Ingabe nawe uzizwa uqinile ekuseni uma uvuka? Noma uzizwa ubuhlungu kusihlwa ngemva kokubuka ikhompyutha usuku lonke? Ingabe ngezinye izikhathi uzwa umsindo "oqhekekayo" uma uphendula intamo yakho? Lezi yizinto ezenzeka kwabaningi bethu ekuphileni kwethu kwansuku zonke. Kodwa uma lobu buhlungu bentamo buqhubeka, akukuhle ukubuthatha njengento evamile. Imbangela yalokhu kungaba yisimo esisibiza ngokwezokwelapha ngokuthi "i-Cervical Spondylosis". Ungesabi uma uzwa igama, lesi yisimo esivame kakhulu. Ake sifunde ngakho kalula nangokunembile.
Iyini ngempela i-Cervical Spondylosis?
Kalula nje, lokhu kusho ukuthi amathambo entanyeni yethu (esiwabiza ngokuthi “amathambo entamo”) kanye ne-cartilage (ama-disc) aphakathi kwawo ayaguga ngokuhamba kwesikhathi. Njengoba nje izingxenye zemoto ziguga eminyakeni eminingi yokusetshenziswa.
Ake sikuqonde lokhu kakhudlwana:
- Umgogodla: Lokhu kubhekisela endaweni ezungeze intamo yethu. Sinamathambo amancane angu-7 abekwe phezu komunye nomunye kusukela phezulu kuya phansi entanyeni yethu. Lawa yilokho esikubiza ngokuthi ama-vertebrae.
- I-Spondylosis: Lokhu kubhekisela ekugugeni nasekuqhekekeni kwezingxenye zomgogodla wethu.
Ngakho-ke uma lokhu kokubili kuhlanganiswa, igama elithi "cervical spondylosis" lisho "ukukhathala kwamathambo entanyeni." Abanye odokotela babiza lokhu ngokuthi "i-arthritis yentamo." Lokhu kuyingxenye yenqubo yokuguga yemvelo.
Sivame kangakanani lesi simo?
Lokhu kuvame kakhulu kunalokho ongakucabanga. Eqinisweni, njengoba siguga, njengezinye izinguquko emizimbeni yethu, imisipha yethu iqala ukushintsha. Lokhu kubola ngokuvamile kungaqala ngokushesha nje lapho umuntu eneminyaka engu-30. Lapho umuntu eneminyaka engu-60, cishe abantu abayisishiyagalolunye kwabayishumi (9/10) baba ne-cervical spondylosis ethile.
Kodwa into ebalulekile ukuthi akuwona wonke umuntu onalesi simo futhi akabi nazimpawu. Iningi labantu lingaphila ngaphandle kobuhlungu noma ukungakhululeki.
Zingaba yini izimpawu zalokhu?
Abanye abantu bangase bangabi nazimpawu nhlobo. Kodwa-ke, uma izimpawu zivela, zingahluka kumuntu nomuntu. Lezi yizimpawu ezivame kakhulu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu bentamo | Lolu uphawu oluyinhloko. Ngezinye izikhathi lobu buhlungu bungahamba emahlombe nasezingalweni. |
| Ukuqina kwentamo | Ubunzima bokujika intamo, ukubheka phezulu, noma ukubheka phansi. Lokhu kungabonakala kakhulu uma uvuka ekuseni okokuqala. |
| Umsindo ovela ekuphenduleni intamo | Umsindo "wokuqhekeka" noma "wokuqhekeka" uzwakala lapho intamo ishukunyiswa emuva naphambili. Lokhu kubangelwa ukukhuhlana kwamathambo agugile. |
| Ukuqaqamba kwemisipha | Imisipha entanyeni nasemahlombe izizwa iqine futhi iboshiwe ngokuzumayo. |
| Ikhanda elibuhlungu | Lezi zinkinga zekhanda zivame ukuqala ngemuva kwentamo nekhanda, bese zidlulela ebunzini. |
| Isiyezi | Abanye abantu bangase bazizwe benesiyezi lapho bephendula intamo yabo ngokuzumayo noma bebheka phezulu. |
Kungani sinalesi simo?
Isizathu esiyinhloko salokhu ukuguga . Lokhu kungenxa yezinguquko ezenzeka emathanjeni entamo yethu ngokuhamba kwesikhathi. Ake sibone ukuthi yiziphi lezo zinguquko.
- Isifo Sediski Esiwohlokayo: Kukhona "idiski" phakathi kwamathambo amabili entanyeni yethu. Lokhu kufana ne-shock absorber eyenziwe ngento efana nejeli. Njengoba siguga, okuqukethwe kwamanzi kwale disk kuyancipha, kome, futhi kunciphe. Bese isikhala esiphakathi kwamathambo amabili siyancipha, futhi amathambo aqala ukukhuhlana.
- Idiski Ene-Herniated:Ngezinye izikhathi isembozo sangaphandle sale diski siyabuthaka, okuvumela izinto ezifana nejeli ngaphakathi ukuthi ziphume. Lokhu kubizwa ngokuthi i-herniated disc. Uma ingxenye ephumayo icindezela i-nerve eduze kwe-nerve, ingabangela ubuhlungu nokuthuthumela okungaphuma engalweni.
- Ukwakheka kwama-bone spurs (ama-Osteophyte): Njengoba i-disc iphela, umzimba uzama ukuqinisa umgogodla. Ukuze kulungiswe lokhu, umzimba udala ama-bone spurs engeziwe emaphethelweni e-vertebrae. Yilokhu esikubiza ngokuthi ama-bone spurs. Nakuba lokhu ngokuvamile kungeyona inkinga, ngezinye izikhathi la ma-bone spurs amasha angacindezela imizwa noma intambo yomgogodla.
- I-Spinal Stenosis: Intambo yomgogodla , impande eyinhloko yemizwa ephuma ebuchosheni, idlula emathanjeni ethu. Ngenxa yezizathu ezibalulwe ngenhla (ukuqhekeka kwama-disc, ukuqhekeka kwamathambo), lo msele womgogodla ungaba mncane. Lokhu kungabangela ukucindezelwa kwentambo yomgogodla.
Yiziphi izinto ezandisa ingozi yalesi simo?
Nakuba ukuguga kuyimbangela eyinhloko, ezinye izici zingandisa ingozi yalesi simo.
- Ubudala: Abantu abangaphezu kweminyaka engama-60 ubudala basengozini enkulu.
- Ukubhema: Ukubhema kunciphisa ukutholakala kwegazi kuma-disc, okusheshisa ukuguguleka kwawo.
- Umsebenzi: Abantu abasebenza emisebenzini ebacindezelayo entanyeni usuku lonke basengozini enkulu. Isibonelo, umuntu obuka ikhompyutha usuku lonke, umuntu openda ebuka ophahleni, noma umuntu ophakamisa izinsimbi.
- Ukulimala entanyeni: Uma kube nokulimala entanyeni ngaphambilini, leyo ndawo ingase ibe buthaka futhi lesi simo singakhula ngokushesha.
- Ufuzo: Uma othile emndenini wakho enalesi simo, ungase ube sengozini enkulu yokuba naso.
Yiziphi izinkinga ezingabangelwa yilokhu?
Kwabaningi, i-cervical spondylosis akuyona inkinga enkulu. Kodwa-ke, ezimweni ezingavamile, uma lesi simo sicindezela imizwa noma umgogodla, singaholela ezinkingeni ezinkulu.
- I-Cervical Myelopathy: Lesi yisimo lapho umgogodla entanyeni ucindezelwa khona. Lesi yisimo esibi kakhulu. Singabangela ukungakhululeki ezingalweni nasemilenzeni, ubuthakathaka, ubunzima bokuhamba, kanye nobunzima bokulawula ukuchama noma ukuhamba kwamathumbu.
- I-Cervical Radiculopathy: Lokhu kuyinkinga yokucindezelwa ephuma emgogodleni. Lokhu kungabangela ubuhlungu obukhulu, ukungazweli, noma ubuthakathaka bemisipha obuphuma engalweni. Kungazwakala futhi njengokushaqeka kukagesi.
Okubalulekile: I-cervical spondylosis ayithinti ubuchopho bakho.Lesi yisimo esihlobene ngokuphelele nama-vertebrae nama-disc entanyeni.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela ngenxa yobuhlungu bentamo, uzoqala ngokukubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba.
Ungahlola lezi zinto lapho:
- Ukuthi ungagoba futhi uphendule kangakanani intamo yakho (ukuguquguquka kwentamo).
- Amandla emisipha ezingalweni nasemilenzeni yakho anjani?
- Ukuhlola ukusabela kwakho.
- Ukuhlola indlela ohamba ngayo.
Ngemva kwalokhu kuhlolwa kokuqala, uma kudingeka, udokotela uzokudlulisela ukuze uthole olunye uvivinyo.
Yiziphi izivivinyo ezenziwayo ngalokhu?
- I-X-ray: Lokhu kungahlola isimo samathambo entanyeni, ukuthi kukhona yini ama-bone spurs, nokuthi isikhala esiphakathi kwamathambo omgogodla sinciphile yini.
- I-CT Scan: Lokhu kungaveza izithombe zamathambo ezinobukhulu obuthathu ngokuningiliziwe kune-X-ray.
- I-MRI Scan: Lesi isivivinyo esibaluleke kakhulu ngoba asikwazi ukubona amathambo kuphela, kodwa nezicubu ezithambile ezifana nama-disc, imizwa, kanye nomgogodla. Singabona kahle ukuthi i-disc ishelele noma inzwa icindezelwe.
- I-Myelogram: Lokhu kuhilela ukufaka idayi ekhethekile oketshezini oluzungeze umgogodla nokwenza i-CT scan. Lokhu kungabona ngokucacile izindawo zokucindezelwa komgogodla.
- Ucwaningo lwe-EMG kanye ne-Nerve Conduction: Lokhu kuhlolwa kungahlola ukuthi izinzwa zakho zisebenza kahle yini nokuthi izimpawu zithunyelwa emisipheni yakho kahle yini. Uma inzwa icindezelwa, lokhu kuhlolwa kungakuqinisekisa lokho.
Yikuphi ukwelashwa okungcono kakhulu kwalokhu?
Ukwelashwa okungcono kakhulu yilokhu okulawula izimpawu zakho futhi kukusize uphile impilo evamile. Ngokuvamile, odokotela baqala ngokwelashwa okulula, okungadingi ukuhlinzwa.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukwelashwa Komzimba | Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise imisipha yentamo yakho futhi wandise ukuguquguquka. Bazokufundisa nokuthi ungagcina kanjani ukuma okufanele. |
| Ama-Painkiller | I-Paracetamol noma eminye imithi yokwelapha izinhlungu (isib. i-Ibuprofen, i-Diclofenac) ingasetshenziswa ngokwelulekwa udokotela. Imithi yokuphumula imisipha nayo inganikezwa. Ungasebenzisi noma yimiphi imithi yokwelapha izinhlungu isikhathi eside ngaphandle kwemvume kadokotela wakho. |
| Ukuthosa okushisayo noma okubandayo | Ukufaka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni enobuhlungu nokuqina cishe imizuzu eyi-15 izikhathi eziningana ngosuku kunganikeza impumuzo. |
| Ikhola Elithambile | Udokotela wakho angase akuncome ukuthi ugqoke lokhu isikhathi esifushane njengokusekela intamo. Lokhu kuzosiza ukukhulula imisipha yentamo. Kodwa-ke, ukuqhubeka nokusebenzisa kungenza imisipha ibe buthaka, ngakho-ke sebenzisa kuphela njengoba kuqondiswe udokotela wakho. |
Uma lezi zindlela zokwelapha ezilula zingalawuli ubuhlungu, noma uma kukhona isimo esinjengokucindezelwa kwemizwa, udokotela wakho angakudlulisela kwezinye izindlela zokwelapha, njengomjovo we-cervical epidural steroid noma i-radiofrequency ablation.
Ezimweni ezingavamile kakhulu, njengokucindezela okukhulu komgogodla (i-Myelopathy), ukuhlinzwa (i-Spinal Fusion Surgery) nakho kunganconywa.
Ngizinakekela kanjani?
Nakuba lesi kuyisifo esingamahlalakhona esingelapheki, ungakwazi ukulawula izimpawu zakho futhi ulondoloze impilo enhle.
- Gcina ukuma okuhle: Gcina umhlane wakho uqondile ngenkathi uhleli, umile, futhi usebenza. Gcina isikrini sekhompyutha yakho sisezingeni lamehlo.
- Gwema imisebenzi ekhathaza intamo yakho: Thatha ikhefu ngezikhathi ezithile lapho wenza izinto ezifana nokubheka phansi ngenkathi usebenzisa ifoni yakho noma ukubheka phezulu ngenkathi usebenza.
- Qaphela indawo yakho yokulala: Sebenzisa umcamelo ohlinzeka ngokusekelwa okuhle kwentamo futhi ongaphakeme kakhulu. Lala ngohlangothi noma ngomhlane. Ukulala ngesisu kubeka ingcindezi engadingekile entanyeni yakho.
- Ukuzivocavoca:Cela udokotela wakho noma uchwepheshe wezokwelapha ukuze akunike izivivinyo ezilula zokuqinisa intamo bese uzenza nsuku zonke.
- Ukulawula isisindo kanye nendlela yokuphila enempilo: Gwema ukubhema. Yidla ukudla okunempilo. Lokhu kuhle empilweni yakho yonke yamathambo.
Kufanele ngimbone nini udokotela?
Uma unezinhlungu zentamo noma ukuqina kwentamo okungapheli ngemva kwezinsuku ezimbalwa, qiniseka ukuthi ubona udokotela. Futhi, yazisa udokotela wakho uma usuvele uthatha imithi futhi izimpawu zakho ziya ziba zimbi kakhulu.
| Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha | |
|---|---|
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi kanye nobuhlungu bentamo yakho, kungaba uphawu lwesimo esibucayi. Ngakho-ke hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. | |
| 🚨 | Uma ubuhlungu bentamo buqhubeka buba bubi kakhulu . |
| 🚨 | Uma uzwa ukuqaqamba noma ukuba ndikindiki ezandleni zakho. |
| 🚨 | Uma uzizwa sengathi ulahlekelwa yibhalansi yakho ngenkathi uhamba. |
| 🚨 | Uma imisipha esezingalweni noma emilenzeni yakho ibuthakathaka futhi izwakala isinda . |
| 🚨 | Uma unesimo lapho ungakwazi ukulawula umchamo noma indle yakho . |
Umlayezo Wokuya Nawe Ekhaya
- I-cervical spondylosis ukuwohloka kwamathambo omgogodla nama-disc entanyeni njengoba siguga. Lesi yisimo esivame kakhulu.
- Abantu abaningi abanazo izimpawu. Izimpawu zingase zihlanganise ubuhlungu bentamo, ukuqina kwentamo, kanye nekhanda elibuhlungu.
- Nakuba kungelapheki ngokuphelele, ukwelashwa ngokomzimba, imithi, kanye nezinguquko endleleni yokuphila kungakusiza ukuthi ulawule izimpawu zakho futhi uphile impilo evamile.
- Ukugcina ukuma okufanele kanye nokuzivocavoca intamo kubaluleke kakhulu.
- Uma unezimpawu ezinkulu, njengokungazweli ezingalweni nasemilenzeni yakho, ubuthakathaka, noma ubunzima bokuhamba, funa iseluleko sezokwelapha ngokushesha. Kungcono ukukhuluma nodokotela ngaphandle kokwesaba.
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