.

Ukwelashwa Kokuhlinzwa

Uma isimo se-Cervical Myelopathy sibi kakhulu, kusho ukuthi:

• Uma kukhona ubuhlungu obukhulu,
• Uma imisipha ibuthakathaka,
• Uma ukungazweli ezithweni zomzimba kuqhubeka,
• Uma unezinkinga ngokuhamba nokulinganisela,
• Uma kunzima ukwenza umsebenzi obucayi,

Udokotela wakho angase akuncome ukuhlinzwa ukuze kuncishiswe umgogodla.

Uhlobo lokuhlinzwa olunconywa udokotela wakho lungahluka kuye ngezimpawu zakho, impilo yakho jikelele, kanye nobudala bakho. Ezinye zezinketho zifaka:

• Ukususwa kwediski: Lokhu kuhilela ukususa ingxenye noma yonke idiski ebangela ukuqhekeka kwesisu.
• Ukufakwa Kwediski: Kufakwa idiski yokwenziwa ukuze kufakwe idiski esusiwe.
• Ukususwa kwe-Laminectomy: Ingxenye ye-vertebra ebizwa ngokuthi 'i-lamina' iyasuswa ukuze kudalwe isikhala esengeziwe sentambo yomgogodla.
• I-Laminoplasty: Ngaphandle kokususa 'i-lamina', iyashintshwa ukuze ivule isikhala sentambo yomgogodla.
• Ukuhlanganiswa Komgogodla: Lena inqubo eqinisa ithambo elilodwa noma ngaphezulu ngokuhlanganiswa ndawonye . Lokhu kuvame ukwenziwa kanye nokuhlinzwa kwe-discectomy.

Ngaphambi kokuhlinzwa, udokotela ohlinzayo uzochaza izingozi ezihilelekile kuwe ukuze ukwazi ukwenza isinqumo esinolwazi.

Ngemva kokuhlinzwa, kuzodingeka uphumule isikhashana. Kufanele ugweme ukuphakamisa izinto ezisindayo noma ukwenza imisebenzi enzima kuze kube yilapho udokotela wakho ekuyala. Udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungazinakekela kanjani nokuthi ubuye nini ukuzohlolwa.

Kuzokwenzekani esikhathini esizayo? (I-Outlook)

Umbono wakho nge-myelopathy yomlomo wesibeletho uncike embangela yalesi simo. Amacala amancane angelashwa ngokwelashwa okungewona okuhlinzwa, futhi ukuhlinzwa kuvame ukuba nomphumela omuhle.

Kodwa-ke, uma ingelashwa, i-cervical myelopathy ingaba yimbi kakhulu. Ezimweni ezimbi kakhulu, ingaholela ekulimaleni kwemizwa okungapheli, okungenakuguqulwa. Lokhu kungaholela ezinkingeni ezifana nobuhlungu obukhulu kanye nobunzima bokuhamba.

Ngakho-ke, uma unezimpawu ze-cervical myelopathy, bona udokotela ngokushesha. Bazokusiza ukuthola izindlela zokwelapha ezingcono kakhulu kuwe.

Ungaphila isikhathi esingakanani nalesi simo? Sizothuthuka ngokushesha kangakanani?

Abanye abantu bayabuza ukuthi ungaphila isikhathi esingakanani nalesi simo, nokuthi siqhubeka ngokushesha kangakanani. Amacala amancane awathinti impilo yakho, kodwa izimpawu zingathinta ikhwalithi yempilo yakho. Ezimweni ezimbi kakhulu, izinkinga ezifana nokulimala kwemizwa okungapheli noma ukukhubazeka komzimba zingavela. Ngakho-ke, ukubikezela komuntu ngamunye kuzohluka kuye ngezici eziningi, okuhlanganisa impilo yabo kanye nobudala babo. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngesimo sakho.

Ukuthi lokhu kuyashesha kangakanani kuyahlukahluka kuye ngokuthi imbangela ikuphi.Isibonelo, lesi simo singakhula ngokuzumayo ngemva kwengozi, noma singakhula kancane kancane njengoba ukhula. Udokotela wakho uzobheka izimpawu zakho kanye nokuhlolwa kwezithombe ukuze akunike "Isibikezelo" mayelana nokuthi sizoba sibi ngokushesha kangakanani nokuthi iyini ingozi yakho yezinkinga.

Ingabe lokhu kungavinjelwa?

Akunakwenzeka ukuvimbela zonke izimbangela ze-myelopathy yomlomo wesibeletho. Kunzima kakhulu ukuvimbela ukucindezelwa komgogodla okubangelwa izinguquko zemvelo emzimbeni njengoba siguga, njenge-cervical spondylotic myelopathy. Kodwa-ke, unganciphisa ingozi yakho yokulimala ezingozini. Kubalulekile ukulandela imikhuba ephephile nokugwema imisebenzi eyingozi kakhulu.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-cervical myelopathy, njengobuhlungu bentamo okukhulunywe ngayo ngenhla, ukungazweli, ubuthakathaka, kanye nobunzima bokuhamba, kufanele nakanjani ubone udokotela. Bazobe sebekwenza ukuhlolwa ukuze babone ukuthi kukhona yini ukucindezelwa komgogodla wakho.

Uma usuvele wazi ukuthi une-cervical myelopathy, uma izimpawu zakho ziba zimbi kakhulu, noma uma uhlangabezana nemiphumela emibi evela ekwelashweni, tshela udokotela wakho.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Kwenzeka kuphi entanyeni yami lokhu kushaya?
• Hlobo luni lokwelashwa olunconywayo?
• Iyini imiphumela emibi yokwelashwa?
• Ingabe ngidinga ngempela ukuhlinzwa?
• Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Umgogodla wethu udlala indima ebaluleke kakhulu emzimbeni. Ngokungalindelekile, ngenxa yengozi noma ngenxa yezinguquko zemvelo njengoba siguga, lo mgogodla ungacindezelwa. Njengomgwaqo noma ibhuloho elisetshenziswa njalo, uyawohloka ngokuhamba kwesikhathi. Zidinga nokunakekelwa nokunakekelwa ukuze zisebenze kahle. Kunjalo nangomzimba wethu. Lokhu kunakekelwa kubaluleke kakhulu, ikakhulukazi kulesi simo se-Cervical Myelopathy.

Udokotela angakusiza ukuthi uphathe izimpawu zakho futhi unciphise ingcindezi emgogodleni wakho. Lokhu kungadinga ukuhlinzwa. Umcabango wokuhlinzwa entanyeni ungethusa, kodwa ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukukuvikela nokuvimbela izinkinga. Ngakho-ke, uma unezimpawu, ungazinaki futhi ubone udokotela ngokushesha. Ukwelashwa kusenesikhathi kungaholela emiphumeleni engcono.

Ubuhlungu bentamo , i-Cervical Spondylotic Myelopathy, Ukucindezelwa Kwentambo Yomgogodla, Ukuba ndikindiki ezandleni, Umgogodla, I-Neuropathy, Ubuhlungu bentamo, i-Cervical Spondylotic Myelopathy, Ukucindezelwa Kwentambo Yomgogodla